The After Cancer Blog

Tierney Landgon was diagnosed with breast cancer in 2018. As a super active person, she had to learn how to slow down, hear her body and cope with her cancer journey. Dancing, yoga, and cancer have always been a part of my life. I have been a dancer all my life. My mom signed me up for dance class when I was about 3 years old. I fell in love with all disciplines of dance, and as I grew up it became my passion. Dance was the one thing in my life that I knew excelled in. It motivated me to stay physically fit and live a healthy life. I practically lived at my dance studios with class, rehearsals, and performances. In the summers we would have occasional teachers from other forms of exercise like step aerobics, pilates, and yoga come and lead us through their classes. I was good at a yoga. Dancers usually are good at yoga. Ballet requires good posture and alignment. Yoga creates good posture and alignment. At 10 years I first learned about breast cancer, because of my maternal grandmother’s diagnosis. Shortly after she died from metastatic breast cancer, she called it “the traveling kind.”. This was a devasting loss for my mom and myself. My grandmother was my best friend. Her loss became the reason for my mom and I to advocate for breast cancer awareness, and support in finding a cure. As a college student, I joined a sorority where the very philanthropy was for local breast cancer foundations. Dancing, yoga, and cancer have always been a part of my life. As a young lady growing up I didn’t realize how integral they would become in my life. I was mad, devastated, defeated, irate, annoyed, all things MAD. Fast forward to 2018. I am an adult, an educator, a part-time dance instructor, and an equestrian. I also became a person with the diagnosis of stage 2 B breast cancer . I was mad, devastated, defeated, irate, annoyed, all things MAD. I was stuck in a state of what I called “pissedoffedness.” I made that word up. I had no choice, for my own sanity, but to create a way to cope with this diagnosis and the journey to follow. The advice given to me was intense and all over the place. People gave tips from eating more all-natural foods, to juicing, and drinking carrot juice and graviola extract to all other sorts of other tips and facts. I was advised to get rid of all white sugar and processed foods, only drink high PH water and tons of other tips. The most frequent, and helpful advice was to keep my body healthy and moving so recovery wouldn’t be so intense. I was told all of this helpful information, but no one could personally, step by step, tell me how. So, I started creating ways to cope on my own. At first, it was too much. I didn’t know how to rest. I didn’t know how to take it easy. I am a kinesthetic person, being still is not that easy. In my case having just had a double mastectomy with drains hanging out of my body, a port under my skin, and preparing to go to chemotherapy to sit in a chair for hours bald, broken, and cut up; I had to learn to become still. I felt like this cancer journey was taking away EVERYTHING I love to do. And that is the moment when pieces of “yes you can’s” began to shift my mindset. So, shift the mindset I did. I took this time to learn how to understand my body and how what helps it best heal. I learned how small things can become a strong foundation for the big things! In the past, as a dancer, gymnast, and equestrian I rarely took the yin style yoga classes. These classes are slow-moving with amazing stretches but very few moves that increase the heart rate. I always wanted the power power power yoga. With cancer and chemo now in my life, I had this opportunity to be still and learn how to do the meditative, slower callisthenic side of yoga. This slowly began my ability to understand and feel my body more. It gave me an opportunity to listen to what my body needs and be able to successfully give it just that. I learned how to focus on my core in every movement I made so that I wouldn’t be prone to hunching over or holding my chest as a protective measure. I begin to learn how to move all over again as my body changed through the cancer journey. The first 6 months of my recovery I did LOTS OF STILLNESS. I had a double mastectomy, a port placed in my chest for chemo, expanders as I waited for reconstruction, and a bald head; so there was not much that I was able to or even felt strong enough to do. I found guided meditations that were 5 to 10 minutes long. I listened to the directions, and I followed as best I could. I would attend physical therapy at a facility in Atlanta named Turning Point . The physical therapist would give me a few exercises each visit to help work my range of motion in my arms, auxiliary and pectoral muscles. I would then add them into my guided meditation. Slowly as my healing process improved, I would add a few more moves like squats and side bends and leg lifts into my guided meditation until I was cleared to finally attend classes at a yoga studio. I started going to yoga studios and I would take YIN and Restorative style yoga classes. I would chuckle to myself about the irony of now taking classes I used to avoid. These classes helped me learn about the asanas (poses) in yoga and how each aspect of yoga can truly work to help alleviate pain and suffering in the body. I knew as a cancer fighter, attitude is everything . Yoga gave me that time to be positive to create positive energy and to manifest stillness in the chaos.

