Category Archives: Jill Adler’s Personal Blog

Hello, World!

Finally the guts to share this with everyone….
I woke up this morning thinking- wishing – yesterday was just one big nightmare and not real. That I could go about my day as if the bomb had never been dropped.
I have breast cancer.
Well, at least that’s what the radiologist seems to gravely think after surveying my follow-up mammogram and ultrasound. ‘It doesn’t look good, I’m afraid’ he said. Oh yeah- he kept saying he was sorry- like he had bumped my cafeteria tray or something. Your instinct is to say ‘that’s ok’ but I held my tongue … because it’s NOT OKAY! And now it’s the god damn fourth of July weekend and doctors have all decided that medical issues can wait.
I have an appt wed. with a general surgeon that may or may not take my insurance so I’m not sure if I have a ‘next step’ yet, even though I need one. I guess I could just pay for the office visit and find another doctor to do the surgery after Dr. Neumayer makes a diagnosis but then it would be like getting a second opinion and all of this is about time. Get this thing out. We don’t yet know what stage it is, whether it’s spread to lymph nodes and would require radiation or chemo or both. The consensus for sure is that a lumpectomy is in order.
I figure since I was planning on a boob job eventually, that they might as well lop the whole thing off and something good can come from tragedy. Yes, tragedy. That’s how I feel. I always thought that if someone told me I had cancer I would fight like hell (which I will) and have that fiercely positive attitude to carry me through it. How the hell are people positive? I’ve been crying at the drop of a hat since before the doc actually broke the news. I didn’t cry myself to sleep because I was drunk and passed out, but this morning the tears turned back on. This isn’t me- this teary chick. And that hurts even more- to feel so doomed.
The thing that scares me the most in this whole world – death- is sitting on my shoulder. I go get this biopsy, they tell me it’s spread, that I need chemo, the hair falls out, I’m sick and tired all the time, my organs stop functioning and I die. That’s not how I saw the rest of my life the day I met the radiologist.
I’m supposed to be holding Sage on my shoulders at the fair, dancing with her at her birthday parties, taking her skiing in Europe, hugging her at her graduation and telling her how gorgeous she looks on her wedding day. I’m supposed to be arcing at Alta when I’m 80! Not gone. Not someone’s memory. I don’t want people to be sorry for me. I wanted them to be envious.
Could this all just be a scare? They take a lump out like people have cysts removed all the time? But the radiologist with his somber countenance and heavy tone crushed that hope. Ryan cried too yesterday. He heard it as well. Stef talked with us after and he said that made him feel a little better. Like we had a plan and it wasn’t all death and roses. He’s really in this with me. I hate myself for bringing him all of this ‘life’. If he dated someone his own age, he wouldn’t need to experience all of this. Poor guy.
I keep going through my head – was it the junk food I eat, the coffee (but over the year it doesn’t begin to total what the average – healthy- person drinks), karma? But I never killed anyone.
I’ve always been a lucky person. Does that mean I will also be lucky here or that my luck’s run out?

