Starting Radiation Again Soon

Sadly, you’re not looking at a baby belly… this is a tumor-filled belly 😩 The last couple of months have been incredibly challenging. Just as I was starting to feel a little stronger a few weeks after surgery in August, other symptoms began to show up or worsen, and have only gotten more difficult to cope with since then. 

I had scans in early October which showed continued progression. I haven’t been able to do much for integrative treatments in several months now because my body screams a hard NO!! whenever I try. I do push, because I want this stuff to work, I want to heal, but there has been no clear payoff with anything lately. 

I have literally begged and pleaded with surgeons and other doctors to help me: specifically with a very large liver mass. Every single consult and plea has been met with a closed door, and sadly, little to no compassion. I had begged the surgeon in August to do everything he possibly could while he had me opened up, but he said he would only take the largest mass, and then we would discuss further interventions after I’d had some time to recover. However, when that time came, I received a hard No to any further care from him. I’ve consulted with multiple specialities and surgeons across different health care systems. None will help me. They see me as too high risk and a lost cause without much time left. 

The only conventional provider I can find who is willing to try anything on the large liver mass is my radiation oncologist. I am set to start proton beam radiation this coming week, and the treatment course is expected to take about a month. I have no idea what to expect, but because of the large size and location, as well as involvement of the inferior vena cava, the rad onc is worried about how sick I could get. Idk how much I’ll be able to eat, keep down, detox, or digest… I already have terrible abdominal pain and pressure, and because of the restricted blood flow in the IVC, I get extremely short of breath, weak, with heavy, painful, shaky legs any time I bend at the waist or take even 2 stairs. Lymph and blood flow are restricted below the liver, so I have a lot of fluid retention, lymphedema, and more nerve pain now. Many mornings are spent on the couch writhing in pain for hours as I try to deal with the severe radiating pain down my leg, in my low back, and through my whole abdomen. Sadly, nothing really works to alleviate the pain. 

What’s probably one of the hardest things to deal with is knowing I have a bunch of integrative tools at my disposal, but my body simply won’t tolerate them anymore. When I push, I’m met with horrible reactions that last days and only result in further tumor swelling/growth. 

Needless to say, I have been very lost and simply incapable of doing much more than trying my damnedest to survive each day. Life barely feels real anymore. 

I have SO many negative emotions toward certain providers and their lies, misinformation, inflammatory statements, and omission of extremely critical information over the last 6 years. I am working to process all of this, because I know it isn’t doing me any good. As both a patient and provider though, it makes me completely disgusted with the way conventional oncology is run in our country. There have been some angels in this hell, but unfortunately it isn’t the norm. 

Six years in, and there are very few stones I’ve left unturned. Yet here I am, fighting for my life harder than I ever have, with seemingly few options remaining. I still believe, somehow, someway, there IS a path to true healing for me. I don’t know what it is. My senses don’t perceive it. But my heart and soul believe. 

I don’t know what the next month will bring with treatment, or if I’ll have the capacity to keep everyone updated. Honestly, right now, I can Barely take care of my Very basic needs each day. Thank you in advance for your understanding, prayers, and support. 

Another Major Surgery Coming Up

I’ll be having Major surgery this coming Monday to deal with a number of tumors that have been causing severe, long-standing problems. I’m still healing from the scalp surgery and skin graft, but am in dire need of more surgery… Three different surgeons will be operating on me, in 4 different areas, but I will still be closed up with numerous masses remaining that they unfortunately won’t remove. 

I have an extremely large mass on the left lobe of my liver that has been restricting my ability to eat for months, as it’s pressing directly against my stomach. My ribs are flaring and separating, muscles and nerves stretching and pulling apart, spine/ribs/back/muscles being strained, and I cannot get or stay comfortable in really any position. 

An orthopedic surgeon is planning to remove a large and bothersome mass from my glute, and another from the back of my shoulder. A gyn-onc will be removing a very sensitive mass on my vulva. 