Before Jennifer Dickenson was diagnosed with brain cancer, she was a busy and stressed-out lawyer. With two elementary school-aged children and a supportive husband, she vowed to do everything she could to improve her odds. She wrote a book called " A Case for Hope" to share her learnings about restoring health. Making changes in our lives that support health I believe we can heal many kinds of illnesses if we are willing to make fundamental changes in our lives that support health instead of degrading it. As a result of my health journey fighting brain cancer, grade 4 (glioblastoma), I discovered that using healing techniques, mind, body, and spirit , can be critical when it comes to supporting health and wellbeing. My basic premise is that if we can get sick, why can’t we also become well again. The evidence is right in front of us as we do this all the time. When we get a cold, for example, we drink more water or tea, we have more soup and healthier foods to eat, we stay in bed and get more rest and then we start feeling better. Ultimately, we get back to our old selves once again. If you have a broken bone, the doctor might set the bone so it doesn’t move but typically, your body will do the healing. Your job will be to elevate your leg, be gentle with it and let the natural healing process happen. But so often, when we are diagnosed with a serious illness, we throw this wisdom out of the window and listen only to the doctor’s plan which might include surgery, radiation, and chemotherapy or other strong medicine built to attend to the illness. Sometimes these protocols support slowing down the illness but not healing it outright. Our own role in healing Although I am ever grateful for the advances in care at the hands of our doctors, I do believe that traditional medical treatment is a portion of healing, not the sole source of how we can heal. It is my view that we have an important role to play in our own health if our goal is to create permanent healing, free of drugs or medicine. When I was diagnosed, I started to learn about individual tools that could help support my health. But something incredible happened. As I began to amass even more techniques, I realized that the aggregate of these tools was creating an undeniable path to health, wellness, and balance in my life. What an awakening that was! Flooding your body with positive healing approaches can help us heal better than not using them. The 4 key aspects of healing I now believe the key aspects of healing include: decreasing inflammation in the body (allowing your immune system to focus on threats that damage health), increasing your immune system ( so it can fight illness, bacteria, infection, and cancer), maintaining a balanced nervous system (so you remain calm and avoid inflammation and unhealthy thinking) and creating oxygenation in your body which supports blood flow to your cells, tissues, and organs. The usage of mind, body, and spirit are the conduits for these key healing systems. Examples include clean water, quality sleep , clean food , breathing techniques, meditation , qigong, joyfulness, music, reducing judgment, creating perspective, exploring faith and our souls…just to name a few. In these cases, studies have shown a direct correlation between the usage of these tools toward positive health outcomes. Because these changes can make us feel so good, and impact our health profoundly, it’s not hard to maintain this path permanently- in fact, that’s the goal. Two final points to think about when it comes to healing 1) If someone is dealing with a health challenge, only that person can make the fundamental changes that can move them from illness to wellness. No one can engage your will except for you; and, 2) For those who are dealing with illness (cancer or other illnesses), there is a timing element regarding healing that doesn’t apply to healthy people that are simply exploring this healing path. If you are ill now, even with your doctor’s protocol, it will be important to start incorporating as many of these tools as possible. Even though these tools are supportive of health, you should check with your doctor any time you make significant changes to your health that might contradict a program you are following with your doctor. There are many opportunities to improve your situation when it comes to health. I encourage you to stay curious and open to what may be possible for you.

