Warning: Coyotes Ahead

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Neither of us are all that into Astrology but that doesn’t mean we aren’t open to signs. Everyday we encounter signs. But, do we follow them or decide to ignore what they tell us? Doc and Cassie recently stumbled on this sign during a walk.

They heeded the warning and turned around.

Living with a terminal cancer diagnosis and being their caregiver both require expert “sign-reading” skills. For the care-getter: How do my actions translate into how I feel physically? How does the way I feel today compare to previous days/months? What things make me more emotionally healthy? For the caregiver it’s heeding signs about self-care even as you worry more about your partner. It’s also being constantly aware of how your loved one is feeling and when to offer your thoughts and opinions about their life, actions and decisions — these are especially tricky signs to read.

In this time of staying at home and living life much differently than we used to (even after the cancer diagnosis), we are both seeing signs. For the most part, Cassie is feeling well — some days even than when we were home. We’re taking this as a sign that a slower, more relaxed pace is beneficial. Cassie’s joints hurt less. This sign points to the benefits of single level living and lots of walks. She’s also sleeping better. Maybe the dog is not allowed to sleep with us when we get home? And despite the worry about Covid-19, she is feeling less stressed generally — we’re not sure what this sign is! 

For Dan less social media and news has resulted in far less anxiety (maybe that stays). Truly limiting work to dedicated days/hours has resulted in greater presence at non-work times (can he continue this discipline?)

What part of this slower, pared down life works for us? Are there things from this time that we want to carry forward after the quarantine is lifted? Is it possible for us to move out of quarantine time and continue to have fewer expectations for ourselves? Can we move forward with a priority on taking walks, napping, reading and playing cards? 

How do we read these signs and apply the messages moving forward? 

PS: Here some other signs we’ve recently seen and appreciated.

PPS: Cassie is a Taurus and Dan a Libra, in case you’re curious. 

Look Up

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I look down a lot – not on other people but when I’m walking. Did the dog poop? Is there a crack in the sidewalk? (I do have a propensity to fall so that one kinda makes sense.) Is there a stray sandwich on the ground that Doc could get? 

The other day, Doc and I were out walking our new route (in St. Helena California where we are spending the spring) when he decided to stop. He just sat down and there was no moving him. So, being that we had no particular schedule restraints I just let him be. In that moment I looked up and saw the most amazing view of sunshine and fog on the mountain side. It was incredible. Doc and I had walked this same route at least twice before and I had never noticed it. Too much looking down. What other things had I been missing? 

What I realized is that when you slow down and look up you can see some cool stuff. A street bearing the same name as a friend. Two stone bears a top pillars flanking a driveway. A tree in bloom. The moon. 

I find myself continually amazed at how interesting and beautiful the world is. I like to think I was pretty mindful even before my diagnosis but I’m still surprised by the things I miss. For me, I think, it’s about remembering to be in THIS moment.  This is especially true in the midst of all of the Coronavirus fear. Right now it’s even easier to look down both literally and figuratively and instead I want to keep reminding myself to look up. Right now, today. Observing and taking each moment one moment at a time. Who knows what I’ll see today and how it will make me feel? This type of attention and intention grounds me, gives me focus and instant gratification.  

So, on this scary cancer journey and in these days of Coronavirus I commit to looking up AND walking safely! 

Social Distancing From the News

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When Cassie was first diagnosed with metastatic breast cancer 19 months ago our lives were turned upside down. We were scared and overwhelmed. We didn’t know what to do or where to turn. We woke up anxious and went to bed the same way. We didn’t sleep. Our normal routines were upended. We were consumed by fear and uncertainty. Sound familiar?

Everything that we felt then has come rushing back these past weeks. It has reminded us that one of the first things we did when Cassie was diagnosed was to try to reduce other things that were causing anxiety in our lives. Primary among those was the daily onslaught of news and (for Dan) social media. We have both always been avid consumers of current events — reading multiple papers daily, staying engaged and using our I-pads and phones to check the news throughout the day. 

After we found out that Cassie was sick we pulled way back. Dan got off social media altogether, we limited our news consumption to once a day and we focused on connecting with each other and trying to address the new and extreme anxiety that cancer had brought into our lives. Being less obsessive with following and tracking the news helped — a lot.  We settled into our new normal and while we remain engaged with external events it was to a far lesser degree than we had previously.

As the months progressed, we resumed our historic patterns but then Coronavirus hit. Given Cassie’s compromised immune system and being far away from our support system, we’ve both been filled with extreme anxiety (Dan more than Cassie, actually.) So we decided to again limit our news consumption to once a day. That allows us to still track what’s going on but to otherwise disconnect from seeing the same scary news over and over again.  “Breaking” news isn’t really breaking all that much anymore. Instead it’s the same information repackaged across different sites and under different headlines. We can easily learn what we need by checking once a day and use our found time to focus on things that are less anxiety producing whether that’s taking a walk, a new book, TV series or a game. 

