It was 2020. At the time, my husband, a Navy sailor, had been deployed that entire year. I was living through COVID-19 with three young children, and I was trying to create any feeling of home and “normal” that I could. As a former teacher, I loved decorating for the holidays. After hanging Halloween porch lights to make life feel festive for the kids, I felt a sharp pain along the side of my chest. Breast cancer was not on my radar. I did not have a family history, and in my late 30s, I thought the pain was from a cyst, which I’d had before, or something else that would go away.
It wasn’t a cyst.
I was diagnosed with stage IIIC triple-negative breast cancer on December 28, 2020. At the beginning of the journey, I really wanted to believe what my care team explained about the treatment plan and what other breast cancer survivors shared: that it would be one long, painful year. I am an optimist who dreams of easy, but I am also a realist and a planner. Give me a problem and a checklist, and I will get to work. Chemo, surgery, radiation — and then life would be the same. I told myself, “Okay, I can do one painful year. Cheers! Let’s get started.”
When the goalposts kept moving
I had chemotherapy from January through June 2021. In July, I had a double mastectomy and chose to go flat. On the side with cancer, they had to remove extra skin and more than 25 lymph nodes because the cancer had spread through them. The surgery changed the lymphatic pathways on that side of my body. I knew lymphedema — a chronic swelling in the arm, hand, breast, or chest — was a possibility, but I thought it would mean wearing a sleeve when I flew or when my arm hurt. I did not understand how much it could shape every part of my life.
Unfortunately, life has never been the same. Every time I reached one of the goalposts of the adventure called cancer, the goal line would suddenly move. It was like standing in the ocean and being hit by waves over and over again. I would find my footing in the sand, let a wave come, brace as it hit, and then lose my footing as it swept me under. I would come up for air, sputtering water, then find my footing again and brace for the next wave. After surgery, I was supposed to begin radiation, but I could not lift my arm into the position the machine required. A wave hit. Everything was too tight. I could not get dressed normally, put clothes away, carry a backpack, or do anything that required reaching up. I needed weeks of physical therapy before I could even start radiation.
Then my port became infected, and what was supposed to be a simple office removal became another traumatic procedure and another delay. Wave after wave. Radiation was supposed to be 25 treatments, but it became 30 because of lymph nodes outside the surgical field. People told me radiation would be the easy part after chemotherapy, but my skin burned so badly that it painfully peeled away. When we thought I was almost finished, I learned that I needed another six months of immunotherapy and oral chemotherapy: pembrolizumab (Keytruda) and capecitabine (Xeloda). Wave after wave after wave. Finally, I finished active treatment in July 2022, nearly two years after diagnosis.
Every time I thought the water might be calming, another wave came.
I call myself a medical unicorn. If something strange is going to happen, it seems to happen to me. That rare side effect? Of course I’m going to get that. I confidently proclaim, “We all have our own version of hard,” and my hard isn’t anyone else’s hard. Wave after wave. I tell myself, “That was hard, but I did it. I can handle what comes next.” The problem is that my footing is never exactly where it was before. The sand has shifted, and I have changed with it.