Regrowth process after cancer One of the concerns cancer patients often have during treatment is the loss of hair due to chemotherapy . The good news is that hair regrowth is a natural part of the healing process. After completing chemotherapy, hair follicles gradually start to recover and regrow hair. While the timeline varies for each individual, most people experience noticeable hair growth within 3 to 6 months after treatment. What helps hair growth after chemo? While hair regrowth after chemo occurs naturally, there are several things you can do to support the process and stimulate healthy hair growth: Patience is key: Understand that hair regrowth takes time and varies from person to person. Be patient with yourself and give your body the time it needs to recover. Healthy diet and supplements: Opt for a balanced diet rich in vitamins, minerals, and protein, which are essential for hair health. Consult with your healthcare team about any supplements that may aid in promoting hair growth. Gentle haircare products : Use mild, sulfate-free shampoos, conditioners, and styling products. Avoid heat-styling tools and opt for air-drying whenever possible to prevent unnecessary damage. Scalp massage: Massaging your scalp gently can improve blood circulation and stimulate hair follicles. Use your fingertips to massage the scalp in circular motions for a few minutes each day. Protect your hair: Shield your hair from excessive sun exposure and harsh environmental elements by wearing a hat or scarf when outdoors. Avoid tight hairstyles or using hair accessories that may pull or tug on fragile new hair. Taking care of yourself After chemo, you get an opportunity to focus on your overall self-care and well-being. Here are some tips to nurture yourself during this transformative phase: Embrace self-acceptance: Celebrate each step of your regrowth journey and embrace your changing appearance. Remember that your beauty is not defined by your hair, but by the strength and resilience within you. Seek emotional support: Reach out to support groups or counseling services to share your feelings and connect with others who have gone through similar experiences. Emotional support can play a vital role in building confidence and self-esteem. Explore styling options: Experiment with different haircuts, wigs, scarves, or head wraps to enhance your personal style and boost your self-confidence. Have fun trying out new looks and accessories that make you feel comfortable and beautiful. Practice self-care: Engage in activities that bring you joy and relaxation. Whether it's practicing mindfulness , exercising, enjoying a hobby, or spending time with loved ones, prioritize self-care to nourish your overall well-being. Remember, hair regrowth after chemo is a testament to your resilience and strength. Be patient, practice self-care, and celebrate every milestone along the way. Your hair will grow back, but more importantly, you will continue to grow stronger and embrace the beauty.

Why do cancer survivors feel guilty? Surviving cancer is a tremendous achievement, but it can also evoke unexpected emotions, including survivor guilt. Many cancer survivors may experience guilt for various reasons, such as: Survival: Some individuals may feel guilty for surviving when others with similar diagnoses did not. They may question why they were spared and harbor feelings of undeserved luck or a sense of injustice. Treatment outcomes: If a survivor's treatment is successful while others face more challenging outcomes, they may feel guilty for having a better response to therapy. This guilt may be further intensified if they had similar or less aggressive forms of cancer. Impact on loved ones: Survivors may feel guilty for the burden their illness placed on their loved ones. Witnessing the emotional distress of family and friends can lead to feelings of guilt, even if it was beyond the survivor's control. Coping with guilt Dealing with cancer survivor guilt requires acknowledging and addressing these complex emotions. Consider the following strategies to help cope: Self-reflection: Understand that survivor guilt is a common and natural response to a life-altering experience. Reflect on your feelings and recognize that guilt does not invalidate your journey or the challenges you faced. Seek support: Connect with other cancer survivors who may have experienced similar feelings. Join support groups or engage in therapy sessions to share your emotions and learn from others who have navigated survivor guilt. Practice self-compassion: Treat yourself with kindness and compassion. Remind yourself that your survival is not something to feel guilty about. Focus on your resilience and the strength it took to overcome cancer. Pay it forward: Consider ways to give back to the cancer community or support others going through a similar journey. Engaging in advocacy, volunteering, or participating in fundraisers can help alleviate guilt by channeling your experiences into making a positive impact. Talk about your feelings Opening up about survivor guilt with trusted friends, family, or healthcare professionals can be immensely helpful. Expressing your emotions and concerns can provide validation and support. Additionally, consider the following communication strategies: Share your story: Speaking openly about your survivor guilt can help raise awareness and reduce the stigma surrounding this issue. Sharing your experiences can encourage others to share their own struggles and foster understanding. Seek professional help: If survivor guilt becomes overwhelming and affects your daily life, it may be beneficial to consult a mental health professional. They can offer guidance, tools, and techniques to help navigate and overcome these challenging emotions. Remember, survivor guilt is a complex and individual experience. Be patient with yourself and allow yourself to heal emotionally. By acknowledging your feelings, seeking support, and engaging in open dialogue, you can gradually find ways to manage and cope with survivor guilt, reclaiming a sense of peace and self-acceptance.

