Showing posts with label new normal. Show all posts
Showing posts with label new normal. Show all posts

Wednesday, August 14, 2019

Finding Balance: “Cancer Life” vs. “Real Life” a #CancerSM Chat 8/14/19

The #gyncsm community was happy to moderate the #cancersm joint cancer hashtag chat titled Finding Balance: “Cancer Life” vs. “Real Life” on August 14,2019 at 9pm ET. The #cancersm hashtag is used by a number of cancer hashtag communities, including #bcsm, #lcsm, #btsm, #mmsm and #ayacsm.

We had 36 participants join us to discuss how cancer patients and survivors find balance in their lives. You may find the complete transcript here and analytics here.

Below are a few highlights from the night's chat.

T1: When you think about finding a balance in your life after a cancer-related or tumor-related diagnosis, what comes to mind?

  • i think of being able to do what I liked to do with my “old normal “—travel, go out in the evening to concerts, etc. Right now my consciousness is dominated by cancer related thoughts. #cancersm
  • Balance is really hard to find when dxd as cancer sorta takes over your life, yet it's impt to try to find some. #cancersm
  • I always considered myself a previvor due to family history, but after the genetic mutation diagnosis I felt much more urgency to give my own health attention vs. career and young kids #CancerSM
  • It’s not so much about finding balance but more... rebalancing your scales. Cancer’s impacts are here to stay so it’s about trying to find ways to do your normal life with it always lingering on the sidelines. #cancersm
  • When scan time comes up every six months, I find it hard to balance the anxiety with other priorities.
  • Finding balance means something different to each of us. #cancersm
  • I had no idea, in 2003, how DIFFICULT it would be to find balance. I still haven’t found it yet! #CancerSM


T2: How do you balance your treatment/healthcare schedule with work and/or taking care of children or elderly parents? 

  • I try not to do anything cancer related before 10 am or after 7pm and on the weekends Sometimes that is not possible, but that’s my goal
  • LOL.   with a smile? Schedule multiple appointments in the same day or after/before work hours so you don’t have to use all of your vacation time. Try not to have a breakdown on the NYC subway, but if you do, it’s okay. #cancersm
  • setting boundaries in your own life is a real skill! I’m still learning. #cancersm
  • Since my 3rd recurrence I’ve been disabled and spend my extra time/energy volunteering. Focusing on cancer related work means they understand when I’m sick. #cancersm
  • when it comes to work you may need to avail yourself of legal benefits like reasonable accommodations, FMLA/state leave, etc. sometimes it can feel like asking for a favor, but those who are eligible should remember it’s a right! @TriageCancer has resources to help! #CancerSM
  • @NavSurvivorship @TriageCancer @CancerAndCareer is another great one for that type of info #cancersm


T3: After diagnosis, did you change how you ate or how much you exercised? Did you start a new activity or stop doing an activity?
  • There are growing data to support exercise to prevent cancer recurrence - and you get the bonus of stress relief!! #gyncsm #cancersm
  • yes!! And expectations can be different but not lowered.
  • @gyncsm I remained exercising because I knew it was important. It helped keep my energy up and I felt strong even though I was going through something that made me feel weak mentally. #cancersm
  • I was an avid tennis player and gave it up as I am too tired. Not liking my new normal #CancerSM 
  • Also some evidence that exercise helps mitigate treatment-related symptoms (fatigue, poor balance, etc). #gyncsm #cancersm
  • You gotta cut yourself some slack. Exercise is always important. As is healthy eating. Sometimes neither is doable. That's ok. #cancersm
T4: How much of your "cancer life" do you share with those in your life that haven't been impacted by cancer or a tumor?
  •  It’s part of me I can’t hide it. It’s made into who I am today #cancersm
  • I was scared at first to share anything. But I slowly started to share on social media, and I got so much support. I enjoy sharing my #cancerjourney story and hearing others! #cancersm
  • I talk about the brain tumors A LOT. I think it freaks ppl out, but I gotta talk abt them. Also talk about breast cancer risk too. There’s more than BRCA & I’m gonna say it! LOL #btsm #bcsm #pten #CancerSM
  • Surprisingly perhaps, not that much. Not sure if many read my blog even. #cancersm
  • hard to say. Most people I know have personal experience of cancer or a family member with cancer...or they are previvors! #cancersm
  • Very little. Except in writing (twitter, blogs) but usually strangers are reading those. Absolutely NOTHING about my experiences with #lateeffects. It freaks people out (cancer from cancer treatment?) and I’m still emotional talking about it #cancersm
  • I tell my hubby whatever I am thinking or feeling. With my Mom and Grandmother I am more reserved. They understand but also don't understand. They can take things out of context which just creates more issues that I don't want to have to deal with. #cancersm
  • Disclosure is SUCH a personal decision and there is no one right answer. BUT, there can be long term ramifications and people should be empowered to know they have choices! https://t.co/ltMxWp6ZBd #cancersm
  • I used to kinda keep cancer-land on Twitter and other on Facebook but they both blur now. In person, I sometimes chat about. I do go online mostly to converse with those who "get it". #cancersm
  • Being an advocate I openly share with anyone who is interested. I try not to clog up my personal FB page with all Myeloma stuff. I’ve created a separate Myeloma page.#cancersm

