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melclarity's avatar
20 days ago

Survivorship: The Part We Don’t Talk About — But Should

I’m 11 years post my second breast cancer diagnosis, and I’m grateful every single day to still be here. I work five days a week, I show up, I contribute, and I keep moving forward. I’m proud of that. But I’ve also learned that survivorship is far more complex than anyone prepared me for.

After Taxol, 5‑FU, and a DIEP flap, I now live with: permanent hair thinning, weight gain, early menopause, neuropathy, hand‑function issues, all‑over body cramping, heart failure, cataract, blocked tear ducts, damaged veins, and numbness from nerve damage.

I’ve adapted. I’ve rebuilt not just physically but mentally/emotionally. I’ve learned to live in a body that’s different from the one I had before. But here’s the truth: we don’t talk about this part. Not with friends. Not with colleagues. Often not even with each other.

We carry the long‑term effects quietly. We push through because that’s what survivors do. We’re grateful — deeply — but gratitude doesn’t erase the challenges.

I’m sharing this to encourage honest conversations. Because survivorship is real work. Because so many of us are navigating long‑term effects in silence. Because speaking up helps others feel less alone.

If any of this resonates with you, your experience is valid. We can be strong, grateful, and resilient — and still tell the truth about what survivorship really looks like.

13 Replies

  • melclarity​ How wonderful to hear from you, tho I am very sorry to read of your recent heart failure and cataract diagnoses  :(   That's a real bummer - and yes, you are WAY to young to have acquired those 'naturally'.  Grrrr

    But I am glad that you've adapted & evolved, as we've all had to do in one way or another along the way.   I've had some major challenges in the last 4-5 years but have come out the other end, still with a zest for life & pushing the envelope .....  But you are correct - we don 't talk about 'it' with anyone - as to be totally honest, most of our family & friends (other than those here) really don't want to hear about 'it'.  I almost see the eyes 'roll up' .... So I just shut up! 

    I was SO lucky that I didn't need chemo - but I have had a few friends diagnosed with early stage heart failure due to the chemo they received for their BC. And the health professionals KNOW that some WILL 'get it' with specific chemo regimes, but they don't always advise you of that possibility, which is almost medical negligence by omission!  Grrr  Same as the aches & pains from AIs .... they still pooh pooh that idea as having no substance, when we ALL know about that one!

    I am one of the lucky 5 in iserbrown​'s little group & find great solace & mate-ship in nattering away offline .... We actually met up last year in Vic when I stayed at an Otis retreat there - meeting up with another BCNA member as well as 2 of my Mending Casts Fly Fishing Retreat BC buddies (from 2023) .....
    If you've never heard of them, look them up here (for both men & women with ANY type of cancer.)
    They have special BC only groups for women ... and I can recommend the retreats to EVERYONE - whether you have ever (or never) fished before - it doesn't matter.  The organisers & instructors are just amazing & most have had close connections with Cancer (or had it themselves) so know what we are going thru. The  Camaraderie over the 3-4 days is just amazing - and there are no costs involved - all you have to do is get the OK from your GP or Onc - and turn up.  All accommodation, meals &  fly fishing equipment is supplied - as well as basic fly fishing tuition!! You are usually pampered a bit as well in other ways too xx   Do yourself a favour - and look into it.  If you have a buddy who's had BC - see if they'd like to attend as well - tho you very quickly bond with the other women - as they all 'get it'!!

    https://www.mendingcasts.org/our-programs

    Funny thing - I've just spent the last 2 weeks in WA on a wonderful kayak fishing adventure off the coast of Northern WA and (other than difficulty negotiating metal steps on the pontoon and mothership) I coped remarkably well given my age (73 now - amongst a group of 9, largely in their 50s) - I was one of 2 women, the other being a youthful 50 (Oh how I WISH I was still 50!) ..... Hehe, one of the guys affectionately called me Super Nan for the whole trip!  LOL.  He was SO funny - and he kept an eye on me at the same time, even coming to my aid when my best fish got 'sharked' & I was rather shaken after the shark went under my yak, jolting it badly enough to think I was going to fall in!  I squealed like a child!! 