The importance of inspiring words In the face of a cancer diagnosis , finding inspiration and hope can be a powerful tool for navigating the challenging journey that lies ahead. One such source of inspiration is the poignant and uplifting poem, "Cancer Is So Limited," written by Robert L. Lynn. This poem beautifully captures the resilience and strength of individuals facing cancer, reminding us that there is more to life than the disease itself. Lynn's poem encourages us to embrace life and appreciate its beauty despite the challenges posed by cancer. It reminds us that every day is a precious gift, urging us to live each moment to the fullest and cherish the relationships and experiences that bring us joy and meaning. Let Lynn's words be a source of strength, motivation, and solace as you navigate your own cancer journey . Remember that you are not alone, and there is a community of support ready to walk alongside you. Draw inspiration from the poem, and let it guide you in embracing life, finding joy in the small moments, and holding onto hope. Things cancer cannot do Cancer Is So Limited by Robert L. Lynn They’ve sentenced you with invisible cells that embed themselves deep in body recesses and multiply: lymphatic assault on vital functions. Can cancer conquer you? I doubt it, for the strengths I see in you have nothing to do with cells and blood and muscle. For cancer is so limited--- It cannot cripple love. It cannot shatter hope. It cannot corrode faith. It cannot eat away peace. It cannot destroy confidence. It cannot kill friendship. It cannot shut out memories. It cannot silence courage. It cannot invade the soul. It cannot reduce eternal life. It cannot quench the spirit. It cannot cancel Resurrection. Can cancer conquer you? I doubt it, for the strengths I see in you have nothing to do with cells and blood and muscle.

Receiving a cancer diagnosis is overwhelming, but many individuals go on to live fulfilling lives as cancer survivors. Embracing survivorship means focusing on reclaiming one's life, finding hope, and adopting strategies to promote overall well-being Survivorship for cancer patients Advancements in medical research and treatments have significantly improved survival rates for many types of cancer. Cancer is a complex disease, and individual outcomes can vary based on factors such as cancer type, stage, and individual health. However, the increasing survival rates, advancements in treatment options, and supportive survivorship programs provide hope and optimism for cancer patients and their loved ones. Let's explore some statistics that emphasize the positive progress in cancer care: Increased survival rates: According to the American Cancer Society , the overall cancer death rate in the United States has been steadily declining since the early 1990s. Between 1991 and 2018, the cancer death rate dropped by 31%, resulting in approximately 3.2 million lives saved during that time period. Improved early detection: Early detection plays a crucial role in successful cancer treatment. Screening programs, such as mammograms for breast cancer or colonoscopies for colorectal cancer, have contributed to earlier diagnoses. This allows for more effective treatment interventions and better chances of survival. Advancements in treatment options: The development of innovative treatment options has revolutionized cancer care. Targeted therapies, immunotherapies, and precision medicine have shown remarkable success in treating specific types of cancer. These treatments have significantly improved survival rates and quality of life for many patients. Personalized medicine: With advancements in genomic testing, doctors can now analyze a patient's tumor at a molecular level. This enables them to identify specific genetic mutations and tailor treatment plans accordingly. Personalized medicine allows for more precise and effective treatments, increasing the chances of successful outcomes. Survivorship programs : The focus on survivorship has also gained significant attention in recent years. Survivorship programs provide comprehensive care for individuals during and after cancer treatment, addressing their physical, emotional, and social well-being. These programs support patients in managing long-term effects of cancer and improving their overall quality of life. Wellbeing during the treatment phase It is crucial for you to proactively manage your health by following recommended screening guidelines, adopting healthy lifestyle choices, and staying informed about the latest advancements in cancer care. With a positive mindset, access to quality healthcare, and ongoing research efforts, cancer can be effectively managed, allowing patients to lead fulfilling lives beyond their diagnosis. Maintaining a sense of wellbeing during cancer treatment has a positive impact on both physical and emotional health. Here are some actionable tips to support your well-being during this challenging time: Prioritize self-care: Make self-care a priority by engaging in activities that bring you joy and promote relaxation. This can include practicing meditation , gentle exercise , spending time in nature, or pursuing hobbies and interests. Seek supportive relationships: Surround yourself with a strong support network of friends, family, and fellow survivors. Share your feelings and concerns with them and allow them to provide encouragement and understanding. Communicate with your healthcare Team: Openly communicate with your healthcare team about any physical or emotional challenges you may be facing. They can provide guidance, support, and recommend resources to help you navigate through your treatment journey. Healthy lifestyle choices: Adopting a healthy lifestyle can have a positive impact on your well-being. Focus on maintaining a balanced diet , getting regular exercise, and ensuring you get enough restful sleep . Manage stress: Explore stress-reducing techniques such as deep breathing exercises, mindfulness, and relaxation techniques. These practices can help alleviate anxiety and promote a sense of calm. When to seek emotional help While it's normal to experience a range of emotions during and after cancer treatment, there may be times when seeking professional emotional support becomes necessary. Here are some signs that indicate it may be time to seek help: Persistent feelings of sadness, hopelessness, or anxiety that interfere with daily life. Difficulty coping with the emotional impact of a cancer diagnosis or treatment. Social withdrawal and isolation from friends and family. Disruption in sleep patterns, appetite, or overall energy levels. Lack of interest in activities that previously brought joy. If you are experiencing any of these symptoms, it's important to reach out for assistance from mental health professionals specializing in cancer-related emotional challenges who can provide the necessary support and guidance.

