Showing posts with label Zoladex. Show all posts
Showing posts with label Zoladex. Show all posts

Wednesday, 22 July 2015

Well, it's been a year....

Well, I've made it. It's been exactly one year since I sat in front of the consultant and she pointed to the mammogram on her screen and said 'this bit here - this is what they think is cancer.' I can remember my response quite clearly:

'Fuck'.

When I went to the hospital that morning I honestly did not believe that I would receive a cancer diagnosis. That's something that happens to other people, right? I trotted in to the breast clinic relatively carefree. Well, with the words of two GPs who I had seen previously echoing in my head - 'your age and lack of family history mean it's nothing to worry about'. I learnt the hard way that sadly this really is not the case.

The 22nd of July 2014 was when I was given my 'unofficial' cancer diagnosis. That is - it was very plain to see (at the least to the radiographers and consultant) that my boob was trying to kill me, but a biopsy was taken just to make sure. I left the clinic and the hospital that day with my life irreversibly altered forever. I left behind a piece of myself that day, which I have had to rebuild over the past year. My mother bundled me out of the hospital, back to my flat and then to her house. I regressed back to childhood over the next couple of days - all I wanted to do was cling to my mum and beg her to make it all go away.

I told very few people about my diagnosis before the official biopsy results were given two days later on the 24th of July. I think a very small part of me still held on to the hope that they were wrong, that the mass on the scan was just something simple and benign. Telling other people would have made it too real, too final. All my hope was dashed on my return to hospital on the 24th, when I was told that yes I did indeed have an invasive tumour in my right breast. This year on the 24th of July I intend to be on a train to Brighton to spend the weekend with some of my closest friends courtesy of the Willow Foundation - preferably half pissed.

The 24th of July 2014 saw the beginning of the complete whirlwind that is a cancer diagnosis and treatment. Since that day there has been:

3 biopsies 
4 mammograms
4 ultrasounds 
16 blood tests
2 radioactive injections
2 general anesthetics
2 lots of surgery
5 nights in hospital
2 head shaves
Multiple wig fittings
1 bone scan
6 toxic infusions 
12 oncologist appointments 
7 surgeon appointments
1 genetic testing appointment
3 late night visits to A and E
11 cannulas 
8 lots of test / scan results
1 chest x-ray
3 MRSA swabs
1 arm ultrasound
6 lots of steroids and anti sickness treatments
21 lots of self-injections
A truck load of other meds
1 flu jab
Several sore and collapsed veins
3 physio appointments
4 Zoladex injections
15 radiotherapy sessions

(Not an exhaustive list!)

There has been sleepless nights, bad dreams and tears. I've cried, I've sobbed, I've been utterly terrified. I've felt angry, frustrated and incredibly lonely. I've mourned the end of my life as I knew it. I've lost my hair, my eyebrows, my eyelashes and my identity. I've gained over a stone in weight. I've said goodbye to two close friends whose support and love helped me through the last year and who I still miss terribly. 

But I've also laughed more than I thought possible. There has been times when I have surprisingly felt happier than I have for years. I have felt loved and cared for. I have met some amazing people and made some of my closest friends. I have reevaluated my life and learnt more about my own strength and character and what I am actually capable of than I ever have before.

So I've done it. I've reached the one year mark. I've joined that statistic of the 96% of women who survive one year after their diagnosis. 

So how do I feel?  

Physically and mentally, I get tired very easily. I have learnt that my ability to nap is unparallelled. The medication I take to try and prevent the cancer returning brings with it tough menopausal side effects including hot flushes, weight gain and insomnia. I still suffer with total mind fuzz, otherwise known as chemo brain, which again isn't helped by my medication. I get frustrated because I find it difficult to find the right words to describe something or I lose my train of thought half way through a sentence. I quite often feel like I am thinking through custard. I have to write everything down otherwise I will forget important details and dates. I keep three diaries - not because I have the social life of the Duchess of Cambridge, but because without noting down every meeting and arrangement as soon as I make it I will inevitably forget it. I also find it very difficult to concentrate and have a terrible habit of zoning out during meetings or conversations. I have the concentration span of a flea on speed.....

Of course, my body doesn't look like it once did. It is fatter and softer with the addition of several scars and one fake body part. My risk reducing mastectomy has been agreed, which means at least two additional surgeries, the first probably being at the beginning of next year.

Emotionally, it's very difficult to describe the maelstrom of feelings I am experiencing right now. I feel cheated and angry that this happened to me, but lucky I have made it this far. I feel guilty that I am here and that other beautiful, vibrant young women have been taken from their families and friends far too early. I feel blessed to have met some incredible people over the last year, and devastated to have lost some of them too. I feel grateful to have been given another chance, but confused as to how to use it to make a difference. 