One Session Down, Five More To Go

It’s midnight and I’m scratching my head. I must have missed something right? I know that movies and the WE Channel often exaggerate but after three hours of chemo at Hunstman today the only thing I feel is relieved and suspicious; also a bit anxious because I know CMF can’t be this innocuous.
That’s what Dr. Ward prescribed. A cocktail of cyclophosphamide, methotrexate and fluorouracil, which is also known as 5FU (my dad said that one used to be used to grow hair!). Ward choose this path because of the less severe side effects- a strong chance of hair thinning but not falling out, no neuropathy (loss of feeling in toes and fingers which can be permanent in some people), less nausea, no bone pain. Like a walk in the park, right? Both Ward and his assistant Rosie reassured me that given my age, physical conditioning and vitals, I was going to be one of the lucky ones who sailed through this pricky business.
I can’t be easily convinced, however, especially not after meeting with 12 women at the Image Reborn cancer retreat who hosted a little show and tell of chemo horror. You would have had to physically walk over and lift my jaw off the floor to get me to shut my mouth. But what can you do? You go in with all of the ‘what ifs’, hope they won’t come true and you jump in. I wanted to get in the race. For three weeks now I’ve had thoughts of ‘treatment’ keeping me up at night. I thought after last week, my labs, my appointment for today, that I was all set…..until I wound up with bronchitis. Sage is sick too and Ryan’s coming down with it.
Of course they would postpone my treatment. No such (bad?) luck! We were still a go. They made the call because I didn’t have a fever or chills and was seemingly on the mend. We’ll see what happens now.
Nausea and anti-nausea prescriptions in one hand, turkey sandwich and fries in the other, I marched down to the infusion room. I couldn’t have asked for a better seat than the forest green leather Lazy Boy, Chair 10. Tucked back in the corner, I was away from the other chemo patients and their small talk, close to the toilet and the snacks with a closeup view of the construction going on outside the hospital (better than having to face the nurses station for three hours).
Nurse KOD (seriously, because there are three Karen’s on deck) gently stroked my right hand and told me how much she was going to like my vein. Interview With a Vampire briefly skipping through my brain. She told it was perfect for the IVs, should go the six session distance (every three weeks) without imploding and safe bet I wouldn’t need a chest port for the infusion. A port is a thin plastic tube which is inserted under the skin into a vein near the collarbone (central line) to feed the drugs straight to your heart. Cancer patients love their ports because there’s less vein poking and pain at each session. But with three weeks in between each dosing I’d rather take the needle than have a baby carrot sized scar on my chest.
At this point, I insisted on an Antivan- anti-anxiety chewable to relieve dizziness a strong possibility for me when I’m jammed with a needle for an extended period of time. After the initial ah ah ah crescendo that turned a few heads, the needle was in and I felt nothing more. First drip the anti-illness drugs; then the 5FU which can cause cotton mouth and cold sores. (I’m directed to suck on ice chips to hibernate my mouth and make it less susceptible.) Next, methotrexate which will turn my pee yellow (how about purple? I ask, that would be more interesting.) I’m told to flush twice after every potty break to keep any of these toxic secretions from jumping onto skin. Even Ryan must wear a condom or wash immediately after sex. He asked me if I minded him visiting a hooker. I also have to be super duper careful about catching even a tiny cold so I told him hookers will have to wait until after chemo.
My white cells will go down and down and down the further into treatment. Not a good time to get sick. I worry about this the most because I get colds easier than catching infield flies.
Cyclophosphamide (Cytoxan) came last. Ths one seems to be the biggest Pac Man of blood cells- good and bad- and the one that leaves you most at risk for leukemia, bladder cancer and menopause. Oh joy. I’m supposed to feel the effects in 7-10 days. This is worse than waiting for BAR results!
The whole process today wasn’t the least bit scary. There were so many nurses and aides talking at me, I never had a moment to fear. Then Ryan popped in after work to sit with me. He also got the crash course on chemo. My mom Skyped in and I showed her around the room, my IV and Ryan waved hello. Two hours later I was done. I walked out, perfectly capable of driving home (but I didn’t have to).
We picked up Sage, went out to dinner then hung out and watched TV- nothing special really. After we got the girl in bed, we talked for a bit about other people, the stock market, needing to clean the house but nothing about today and what we went through. I guess it’s best to internalize for a while. Just take it all in and let it settle. Today was a big deal. On the outside, it didn’t seem anything more than routine and on the inside I don’t feel these drugs killing my little guys yet. But it was a big deal. I’m “in treatment”, I’m “undergoing chemo”, I’m “surviving”. That’s all heavy shit. That’s not what my life is set up to process. Drama yes, heavy shit no. I’m heading off to dream land now before I get weepy but not without nausea meds by the bedside just in case.
At the same time, hurling that 10-pound burrito from Loco Lizard tonight might not be such a bad idea…..