Meditation and cancer Meditation, a practice that focuses on calming the mind and cultivating present-moment awareness, has shown promise in providing numerous benefits for cancer patients . It can help reduce stress, improve emotional well-being , and enhance overall quality of life. By incorporating meditation into your routine, you can experience a sense of calm, inner peace, and greater emotional resilience. Anxiety issues are usual for cancer patients and meditation can help control them Anxiety is a common emotional response among cancer patients, stemming from the uncertainties, fear of treatment, and the impact of the diagnosis on their lives. Fortunately, meditation can be a valuable tool for managing anxiety . There are various types of meditation practices, each offering unique approaches to calming the mind and cultivating inner peace. Here are a few commonly practiced types of meditation: Mindfulness meditation: This practice involves focusing your attention on the present moment, observing thoughts, emotions, and bodily sensations without judgment. It helps develop awareness and acceptance of the present experience. Guided meditations: Consider using guided meditation resources, such as smartphone apps or online videos. These provide step-by-step instructions and soothing voiceovers to guide you through the meditation process. Guided visualization: This meditation practice involves using visual imagery to create a mental picture of a peaceful scene or desired outcome. It helps promote relaxation, reduce stress, and enhance focus and clarity. Body scan meditation: This technique involves systematically bringing attention to different parts of the body, observing sensations, and releasing tension. It promotes relaxation, body awareness, and mindfulness of physical sensations. Breath Awareness Meditation: This practice focuses on observing the breath, noticing the sensation of inhaling and exhaling. It helps cultivate concentration, calm the mind, and anchor attention in the present moment. How to meditate? Here is a three-step meditation that you can use to help with anxiety : Find a quiet space: Choose a quiet and comfortable place where you can sit or lie down without distractions. This will allow you to focus and fully immerse yourself in the meditation practice. Close your eyes. Begin with deep breathing: Start by taking slow, deep breaths. Inhale deeply through your nose, hold your breath for a few seconds, and then exhale slowly through your mouth. This deep breathing technique helps relax your body and prepares you for meditation. Focus on the present moment: Direct your attention to the present moment, observing your thoughts, emotions, and bodily sensations without judgment. Allow them to come and go, gently bringing your focus back to the present whenever your mind wanders. By incorporating meditation into your routine and adopting strategies for emotional care, you can effectively manage anxiety and enhance your overall well-being. Remember, each individual's journey is unique. Exploring different types of meditation can help you find the approach that resonates best with you and supports your unique needs and goals.

