I'm getting sick of this. Really, I am. Familial papillary carcinoma cluster? Jeez, why don't you just nuke us with radiation? May as well! I mean, we get it. It's in our family. Do they really have to keep getting diagnosed? Do they?! Reliving this day in and day out, thinking about it constantly, wondering who the next victim is... I'm just mad. I'm very mad. Can I be mad? Because I am. Cancer sucks. Cancer is evil. It's like a snake. It sneaks in and takes over when you least expect it.
I'm getting sick of this. Really, I am. Familial papillary carcinoma cluster? Jeez, why don't you just nuke us with radiation? May as well! I mean, we get it. It's in our family. Do they really have to keep getting diagnosed? Do they?! Reliving this day in and day out, thinking about it constantly, wondering who the next victim is... I'm just mad. I'm very mad. Can I be mad? Because I am. Cancer sucks. Cancer is evil. It's like a snake. It sneaks in and takes over when you least expect it.
I jest with these lyrics, of course. :-)
Bring it on! I take after my family; I'm up for a good challenge.
This pretty much means that Janina has to undergo more radioactive iodine (RAI) than we suspected from before. One of the nodules they thought was in her thyroid was actually a lymph node. The node was so close to her thyroid that they thought it was inside of it. Woopsie.
The plan for her is that she now has to stop taking her Synthroid and begin going hypothyroid. Her TSH will be checked each week, and as soon as she gets to 30 or a little below, she'll be brought in to get the RAI treatment. She'll have to go through the low-iodine diet within the next two weeks. *half-assed cheer* Yaaay...
This is my sister. Janina. The love of my life minus my parents. I can't believe this. I was really hoping and praying that there would be no spread; that this would be an easier ride for Janina. Mom and Michael got the lucky end of the stick. Why not Janina, too? Can't just ONE of us have a more difficult fight? I'd rather that have just been me. Not my sister.
I can't imagine how Mom must be feeling. I know she sounded fine on the phone when I talked to her earlier today, but both of her daughters are having a tougher battle than her. Mom is just like any other mother; she wants her kids to have an easier life than her own. She wants to get the brunt of every attack, no matter the cost to herself. Mom didn't have any spread to other lymph nodes, and her treatments will probably (hopefully) amount to only one. It must really be hard for her watching Janina go through all of this and she can't do anything about it.
I despise watching this happen. I'm so angry at our bodies. What is wrong with us? We have always been healthy people. The only other issue I have ever had in my life is asthma. That's it for me. Mom has always been healthy minus her tachycardia. Physically, we are all pretty healthy. Like Michael told me one day, "Cancer does not discriminate." If only it could just disappear like the plague.
When Dori was diagnosed with thyroid cancer back in 2006, I never expected that I would get it too. I might have even had it at that time. But, I didn’t think about getting scanned. No one mentioned it, and I didn’t worry about it. I just thought that Dori was an unfortunate statistic, having one of the 5% of thyroid nodules that turn out to be cancerous. With those odds, why worry?
When I started having discomfort on swallowing, I didn’t assume it was thyroid cancer. I had surgery back in 2002 for a thyroglossal duct cyst and thought that perhaps it had grown back. I didn’t rush to the doctor’s office. And when I did see my doctor, I mentioned my symptoms only casually.
Janina was totally asymptomatic; but because her sister and mother both had thyroid cancer, her odds shot up considerably. And because we three have it, the rest of the family is at greater risk.
Not one of us assumed. Not one of us expected.
As it relates to life in general, this lesson serves me well. In order to try to avoid the unexpected, I know that I must take care of my body and be diligent about medical care. I cannot assume that a family member's disease is just a fluke; even a remote possibility is worth exploring.
If you are reading this, I hope that you agree.
Janina is doing better. I think the shock is still there, but she was a lot more "with it" tonight. Honestly, I don't blame her as far as that's concerned. This crap sucks; plain and simple. She had to watch all three of us go through it, and now it's her turn. Taking care of us took so much out of her, and now she has to finally take care of herself. What a toll that has to take...I just hope I succeed in doing everything I can to support her and help her. She's my second mother; I wouldn't be who I am without her. I owe her my life.
So, in about four weeks Mom will be going through her first (and it better be her only) radioactive iodine treatment. Luckily, she won't have to stop her medication, but she will have to go through the low-iodine diet in two weeks. Janina's treatment will be in about less than 6 weeks, her low-iodine diet will be in about four. I feel bad that I complained so much about it when I went through it; now they both are dreading it! If you don't know what the low-iodine diet is, click here to read more about it. Trust me, you will wonder how I did it not once but twice! I actually cannot wait to make them meals and goodies. :)
Mom has her endocrinologist appointment on Monday, so we'll see what should be going on in the next month. The worst is over. That's all that matters right now.
Although there’s nothing lucky or charming about having thyroid cancer, Janina knew, after going through Dori’s procedure and my procedure, what she wanted and what she didn’t want. She made it perfectly clear to her surgeon and anesthesiologist that she did not want pain medication, and although a mild one was given during the procedure, Janina had none during postop – only Tylenol. That was a great decision on her part. As a result, she had a much less eventful postop period with no nausea and no vomiting – Alleluia! I remember that well, and it isn’t pretty. A bit of tachycardia plagued her (like mother, like daughter), but I.V. fluids helped control the situation, and her pulse gradually came down.
What a trooper! Janina remained her kind and grateful self during her hospital stay, complimenting the nurses and techs for their hard work, and impressing the doctors with her very pleasant demeanor…all without pain meds.