There are numerous other masses in the abdomen and pelvis that the hepatobiliary surgeon does not feel are appropriate to remove right now due to increased risk of complications. Despite the fact they are all causing pain and symptoms, and they will be cutting my entire abdomen open, this surgery is viewed as simply palliative by modern medicine. 

We are struggling immensely with the weight, stress, grief, anxiety, frustration, helplessness, and anger of all of this. I have been working SO UNBELIEVABLY HARD for SO LONG to heal. From February to June I was doing daily IV infusions between home and my integrative physician’s clinic. Doing so many therapies it would make your heads spin.. many of them helping me feel better and giving us hope that we were finally moving in the right direction. But somehow it all became too much and rather than helping me heal and feel better, tumor site pain suddenly picked up significantly, and the more I did, the more the pain and tumor swelling progressed. So I unfortunately had to pull back on almost everything in June, and have the scalp masses removed because I could barely sleep from severe pain anymore. I still haven’t been able to resume most of the therapies due to worsening of already severe tumor site pain each time I try again. 

So now I’m in this place where the surgery will alleviate some suffering, but possibly not enough that will allow me to resume any of the treatments that were previously helping me. 

No one in conventional medicine sees an answer for me. I’m struggling to get requested consults or considerations for newer or less invasive/less toxic treatments that could help me, but they’ll happily offer me chemo that has terrible odds of working and fantastic odds of killing me. The conventional oncology system is broken in our country. They seem to have zero interest in trying to uncover the true root causes, and instead spend billions trying to find new ways to treat the symptoms (tumors) rather than solving the underlying causes and how to reverse them while healing the patient as a whole. I shouldn’t have to spend nearly every waking hour of my life doing my own research, paying thousands upon thousands of dollars out of pocket for every integrative consult and therapy, and experimenting on myself to try to survive. I am not blaming any one institution here; it is Everywhere in our country (and many other countries as well). This isn’t to say I’m ungrateful for the treatments I have needed, but if true root causes were researched the way pharmaceuticals are, recurrences and stage IV terminal diagnoses would be nothing like what they are today. 

It seems to me now that many people see me as a lost cause. As a story character whose fate was sealed with the original diagnosis. But I don’t, nor have I ever, seen myself that way. What I do see and hear and feel (deeply) is the fear and preconceived notions that people (typically providers) have about me. I am extremely sensitive to people talking to me and making treatment decisions as if my ending has already been written. I have plenty enough fear and grief already. I know the odds are stacked against me. But that doesn’t mean I don’t still believe in myself or in miracles. 

We are struggling immensely with all of this. Despite all we’ve been through, it unfortunately just seems to continue to get harder. I have extremely limited physical capacity right now, mental capacity is beyond its maximum between the severe pain and stress, and I need to do an insane amount of preparation for surgery and my hospital stay. My body wants to rest but cannot find a way to get comfortable to do so, and my heart just wants to be with Brandon and the kids, but my mind pulls me in a million directions while the pain and debilitating fatigue are screaming at me no matter what I do. Brandon continues to work full-time and try to carry me, the kids, the house, and everything else.

We appreciate your kind words, prayers, and support, but please understand we are drowning and oftentimes trying to respond to even a quick message is just too much for us right now. Please understand it is Not personal, and your kindness is noted, taken to heart, and very much appreciated. 

As always, I will do my best to share a post-op update when I am able. 

Thank you ā¤ļøā€šŸ©¹

Important Updates

We’re still trying to process things and figure out the best path forward, but I was notified on Wednesday morning by Interventional Radiology that they will no longer do the hepatic artery embolization for me. The MRI I had last Friday provided more detail that apparently made them think the procedure wouldn’t be successful or wise to move forward with. 

So at this time, no one in conventional oncology has treatment to offer me unless I decide to do chemo. And the pressure to do it is Intense, despite crappy statistics and terrible risks. If I chose to do it, it could take weeks before it worked, and by ā€œworked,ā€ I mean slowing growth, Possibly stopping it. But not making it go away: not the metastases, and definitely not the cancer itself. It would weaken my immune system and entire body, which, I kind of need… and then I would need to continue on that chemo until it stopped working or I couldn’t tolerate it anymore. Then I’d be back in the same boat I’m in now. But even weaker. 

