Monday, April 7, 2014

Something Old, Something New, Something Borrowed…



Last night while on Facebook, I came across a post from Melanie and thought I would share it. It speaks directly to her particular kind of cancer and the toll it has taken over the years. While living hard and well with thyroid cancer, this is a reminder of a bit of what life is like for her and thousands of others living with thyroid cancer.

“Just came across this article from almost a year ago. I was 4 years younger than the writer when I was diagnosed, but her story is extremely similar to mine (down to the variant of the cancer I have- metastatic papillary thyroid carcinoma with a follicular variant) and everything she writes rings true for me. Coming up on 10 years living with cancer and it's still a constant influence in my life.”

Thyroid Cancer: Five Things You Really Need to Know
By Amy Greaber

Thyroid cancer is very much on the rise. But while it's one of the fastest growing cancers -- up 274 percent since 1997 -- it's still a rare disease. According to the American Cancer Society, 60,220 people in the U.S. will be diagnosed with thyroid cancer this year, and 1,850 won't survive. Young women in their childbearing years are most at risk, though it can affect men, women and children of all ages. However, because thyroid cancer is rare, it's not in the spotlight like other cancers. And the exposure it does get often overlooks some of the real issues that go along with this cancer.
I was diagnosed with metastatic papillary thyroid cancer with a follicular variant when I was 28 years old and it was quite a journey to that point (read my story here). Here are some things that I've learned, and what I feel patients and survivors need to hear:
1) It's not the 'good cancer' -- You've just been diagnosed with thyroid cancer. Your doctor tells you it's the 'good cancer.' That if you're going to get cancer, this is the one to get. This is what the majority of us hear, and it's one of the most derogatory and misleading statements that can be made to someone who has just received a life-changing diagnosis. The reason why we're often deemed 'lucky' to have thyroid cancer is because of the high survival rate. If caught early, the most common types have a five-year survival rate of nearly 100 percent. There are much rarer types and later stages that drop that survival rate down to as low as 7 percent. But no matter which type you have, or when it's caught, no one is lucky to have any kind of cancer. Check out this videoby 'Bite Me Cancer' to hear from other survivors about their challenges. We all need to stand up to this ignorance.
2) It's usually not as easy as 'just taking a pill every day' -- Another ignorant statement made by too many doctors. Patients hear about their 'good' cancer and how removing the thyroid is no big deal. You just take a pill and you'll be fine. But the majority of the time, that's not the case. The thyroid is a vital organ, and the body needs thyroid hormones to function properly (Clickhere to learn about the thyroid and what it does). It often takes a lot of tweaking to get those levels where they need to be, not only to function well but to help prevent recurrence. And sometimes where you need to be to prevent recurrence can bring unwanted symptoms. It can be very complex... for most there is nothing 'easy' about it. Which leads me to...
3) You will have a new normal -- More than likely, you will not go back to feeling exactly the same as you did before your thyroidectomy. It can often take up to a year after surgery and radiation before our bodies fully recover. This study concluded that patients had significantly decreased quality of life, with scores only improving 12-20 years after treatment. You will probably feel like you're all over the place as you get used to hormone replacement, and to the blood levels your doctor will keep you at. Furthermore, getting the necessary hormones through medicines is far different than your body producing them itself. With a thyroid your body can make adjustments when needed, on demand. We no longer have that luxury. Be patient. Don't expect that you'll be back on your feet and feeling good as new right away. Even if your cancer never comes back (which you'll probably worry about every day from now on), you've been left with permanent hypothyroidism from your treatment. Accepting that you now have a lifelong, chronic illness can oftentimes be the hardest part.
4) Embrace your scar -- Yes, I'm vain. When I found out I had cancer, my main worry was the big scar right on the front of my neck. All I could think about was how I'd cover it up after surgery. But then, once it was all over and the bandages came off, I realized that I didn't want to cover it up. People will stare. Even with it almost completely faded away, I still catch people looking at my scar instead of my face when I'm talking to them (Hey buddy! My eyes are up here!). In the beginning when it was more noticeable, I'd sometimes have fun when people stared, telling them I got into a knife fight (and they should see the other b*tch). But mostly when I see someone looking, I just point to my neck and say 'thyroid cancer.'
Your scar tells a story. It's proof of how strong you are. And it can be used as a tool for awareness. Embrace it. And spread the word.
5) You are not alone -- I'm the only person in my family with thyroid cancer. Before I was diagnosed, I never knew anyone who had it. And while my friends and family are an amazing support system for me, they don't understand completely. And I don't expect them to. Unless you've walked this path, there is no way you could possibly know what it's like. But there are other patients and survivors out there who have been down your path. Who understand, and can help you. Check out these amazing resources for more information and support:
ThyCa -- ThyCa has been created and is maintained by thyroid cancer survivors. Since October 1995, they have been developing a network of services that link thyroid cancer survivors and health care professionals around the world.
Light of Life Foundation -- The Light of Life Foundation was established in the spring of 1997 by Joan Shey, a patient herself. The mission of the foundation (a 501(c)(3) non-profit organization) is to improve the quality of life of thyroid cancer patients through continual education of the lay public and the medical community, and by promoting research and development to improve thyroid cancer care.
Being diagnosed with cancer is completely life-changing, and thyroid cancer is no exception. I've learned that it's key to educate yourself about your condition. Do your research, and don't be afraid to ask questions or to stand up for yourself. Ultimately, it's up to you to take charge of your own health and the care you receive.
I'd love to hear about your experience with thyroid cancer. Were you told it was the 'good cancer'? What else do you feel other patients and survivors need to know?

