The long and uncertain road to 'recovery'

FormerMember
FormerMember
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I was diagnosed with Stage 2 bowel cancer in late 2019.  Successful right hemicolectomy followed by four cycles of chemotherapy.  A few relatively mild complications (contracting pneumonia after surgery, very strong acid reflux and sustained neuropathy) but overall the treatment was good.  Just over 12 months off of work.  All post treatment scans clear and oncology team very happy with results.  

My challenge is that I don't think people who have not experienced cancer really understand how long and uncertain the road to recovery is.  I am, of course, delighted to be currently cancer free and that all my treatments were completed and were successful.  But, I struggle with several after-effects of cancer.  Some physical and others mental or emotional.

The physical effects include: a new 'normal' for bowel movements and a new cause and effect relationship between what I eat and what I pass (neither of these are good or welcome 'new'), regular twinges of abdominal pain and discomfort, persistent dry skin and dehydration and intermittent neuropathy.

The mental and emotional effects are more complex.  I vividly remember my oncologist telling me the five year remission rate for my particular diagnosis was 45%.  That figure haunts me.  The majority of people with my diagnosis will get another cancer within five years.  Every time anyone tries to compliment me on how well I have recovered the 45% figure looms large and I cannot help but think dark thoughts about what the future may, or may not, hold in store.  I also struggle with the tiny daily reminders that I have had cancer - the check up reminders, the daily vitamins, the necessary diet changes, the (mostly well intended) comments from others that actually do nothing but serve to remind me that people think of the 'post cancer' me differently.

At work people are keen to reassure me that I should be easier on myself.  'You can't expect to have progressed as quickly as you wanted to - you've had cancer'.  Again, well intentioned but not at all helpful for someone grappling with stress and anxiety.

I find myself caught 'betwixt and between' two extremes: on one side the desire to be super risk averse and ultra conservative.  No big life or career changes.  Healthy living.  Reduce horizons and ambitions and conserve and protect all resources.  On the other the 'I could be dead in X years' so do it now.  Caution to the wind and so on.  

I doubt either are very good ideas - I still have a family and responsibilities.  But it makes for very confusing thoughts and an internal monologue that is as repetitive as it is exhausting.

I have never posted here before and had no real aim in mind when I started writing.  I suppose I hope that this might be the forum in which I can expose some of my darker, illogical and none too helpful thoughts to people who may understand.

No expectation that anyone replies, or even reads this.  It was oddly cathartic just taking the time to write this.

  • https://www.workingwithcancer.co.uk/wp-content/uploads/2013/03/After-the-treatment-finishes-then-what.pdf

    I will leave others with the relevant experience to reply but others have reported finding this a relevant read and I just know someone will suggest the link so I will put it up !Blush

    Also welcome to the forum !

    Court 

    Helpline Number 0808 808 0000

  • Hi siHu_2019

    good to hear you are travelling well 2-3 years down the track. I hear your conundrum re live now throw caution to the wind or be sensible … I have a GP friend about to give me a lecture on life work balance ( I love my life work balance !!). I have returned pretty immediately to all I was doing b4 and still want to maintain or original life goals … Financially best decision. Take the consequences of a destroyed dream if necessary later everyone deals with Dx and recovery differently none it right or wrong but good to hear your experience dark thoughts and all  xx 


    what a great article.  Very balanced and thought provoking 

    I’m still dreading my upcoming work life balance ‘lecture’. I’m a control freak ;) 

  • I should also add court you amaze me the time and effort you put in to responding to almost every post and such empathy, patience and understanding. The time you give up I’m sure is huge. Great jobTwo heartsTwo heartsPray

  • SiHu2019

    i wanted to say Hello I’m a 2019 Aug also. I had a different operation LAR but we share the same year that changed our outlook on life. 
    Luckily I didn’t experience anyone giving me percentages! Was he having a bad day or something Really!? 
    It’s so unnecessary and of course it’s going to stay with you.