T5: How soon after your diagnosis did you start volunteering and/or sharing your story? How do you balance family needs, personal needs, work needs and a desire to advocate for yourself and others?
  • I went to a @livestrong survivor summit a year after my dx and my volunteering and advocacy grew from that experience. I learned I could make a difference and knowledge was powerful #cancersm
  • I had to stop working because of cumulative effects of chemo, brain surgery (benign meningioma) and PTSD. Before that I was a data analyst and managed research projects. Research Advocacy is how I can benefit myself and others #cancersm
  • Exactly 2 years! I went from not wanting to talk about it at all, to realizing I needed to. I’m still trying to figure out the balance part. But hey, aren’t we all? #cancersm
  • During my dx, I performed some stand-up about it as a way to battle my shame around a colorectal dx. Then, quiet when I felt lost in the hurt. After attending a retreat with @yacancercanada almost 2 years after my dx, it really activated me as a patient voice. #cancersm
  • Advocate burnout is real - for your own care and in your more general patient advocacy. @JBBC is doing some writing on this. Important topic. #cancersm
  • I was the face of #childhoodcancer - always accepting invites to speak. After #lateeffects from tx, I didn't speak about it for 7 years. I felt like I failed survivorship. Now you can find me angry tweeting about cancer and NOT talking to my family/friends about it #cancersm

We like to end our chats with TIL standing for Today I Learned... 
TIL (relearned) - that I’m not alone! #CancerSM
TIL: how people accept cancer as part of their experience but don’t let it define them!! #cancersm
TIL that finding a balance, or a new normal, is a process that takes times and many different forms + it's an important consideration for anyone whose life is touched by cancer: from previvors to those no longer in active treatment/survivorship #cancersm #endcancer
TIL:Remission is living peaceful life , wish you all a peaceful life that you strongly deserve, bless you #CancerSM
Not so much a TIL, but more “today I am reminded” that we all struggle and are trying to navigate the aftermath of cancer. I am so thankful for this #cancersm chat for the connection and encouragement! Let’s keep working together!!

Mark your calendars and join us for our next #gyncsm chat on Wednesday, September 11th 9pm ET on "Breast and Ovarian Cancer Connections".   
During September,Gyn Cancer Awareness month  follow #IWishIKnew to hear from real Ovarian Cancer survivors about what they wish they had known before they were diagnosed-- and join the campaign! 
And remember to tweet things of interest to the gyn cancer community by using the #gyncsm hashtag. 

See you next month! 

Dee
#gyncsm Co-moderator

Wednesday, September 13, 2017

Sept. 13, 2017 A Balanced Life - advocacy, survivorship, new normal





As we celebrate our 4th Anniversary, we want to thank everyone who has participated in or followed our chats and all who have supported us by using the #gyncsm hashtag to share information of value to our community. 





This Gynecologic Cancer Awareness Month our topic was finding a Balanced Life after a cancer-related diagnosis. We focused on survivorship, a new normal and advocacy.