The emotional response to a cancer diagnosis Receiving a cancer diagnosis can be an overwhelming and life-altering experience. It is natural for cancer patients to experience a range of emotions during this time. Some of the most common emotions after a cancer diagnosis include: Shock and denial: Many individuals initially experience a sense of shock or disbelief upon hearing the diagnosis. Denial may also be present as a defense mechanism to protect oneself from the overwhelming reality. Fear and anxiety : Cancer brings with it a multitude of uncertainties, which can trigger feelings of fear and anxiety. Worries about the future, treatment outcomes, and the impact on loved ones often contribute to these emotions. Sadness and grief: A cancer diagnosis often involves grieving the loss of one's health and the disruption it brings to daily life. Feelings of sadness, sadness, and mourning may arise as individuals come to terms with their new reality. The common emotions during the treatment phase The treatment phase of cancer can be physically and emotionally demanding , and it often elicits a wide range of emotions. Here are some common emotions experienced by cancer patients during treatment: Anger and frustration: Dealing with the challenges and disruptions caused by cancer treatment can lead to feelings of anger and frustration. These emotions may arise from the physical discomfort, changes in daily routines, or the loss of control over one's life. Hope and determination: Amidst the difficult moments, many cancer patients find strength in hope and determination. This positive mindset helps them stay resilient and focused on their treatment goals, fostering a sense of empowerment. Vulnerability and uncertainty: Cancer treatment often involves medical procedures, side effects, and lifestyle changes that can make patients feel vulnerable. The uncertainty of treatment outcomes and the impact on future plans can contribute to these feelings. What emotions to expect after treatments Completing cancer treatment does not necessarily mean an end to emotional challenges. Cancer survivors may experience a unique set of emotions after treatment, including: Relief and gratitude: Completing treatment successfully can bring a sense of relief and gratitude. Survivors may feel thankful for their healthcare team's support and for reaching this milestone in their journey. Uncertainty and fear of recurrence: The fear of cancer recurrence is a common concern for survivors. The uncertainty of the future can trigger anxiety and worry, even after treatment is completed. Adjustment and uncertainty: Life after cancer treatment may require adjusting to physical, emotional, and social changes. It is normal to feel uncertain about the "new normal" and how to navigate the post-treatment phase. Coping with cancer emotions Coping with the emotional stages of cancer requires individualized strategies and support. Here are some helpful coping mechanisms: Seek Support: Reach out to loved ones or support groups who specialize in cancer. Sharing your emotions and concerns with others who have similar experiences can provide comfort and guidance. Self-Care: Engage in activities that promote emotional well-being, such as exercise , meditation, journaling, or pursuing hobbies that bring joy and relaxation. Communicate openly: Effective communication with healthcare providers, family, and friends is crucial. Expressing your emotions, asking questions, and discussing concerns can help you navigate the emotional journey more effectively. Educate yourself: Knowledge is empowering. Learning about your cancer, treatment options, and potential side effects can help you feel more in control and better prepared to face challenges. Professional help: If feelings of sadness, anxiety, or other emotional difficulties become overwhelming or significantly impact daily life, consider seeking professional help . Mental health professionals can provide valuable support and guidance tailored to your needs. Remember, every individual's emotional journey with cancer is unique. It is important to give yourself permission to experience and process your emotions. Be patient with yourself and seek the support and resources available to help you navigate the emotional challenges and find strength as you move forward on your cancer journey.

Oncologist appointments for cancer survivors After completing cancer treatment, regular follow-up appointments with your oncologist are essential to monitor your health, address any concerns, and ensure a smooth transition into survivorship. The frequency of these appointments can vary depending on individual circumstances and the type of cancer you had. Here are some general guidelines: Initial Period: In the first few years following treatment, oncologist appointments may be more frequent, typically every three to six months. This allows your doctor to closely monitor your recovery, assess any side effects or complications, and address any lingering issues. Long-Term Follow-up: As time goes on and you continue to show positive progress, the frequency of appointments may decrease. After a few years, appointments may be scheduled annually or every two years, depending on your specific situation. Questions for your doctor in this stage During your oncology appointments as a cancer survivor , it's important to communicate openly with your doctor and address any questions or concerns you may have. Here are some common questions you may consider asking: What are the signs or symptoms I should watch out for that may indicate a recurrence or new cancer? Are there any specific tests or screenings I should undergo regularly as part of my follow-up care? Are there lifestyle changes or preventive measures I can take to improve my long-term health and reduce the risk of cancer recurrence? Are there any late or long-term side effects from my treatment that I should be aware of or monitor? Are there support groups or survivorship programs available to help me navigate life after cancer? Get Follow-up care Beyond oncologist appointments, it's crucial to maintain comprehensive follow-up care to support your overall well-being. This involves seeing other healthcare professionals , such as primary care physicians, specialists, and other health professionals. They can provide guidance on managing any ongoing side effects, addressing emotional well-being, and promoting healthy lifestyle choices. In addition, adopting a proactive approach to self-care is essential. This includes practicing a healthy lifestyle with regular exercise, a balanced diet, and adequate rest. Maintaining a strong support system, connecting with other cancer survivors, and seeking emotional support, such as counseling or support groups, can also contribute to your overall well-being and adjustment to life after cancer. At The After Cancer, we can develop a personalized cancer survivorship care plan that addresses your specific needs and supports your ongoing health and well-being.