Conventional oncology has never had a cure for me. All they hope to do is kick the can down the road a little farther. Well, that isn’t good enough for me. It’s completely unacceptable. Which is why I have been exploring and trying countless alternative treatments for the last few years, and why I continue to do so. I’m working hard to strengthen and heal my body, mind, and spirit despite the enormous financial burden. I won’t get into the asinine world of insurance coverage for chemo but not modalities that Help people Heal or feel Better… 

As I said, there’s a lot to process and figure out now. While I’m working and praying for healing, I’m also praying I don’t end up in an emergency situation. It’s a very lonely and scary road to be on, but I refuse to give up or give in to pressures for something I do not think is right for me. 

This Thanksgiving, and every day, I am extremely grateful for my husband and his undying support, our wonderful children, families, and friends, the providers and professionals who support and believe in me, God, my angels and ancestors for guiding me, and for each day I get to continue to be here with my family. 

I’m on my own path, and while I have no idea where it’s going to take me, I’d rather have this journey than simply jump off a cliff. When I find my way, I’ll come back for others ā¤ļø

Scan Updates šŸ’”

This past week’s scans did not go as we had hoped. Far from it, actually. Despite my best efforts, the cancer has progressed. I now have 2 significantly sized lesions in my liver, and a couple more questionable spots elsewhere. It’s been a difficult week of extremely difficult discussions and emotions. 

I had my 3rd radiation treatment on Thursday. Once this round is complete (still currently scheduled for a total of 8 treatments), the road is murky. Due to the sizes of the liver lesions, they are not good candidates for interventional radiology procedures or radiation. I am awaiting a surgical consult with the surgeon who did my last abdominal surgery. While I have no interest in going through a 3rd massive abdominal surgery, if these spots are even resectable, it may be necessary. 

I met with my oncologist yesterday to have a discussion I’ve been fearing for years. We have reached a difficult point in my health care plan: whether or not to do chemo again. There is no cure for leiomyosarcoma. I have known this all along. Every patient is different, however. Some need a surgery or a few treatments, they reach stability or a state of having no evidence of disease, and they can stay there… sometimes for years, sometimes indefinitely. I have always intended to be one of those patients. Unfortunately, these last several months have shown acceleration of disease I’ve never had, and it has continued to get worse. 

Conventional oncology here in the US can offer surgery, radiation, chemo, and sometimes interventional radiology procedures to remove, slow, or stop lesions. But they have no way of making it go away for good. None of these treatments get to the root cause, nor can they attack circulating or  cancer stem cells. It’s essentially sustaining a game of whack-a-mole as long as you can. The final Hail Mary can sometimes include chemo. We discussed this in depth yesterday. 

In my case, the goal/hope with chemo would be to stabilize existing spots and hopefully stop new spots from popping up. This is best case scenario. There would be a small chance of decrease in size for existing spots, but it isn’t the usual outcome for LMS patients. None of this is news to me, but it was good to get confirmation and better understand the realistic expectations.  

If there was stability or shrinkage and I was tolerating the treatment, then I’d just stay on it indefinitely until it stopped working or I no longer tolerated it. So, essentially, once you get on that chemo train, you stay on it until it derails, then try another train, until that one derails or you don’t tolerate it, etc, likely indefinitely. Meanwhile, the train is dragging you beneath it, beating you up the whole way… and after how poorly I tolerated chemo the first time, and how weak I have already been these past several months, the idea sounds terrifying and frankly not safe. 

My oncologist understands why I am hesitant to do it, and said that whatever I decide, she will support me however she can and that she wishes she had more and better options to offer me.. 

I don’t know that I want to board the train. I have to weigh the known high risks with the possibility of stability, but only with continued use, and only if I tolerated it… 

It has very much come to the point now where I need to figure this out on my own, receive God’s blessings of a tremendous miracle, or this may be the beginning of the end. 