Two weeks postop and I’m feeling like my old self, so I’m hoping that Janina progresses in the same way.
Well, my family has made it over another hurdle.
By this time tomorrow, she will be recovering in her hospital bed and the surgery will be over. It has been such a blessing that she was able to be scheduled for the procedure so quickly. There's been little time to think about it because we have all been so busy scrambling around trying to keep other things in order.
I'll need to keep this short as I didn't get much sleep last night.
Your thoughts and prayers are appreciated as Janina undergoes her surgery tomorrow.
Having seen both me and Dori so ill with nausea and vomiting postoperatively, Janina is prepared to ask the anesthesiologist not to give her any pain medication at the time of surgery. Every hospital has its own protocol, and while many folks handle pain meds well (and rather like them), I’m getting the feeling that me and my girls have a low tolerance for them.
Odd as it sounds, thyroid surgery is rather painless. I don’t recall having any pain at all in the neck area, and I still don’t. Perhaps it’s because the incision cuts through the nerve endings. But whatever the reason, it just doesn’t hurt, so I’m not going to argue. On the zero to 10 pain level scale, I was never more than a 2.5, and that was when I first awoke from surgery. The most uncomfortable part is the sore throat and difficulty swallowing that follows being intubated during the procedure. For me, time and Slurpees were the answer.
That’s the thing about having been there and done that, it’s so easy to put yourself into another’s shoes. I support Janina’s decision to request zero to very low-level pain medication during her operation, and I will be there in the hours following to make sure that she is as comfortable as possible, doing all those things that made me feel better when I was the one in the hospital bed.
It's wonderful having a job that you love, and I can't wait to get back to the office tomorrow -- my first day back since the day before Christmas Eve. I look forward to seeing and talking with our patients again. They don’t even know why I took some extra time off. I just didn’t have the heart to tell them about my diagnosis and surgery so as not to dampen their holiday spirit, or mine for that matter. My boss says they have been asking about me and seem concerned, but he told them that he gave me some extra well-deserved time off. Many of them are like extended family, and I can’t wait to give and get a big hug.
Somehow I feel that sitting at my desk again will give me a sense that my life is returning to normal.
I haven't written a poem since grade school. And even though it surrounds unhappy circumstances, I had fun writing it. Kyle was right.
I still need to work on a title. I'm open to suggestions.
Janina, of course, was her usual incredibly strong and cheerful self, despite not getting any sleep last night (which she confided in me). When the surgeon came into the room, she greeted him with “Hey handsome!”. I know that he must have a soft spot in his heart for her. After all, he watched her take care of Dori, Michael (Janina’s husband—diagnosed with thyroid cancer a year after Dori), and then me. Despite being a professional, I’m sure it pains him, as much as it does us, that she, being the caregiver for all, now has to go through this herself, but he went along with our jokes and reassured Janina that all would be okay.
Surgery is scheduled for Tuesday, January 12th. On that day, it will be exactly two weeks since my own surgery. God has been gracious enough to allow me to heal rather uneventfully, and I plan to be totally ready to be with Janina next Tuesday to comfort and help her through those difficult and crucial first 24 hours. I wouldn’t think of being anywhere else.
Only six days to go. I’m happy that my own surgery is behind me, sad that my daughter’s is yet to come, but in acceptance of the fact that we must do it “Again”.
I visited Janina’s Facebook page and was thrilled to see so many folks sending her messages of support.
People just love Janina. You can’t help it. She’s such a kind and gentle soul. Small children follow her around like the Pied Piper. She wears so many hats all the time, reaching out to family, friends, and others in any way she can. She is not just a big sister, but a second-mother to my younger children. Yet she is “cool” enough to be their best friend as well. It takes someone pretty special to pull that off. I have always found it a comforting thought to know that if anything were to happen to me while my younger children were still young, Janina would step in and their lives would hardly miss a beat. Truly…she’s that close to them and would give them as much comfort and love as I ever could.
P.S.
This family is not giving up. We refuse to back down and let this stupid cancer win. We will not break from it. That is a promise we will never break.
Like Daughter, Like Mother: Our Thyroid Cancer Journey
Behind the Blog
Adelina is a full-time wife, mother, practice manager, and medical transcriptionist. After receiving an ultrasound and countless biopsies, she was diagnosed with papillary thyroid cancer on December 11, 2009. She successfully underwent surgery on December 29, 2009, and had her first radioactive iodine treatment in February 2010. Following treatment, Adelina now sees her doctor once a year for follow-up. She has been doing well, and refuses to let cancer slow her down.
Dori is 26 years old. She was diagnosed with papillary thyroid cancer at the age of 17 on June 1, 2006, just three days prior to her high school graduation. Dori endured two radioactive iodine treatments and two surgeries to remove her complete thyroid and 39 total lymph nodes from her neck. She is now under close watch by her doctors, and only time will tell if the cancer stays at bay.
Must-See Sites!
- Dear Thyroid
- Everything Changes: The Insider's Guide to Cancer in Your 20s and 30s
- I'm Too Young For This! Cancer Foundation
- Imerman Angels: One-on-One Cancer Support
- LiveSTRONG: Dare to Change Your Life
- Protect Your Pair
- Purus Cosmetics - Freshen Your Expression
- Redheaded Bald Chic
- Zig Zagging: Loving Madly, Losing Badly...How Ziggy Saved My Life
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