    I had no real aches & pains whilst over there in the WA warmth ... but now that I am back on the east coast .... my hands, hips & knees are KILLING ME again - LOL, I was whinging to myself about it just this morning - specially my HANDS!   Grrrrr.  I am beginning to see the reason why people LOVE living in WA so much!  ;)     

    Tri​ I am so pleased to hear of your NED xx.   WOOHOOO xx  I hope you had a quiet (or not so quiet) celebration xx

    Afraser​ The mobility thing is a real pain, isn't it.  I don't like doing 'one stair at a time' these days - but often need to do it.  In my mind, I can still 'run up stairs' ... but in reality, I just can't now!   Grrr

    Take care ladies ..... keep getting out there, doing the things you love doing, for as long as you can!!   😉 xx

    • Fee5's avatar
      Fee5
      Member

      arpie​ thanks so much for the fly-fishing link! I might look into it. Being a  hiker and lover of the outdoors, I would love to give it a go with a bunch of other women 🙂 My husband is a very keen fly-fisher but it would be great to be taught by others rather than my husband 😅

      • arpie's avatar
        arpie
        Member

        That's Fantastic Fee5​  xx.  DEFINITELY look into it & put your name down - you'll enjoy it & I bet your husband will love that you're giving it a 'go' - I hope you then join him on the river!  😀  

        One of my buddies in Vic (a BCNA member) has been to 2 of them now!!  Someone pulled out at the last minute & she was able to 'stand in' as it was in Ballarat, near her! .... Lucky her!!  Her husband also attended the Men's retreat!

        It doesn't matter WHAT State you live in either (to attend the Victorian Fly Fishing Retreat) you just have to be able to 'get there' - I drove down from halfway up the NSW coast - and turned it into a 10 day road trip, visiting fishing buddies along the way, fishing with them too!! 

        Canberra also has a dedicated Fly Fishing Retreat for women too - tho you need to be a resident of ACT to be able to attend.

        https://www.castingforrecovery.org.au/

        take care & let me know how you go!!! xx

         

    • melclarity's avatar
      melclarity
      Member

      arpie Hello! lovely to hear from you. To hear of your adventures was so great! Oh yes the A.I.'s well that's a whole other thing isn't it. I do agree, that too, can't say anything to family or friends about the thereafter. They just don't get it and how could they, so we soldier on and don't talk about it. We are told we should be grateful for treatments that saved us. Who is saying we are not? But it's not talked about the 'new life' and the compromised life beyond. I guess at 58, I didn't realize my well being would be compromised to this extent. I'm forever optimistic and continue to work full time with no retirement in sight. Some days are very difficult physically and so I wanted to acknowledge everyone's path who are traveling this.

      Yes I survived two diagnoses and last year got my 10 year clearance and booted from my oncologist YAY!! 

      All the best, keep enjoying the things you do. Was great to hear how you are doing. 

      xx :)

      Melinda

      • arpie's avatar
        arpie
        Member

        Congratulations on getting the boot from your Oncologist last year, Melinda xx. That is fabulous. 
        I was with mine for 7 years & finished with her 18 months ago.   

        I am guessing that if they told us of all the 'possible/probably' side effects of our treatments (specially AIs) .... to be honest, a lot of us probably wouldn't have done them!   I actually had the choice to take them or not & I thought - I HAVE to throw the bus at this thing - so took them!  Ai yi yi!

        Take care, stay well & just keep doing what you love doing xx

  • Tri​ so nice to see you here and I thank you for sharing your experience too. Together we are stronger, acknowledging the truth doesn't diminish our gratitude. We are human and our paths whilst similar are all unique to each other. I also believe we make the right decisions for ourselves at the time they are made.

    I am so pleased to hear after 3 years you have some good news, winning! I agree that I feel propelled age wise, whilst only 58 am navigating the fact that my physical self has aged more rapidly than someone not been down this road. Acknowledging that helps me realise how fragile we are, and whilst there are some elements of all of this that really hurt to come to terms with. 

    So inspite of this new version, I hope you move forward with confidence in how amazing you are. Knowing you are not alone in the thereafter treatment.

    I wish you all the best into a healthy and bright tomorrow. 

