Showing posts with label social media. Show all posts
Showing posts with label social media. Show all posts

Sunday, December 18, 2011

Favorite Things

Last year, in a fit of seasonally inspired writing, I put the breast back in Christmas, and counted down my favorite Breastmas gifts.

This year we're doing things a bit differently, and I'm taking a page out of Oprah's book and counting down my Favorite Things.

1. Love Stoop

This is a dish my MIL invented to keep Beloved and I in easily-prepared nourishing meals whilst my appetite is MIA, and fatigue and gimp hand keep me out of the kitchen. Essentially empty the contents of your vegetable drawers and canned goods into a pot, add a couple of Brontosauraus-like meat bones,  and some good stock, boil and simmer, pour into containers and freeze.

Uh-oh I only have 4 containers left.
Better get MIL on the case
2. Udderly Smooth Udder Cream

Legend has it, this is the same cream used to keep cows udders healthy.  Mmmm not too sure where to go with this, suffice to say this has been the best moisturizing cream for hands and feet in my entire cancer career.  Buy it by the tub at your local pharmacy.

How nice and smooth does gimp hand look?

3. Spirometer

I literally suck on this thing at least five times a day.  It keeps my lungs exercised and inflated (as opposed to collapsed), avoiding the need for an Operating Room date with Dr Cuteness.  I love this thing.

Suck harder!
4. Snoods

Certain bloggers have been keeping me in artisanal snoods (and gloves!).  They keep my head warm, look cool, and allow me to moonlight as an "Occupy" protester.

Striking a strangely Freudian pose
5. Elasticated Waists

I have a gimp hand.  I challenge you to try and pull up a pair of jeans, pull zipper and fasten button with one hand.  Remember with bathroom breaks you'll have to do this several times throughout the day.  Enough said.  Elasticated waists are the bomb!

Perhaps not my best look!
6. Panini Press

The best thing since sliced bread for the one-handed cook.  Not only panini's but also chicken cutlets and little steaks.   Love, love, love and everybody gets panini presses!  No, sorry that was a joke.

Between this and Love Stoop we are well fed!
7. Miralax

I've said it before and I'll say it again for those of us dealing with Mr Constipation.  Miralax, in the convenient economy size, has literally saved my ass.  Do yourself a favor and add this item to your walk-in medicine closet.

You know it makes sense.
8. Dog Naps

Always at my feet under the desk.  Snoring a little, farting a bit, dream kicking his little legs........

My trusty sidekick doing his bit for the war on breast cancer
9.  Breast Cancer Social Media

Tune to Twitter every Monday, at search term #BCSM, for breast cancer topic-oriented chat with an amazing group of people. And all the other wonderful Bloggers and Commenters who make up this incredible virtual community.  I can't do this without you.


10. Beloved

What more do I need to say?

I Heart Beloved


Merry Christmas
And
Happy Holidays
To You All
xxxxxxxxxxx




Wednesday, July 6, 2011

Let's Talk!

I'm still kind of on summer hiatus, but can't keep away from the blogging for too long.

On Monday night I "attended" a Tweet chat on Twitter called #bcsm (Breast Cancer Social Media).   Basically, it's an hour long event on Twitter every Monday night at 9pm EST, and is attended by anyone who's interested in talking about breast cancer.  If you missed it or would like to know more, here's a round-up and transcript of last Monday's chat by @jodyms who co-hosts and blogs at Women With Cancer.  You can join the chat just by adding #bcsm to your tweets,



One of the really great things about this forum, is that it's also attended by health care professionals, and is a fabulous opportunity for patients, like me, to connect with these folks in a forum that doesn't involve an invoice or a fight with the health insurance company.  It's really interesting to get a perspective from the "other side of the desk" so to speak and to also share mine.

After the chat, I read the transcript and was struck by a comment from one of the doctors in attendance.

More and more oncologist see Stage IV as a chronic disease that one can live a really long time with -- QUALITY TIME #bcsm
Let me just preface by saying that I completely understand that the comment came from a place of kindness and compassion, perhaps to try and ease the fears of those in attendance who are living with Stage IV disease.