Brandon and I have been working hard together to review my protocol, going back through all our notes and prior ideas… things I’ve tried that could be modified or restarted, things we hoped I wouldn’t need to resort to, continuing to think outside the box and prioritize as best we can. I’ve been going back and forth with my integrative team, bringing new providers and therapies on board for the last few weeks… we are feeling like we still have some solid ideas that all have research and/or strong anecdotal evidence to support… but it is scary as F!!!!!!!! And expensive!! Insurance doesn’t pay for wellness, unfortunately šŸ™„šŸ˜¤. And the stress?? There is no way to describe it. 

These past few weeks my priority in choosing therapies and regimens has been Wellness. How can I not just ā€œattackā€ cancer but also Deeply HEAL my body and mind! I continue to read stories of miraculous remissions to give me a dose of hope to keep going. I look at my husband and kids and it GUTS me to think about leaving them behind. So through the tears and heartbreak I keep researching, keep reading and experimenting on myself. Praying to God, my angels, and ancestors to Please guide me! Please heal me! Please help me so that I can be here, healthy, to live a long life with my family. 

I am terrified of the possible pain and suffering, but I’m not a stranger to that. I don’t need to be told I’m strong. I Know I am. And I don’t want to have to be! I’ve been strong long enough!! But the thing that haunts me the most is the thought of leaving my family when we still have so much life to live together. 

I am not asking for anything right now, but pretty please don’t put the onus on me to tell you how you can help.. I so VERY much appreciate the offers, but in all honesty, I can barely get through the day, and I don’t have the mental capacity to try to think anymore than I already need to. If it moves you, please join me in prayer. We are continuing to spend a lot of money on experimental therapies. We are driving long distances most days so are going through a lot of gas and wear and tear on the car. I am trying to eat as healthfully as possible, but our schedule is chaotic and requires immense flexibility, so life is rarely plannable for us anymore. 

If there is a supplement or medication or protocol out there, I have likely tried it and/or am doing it… Brandon keeps reminding me that if beating this were easy, they would have figured it out by now. I’ve been trying to get beyond cancer for 5 fricken years. I am beyond exhausted and hanging on by a thread of hope most of the time. But I know that that thread, however thin, will keep me working so that I can stay here with my husband and kids for as long as I possibly can. 

More Radiation Needed šŸ„ŗ

This past week has been incredibly stressful as we’ve had to navigate yet another shit storm of cancer.

I need radiation to an aggressive lung nodule in my left upper lobe. We’re going to try proton therapy this time, in the hopes that it will cause minimal collateral damage to my heart and other vital structures. We’ll also be attempting every other day treatments, and playing around with my meds to see if we can avoid a terrifying cardiac episode like last time šŸ˜“ The plan is start October 30 (the day before Sloane’s birthday 😢).

I’ve been exploring some new possible ways to strengthen my system in preparation for more treatment, and desperately trying to keep my mental health in check. Terror, grief, despair, anger, sadness, depression, anxiety, panic… they don’t even begin to describe the emotions constantly swirling in my mind. I keep saying, no human is meant to deal with this much trauma for this long. Knowing that the trauma and stress are further weakening my ability to heal is a complete mind F*! It’s all just a swirling labyrinth of shit.

As usual, I am inundated with more possible avenues of action. Drugs, herbs, protocols, therapies, confusing and conflicting research every which way… the stress of it all is beyond overwhelming. And NO ONE knows the answer. But the overwhelm needs to be managed, because that is also delaying healing šŸ™„šŸ™„šŸ˜¤

Complicated and frustrating don’t even scratch the surface. This is beyond maddening.

I am asking God, the Universe, my angels, ancestors, and my prayer warriors: Please lift us up as we move forward through the continued unknown. I want to Heal!!! I am meant for more!!

Every day I affirm: I am healthy. I am whole. I am cancer-free.

I believe there are better days ahead. I am trying to allow, rather than chase, the positive vibrations and outcomes I desire. But fear rears its ugly head and I struggle to keep moving forward.