Some of my friends are figuring out ways to handle this too. The one in the earlier blog who ate my food instead of bringing me some decided to distance herself rather than step up. A friend in need is a friend to weed I guess. Ryan’s folks sent a daisy bouquet mixed in with lemons (ie referencing lemonade when life hands you lemons very cute.) Another friend has offered to stuff my freezer with homemade ziti. I’m thinking right around that Day 7 is perfect.
And many many thanks to my ski buddy Louie who rearranged his schedule this morning to drive me to Huntsman. I’m not usually in the habit of asking for big favors that require more than a phone call so I honestly appreciate the effort everyone makes in whatever way they can. Now if I only knew someone who loved to do laundry…..:)

When A Friend Has Cancer

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At the Image Reborn cancer retreat I attended this weekend in Deer Valley, one of the ladies passed around a sheet and asked us to write down five things that impressed us about our friends and family and five things that didn’t help at all during this time. I flipped to the later section immediately. I couldn’t help it.

After my diagnosis last month, I did have a handful of touching, warm fuzzies:
Right after my diagnosis, my sister sent a beaded bracelet and Green Goddess medallion blessed by the Dalai Lama (?), a t-shirt to wear during recovery and a mantra to chill out with. Some people really surprise you.

But what you remember more are the negative instances. Like Dr. Phil’s quote “It takes a thousand ‘atta boys’ to make up for one ‘you’re no good’; it takes 10 well-placed gestures to make up for one lame one.

When Friends Don’t Show

You’re in the midst of the worst reality you could imagine (unless you or one of your family members has been kidnapped and tortured) and when you call the troops to rally, you expect them to, well, rally. You remember those who don’t. Sad but true.

When I asked my best friend of 10 years for a ride to the hospital for surgery, she picked me up then pulled over minutes after getting on the freeway to ask if I could drive because she was too tired. So technically, I drove myself to the hospital.. in her car. When we got to Huntsman Cancer Hospital she sat with me for 10 minutes then looked at her watch, said she had to go and left.

For the two hours between when my friend left and the parents arrived, I was alone and very anxious in a sterile, uninviting examining room. The nurse entered and asked, “Where are your people?” I don’t think I ever felt so alone. Tears welled up.

The next day, flowers (the only flowers I got from someone other than Ryan) arrived from a old friend in Washington that I hadn’t seen in years. Though we speak every week, by email or phone, I didn’t expect flowers. When Ryan walked into my bedroom carrying the bright blooms, I felt her hand reach out and gently touch my shoulder. “You’ll get through this,” they said. I cried. And it made me even more pissed that my other ‘best’ friend who lives 20 minutes away couldn’t surprise me like that let alone sit with me in the hospital.

I know that everyone has their ‘side’ and their own life drama to tend to but when a friend is dealing with something like cancer…on the day of their surgery, you drink a cup of coffee and put your shit on hold for two hours. On the flipside, my parents cancelled their trip to Canada, got in a car and drove 12 hours to be by my side as they wheeled me off- and then as they wheeled me back. That still brings up tears.

BTW, you think you’re extending the olive branch by saying, “Let me know if there’s anything I can do”? You have to actually do something. Otherwise, it’s cliche like saying “bless you” or “how are you?” We know it’s just something you say, like “Sorry for your loss.” 

Drama is Saved For The Sick

Cancer patients aren’t thinking of ways you can help. We’re thinking about not dying, not working, not feeling okay ever again. The heart of the person who asked is well-placed but most patients aren’t going to make much of a generic offer like that. Plus, if we do call later to ask for something, we usually get, “It’s not the right time, we’re really busy, I have to work, the car’s in the shop, I need to sleep or Seinfeld is on, call me next time.”