But on the other hand the comment did cause my blood pressure to spike somewhat.


Is this really the belief of most oncologists? Because if it is then then I'm putting my hand up to say that there may be a DEEP chasm from what oncologists believe to what metastatic cancer patients are really thinking.

Firstly, I don't see metastatic breast cancer as a "chronic disease".  I believe that to refer to it in this manner does a huge disservice to the work of the metastatic breast cancer advocates.  The "chronic disease" argument invalidates our concerns about current treatments and our very real fears of dying of breast cancer, and completely hides the fact that metastatic breast cancer patients still do not have a game changing drug designed to specifically prevent initial and new metastatic tumors. And the same could be said for many other Stage IV cancers actually.

What we do have is a long list of incrementally and temporarily successful drugs designed to shrink tumors, none of which provide a cure, and none of which are known to actually prevent new metastases.  The drugs buy us time, more for some patients, less for others, and there is no way to know which one's will actually work, for whom, and for how long.  So we just keep working down the list of drugs until we perchance get the miracle of N.E.D. (No Evidence of Disease), or as is more likely, we exhaust our options and then say enough is enough and end our lives apparently and invariably with "grace and dignity".   Is this really what "chronic disease" looks like?

In the metastatic breast cancer setting,  how is a "really long time"defined and what does "quality time" really mean?  I suspect that if a patient were asked, their definitions and understanding of these terms might be wildly different to that of their medical team and indeed that of family and friends.

"A really long time" in the world of chemotherapy drug development is termed "overall survival" and is generally measured in months, not years.  To the statistician, a metastatic breast cancer diagnosis might mean average survival of about three years.   To the actual patient, we say "screw statistics" and hang on for dear life to the belief that we're going to be the ones who beat the odds.  And some of us do, but there's also many that don't.  For me, the question of what a "really long time" looks like is something I prefer not to dwell on.  Hopefully it means years, maybe even a decade or two or three, but no one really knows.  I just hope that it is a "really long time".

And "quality time"?  Quality time to me means


  • not having to go to chemotherapy every week
  • not having to obsess over my bowel movements
  • not having to wrangle with Nurse Ratched or Nurse Useless
  • not having to deal with mystery secondary illnesses that of course could not possibly be related to cancer treatment
  • not having to worry about cascade side effects of drugs taken to combat chemotherapy side effects and cancer symptoms
  • not having to waste time dealing with health insurance and billing issues
  • having a left arm that actually works and doesn't cause me pain 24/7
  • having hair to brush and style
  • not having to be ruled by an alarm clock and pills that must be taken on time
  • not having my life put on hold every three months whilst we wait for scan results
  • being able to sit in the sun without having to worry about chemo-induced sunburn
  • being able to go on vacation without having to think about proximity to hospitals et al
  • not having to ask family members to help me with household chores and grocery shopping
  • not having to worry at forty years old, about the same issues that concern senior citizens
  • having the energy to stay up past 10pm
  • not having to worry full stop


Now there may be many of you who disagree with my reaction to this particular comment.  And that's fine.  I welcome the discussion.  We can all learn from each other.  So let's keep talking about this.  Let's add our voice and be heard in forums like #bcsm.   Hope to "see" you there for the next chat.

Every voice matters.

Now back to summer hiatus and some QUALITY time !

Monday, December 13, 2010

Confronting Tragedy In The Age of Social Media

I know the following post is a drastic change in style from my last blog post, but that's how I roll.  I never really know what I'm going to feel like writing until the moment strikes and the events of this past week have certainly contributed to the grist for this post.

This past week saw the sudden passing of a dear old friend from an inoperable brain tumor.  I hadn't seen him for quite some time, but we had kept up with each other's movements through mutual friends and had traded emails from time to time, filling each other in on the details of our lives.  Apparently he had become ill whilst at work, and two weeks later he was gone.  It was very quick and, by all accounts, took most people by utter surprise.  But that's cancer isn't it?  It sneaks up on you when you least expect it and with no apparent logic as to who it is going to take next and when. The world is certainly an emptier place with the loss of this gorgeous amazing man, and his passing seemed to be a culminating moment in  a week where it seemed everything was about death, no matter where I turned.