We were joined by health care providers, survivors and caregivers to answer these questions:

T1: During treatment, what adjustments did you make (nutrition/exercise/work) to help you stay balanced physically and emotionally?
  • for emotional support I reached out to @cancerHopeNet
  • The most important thing to do during Rx is practice self care - whatever that means for you - exercise, food, time
  • I think it is important to remember to go easy on yourself. We can be our own worst critics. Remind self it is ok to falter.
  • My experiences as a doc are that most patients attend to the treatment needs and have little energy to do anything further
  • I was a hard core exerciser before. I had to learn to be easier on myself. I did a lot of beginner/gentle yoga. It helped
T2: When you finished first line treatment, how did you feel? What things did you go back to doing and what stayed changed?
  • People expect you to "be over it" and move on as if nothing happened. 
  • I felt like a rudderless ship. Had no control of my life for so long, then see you in a month
  • still do same stuff;work,volunteer, make lunch and dinner, son's sports, friends but I don't feel the same. Cancer is always there
  • People expect you to "be over it" and move on as if nothing happened.
T3a: What does the term “new normal” mean to you?
  • The new normal is the development of new habits patterns and thoughts as a result of the cancer journey
  • I think there's so much pressure on patients to have cancer change them in some profound way and when it doesn't they're lost
  • I think that "new normal" is an interesting phrase. For some it is helpful, and for others, it draws negative feelings.
  • the term new normal I guess acknowledges that there has been a turning point. An anchor in your own timeline.
  • My new normal as a caregiver is a recognition of the fragility of life and how a diagnosis can change absolutely everything
T3b: What does your own new normal currently look like? Where are you in your search for balance?
  • I often encourage clients to find whatever version of "new normal" helps them acknowledge that cancer creates permanent change
  • I'm in denial with a touch of overwhelmed in making preventative treatment decisions. So still in the thick of it and unclear
  • And even if clients can return to work, exercise, other activities, there is always the knowledge of vulnerability.
  • And mentally people have completely changed. The old normal is no longer applicable .Cancer is a period of accelerated change
T4: How soon after your diagnosis did you start volunteering and/or sharing your story? What are you involved in for awareness month?
  • I started sharing my family's cancer story when we started up #gyncsm. So, about 4 years ago
  • I took part in @livestrong summit 6 mo after chemo.Learned & was motivated to advocate for myself and others 
  • This awareness month seems less active than last year... I've been doing a tweet a day from me and another from @gyncsm
T5: Do you ever feel the need to take a break from all things cancer? What do you do and where do you turn when you reach that point?
  • I believe breaks are critical. We need time to recharge, to do what we love, to remember our dx is not our identity.
  • As a doctor, I get here often - need to take breaks - coach baseball/softball, exercise, take a weekend off from everything
  • Absolutely need to step back,For me esp after #GCAM - so much going on ( walks, events) and remembering those lives lost
  • I would love to. But I can't. I just can't. Survivorship leaks from every pore.
  • It is tough to stay in a constant advocacy mode. Esp. when a string of advocates pass away. Need time to recharge 
  • So appreciative of long-term survivors who stay active in patient communities IRL and online. Also understand when they go in/out.

You may find a complete transcript here, analytics here and resources below.

You can continue tonight's discussion, A Balance Life, on Smart Patients at
 https://www.smartpatients.com/partners/gyncsm 

We hope you will join us next month on Wednesday October 11, 2017 at 9pm for our chat - #Clinical Trials - How have they changed?.

See you then.
Dee
#gyncsm co-moderator

RESOURCES
"Survivorship is Not a Phase"  #newnormal http://theendoflinearity.com/survivorship-is-not-a-phase-part-two/

New Normal Adjustment after Cancer http://awomanshealth.com/new-normal-adjustment-after-cancer/

The power of vulnerability | Brené Brown https://www.youtube.com/watch?v=iCvmsMzlF7o&feature=youtu.be

@afreshchapter started a patient advocate retreat called Refresh

via @TealDivaNC - Vulnerable http://www.tealdivanc.org/single-post/2017/09/02/vul%C2%B7ner%C2%B7a%C2%B7ble-%CB%88v%C9%99ln%C9%99r%C9%99b%C9%99l

via #MedX: 5 things I tell people who think they can't be advocates https://medicinex.stanford.edu/2017/09/03/5-things-i-tell-people-who-think-they-cant-be-advocates/

A bit of Advocate in all of us https://www.sharecancersupport.org/2017/01/a-bit-of-advocate-in-all-of-us/

What happens next #ovca https://targetovariancancer.org.uk/guides/what-happens-next

Ovarian Cancer Survivors’ Experiences of Self-Advocacy: A Focus Group Study @TLHagan https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4021021/