I can’t tell you how many people I called to see if they could go with me to my first doctor’s consultation before Ryan took the time off work to be there. No one eagerly assumed a position by my side. The “best” friend did go to a consult with one of the surgeons (I saw a total of four doctors in addition to an online panel of medical professionals) but only because it was supposed to be a short one. I was going to go alone but the doctors told me I definitely needed to bring someone because I would be too overwhelmed to think of every question that needed asking or to remember what was said by the doctors. She cried through the whole interview and I felt like I had to take care of her instead of the other way around.

I’m not a victim and I rarely ask for help (primarily because I’m afraid of exactly this kind of thing). I take care of myself. Even Ryan wonders what he can ever do for me. But now I feel like I have an excuse to expect some handholding, cuddling, comfort, flowers, and extra effort. Don’t I?

cancer

How It Went Down

The night after my lumpectomy the “best” friend came over with her boyfriend, swept in, exclaimed that they were starving, picked through my refrigerator, made themselves sandwiches, dropped the dirty dishes in the sink and left. I actually thought she was coming to see how I was doing! Didn’t realize I was a convenience store. They gave me a brief hug goodbye and left. No more than 20 minutes. Am I that much of a rock that my friends think this all would be cool with me??

To be fair, it was already a bit chaotic at my house. Another friend of mine had shown up with her daughter for a playdate with Sage. She thought that might help keep Sage entertained while I laid low. it was actually my bad. My friend asked to come visit post knife, and I said, sure, and bring your daughter. We’ll drink some wine, watch a movie, the kids will play…. My parents thought I was nuts but I thought I was strong enough to handle it. it was outpatient surgery afterall.  

Her 5yo refused to play with Sage and kept coming into the living room; Sage cried, the daughter fussed, all night long. Not good for a post-op day. Ryan brought food home for everyone and they slept over – less than 24 hours after surgery. Ryan told me later that he wanted to ask her to leave but he was afraid to offend us. I wouldn’t have minded really. But I would have felt horrible too. The whole thing was my idea in the first place. I just didn’t know. I wish she had picked up that we need a break. I spent the entire next day in bed recovering.

I’m sure my friends have no idea I’m disappointed and saddened. They would see their ‘efforts’ as a grand gesture and my criticism as petty. Maybe. I just have a hard time thinking that it’s not all Lifetime Movie warmth for other women when they learn they have cancer. I’m jealous of the support they have.

If friends truly do want to help, here’s my advice: Make specific offers- like scheduling a day to go to a radiation treatment, or take your friend’s child for the hour they’re getting it done or feeling low, or bring them food instead of eating theirs. Force her to go on a hike or climb a couple of routes so they don’t get fat and lazy, take her for a pedicure, read trashy People articles to her. Don’t make her feel like she’s ruining your day- even if it’s your wedding day. Bring a new pillow to prop her up on her weaker days. And, most importantly, if you do make a commitment, don’t blow it off.

How To Step Up When it’s Cancer

Here’s a great example of stepping up: At my Image Reborn retreat some of the ladies said they were in so much pain that the only thing that helped was medicinal marijuana. Yet because they couldn’t bring it on the plane, they didn’t have any. I called an acquaintance. How much? “It’s on us. I’m glad to be able to help,” she said. The collective gratitude from the group was intense. You could tell it was appreciated just by the catcalls as several Rubenesque women ran naked under the full moon at the Deer Valley retreat house.

Share simple pleasures like a chickflick, a cup of coffee, gossip. Don’t talk about medical issues unless she wants to and never, ever talk about other people’s cancer horror stories (we’ve gone over that one).

Your friend is still the same person she was before cancer, she just needs you to be present a little more, both in spirit and body. She needs you to be what friends are supposed to be.