I first became aware that my friend was ill via another friend on Facebook, and then on Friday I received an email from yet another friend who said she had some bad news.  When I googled my old friend's name, I was confronted with his obituary notice on a funereal portal site of sorts, where one could log in with their Facebook profile, find all of the funeral details, leave a message for the family, light a virtual candle and shop for flowers to send to the family.  One could also build a family tree and  a perpetual tribute website for the departed all for the bargain price of some low monthly fee.  It seems that most funeral homes are now associated with a funeral portal of some type, and this isn't the first time I have seen these online tributes being offered to mourners. At first I felt a little uncomfortable with the concept, but ultimately,  I think my friend would appreciate the messages that were left for him, and when they are ready, I'm sure his family will find some solace in being able to read all of the tributes left for this wonderful gentleman.

But it did all get me thinking.  How important has social media become in dealing with death in our society?

Earlier, this last week, I accidentally stumbled upon a breast cancer blog, where, literally, a woman's dying moments were being broadcast and recorded for posterity.  From what I could gather, the lady was in the hospital and was dictating to her sister who would record it on her blog or she would send a text message, which her sister would then transcribe to the site.  It was a very strange moment for me and I felt almost ashamed that here I was, seemingly lurking on the site, intruding on this, the most sacred of life's moments.  (To avoid any issues of rubbernecking you'll understand that I don't feel comfortable identifying the site, and I don't think it would serve any purpose to do so at this point anyway.  The woman in question had passed away by the end of the week).

Today it seems that living and dying, with cancer in particular, has become a public affair.  We blog about it, we tweet about it, and we post updates on Facebook for all to see. In the world of cancer blogging, "tombstone blogs" abound; those that abruptly end with  a post from a relative informing the world of the author's passing, or just nothing at all and only our assumptions as to the fate of our virtual compadre'.  There are even Facebook pages for those that have passed on.  A dear friend of mine who died two years ago from pancreatic cancer, still has an active Facebook page administered by her sisters, where her friends still go to post messages.  A sort of virtual graveyard where one can go to peacefully converse with the departed, in a way that almost feels tangible.

Indeed, this week participants in the social media collectively grieved with the news of  the passing of Elizabeth Edwards, attorney, author, health care activist and ex-wife of wannabe presidential candidate, John Edwards.    Mrs. Edwards was diagnosed with advanced-stage breast cancer in 2004, which then metastasized in 2007 and had been living with the disease ever since.  After it was announced to the world by her family, that she had stopped receiving treatment for her cancer, this message, ostensibly her last words to the world, appeared on her Facebook status:

"You all know that I have been sustained throughout my life by three saving graces – my family, my friends, and a faith in the power of resilience and hope. These graces have carried me through difficult times and they have brought more joy to the good times than I ever could have imagined. The days of our lives, for all of us, are numbered. We know that. And, yes, there are certainly times when we aren't able to muster as much strength and patience as we would like. It's called being human.
But I have found that in the simple act of living with hope, and in the daily effort to have a positive impact in the world, the days I do have are made all the more meaningful and precious. And for that I am grateful. It isn't possible to put into words the love and gratitude I feel to everyone who has and continues to support and inspire me every day. To you I simply say: you know."

The next day, the world was informed that Mrs Edwards had died.  The outpouring of emotion on Twitter, Facebook, the blogs, and the many online articles that appeared after her death was overwhelming.  Although virtually none could have claimed to have had a personal relationship with Mrs. Edwards, it seemed like her death was a polarizing moment of sorts, especially in the online breast cancer community.   Many waxed lyrical over a life lived with "grace and dignity" and of a "peaceful death at home surrounded by family and friends".  Now we can't really know the truth about the circumstances of her death, whether she was in pain, whether she had accepted her fate, or even whether she was aware until the very end, but as a virtual group of "sisters"all dealing with breast cancer, we took comfort in knowing that she seemed to finally be at peace after a "brave and courageous" fight against metastatic breast cancer.

