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My Breast Cancer Diagnosis And Treatment Plan

The title says it all, so if you want to skip the breast cancer talk and get back to the fun stuff, now’s your chance

On November 1 of last year I had my first ever mammogram at age 41. The next day I found out I needed further testing and two weeks later I had a follow-up ultrasound and biopsy of two of three tumors and one of a few suspicious lymph nodes. From the appearance on the ultrasound, I was told they were about 95% likely to be cancer. On Monday of the following week (aka Thanksgiving week) it was official. 

Type of Breast Cancer

Breast cancer is classified both on location and whether it has receptors for estrogen(ER+ or -), progesterone (PR+ or -), and/or HER2 growth hormone (HER2+ or -). If it’s negative for all three hormone receptors, it’s called triple negative breast cancer. I have two types: invasive ductal carcinoma that is ER+ and HER2+ and invasive lobular carcinoma that is ER+ and HER2-. All are PR-. It is also stage 2, and grade 2. Stage describes the extent and is what most people are familiar hearing. Grade is how slow or fast it’s likely to spread. Grade 2 is not as slow as 1 but slower than 3.

Genetic Testing

Because I have a family history of breast cancer, I had genetic testing. I do not have any known genes for breast cancer, such as BRCA1 or BRCA2. It did show I have two variants. That just means that those genes are still being looked at for contributing to breast cancer. Most of the time variants get moved to the harmless category, so for now having them makes no impact on treatment or advice for other family members.

Treatment

Because I’m complicated (ha!), it took some time and more test results for my oncologist to determine the best course of treatment. It also uncovered some weird activity in my left femur on a PET scan. Thankfully a bone biopsy came back negative for cancer, although we will still need to keep an eye on it. I also get to say I had someone drill into my bone while I was awake, which my weird self thinks is kind of cool. Not that I want to ever have to do it again, but since it happened I’m embracing the cool but slightly gross factor.

We knew that the best course was chemo followed by surgery, probably radiation and definitely a year of a targeted HER2 therapy called Herceptin. Which type of chemo was the question. Eventually, she decided on six rounds of TCHP for the chemotherapy, which is two chemotherapy drugs, Taxotere and Carboplatin, and two HER2 targeted therapies, the Herceptin I will continue and Perjeta.

Chemo Port

For the chemo and Herceptin infusions, I have a port. That link gives more details on what that is. When I first heard that I would need one I was definitely grossed out by the thought of it, but now that I’ve seen how much easier it makes the infusions, I’m very glad to have it. I just can’t think about it too hard because it still makes me a little squeamish.

How I’m Feeling

I receive chemo once every three weeks. So far I’ve had four rounds, so I’m over halfway done. Yes, I’m bald now, but it is about to be summer in Texas, so the timing isn’t too bad. As far as other symptoms, I mostly feel tired achy, like I have the flu for the first week, more easily tired the second week and almost normal the third week before it starts all over again.

I’ve actually been pleasantly surprised at how much easier it’s been than I was expecting. Part of that is probably the almost half a dozen anti-nausea meds they’ve given me. Between the two or three preemptive meds chemo week and the two as needed at home, my nausea is so well controlled I think I’ve managed to put on a few pounds.

Annoying Side Effects

I do have a few other side effects that are more a nuisance than anything. Heartburn is way worse than usual, and I occasionally get hot flashes. The most annoying thing is chemo mouth. Basically everything tastes weird at best, like I drank nail polish remover at worst. It does make it a little hard to drink water or find things to eat when it’s bad and so far I haven’t found one thing that consistently helps. It also seems like the things that taste the best then are some of the least healthy. Like Sonic Cheddar Peppers, for example. Probably explains the few extra pounds, tbh. I also can’t stomach coffee for about a week and a half after a treatment. I should probably cut it out the whole time, but no. Just no. (Currently sipping my second cup.)

I have another round coming up next week, my last one the first week of May and then surgery the second week of June. I’ll share more on the other parts of my treatment as they happen.

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How to Create a Self-Care Sunday

Self-care has transformed a lot over the last few years. It began as a way to encourage people to do more for themselves, which is amazing. But somewhere along the way, it became something people felt like they were forced to do.

If you are feeling a little overwhelmed with this idea of the perfect self-care routine, it’s time to take a step back. Instead of focusing on having to fit it into your daily life, why not just start one day a week?

Why do Self-Care on Sunday?

Sunday is actually the perfect day to dedicate to yourself, since it is often already a day of rest for many people. You are winding down after a fun weekend, and likely getting ready for a new week to begin. For me, Saturdays are usually the day that I take care of leftover chores from the week and grocery shopping, so Sunday is freed from those tasks as well. Take advantage of the downtime by adding some self-care activities to your routine.

1. Setting Up Your Weekly Self-Care Routine

First thing’s first – figure out what your routine is going to be before Sunday. Taking a few minutes to plan ahead of time makes it more likely to happen! Don’t forget that self-care doesn’t have to be done alone, so if you have a busy house on Sundays, you can still do this!

What you want to do is focus on your self-care on Sundays, whether that means an hour during the day, or changing the entire routine for the day.

Think of Sundays like a reset day. When you not only get your planning done for the week, but you give yourself some time to relax and unwind, reset your body and your mind for another busy week.

How is it Different from Daily Self-Care?