    I did however experience a terrible pre op. It’s a long story but it was horrible. Sadly I met her again just before my operation. I hope I don’t see her again. 
    Im a stage two and every twinge I get I think. Well is this it? 


    I hope this helps.

    I think it’s a normal reaction to what you’ve been through. It’s scary and makes you think of all kinds of what ifs. 
    Be kind to you and yours. Those that have been there. 


    Im booking some time away with my hubby. We’ve really had the worst year after my diagnosis he was struck down and my poor daughter has had a terrible time and then we’ve all had  the Covid restrictions. 
    im going to put it behind me and grab some things I liked doing before the lock down and the Cancer
    I’ll still have it in the back of my mind but that’s where I want it to stay.
    Right at the back. 

    Try and do the same and if you ever meet that oncologist again and you’re feeling strong tell him.
    I’ve made up my mind if I bump into that pre op  sister next time I have my pre op (yes I have to have another one) Im going to tell her how she made me feel. 

    Thanks for sharing. 

    Ann
     ‍Art

  • I second that, 

    “Court you are amazing.”

    Thank you Heart

    Ann
     ‍Art

  • Hi SiHu_2019

    I think that this is a very interesting post and one that many of us can relate to. My oncologist gave me the survival rates when suggesting the follow up chemo as something that would increase my chances by another 10%. I will be having my 2 year scans next month and, whilst I feel good and active for my age (75) and don't expect a bad result, it is in the back of my mind. This isn't helped by the knowledge that a friend of mine did have a bad result at 2 years and has been back on chemo for some time since. This doesn't mean that I have 'scanxiety', just that it is there in my mind.

    Not being at work and with Covid restrictions I don't see as many people as you and only my wife tells me to be careful, but people who know me have the attitude of 'you look well, glad that all that is behind you now' as they don't realise that there are ongoing issues, the 'new norm' as you said and this thing at the back of your mind.

    As far as the life choice goes, being past my sell by date anyway I opt for life as much as it was. I just haven't felt I could commit to anything long term up to now. Before my diagnosis in 2019 I had just finished restoring a classic car. It took a few years and I have been hesitant to take on another but I have decided now that if I get the all clear in March I will be positive and go shopping for another project. 

    I wish you all the best for the future

    John

  • Thank you for posting this, it is so right. I have one particular friend  w ho luckily not hardly  had any sick days in her life, but keeps telling me how I should feel, and then goes on to tell me what this one that something happened to and how well their coping. I’ve decided with this friend I’m not sharing anything about my cancer just I don’t want to talk about it.. I’m on chemo at the moment and I just can’t cope with her. I know I’m so low and I’m trying not to be negative but it’s hard when your feeling unwell. I’m trying to get into my head that chemo is my friend and helping me but I feel horrible for a while. Sending xx

  • Hi . You’ve had some brilliant replies so far but I just wanted to add a couple of thoughts about the survival rate you were given - which I’m honestly surprised that a medical professional would be tactless enough to do?

    The 5 year survival rate is already out of date!

    Cancer treatment is evolving all the time with new procedures being introduced from successful trials all the time

    My oncologist told me that most reoccurrences happen within the first 2 years

    You are a person not a statistic

    I was diagnosed with stage 3 rectal cancer in 2016 and I’m still NED (no evidence of disease) as are the 2 ladies that I went through my treatment with

    It is difficult and there’s always a little thought lurking in the back of your mind. Have you considered having some counselling? There’s also a really good board on here called Life after Cancer where  has some great advice - you could copy and paste your post or just have a read of some of the others?

    https://community.macmillan.org.uk/cancer_experiences/life-after-cancer-forum

    Take care

    Karen x

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
  • Oh thank you  and  that’s so kind of you both but I am doing the light end of this you guys sharing from experience and sharing that with others to offer support is where the real work is carried out . 
    Plus I was in fact on a girls weekend away so can’t complain. Technology is fab !

    Hope you are both doing well !

    Take care ,

    Team Bowel forum Muscle

    Helpline Number 0808 808 0000