Donna is a former Hospice Social Worker, a former Elder Law Attorney, and an ovarian cancer survivor. Her website www.survivingtoflourishing.net is coming soon. All of my life I have been a master planner. So when I was diagnosed with ovarian cancer, my preparation skills kicked into high gear. I researched how diet could help with the side effects of chemo . I purchased special skincare products aimed at chemo patients to protect my skin and cookbooks for recipes that help with side effects. I cooked. I had a freezer full of nourishing soups ready before each round of chemo. I drank mineral broth both before, during, and after chemo. Did it work? Who knows? Fortunately, except for round four of six, my side effects were tolerable. What I was not prepared for was the aftermath of emotions once I got the coveted “No Evidence of Disease” (NED) after my first scan. At first, I was overwhelmed with relief and gratitude about the scan results. I was shocked that my aggressive ovarian cancer was quelled for now. What I was not prepared for, was the wave of emotions after my scan results. As a social worker who helped clients through grief for almost a decade, I should have been aware that I was in a state of shock and survival during chemo and that it would only be after the shock wore off, i.e., after treatment, that I would deal with the emotional upheaval of everything that I went through. But I didn’t remember that and I didn’t apply it to myself so when the flood of emotions occurred, I was caught off guard. Boy did the emotions flood in, like a tidal wave. I was hurt by the people that didn’t even bother to reach out with a simple “thinking about you” while I was diagnosed and going through treatment. The hurt came out as anger. It didn’t matter that I had an amazing support group that got me through. I was angry at those who ignored me during my time of need when I was there for them during their time of need. I didn’t know then that it was so common for cancer patients to be forgotten or ignored by their friends and family. Not that it makes it okay, it is just comforting to know that it’s not personal to you. Most of all, I felt lost. I remember sobbing in my Oncology Nurse Practitioner’s office. I knew I should be happy, there were so many people in the room just next door hoping for my results, but I was not happy and I felt guilty about it. I didn’t know who I was anymore. I physically could not do many of the things that I did before. I was having trouble word finding and remembering . I couldn’t fathom that this would be my life now. I was reluctant to go to therapy for a while even though I knew I needed it. I was the therapist and caregiver, not the patient. I eventually relented because I knew that what I was doing by myself was not working and that I needed help. Therapy helped me tremendously to process the trauma of facing my own mortality. For me, it was a why me, but it’s not what you think. It wasn’t why did I get cancer, that was not a question I ever asked. It was a why am I responding to treatment when I had a dear friend with the same cancer who wasn’t responding? Survivor guilt is real among cancer survivors. I had to work through those feelings of guilt and accept that everyone’s body is different, everyone responds to treatment differently, and that there really are no answers to that “Why me?” question. Cancer teaches you to live in the unknown. Therapy also helped me understand that sometimes people not responding to you has nothing to do with you. Maybe they don’t know what to say. Or maybe your cancer journey brings up things for them they are not ready to face. I have learned to forgive, most of the time, and to move on. Forgiveness has allowed the anger to subside and now it is much easier to focus on what is in front of me and all of the things and wonderful people in my life that I have to be grateful for. The biggest adjustment has been learning to accept my new limitations. While therapy was working, I was still struggling. I discovered Epic Experience during a Google search. Their mission is to empower adult cancer survivors and thrivers to live beyond cancer. I watched their YouTube video , cried, and immediately knew I had to apply to their adventure camp for survivors. I was fortunate enough to attend camp this past winter. Camp pushed me to do things physically that I wasn’t sure I could do, but mostly it helped me to accept that I can do things, just maybe at a slower pace than others. And that is okay. Camp allowed me to embrace the life that I have. Focusing on what I can still do instead of what I can’t do helps me remain positive. While I still have physical limitations due to stamina and fatigue, I now give myself permission to rest instead of feeling guilty about the need to rest. I still have trouble word finding and remembering, but it is improved. My healing is definitely a work in progress, but most days, I am happy. And I definitely don’t take a moment of being alive for granted. I am not sure if knowing the tumultuous storm that comes after treatment would have helped. I am not sure that there is any way to prepare for that. I am just grateful that I had a care team that was as supportive after treatment as they were during treatment and that I was able to get the care I needed to start to heal the emotional upheaval that is cancer.