To be clear, disconnecting from the news wasn’t easy for us nineteen months ago and it’s not easy now. We have to (gently) remind each other constantly. But, desperate times call for desperate measures and we hope that social distancing from the news will flatten our anxiety curve.

Keeping Spirits Up

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Even before Coronavirus hit and many of us started “sheltering in place,” we had been struggling on and off with a sense of isolation. Since Cassie’s diagnosis, our life and routines have changed so much that we’ve had to consistently pay attention to our emotional health and sense of connectedness. 

We’ve learned (and are still learning) that keeping spirits up in a time of isolation and fear can be challenging. At the same time, we need to do our best not to spiral and succumb to feelings of loneliness, sadness and lack of purpose.

Here’s how we are trying to manage in the face of even greater isolation right now.

Focus on gratitude – even in the midst of this current pandemic crisis, we’ve got much to be thankful for. Safe shelter, plenty of food, access to good healthcare, ability to work less, just to name a few. So many others are facing huge obstacles. That leads us to thinking about…

Leaning into generosity – how can we help those who need help? We are donating to organizations on the front lines. We are buying restaurant gift certificates. We are responding to friend’s fundraising appeals for organizations they support. Supporting others is a good way to get out of our own heads and stay connected.

Connect with friends and family – one benefit of technology and being constantly connected is that although you can’t be with friends in person you can call, text, facetime, zoom, etc. It’s a blessing. We’ve both got a couple of virtual happy hours planned and all of our nieces and nephews should be watching their mailboxes for some help with the quarantine blues.

Exercise – Dan joined a health club here and it is still open but that doesn’t seem right. (No amount of bleach wipes can make that safe.) So, we’re opting to walk and walk and walk. It’s not even early afternoon and Dan has exceeded 10,000 steps. (Cassie will get hers later!) Doc loves these long walks.

Do projects – if we were home Cassie would be cleaning closets, scrubbing floors and emptying cupboards. But, since we’re in a rental house there is less of this to do. So, we are going to try to finish our death plans (both of us). Lots of letter writing is also in our immediate future. And, we’re posting a daily picture on Dan’s instagram page because not all projects have to be big ones!

Build in time together – Even though we are together almost constantly (here and at home), we’re still often doing our own things. Reading, Dan working, on calls with friends, etc. So, we wanted to build in some mandatory connecting time. We’ve decided to make it our mission to attempt the New York Times crossword puzzle each day. And, we’re committed to making our way through the 100 best movies of all time as named by the American Film Institute (https://www.afi.com/afis-100-years-100-movies-10th-anniversary-edition/). We just watched Guess Who’s Coming to Dinner last night. We’d highly recommend it.

Isolation is lonely. The unknown is scary. Our spirits can easily sag. All of that is natural but we are learning that creativity, invention and silliness can become natural too if we focus on them.  If there are things you are doing to keep your spirits up we’d love to hear! Please share in the comments.

Anxiety of the Moment

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Last night Dan snapped at Cassie out of the blue and she responded with her own snappy retort. Our “snappiness” didn’t last long and it didn’t take Einstein to figure out that it had nothing to do with Dan’s particular comment. Rather we were both anxious and stressed out (like everybody ) due to Coronavirus.

Yes we are trying to “fear less” but how do we do that when, for the first time ever, one of us is in the special category (immuno-compromised people) that is being discussed on the news every minute? How do we fear less when we feel isolated being away from our friends and family? How do we fear less when we think about Cassie possibly getting sick 2,100 miles away from her doctors?

Do we stay here? Do we go home? We were already anxious before and now it feels like anxiety on steroids. 

Yet, at the same time, we don’t want to just give up on this time away. In many ways, since Cassie’s diagnosis, we have felt that one of the only things keeping us going is having stuff to look forward to and we’ve been anticipating this trip for well over a year. So while using common sense, we don’t want our fear and anxiety to rule us, to control our decisions. We don’t want to act precipitously or make a decision that we might regret when we have more information or a little time has passed.

On the one hand maybe going home makes sense. On the other hand, Cassie’s doctor didn’t say that and in fact said it was just fine to stay as long as we took precautions. And, if are going to have to “socially isolate” wherever we are, why not do it where its 70 degrees and sunny. Why not enjoy the delicious wine we have stock-piled and the fresh food that’s still available? Why not walk Doc among the vines (no people there), play a lot of cribbage in the backyard and enjoy each other’s company and focused attention?

There’s no clear-cut answer but we’ve decided to take it day-by-day and not let anxiety make the decision for us. That’s helpful in this moment and we have a feeling will also be a lesson that applies over and over again on this metastatic breast cancer journey.