None of this has gotten easier. The trauma and terror have become familiar, but they are not my friends. My mind and body are trying to protect me.. but at what cost?! I want to live. Heal. Flourish. Thank you God, angels, and ancestors for continuing to guide the way ā¤ļøā€šŸ©¹

7 Weeks Since Surgery

It’s a little hard to believe, but it’s been 7 weeks since surgery. Recovery is going ok, but I’m still trying to come back from radiation and the cardiac event in April, so the overall progress has seemed very slow. 

Following the traumatic events of this spring/summer, I found myself in a near-constant state of panic. I was experiencing panic attacks daily, crying multiple times per day, and constantly stuck in an unending doom spiral. The coping mechanisms on which I’d learned to rely over the last few years were no longer seeming to help, and every single stressor became just another insurmountable trigger. I managed 4.5 years of cancer to not need daily medication to manage my mental health; I have had detrimental side effects in the past with all of the meds I’ve taken, so I was very hesitant to even consider trying them again. However, I finally reached a point where I realized I could no longer responsibly try to manage things on my own and had to fight to get prescriptions for new meds that weren’t going to carry the high risks of those I’ve tried in the past. So far, I am thankful to report that the medications are helping, though we are still experimenting and working to find the best current regimen for me. 

Medication alone has never been sufficient for me when it comes to my mental health. In addition to self-care/lifestyle factors, I have seen several therapists over the past few years. Unfortunately, I discovered this year that even long-term ones were no longer serving me in the ways I currently need. I finally found a therapist I am comfortable with again, and I have been seeing them 1-2 times/week now. 

Since surgery, I have had several other important scans and appointments. Thankfully, the large ovarian cyst and accompanying symptoms have resolved. An MRI of my right (non-operative) shoulder reveals a complete tendon tear in my rotator cuff, and I will likely just be continuing to try to heal that through physical therapy at this point. 

I had a cardiac MRI last month to get a more accurate measurement of my heart function following the events back in April. Sadly, the MRI shows my left ventricular ejection fraction was at 44%, which places me in the ā€œmildā€ heart failure category now. Before chemo in 2019, it was 55-60%, and before this last round of radiation, it was 50-55%. The cardiologist has started me on 2 heart failure medications at this time, but, because I’m also struggling with POTS symptoms and low blood pressure, it’s an extremely tricky balance (all of the possible medications for this type of heart failure lower blood pressure, and one of them is also a diuretic, when I’m already struggling to keep my fluid levels higher due to POTS). 

I’ve also been meeting and scheduling consults with additional providers to further expand my integrative approach to health and healing. I am learning a lot, trying my best to not get Too overwhelmed, and working hard to remain flexible and hopeful amongst all the unknowns. 

Over the last several weeks I have been doing my best to prioritize my mental health, peace, and quality time with Brandon and the kids. I have been limiting my time and influences on social media, making space for intentional solitude, and trying to do things on my own timeline without judging or shaming myself for doing so. I’m learning to allow rest without guilt and just generally try to free myself of unrealistic expectations (typically self-imposed). While I have been working on it for years, I am focusing hard on prioritizing positivity, practicing affirmations, and minimizing and better managing negative energy – from both my own mind and external sources. 

Needless to say, it’s been a busy 7 weeks since surgery. As I’m feeling up to it, I will maybe share some photos of recent events since surgery. We had a nice little (delayed) 11th wedding anniversary celebration, Sloane is back in soccer, and we’ve been trying to do some of our little family traditions again. I’d love to say I’m feeling so much better, but scans are already coming up again in a couple of weeks (how??!!), so I’m having to work extra hard at avoiding the doom spirals right now. 

As always, thank you all for your care and continued prayers šŸ’œ

Doing My Best

I have tried to write a meaningful post nearly every day since getting home from radiation, and I still don’t quite know what to say. I don’t have the capacity, nor do I think it appropriate, to lie. However, telling the truth will likely result in people checking in with our family and friends to see if I’m ok, so please let me preface this by saying: I am doing my best. My providers are aware. I have probably tried or looked into the majority of suggestions people have. This is simply what my life is like right now. I am posting because I know people are concerned and/or wondering.