To me, although obviously a sad moment, her death was more of a stark and tragic reminder that breast cancer is not the "chronic disease" that many in the cancer industry and medical fraternity would have us believe.  Mrs. Edwards' death simply bought into focus, for me, the lottery-like nature of this disease.  After she was diagnosed in 2004, the same year as me, her cancer returned in 2007, like me.  Whilst I'm certain that we both had access to all that the medical profession has to offer in terms of treatment,  I've just simply been "luckier" with my disease than Mrs. Edwards,  in that I'm still here. Although treatments proliferate, even for Stage IV, their efficacy is uncertain, and what can work for one patient won't for another, for no clearly identifiable reason other than what I can only term as "dumb luck".  At that's what makes me mad when I think about her death.  That yet again, another woman has to die from this stupid disease because we can't figure out how to stop it.  We can spend all the money in the world on breast cancer education and awareness campaigns, but this didn't help Mrs. Edwards one iota, and nor does it help the hundreds of thousands of people currently living with metastatic breast (and other) cancer.  We just have to do better on this score.

And in some ways that's why I'm thankful for the advances in computing technology that have given us the tools of social media.  Because the existence of social media is keeping cancer in the public eye in a way that is confronting and personal, and in a way that reminds us all, that cancer can strike anyone and at any time.  Cancer doesn't discriminate. Mrs. Edward's' death and the collective online coverage and dissemination of grief clearly displayed a personal reaction that went far beyond that which a simple newsprint obituary would have evoked.  Indeed, I felt incredibly sad that yet another woman had died from this disease, but I was almost guiltily glad that her fame and celebrity, and associated online persona was bringing much-needed attention to the fact that metastatic breast cancer is for many, a fait accompli, to which death is the final outcome, despite the proliferation of treatments and the very best in medical care.  And it is from this perspective, that I hope for myself and the many other women dealing with this insidious disease,  that the public won't soon forget exactly what it means to be diagnosed with breast cancer.  Mrs Edward's death should serve as a call to action to do better in the fight to combat and eradicate this disease and we must keep talking about it and using social media to keep the message never far from the public consciousness.

For those of us living with cancer and other serious illness, social media has allowed us to connect as a giant virtual support group where we find like-minded individuals and where we are able to shout our frustrations to the universe without judgement.  We can find information at a moments notice and count on the fact that someone will always be there who's going through exactly the same thing.  Even though we generally never meet these virtual compadres or form a relationship beyond our online forums, discussion threads, blog comments, twitter feeds or Facebook pages,  there's something incredibly powerful in being part of a group mindset, in dealing with emotions and challenges of catastrophic illness.  Although many of us come with completely different viewpoints, different strategies for coping, and some come simply to read and ponder, whilst others are motivated to activism of some sort, there is comfort in knowing that you are not alone.  In fact Chemobabe in her latest post entitled "Good Company" articulates why we have this innate need to seek each other out  when she said:
"We survivors need each other. We live in an emotional reality that might be conceptualized but not fully understood by others who are outside of our experience, no matter how much they love us. It is often a lonely place."
Ultimately, living and dying in the age of social media may seem incomprehensible, and even abhorrent to some. But it does serve a purpose, especially for those dealing with serious illness.  Feelings of isolation and inherent loneliness are common problems - often it's easier to write about what's going on than it is to talk with close relatives or friends, and there is certainly therapeutic value to be gained from being able to honestly articulate what you are feeling by shouting anonymously to the universe.  You are being heard and you are not insignificant.

And this is why I think the dying lady felt the need to blog her final moments to the world.  Because she wanted to remind the world that she still mattered.  And that she still had something to say.  And this is also why Elizabeth Edwards chose to publish her final words via her Facebook status.  Because she too, still wanted to be heard.  And that's all any of us want.  Just to be heard.

It's kind of interesting to think that our blogs, Twitter feeds, and Facebook pages stored as binary code and bits and bytes on a server somewhere, may one day become our opus.  In perpetuity, we can continue to be heard.

So my friends, I say to you.  Keep writing.

People just want to be heard