Nights Apart

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Cassie is the driver in our family. Everybody knows this. And it’s not just because she really likes to drive — which she does — it’s also because Dan is a lousy driver. Everybody knows that too. It’s not all his fault though as he comes by it naturally. Both of Dan’s parents made driving an adventure and neither of his brothers is an automotive rock star. So Cassie has always been the primary driver in the relationship.

This is significant because we decided to spend ten weeks in Northern California again this spring and we have historically driven out so that Doc the Basset Hound can join us and so we can have our car while we are there. This year, however, we decided it didn’t make sense for Cassie to do the drive given her varying energy levels. So Dan drove out with one of our close friends who graciously volunteered to make the trip. More accurately, our friend drove and Dan handled podcasts, snacks, and restaurant selections.  

It was a great road trip for them covering four nights and five days. The weather was perfect. The scenery beautiful. The podcasts funny. (Who knew true crime could be funny?) Yet it also represented the longest we have been apart since we learned that Cassie has metastatic breast cancer. Even though it was only four nights, we missed each other. We were both lonely and a little out of sorts. Dan was worried about Cassie. Cassie found it strange being in the house  without Dan or Doc. Dan didn’t sleep well because he kept rolling over, seeing an empty bed, and contemplating his future. 

It got us both thinking. How do we decide whether or not to spend time apart? We’ve both always been fiercely independent. Before the diagnosis we both traveled a lot for work, took  trips on our own and spent weekends away with friends. Sometimes we’d even make plans without consulting each other because it felt like we had all of the time in the world and both wanted the other to have fun. Now it all seems different. Every night away from each other feels like a lost night. Yet we still have things we want to do on our own and people we want to spend time with individually. So how do we decide? 

Sometimes it’s clear as it was with the California trip — the ends (ten weeks in California together and quality road-trip time with a close friend) clearly justified the means (five days apart). In other circumstances though, we’ve found we need to intentionally consider a set of questions before making plans. Will the time away from each other be restorative and energizing? How is Cassie feeling? How connected are we as a couple at that moment?  When were we last apart? How many nights are we talking about? 

There’s no clear formula but we’re realizing that time together is more precious than ever and sleeping next to each other can no longer be taken for granted. 

Fear Less

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Big spiders. Horror movies. What other people think. War. Trump. Identity theft. Home invasion. Failure. Clowns. Russian nesting dolls. 

Everybody has things they’re afraid of.  

Since Cassie’s diagnosis, we’ve picked a word or a theme for our year. Last year it was “A Year of Wow and Wonder.” This year we’re considering Fearless or Fear Less.

Fear can get in the way of living life. And, when one has limited time you don’t want any more obstacles.  Yet we can all think of instances when fear prevented us from experiencing something that could have been amazing and we wind up missing things because we couldn’t overcome our insecurities or anxiety.

Facing a terminal illness can be very scary. Fear of pain. Of side effects from medications. Bad scan results. Good scan results because then you know the bad results are just around the corner. Fear of not being able to do the things you want because of your illness. Fear of dying. Fear of being the one left behind. 

While it might be unrealistic to put aside all of these fears, as a couple we can agree to try and “fear less” together. We won’t let fear take over our days or drive our decision making. We will jump into this life with cancer with both feet. To live our lives to the fullest and not wait to have experiences or embark on adventures because of fear. Even fearing less won’t be that easy. We used to look at each other when we were scared and say “everything is going to be OK.” Now, that formerly comforting phrase rings hollow but we can still try to be less scared, less owned by fear, today

Living without fear may be impossible but fearing even a little bit less feels more doable.  So that’s our plan. What’s yours?

Love

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We’ve never been huge Valentine’s Day people. We don’t hate it or anything and we don’t disdainfully dismiss it as a “Hallmark” holiday but it’s never really been our thing. We don’t exchange gifts or go out. We’ve traditionally given each other a couple of cards and called it a day. 

Then last year, following Cassie’s diagnosis, we found ourselves wanting to have a small Valentine’s Day dinner party for the first time ever. We had some friends over.  Dan cooked a delicious meal (actually he recreated the first meal he ever made for Cassie which turned out to have been on Valentine’s Day 1992 so maybe we are more VD people than we thought). We shared stories of how we met.  It was great.

This year we are doing the same thing and we’ve added a robust Valentine’s Day playlist and an eagerly anticipated — by us anyway —  game of “lovers bingo” (get your minds out of the gutter its pretty clean). The bubbly is on ice, Cassie is decorating the table, Dan has on special heart socks and the cooking (once again of the “first meal”) will commence shortly.