Why am I changing? Cancer is a life-altering experience that affects not only the body but also the mind and emotions. It is not uncommon for cancer patients to experience personality changes during their journey. These changes can be attributed to a combination of factors, including the psychological impact of the diagnosis , emotional distress, physical symptoms, and the side effects of treatment. Emotions during cancer Cancer patients often go through a rollercoaster of emotions , ranging from fear, sadness, anger, and anxiety to hope, resilience, and determination. These intense emotions can contribute to shifts in personality and behavior. Additionally, the psychological stress of living with a life-threatening illness can cause individuals to react differently to situations or exhibit changes in their usual temperament. Coping with mood swings Coping with mood swings and personality changes can be challenging, both for the patient and their loved ones. Here are some strategies to navigate these changes: Self-awareness: Recognize that personality changes can be a normal response to the emotional and physical challenges of cancer. Accepting and acknowledging these changes can help you understanding and managing them. Open communication: Maintain open and honest communication with healthcare providers, family, and friends. Share your emotions, concerns, and experiences to feel more supported. Seek professional help: Consider seeking support from therapists , counselors, or support groups . These resources can provide guidance and coping strategies to navigate the emotional ups and downs and help restore a sense of normalcy. Self-care: Engage in self-care activities that promote emotional well-being, such as mindfulness , meditation, journaling, or doing hobbies that make you happy. Self-compassion: Practice self-compassion and be patient with yourself. Understand that personality changes are often temporary and part of the healing process. Similarly, your loved ones should be empathetic and recognize that these changes are not a reflection of your true character. Personality changes in cancer patients are a normal response to the emotional and physical challenges they face. The intense emotions, psychological stress, and side effects of treatment can contribute to shifts in behavior and temperament. Understanding and accepting these changes, along with seeking support, practicing self-care, and maintaining open communication, can help you navigate the emotional journey of cancer.

Self-esteem issues can have a significant impact on the sex life of cancer patients. The experience of cancer can lead to various physical, emotional, and psychological changes that can affect a person's self-image and confidence, which in turn can influence their sexual well-being. Ways self-esteem issues impacting patients' sex life Body image concerns: Cancer treatments, such as surgery, chemotherapy, or radiation, can lead to changes in physical appearance, including scars, hair loss, weight fluctuations, or alterations in body shape. These changes may cause individuals to feel self-conscious and negatively impact their body image. Feeling uncomfortable or dissatisfied with one's body can diminish sexual confidence and desire. Intimacy and vulnerability : Cancer can bring about feelings of vulnerability, as individuals may have experienced a loss of control over their bodies and lives. This vulnerability can affect their ability to be intimate with a partner. Fear of rejection or judgment, concerns about how they will be perceived by their partner, or anxiety about physical limitations can create emotional barriers to sexual intimacy. Fatigue and physical limitations: Cancer and its treatments can often cause fatigue, weakness, or pain, which may result in reduced physical stamina or limitations in sexual activities. These physical challenges can lower self-esteem and contribute to feelings of inadequacy or frustration, affecting a person's ability to engage in sexual activities or enjoy them fully. Emotional and psychological impact: The emotional and psychological toll of cancer, including anxiety, depression, fear of recurrence, or body image issues, can significantly impact a person's self-esteem. These negative emotions may lead to a decreased interest in sex, diminished sexual satisfaction, or difficulty in establishing and maintaining intimate connections. Addressing self-esteem and intimacy issues in cancer patients Open communication: Encourage open and honest communication between partners about their concerns, desires, and expectations. Creating a safe and non-judgmental space to discuss feelings and fears can foster understanding and intimacy. Professional support : Cancer patients should seek support from healthcare providers, therapists, or support groups specialized in oncology or sexual health. These professionals can provide guidance, strategies, and support tailored to the unique challenges faced by them. Self-care and body positivity: Try self-care practices that promote self-love and acceptance. This can involve engaging in activities that boost self-confidence, such as exercise, mindfulness , or participating in support groups where individuals can share their experiences and learn from others facing similar challenges. Sensate focus and intimacy exercises: Sensate focus exercises can help individuals reconnect with their bodies, enhance intimacy, and reduce performance pressure. These exercises involve non-sexual touch and communication, gradually progressing to sexual touch and intimacy. Adaptation and exploration: Couples can try to explore new ways of intimacy and sexual expression that accommodate physical limitations or changes. This may involve trying different sexual positions, using aids or devices, or focusing on alternative forms of sexual pleasure and connection. Each individual's experience with self-esteem and its impact on their sex life will vary. Patience, understanding, and support from partners, loved ones, and healthcare professionals are crucial in navigating these challenges and finding ways to maintain a fulfilling and satisfying sex life during and after cancer treatment.