Don’t walk in front of me, I may not follow.
Don’t walk behind me, I may not lead.
Just walk beside me and be my friend.- Albert Camus

Kristen Gets Hitched

My friend and favorite bachelorette finally threw down and got married. After 3 (?) engagements, she strutted her stuff to her man and said, “I do.” Oh, the wedding was an odd one. Determined not to do it by the book (she never has in the past; why start now?), it began with Kristen sitting in the bathroom as the makeup ‘artist’ painted red flowers on the side of her eye. Her voice trembled, “I can’t believe this is all for me!” You’re kidding, right? The funny thing was Kristen in that moment actually believed that she was never treated like a princess before. If it were anyone else, I might have been laughing. Kristen’s WHOLE life is all about her and she has had soooo many experiences of people taking their bows at her feet. It would have been the phoniest comment but Kristen is the ultimate actress- she believes her sh*t. She can be anyone else she wants whenever she wants and today she was the proverbial bride – in black, red and patent leather.

The setting was gorgeous. Someone’s private home in Park City overlooking the surrounding resorts. The Brazilian drums beat and the groom, then bride, shimmied through the crowd dressed in freakish Halloween-meets-red light-district attire. Their friend Melissa read “The Naked Poem” like we were at a poetry slam, the Rabbi went on and on about something that really made no sense – even referenced Jesus!- then called the high priestess, angel, high queen…ME to start the series of blessings. I skipped up to the front, joked and got anecdotal, read a short ‘blessing’ which was more of toast for the happy couple of the hour and finished by wishing them lots and lots of sex. Made the crowd laugh. 😉 Six others came forward with blessings of varying lengths. After, DJ Steve played from what they called the Jellyfish, poledancers did the garter dance, and, later, people gathered round for the firedancers and hula hoopers. The cops showed up around 1 a.m. and sent the burners (Burning Man fans) off to Summerween and the rest of us home.
My only complaint was the food. It was like I was at a Mormon wedding (even though they’re not Mormon). Nuts, cheese, crackers, fruit and wilting shrimp
cocktail; tiny (homemade) cupcakes for dessert. I brought a bag of Tater Tots and passed them around pre-ceremony and became everyone’s best friend. I actually met one man who had never had a Tot! He ate three. I devirginized him. 🙂 To be honest, we were warned there would be no food but that’s my favorite part of a wedding. I’d much rather eat than drink. I guess you can’t blame Kristen. With somewhere between 100-200 people attending, it saves a whole lot of money serving nuts instead of chicken.
The whiskey ran out within an hour, but there was plenty of beer, wine and vodka with fruit juice or Red Bull. On my empty stomach, I got hammered and wound up being one of the last to leave. All in all it was a fun party but surreal as a wedding.

What Not To Say To Someone With Cancer

Will everyone PLEASE chill on the cancer horror stories?? I’m a bit tired now tonight. Didn’t sleep very well last night (4 hrs), spent all day at the Outdoor Retailer show, strolling along the aisles forgetting my life has changed forever and now I’ve had the shittiest evening of all time. I took Sage up to Kamas for a kiddie pool party my friend was throwing. Over cake, she thought she was helping by introducing me to a woman who had grade 1 breast cancer like me. Except that after treatment and a clean diagnosis/prognosis from her dr, she got the same in the other breast and now has jaw cancer. Which means she’s probably going to die sooner rather than later according to the radiology oncologist I spoke with last Thursday. Then, my friend described another friend of hers who died of brain cancer at 29 and another who has it presently, and finished by telling me her aunt died of lung cancer despite never smoking. As my friend Kristen put it, “What the hell was that woman thinking?!” I got home, curled up in a ball in the corner of my closet and sobbed. This is not helpful nor what I need to hear right now! I was doing fairly well for the last few days. Today, not so much. What I need right now is a good therapist, 100 other stories of how women like me live the same life span as those who never had cancer and a 2-hr pedicure/massage. Not conversations with women who can’t get ahead of the eight ball or who die. I’m scared enough as it is, dammit. So please, make something up or at least save those dire tales for those outside of earshot. Thank you. 🙂

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