I feel unwell. Physically, emotionally, mentally, and spiritually. It is 2:24pm as I draft this post, and I have not been able to get dressed, do anything with my hair, brush my teeth, or do Anything other than wash my face, eat a few things that didn’t require prep work, and do a few stretches today. Every time I get up to, say, use the bathroom, I am met with this overwhelming feeling of exhaustion, discomfort, and an inexplicable feeling that I Need to sit back down. I’m lightheaded and nearly pass out with standing up, 10 hours in bed isn’t enough, I have horrific nausea and an inability to eat more than a few bites of food without my body rejecting it. Since getting home from radiation less than a month ago, I have unintentionally lost approximately 15 lbs… thus far. I know most of this is muscle mass because I can’t consume enough protein to maintain it.

Every single day is a struggle. When I have appointments, I have to painfully force myself to do things in order to get out of the house, but typically feel worse because I have to keep ignoring my body’s pleas to sit down and stop doing. Once home, I typically cannot get off the couch for usually about 2 hours. Some days I feel better in the afternoons and have maybe 2-3 hours where I can get a few things accomplished. This is usually the time of day when I either get dressed for a few hours, or change into a new pair of pajamas. I’m sure some of you are thinking: That sounds great! Sit around all day in your pjs?! Sure, there are certainly worse ways to spend your day. But this has become my Life as of late, not because I Want to, but because I have no choice, and I am very sad, scared, and depressed. I absolutely cannot tolerate any further aggressive treatments right now. I can’t even tolerate eating food to keep me going each day.

I had another echo and met with a new cardiologist a couple weeks ago. My heart function appears to have declined further since radiation, which is no surprise given what happened. However, before deciding how aggressive we’ll be with treatment, I need a cardiac MRI to ensure we have the most accurate function of my heart. They only have 1 machine and are booked out, so I won’t be getting that done until end of August.

I am in pain, short of breath, intolerant to exercise, lost in brain fog, struggling with horrendous exhaustion, unable to maintain a comfortable body temperature, and still dealing with all the limitations from spinal surgery and radiation. I don’t think it’s necessary to detail it all out, as I’m sure you can begin to imagine how and why my mental, emotional, and spiritual health are all struggling as well.

My next scans and appointments with Mayo are stretched out over the course of a week, which is incredibly annoying… my appointments will be from June 28 through end of day July 3. Great way to head into the holiday weekend here in the U.S.šŸ˜’šŸ˜¤šŸ™„

I realize this post probably doesn’t sound a whole lot like me… but I don’t feel much like myself anymore anyway. My poor husband and kids have had to watch me struggle to get through each day, to cry and cry because I can’t do the things I want, or even Need to do, and be ok with everything changing More because mom can’t tolerate much of anything. I absolutely Hate having to take life day by day. And after 4.5 years of being forced to do that against my will, now I have to take things hour by hour, sometimes minute by minute. I do not have the luxury of planning anything for the future. As human beings, we thrive on having things to which we can look forward… I have fear and terror of what could happen. With a teeny tiny sliver of hope that I am Really struggling to maintain.

But every day, I get up with the commitment to TRY my best, despite. Hoping and praying that things will start to get better. That I will get better. That I will shock everyone and heal myself.

I don’t know what tomorrow will bring.. I don’t even know if I’ll manage to get dressed today. I am annoyed that it’s taken me an hour to write this post… I forget what I’m saying and doing while I’m in the process of saying/doing, so writing, reading, and talking are all more challenging now, too.

I want to post more, to be helpful to others, or perhaps even inspire.. but lately I can barely help myself, so I guess that’s where I need to continue to focus my energy and attention for now.

Maybe someday soon I’ll figure out how to manage this struggle better, but for now I need to preserve the little bit of energy I have.

Thank you for your prayers. I appreciate them and you. I will continue to pray for and affirm: Better days ahead! šŸ™šŸŒ»