Thursday, January 9, 2014

Special Friends



During Melanie's 10 years as a cancer survivor, so many people have made gestures that I will long remember. But sometimes a friend just takes you by surprise and does something so wonderful it is hard to talk about. And when that friend does something for your child, well it brings tears to your eyes. Melanie has a friend from her college days at Colorado College named Kristin Bohl. Just as Kristin was bringing new life into the world in the form of baby, Ellwood, she was also trying to make the world a better place for cancer survivors.Check this out  and take a look at what Kristin is doing.


Join the Battle with Kristin Bohl. Beat Rare Cancers.


I am proud to say that 2014 will be my fifth year participating in Memorial Sloan-Kettering's Cycle for Survival. This year is extra special, because I am honored to dedicate my ride to my dear friend Melanie Richmond Hodgman - mountain climber, world trekker, woman extraordinaire, and cancer fighter/survivor.  Here's her story:
My name is Melanie Hodgman, and I'm honored that Kristin is dedicating her Cycle for Survival  ride in my name this year. Kristin and I met in the first week of our freshman year at Colorado College and became instant friends. Over the years at CC with Kristin, I ate my first bratwurst "up North" in Wisconsin with her family, sunbathed with Nana and Papa in Arizona during a college break, danced the night away before our graduation, and shared many adventures. While we've moved on from those days, Kristin's same level of dedication to helping others I saw 10 years ago continues through events like the Cycle for Survival.
The Cycle for Survival is a cause that directly impacts me and my life with cancer. Three days after my birthday in 2004, at the ripe old age of 24, I was diagnosed with metastatic Papillary Thyroid Carcinoma- thyroid cancer. I had no known exposure to radiation and no family history of the disease. Within 10 days of being diagnosed at a local hospital outside of Boston, I underwent a nine hour surgery to remove my entire thyroid and all the lymph nodes on the left side of my neck. Within eight weeks post-diagnosis, I had undergone another corrective surgery and received my first round of I-131 radiation to blast remaining cancer cells. A scan post-radiation showed that the cancer had possibly spread distally to my lungs. 

While thyroid cancer is a "good" cancer, as all the docs will tell you as a patient, cancer metastases away from the original site makes things a bit more complex. My amazing parents asked my local doc in Boston where the best thyroid cancer doctors and treatments were being done in the country and they were told Memorial Sloan Kettering in New York, and MD Anderson in Texas. Many phone calls later, my parents were able to get me in to seen at Sloan Kettering. 
The positive aspects of being a patient at Sloan (as we call it in my family) were apparent from the start. The doctors and nurses are friendly, professional, incredibly knowledgeable, and the thyroid cancer docs are engaged in cutting-edge clinical trials to improve not only survival outcomes, but also in treatment procedures that improve the quality of life for patients. Although it was not quite FDA approved at the time (but has been since), for my second round of radiation treatment in 2006 I was able to stay on my thyroid medication and get a shot for three days pre-treatment, instead of having to go off my meds for 4-6 weeks as was done in the past. The impacts of stopping thyroid medication include extreme fatigue, weight gain, fuzzy thinking, impaired reaction time, feeling cold all the time, depression, and more. Getting the shots meant I was able to keep up my normal work and daily life, enabling me to get back on my feet post-radiation much more quickly and easily. This was a big deal to me as a 26 year old starting a new job and hoping for the least amount of residual impacts of the cancer treatments as possible.
I've been living with thyroid cancer for 9 1/2 years and continue as a patient at Sloan Kettering even though I've been living with my husband in Seattle for the past four years. I still have active disease being monitored by my amazing doctor, Dr. Tuttle, who I continue flying back to see once a year because I trust him completely for my long-term treatment and I know I'll get the best care around. While the cancer I have remaining seems to be resistant to radiation and so will need to be dealt with surgically if/when the time comes, a drug in current clinical trials that Dr. Tuttle is working on may make my cancer cells once again receptive to radiation. This will be a game-changer for people who have tumors in places that are difficult to reach surgically, and could be used to treat my cancer as well. It is yet another example of the improvements in treatment that are made possible through research at MSK, and all that research costs money...lots of it.
Cancer is an ongoing part of my life and may be for a long time. Knowing that I will continue to receive the care I need at Sloan Kettering makes living with a chronic disease so much easier to deal with mentally and allows me to focus on living rather than living with cancer.

Thank you so much for your support of Kristin and Memorial Sloan Kettering. Your donation will add to research funds that are leading to major breakthroughs in rare cancer diagnosis, treatment, and survival rates. They may even fund research that impacts my treatment some day.
Amazing, right?  So I am riding for Melanie - to honor her courage, her passion, and her fight.  Please support my ride, and the amazing work done by MSK to beat rare cancers.
Much love,
Kristin

So this sends a big shootout to Kristin and all those supporting the cause.
If you want to read more you can check out her efforts at:

Join the Battle. Help us beat rare cancers by riding at a @Cycle4Survival event: 

http://mskcc.convio.net/site/TR?px=1536783&pg=personal&fr_id=2090


You go girlfriend, you go!