Feeling desperately sad, and can't talk to my loved ones....

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I am 41 and have thyroid cancer (tall cell papillary) that has spread to my bones, including my spine. I had a total thyroidectomy in January 2024, along with the removal of 105 lymph nodes. At this point, it was thought to be 'just' papillary thyroid cancer. The pathology revealed that I have the tall cell variant, but the plan remained in place to have RAI treatment in March 2024. In June/July 2024, by cancer markers were continually increasing and so I had a PET scan which revealed the spread to the bones and even more lymph nodes in my neck and chest. A further look at the pathology also confirmed that I have a genetic mutation that means the RAI would never have worked for me. The original plan was to operate on the lymph nodes and treat the bones with radiotherapy (SABR) which I had in October 2025. The surgery however was a no go because the surgery I would need would be so invasive that I may no survive it, and if the cancer is aggressive, I could go through the surgery only for more lymph nodes or further spread to happen anyway. I have been told I can hope to live 3-4 years by one doctor, and up to 10 by another. At 41, this is still devastating to me. 

There are days when I feel like I have got my head around all this. And there are days when I definitely have not - today is one of those days where I am just feeling so sad for myself. And I the hardest thing is that despite having friends and family members who are SO supportive, I can't tell them what I am really feeling. My Mum buries her head in the sand and says things like "they don't know what they are talking about, you'll outlive us all" and my husband is more blunt in his way of dealing with it, reminding me that I shouldn't worry about certain things because I probably won't live long enough to see the consequences. When we initially had this news, he was extremely upset and despite me being very worried about his mental health at that time and for several months after, this did at least give me signs that he cared. However, he has recently (c. 12 weeks) started taking antidepressants and has become blunt and emotionless as a result. Whilst this results in an overall happier home environment and I am glad for him that he is no longer suffering as he was, it leaves me feeling very alone on this 'island'.

I saw a therapist (clinical psychologist) via my health insurance for about 9 months which was helpful, but I used up the available cover and could not afford to keep seeing her via self-funding. I have also taken advantage of my local cancer charity, but the people there are more of a listening ear than qualified counsellors. The lady I have spoken to was lovely, but despite being a pretty emotional person I find it hard to 'let it all out' in front of strangers. Not because I am embarrassed, it just doesn't happen. I put this down to having had a job where I have had to deal with sometimes upsetting situations and remain calm and professional.

I don't even know what I am hoping for in response to this post, but I thought typing out would help me. So, if you get this far, thanks for reading.

  • I totally feel for you. I’m a psychologist and have bladder cancer. You express your feelings so well. And I can only say to you that your experience is so hard and you are doing better than you think. I have no words of wisdom. All I can say is feel everything you’re feeling and know your feelings are valid. Sending you love and support x

  • I’m so sorry to read your situation. It sounds like you have sought professional help and presumably Macmillan’s was the charity help you found too?

    I know you’re not seeking answers but I can empathise with some parts of your situation if that helps?

    I have a rare variant too and 2 yrs from surgery my cancer markers are rising but my family too are very dismissive of my cancer and my Mum and Dad won’t even talk about it. As a family we were very much brought up to be overly positive and not express our feelings or emotions, not talk about illness and the word depression was taboo! So I’m conditioned that way and Ive found it hard to open up like you. But I did find a Maggie’s centre with a counsellor that really helped. Perhaps you could seek that out?

    My parents are 91 and 92 so I have left it alone but I was very hurt, angry and so incredibly sad for a very long time, so I totally get what you’re saying. I’ve not had the energy to deal with it all, so have had to force myself to put it in a box in my mind and lock it away and concentrate on myself. That’s not easy, just the way I’ve dealt with it.

    Thankfully my daughter has been incredibly supportive, we are very close but there are many fears I have to hide from her too as she’s only 21 and has her own health issues and an uncertain future with her Mum is not something she wants to think about.

    Do you have any hobbies you can delve into more? My personal comfort has been nature and wildlife, I’ve also recently started Thai Chi Qi Gong, anything that calms the brain for a little while. Reading, walking, watching birds in the garden and a local bird hide. I know these may not be your things but my point is anything to distract the mind. It’s not an answer but it helped me a bit. and I also started anti-depressants (actually for pain) that don’t leave me like your husband but just help me stay in control, rather than the emotional roller-coaster I was on. Would it help to talk to your GP?

    Please note it’s taken me nearly 2 years to get on top of this, a long time so please acknowledge that your feelings are justified. We all deal with these situations differently but just know that you’re not alone and can message on here anytime. We all understand what you’re going through in a way that people without cancer just don’t.

    I never understood the expression people said “be kind to yourself” until I’ve been through this and it’s true. Put yourself first and try not to worry too much what others think.

    I’ll tag some others if they don’t mind who I’ve searched also have tall cell variant and maybe they can connect with you with some better advice than I can.        

    Best wishes. X

    Medullary Thyroid cancer dx May 2023