To put it simply, it’s not. You still want to choose activities that help you to relax, are good for your body and mind, and overall wellness. But you might have a little more free time on Sundays, so you won’t feel as pressured to fit it all in before or after work, or during your bedtime routine.

Sundays opens new possibilities for self-care, whether you do it alone or with family.

Think About Your Current Sunday Routine

In order to turn Sunday into your weekly self-care day, you need to consider what you tend to do on Sundays. This self-reflection helps you determine if these are things that can only be done on Sundays or can be moved to another day to give you more time for yourself.

Make a list of things you do every Sunday first. Then look at your list, and cross off anything that isn’t necessary or might no longer be serving you. With what is left, determine if any of those activities can be moved to Saturday.

For example, if you do a lot of cleaning and chores on Sundays, could they be moved to other days during the week, freeing up a bit more self-care time for you?

2. Ideas for Sunday Self-Care Activities

The good news is that self-care on Sunday is pretty much the same as what you would do any other day of the week. It is more about dedicating a day to yourself each week, especially if you don’t have much time during the week to really focus on you.

Here are some activities that can be great to do on Sundays:


Let yourself sleep in – If you don’t get to sleep in during the rest of the week, at the very least give yourself this time on Sundays! Your body (and mind) needs the rest.

Go to brunch with friends – Self-care can also mean doing something you enjoy with other people. Grab a group of friends on Sunday to go to brunch.

Head to a park or the beach with your kids – You can also enjoy more time with your kids without cell phones and TV. Go outside to enjoy the fresh air and exercise. Ride bicycles around your neighborhood, have a beach day, or do a picnic at the park.

Have an hour of pampering – You might not be able to dedicate the entire day just to self-care, but at least fit in some pampering time. Spending quiet time soaking in the bath or giving yourself a facial are a couple ideas.

Catch up on your reading or creative projects – This is the perfect time to pick activities you enjoy, but rarely have time for. Maybe there is a book you have been wanting to finish or a creative project you would love to do.

Image by Free Photos from Pixabay

Get ready for the week – Self-care can also mean just giving yourself time to really reset and prepare for the week ahead.

3. Self-Care for Introverts and Extroverts

Something to keep in mind is that what you consider self-care might change depending on if you are more of an introverted or extroverted person.

Self-Care for Introverts

If you are an introvert, you probably find that you are the most relaxed when you are alone. This doesn’t mean you want to be or should be alone all the time, but that you often need a little bit of time to yourself each day to recharge and gain your composure.

Have Quiet Solitude on Sunday – Self-care for an introvert can be as simple as just making sure you have some alone, quiet time on Sundays. You need this time to yourself to regroup and relax. It can be hard when you go all day around other people and never give yourself this time.

Find Nature-Inspired Activities – If you’re an introvert that enjoys time outdoors, try to find some solo outdoor activities to encourage you to spend more time outside. Hiking, gardening, visiting a quiet park or creating a niche in your own yard to sit and read or meditate are all peaceful ways to get outside.

Image by Larisa Koshkina from Pixabay

Embrace Your Creative Side – An amazing way to practice self-care as an introvert is to do something creative. Learn how to sew, crochet, write a poem or short story, color in an adult coloring book, or start painting.


Self-Care for Extroverts

Extroverts are more social creatures, getting their energy from being around other people. If you consider yourself an extrovert, you probably enjoy time with others more than time alone. But what does that mean for your self-care routine? Here are some tips for practicing self-care when you are an extrovert.

Enjoy Social Time with Friends – What might be a little more up your alley is scheduling in time with friends. What better way to practice self-care than spend time with those you love the most?

Volunteer Your Time – Looking for something more meaningful and fulfilling? You might like to volunteer somewhere as your self-care. Look into local community centers or animal shelters that are open on Sunday and see if they need any help.

Join a Local Club – Another social activity that helps with your self-care is joining a local club, like a book club. Not only will you be encouraged to read more, but you can get together once a week with your book club to chat and talk about the book.

4. Tips for Your Sunday Self-Care Routine

Here are a few more tips for making sure you have a good Sunday self-care routine, and really understand what self-care means and how to avoid the common mistakes.

It Encompasses Emotional, Mental, and Physical Health

Self-care does not fulfill just one need in your life. Different activities provoke different benefits in your life, including helping with your emotional, mental, and physical health.

What works best for you is going to be something that helps you feel relaxed, de-stressed, improves your mood, and is something you absolutely love to do.


Your Self-Care Needs Can Change Regularly

Just because you have committed to writing in your journal and meditating every morning for an hour as your self-care routine, doesn’t mean you have to do this forever. Sometimes, what you choose as your self-care activity changes, or you need to adjust based on your schedule.

Revisit what you are doing for self-care often. As your life and the seasons change, so will your self-care and what is going to benefit you the most.

A Common Mistake is Forcing Your Self-Care

This can’t be said enough – your self-care routine should not make you more stressed! This is a sign that you are forcing yourself to do something you don’t want to do and that is doing nothing for you.

It might be because your friend is participating in this form of self-care, or you read that it is a good idea. But remember everyone is different and everyone is going to benefit from different things.

Likewise, everyone’s schedule is different, and Sunday might not be the day that works best for you. Figure out what works with your schedule and apply these tips to your best day for self-care.

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