Back to Work as a Breast Cancer Survivor: Reflecting on 3 Months in the Job
Release Date: 10/04/2024
Breast Cancer Life
Two things happened on the day I am recording this episode that make me think about how my life is different because of breast cancer. I was doing so well not thinking about breast cancer today that I forgot to implement the usual precautions for avoiding any bug bites on my left arm. I was bitten by an ant on my left hand at the end of my walk today. Tiny ants biting seems like no big deal, but the general strategy for lymphedema prevention is to avoid impairing the integrity of the skin on the side where a lymph node dissection has been done. This includes avoiding bug bites! I know...
info_outlineBreast Cancer Life
Once I got my diagnosis of invasive ductal carcinoma, I was immensely scared of dying. I was shocked and sad about the diagnosis. I was sure I needed a double mastectomy, because I never wanted to get diagnosed with another breast cancer. My doctors did not recommend a double mastectomy. I only had the left mastectomy. I started tamoxifen a few weeks after surgery. Now, two years since the diagnosis, I am confident that I will not be diagnosed with a cancer in my remaining (right) breast. There are two strategies in place for me at this time that lower my fear of another breast cancer...
info_outlineBreast Cancer Life
Because of breast cancer, fear of cancer recurrence is a permanent part of my life. I continue taking tamoxifen to reduce my risk of the cancer coming back. In this episode I share my thoughts on the good quality of life I have while taking tamoxifen. I value my strong body and theimited side-effects I have now. I also value a life with the lowest possible risk of breast cancer recurrence. I look forward to discussing what it might mean to switch to an aromatase inhibitor, in terms of further lowering the risk of recurrence and potentially experiencing more serious side-effects, with my...
info_outlineBreast Cancer Life
Preparing for breast cancer surgery was all-consuming once I found out I had an invasive ductal carcinoma in my left breast. I never stopped to think about what might be part of recovery from the nipple-sparing and skin-sparing mastectomy until I was in the recovery room. Then I learned the skin on my left breast was potentially going to be at risk for impaired healing or tissue death. My plastic surgeon had a solution for mitigating this at-risk situation. In this episode, I am sharing how I spent the hours and days after the mastectomy, leading up to hyperbaric oxygen therapy. This is...
info_outlineBreast Cancer Life
I had a choice in terms of what would be the best option to remove the invasive ductal carcinoma that I had just learned was in my left breast. I had recently had a biopsy in a different part of my left breast. Given that there were 2 places that had the potential or were actually problematic, I opted for a mastectomy. I thought that if there were 2 problem areas, there were likely to be more problem areas in that breast. I did not want to take any chances on having more cancer. I also wanted to avoid needing radiation. By removing my left breast via a mastectomy, I was not likely to...
info_outlineBreast Cancer Life
In 2023, when I had my cancer surgery, there was a non-cancerous spot on the right that was recommended for a biopsy. At the time, I did not ask any questions about why take out =NORMAL! breast tissue? Hindsight is 2020. On screening MRIs for the right breast in 2024, the same “non-mass enhancement” that was seen in 2023 (before any breast surgery) keeps showing up in the imaging report. The content of this podcast is not intended to substitute professional medical advice, diagnosis, or treatment. Always consult a healthcare professional regarding your healthcare questions and...
info_outlineBreast Cancer Life
My swimming workout is my ultimate treat each week. I consider it a great escape because it takes me to an alternate place. In the water, my body is horizontal. I glide through the water and work all the muscles in my body, from head to toe. I am on a different plane and weightless in the water. This roughly 45 minute experience restores my mental and physical energy. It helps me to feel better in my skin. When I finish, I take a long (and usually warm) shower. I head right home to finish drying my hair and am ready to start my day. I walk out of the locker room feeling...
info_outlineBreast Cancer Life
I am at a point now where I have follow-up breast imaging. I suspect everything will be normal. I considered rescheduling the upcoming appointments related to my breast cancer until after the holiday season. A few common thoughts that I bring up in this episode: Survivorship can be difficult, even when things are going well Everything has the potential to be something in the body after a history of breast cancer Testing (a breast MRI) in December has the potential to distract me from what is most important at this time of the year Going to doctor appointments is not how I want to...
info_outlineBreast Cancer Life
In this episode, I talk about being compelled to take on projects that are important to me. This includes a lot of “putting life in order” tasks that seem to be priorities for me now. The year of 2023 was consumed by my health care experience that was centered on the breast cancer screening, diagnosis, recovery and the start of survivorship. Finally, after a year of learning to live as a survivor, I am feeling that I have space in my life to take on extra projects like creating photo albums to tell the story of my family life. Breast cancer brings up a lot of emotions and makes the...
info_outlineBreast Cancer Life
I have talked often about living in the grey zone of survivorship. I know I am not alone in saying that this stage of breast cancer life is harder than the beginning when I was having additional testing and preparing for surgery. I had never discussed what it means to be a survivor with anyone when I was first diagnosed. No one sat down and talked about survivorship with me in the beginning, either. The focus was on getting all the information to formulate a treatment plan. Then it hit me like a brick wall after I was at a point when all the surgical recovery was essentially complete. I...
info_outlineLife has evolved since last year, when I was in my breast cancer screening and diagnosis journey. Not long after I recovered from the mastectomy and reconstruction, I learned how hard it is to be a breast cancer survivor. The psychological aspects of being a survivor, particularly the fear of cancer recurrence, prevailed after the incisions healed. To get a sense of control over survivorship, I realized I had to prioritize sleep, exercise, and nutrition to care for myself. Survivorship takes more energy (mentally for certain) than the screening, diagnosis or surgery ever did.
Early in survivorship, I spent time trying to care for myself. I sought out cancer support resources to get the help I needed to adjust to life as a survivor. Then, earlier this year, I reached a point where I felt like something was missing (not referring to my left breast, which was removed during the mastectomy). I decided it was time to go back to work as a nurse.
In this episode, I look back at three months on the job and talk about how I managed to keep myself from falling apart. I did not perfectly fit in exercise. I lost track of how close I was to the recommended 150 minutes of exercise per week. I prioritized walking to the subway as a primary source of movement in the workdays. I found places in my work day to fit in “exercise snacks”, those small bursts of activity to exert myself and raise my heart rate. I even found places at work where I can stand and work at a computer.
I managed to accept disrupted sleep as part of my life and used some of those early morning moments for an early start at the gym. Some days I allowed myself to wake up a little later, even if it meant skipping the gym before work. I tried to be kind to my body and take the cue that more sleep is needed.
I love food and found that although I had the best intentions of packing health snacks for work, I was not bringing enough to keep me from feeling low on energy and very hungry at the end of the day.
The silver lining I share in this episode is that, after 3 months in the job, I now have additional flexibility to work remotely some days and get an extra day off some weeks. So after three months of getting by and being gone every week day all day, I get some time back in my week to restore the balance in my self-care priorities.
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The content of this podcast is not intended to substitute professional medical advice, diagnosis, or treatment. Always consult a healthcare professional regarding your healthcare questions and concerns. This podcast contains opinions of the host.
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