I look back at the events of the last year and it seems difficult to believe that it actually happened to me. But I also I feel completely overwhelmed with the reality of the situation. If let myself dwell on it for too long, it almost feels just too hard to face. For all the scares and scans that turn out fine, there is the chance that one day, it might not. There is the very real possibility that I could fall in to the statistic of those women who don't make it to their 5th or their 10th year. And there is no way of knowing whether this is going to be the case. It's the complete uncertainty that I find incredibly hard to deal with. Walking around feeling like you have a ticking time bomb inside of you that may implode any minute does not for a peaceful mind make. It is, quite frankly, utterly terrifying. Yes, none of us know how long we've got. But when you have started your own mortality directly in the face this takes on a whole new meaning.

But I can't let the fear control me. I have to take control of it. I have to grab it by the neck and shove it back to the back of my mind where it belongs. I need to honour those women who have been taken by this disease by seizing my second chance and making the most of it whilst I am able to. By enjoying life and squeezing out every last drop. A day spent worrying about your future, is a day you have lost from your present. As my wonderful friend, the late, great JoJo Gingerhead said:

Concentrate on the present
Don’t dwell on the past
Don’t worry about the future
Live for the now
Live for the now 

Friday, 20 March 2015

Menopause, schmenopause...

I had an appointment to see my oncologist on Tuesday to discuss hormone treatment. Because my cancer was oestrogen receptive (basically oestrogen made the bugger grow) they can give me medication to try and prevent a recurrence. I use the word try as there are no guarantees that it will work, but fingers crossed hey?

My surgeon put me on Tamoxifen when I went to get the results of my surgery three weeks ago. Tamoxifen is an anti oestrogen drug which tends to be the standard drug of choice for oestrogen receptive breast cancers. Tamoxifen is a mystical drug - it  works in a way that’s quite complicated and not yet even yet fully understood by medical bods.

Oestrogen positive breast cancer cells have proteins called receptors. When oestrogen comes into contact with the receptors, it fits into them and stimulates the cancer cells to divide so that the tumour grows. Tamoxifen fits into the oestrogen receptor and blocks oestrogen from reaching the cancer cells. This means the cancer either grows more slowly or stops growing altogether. Theoretically.

However, I don't want any oestrogen floating round my body - as little as possible anyway. So i asked to see my oncologist abut ovarian suppression or the 'shutting down' of my ovaries. Little bastards...

To cut a (relatively) long story short, my hormone treatment has been changed to one that is deemed to be stronger than tamoxifen. Studies have shown it to be more effective in preventing recurrence and because I am classed as 'high risk' for recurrence (I really wish oncologists would learn to temper their language sometimes!) it would be of greater benefit to me. Such is my disordered brain at the moment, even though I made the appointment to see the oncologist and I left with the drug combination I wanted, I then panic about the fact that they gave it me and think I need it. Sigh.

The treatment involves a monthly injection of a hormone implant called Zoladex and a daily tablet called Exemestane. Zoladex works by stopping the production of luteinising hormone by the pituitary gland, which in turn leads to a reduction in oestrogen produced by the ovaries. I've essentially been put in to a chemically induced menopause which comes with side effects such as hot flushes, mood changes and weight gain. I'm also now at risk of osteoporosis and can lose up to 12% of my bone density per year.

Exemestane is a member of the drug family called aromatase inhibitors. In women who have gone through the menopause the main source of oestrogen is through the conversion of androgens (sex hormones produced by the adrenal glands) into oestrogens. This is carried out by an enzyme called aromatase. The conversion process is known as aromatisation, and it happens mainly in fat. Exemestane blocks the aromatisation process and reduces the amount of oestrogen in the body.

It isn't given on its own to pre-menopausal women (like me) but because I have now been put in to a menopausal state it is the most effective drug to use.

Zolodex is given by injection in to the stomach. This is the needle they use:

I shit you not.

I was brave. No numbing cream. It hurt. Really hurt.

I'll probably be on this combination for about five years (lets hope I live that long). If I have one every month that is 60 of those beauties in my stomach. But to be honest, if it helps to keep the cancer at bay I'd gladly stick it my eye, never mind my stomach.

So here comes the menopause - I'm already having hot flushes that are such that I want to rip my wig off in public places and stick my head in a freezer. I'll be moaning about how things were not the same as when I was a lass and having a blue rinse next. If I had any hair that is.......