So what changed? Why is Valentine’s Day now something that feels more worthy of marking? It’s probably because we’ve learned you can’t take anything for granted including or maybe especially love. We constantly say to each other that we feel so lucky to have such a strong foundation. To still be so much in love. To have our feelings for each other sustain us in the midst of unrelenting sadness and grief. Not all couples going through a terminal cancer diagnosis have that going for them and many unfortunately end in divorce. Others die so quickly they don’t make it to the next Valentine’s Day. Before, on February 14, we used to blithely say that everyday should be a “day of love” but now leaning into Valentine’s Day and celebrating our twenty eight year love affair feels really important. And doing it with some of the friends who have helped support us and our relationship just seems right. 

Tell someone you love them. Don’t wait. Happy Valentine’s Day.

Finding Balance (or how Cassie learned to nap)

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Dan comes from a family of big nappers. Cassie didn’t grow up that way. This has been one of those areas that we have had to reconcile over the course of our marriage. It’s been hilarious. There was that time Dan’s whole family was napping in Chicago and Cassie answered a knock on the front door only to be confronted by a total stranger dressed all in leather with a huge St. Bernard. (Everything worked out because “it was just Cousin Bernie.”) Or Dan trying to give Cassie napping lessons to limited success. (“Lie still. Close your eyes.”) We rest and recharge differently. And we’d grown OK with that over the years up to the time of Cassie’s diagnosis.

Then the recent holiday season got us both re-thinking the whole concept of rest. During all of the holiday craziness Cassie was constantly balancing her desire to participate in every activity, every party, every outing — every one of those fun opportunities that are presented that time of year —  with the voice in her head that asks “will a late dinner on a week-night be too much?” “ Will a particular activity today cause her to miss other fun things later in the week?” It’s really hard.

Dan, not surprisingly, often suggests that Cassie “take a nap” or cancel an activity. Cassie usually opts to push through. “I’ll sleep when I’m dead,” she says.  But, there has to be a balance. 

What we’re learning is that resting one day doesn’t necessarily equate to energy the next. But having a number of really full days strung together is not just exhausting but makes Cassie feel even worse than usual. And, that living in the middle – neither fully doing or totally resting – is unfulfilling. So, Cassie must follow her gut and do what feels right. Sometimes pushing through for a number of fun activities is totally worth it! Sometimes the voice in her head will say: “This is too much” and we need to listen to that and be aware of the consequences if we choose differently. It’s a constant balancing act but we’ve come to appreciate two things: 1) That relying on Cassie’s intuition usually gets us to the right place and 2) That those napping lessons are finally paying dividends.

The Great Lizard Incident of 2020

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Aloha.

We are just back from an almost two week vacation in Hawaii. It was our first time there and we jokingly referred to this trip as Cassie’s “make a wish.” Going to Hawaii is the only thing that Cassie’s said she wanted to do before she died. So we made it happen. “Don’t wait.”

It was a wonderful trip but it also got us thinking about vacationing with cancer. Like everything else, it’s different now. The biggest change is that we used to be able to go on a long vacation and leave life behind. Unplug. Forget about work or our to do lists. Recharge. It’s what made vacations so special and we were good at it. Despite our mutual Type A personalities we had both become excellent vacationers adept at letting go, shutting off our email and leaving life at home. 

Now though, after Cassie’s diagnosis there is no true way to get away. Her cancer is with us all of the time. It’s a constant. She doesn’t suddenly feel better because we are on a beach (though it is certainly better to feel crappy on the sand than in the snow) and our sadness doesn’t miraculously disappear as we board an airplane. MBC is on vacation with us and that’s a hard reality to accept because you want to escape it. You want a break. You want vacation to be what it used to be and you don’t get any of that. It’s unrelenting and omnipresent and that’s hard.

And it’s not just the cancer’s constant presence. It’s small things, too. Like the night Cassie had an allergic reaction to something for the first time ever and we freaked out. Do we go to the ER? Do we call her doctor? Do we take pictures of the rash? Thankfully a Benadryl took care of it but we were totally freaked out in a way that never would have happened before. 

Like we do at home, we tried to adjust and create room for the cancer – you can fight it or you can buy it a seat on the plane so that’s what we did. Feeling sad – bet a Mai Tai will help with that (don’t tell our therapists). Low energy – no problem the pool is right there. We didn’t ignore it or try to be cancer “champs” and tough it out. We talked about it, explored how it was making us feel and how we could respond to those feelings by changing our expectations, plans or pace. It wasn’t easy but it also wasn’t bad. We only had to accept that vacationing with cancer is just different. Fortunately, in spite of the differences, the three of us (Cassie, Dan and our third wheel MBC) all had a great vacation.

P.S. The lizard incident wasn’t really that big of a deal. We were driving back from the beach. Cassie had her window open and her arm hanging out. She felt something on her arm and looked down to find a lizard. She screamed. Dan almost crashed. We pulled over and got it out of the car. That’s all. But then we decided it would make a great title for a blog post so there you have it.