    Melinda

     

    xo

  • Hellomelclarity​ I appreciate your candour and thank you for how you thoughtfully outlined the benefits but also the legacy impacts for you of the treatment you had. 
    Your reflections resonate with me, I am grateful for the positive outcome of this incredible treatment I received - to be here still is a blessing. I reconcile myself to the fact that the side effects are manageable and a necessary trade off. But it doesn’t cover up the fact that there’s changes, I try not to feel troubled by what feels like a sudden lurch towards a more aged version of ourselves. Hair, skin, sight, strength, sure footedness, vigour and stamina were central to my identity, something I took for granted so now - in the blink of an eye- they are not what they used to be, it is still something I need to process! The way I turn myself around is to reflect on how soooo much better I am now, compared to when I was in the thick of treatment. There’s little things: the walks I love on the coast and conversations (now my brain is working better), I can use an electric toothbrush again and my cholesterol and liver function numbers have found their way back to normal! 
    I’m 3 years post diagnosis and this week received my annual “no evidence of disease” results (woot!) so I’m happy. 

  • I confess I have never been too keen on the term survivorship, in relation to cancer. Lots of people do survive, and in the main, because they have had treatment. One could easily apply the word just to life itself - we survive loss, heartache, disappointments and so forth. And sometimes those are experiences that scar and sometimes they are experiences that mould. 

    I finished treatment (mastectomy, chemo, herceptin and 10 years of hormonal therapy) with lymphoedema, peripheral neuropathy and an arrhythmia. Mostly these have caused little dificulty, until lately. Exacerbated by a leg injury, I have now got some mobility problems. I am also 14 years older!! And if my experience is anything to go by, one's body simply doesn't bounce back the way it did when I was younger - even when I was in my 60s! 

    Before breast cancer, I was accustomed - indeed never thought about it - to be healthy. I was accustomed to a body that did what I wanted. Comments on BCNA have reminded me how many people experience cancer as yet one more bodily malfunction to cope with. And whose remnants of that experience will be much worse than mine. So yes, treatment may come at a cost, but I'd be wary of putting anyone off treatment because of the potential longer term outcomes. At least some of mine are the result of living longer - and possibly one of the most rewarding and interesting periods of my life. 

    • melclarity's avatar
      melclarity
      Member

      Hi Afraser​ it's been a long time, good to see you here and to be reminded of your story. My post is about honesty and awareness, absolutely not about putting anyone off treatment. I just feel that this isn't talked about in any capacity. I agree too I am 10 years older, however my heart failure diagnosis last year is not of natural progression at 57 according to my specialists and at 58 a cataract isn't natural. My specialist also said that this particular one is drug induced. 

      This post is for all of the people that are experiencing things that nobody talks about after treatment for no other reason but to be seen and heard. I would never have known I would have had these things down the track. It's knowing youre not alone that it is a whole other life beyond treatment. It's about honesty and just maybe more disclosure, so that people know theyre not going mad, that these things are real. 

      Melinda

  • melclarity​ 

    Lovely to read your post, so honest, a reminder that the remnants of treatment remind us what we went through!

    Me, leg pain lives on!  Goodness it drives me nuts!

    A thoughtful post to allow others to realise, it happens but we are still here!

    Take care

    • melclarity's avatar
      melclarity
      Member

      iserbrown​ Lovely to see you here! it's been a very long time.

      I'm sorry to hear of your leg pain! Thank goodness we have a sense of humour! because whether we talk about it or not. Some of these things are really hard. 

      This last year particularly for me with heart failure and now a cataract all of which has been quite a shock and unexpected. 

      So for that person sitting at home experiencing difficulties, you are not alone. 

      Does any of these things stop me living? absolutely not :D I work full time still, have a business and am a published Author. 

      Wishing you an amazing day! xx

      Melinda

      • iserbrown's avatar
        iserbrown
        Member

        melclarity​ 

        Hi Melinda

        It's taken me awhile to get back on to respond! 

        I am a carer these days to a younger sister who has Dementia and is now living in Aged Care even though she's not 65.  Young People in Residential Aged Care.  Her Dementia has progressed and it brings tears and smiles at the silliness of some of it however, her GP has lectured me about looking after me otherwise I will not be available for her!  Hard words but necessary!

        I remember your journey and some of the ups and downs but I must admit I was taken aback when you said on top of it all was heart failure and cataracts!   Goodness me, that would have been such a shock for you!  

        I was also pleased to read that you've published - an Author!  Wow!  That is a wonderful part of everything for you.  

        Have to say seeing your post brought smiles and tears - lots of memories and so pleased that you were there sharing your treatment and triumphs with me and encouraging me and others to keep going at the time and here you are again offering encouragement!

        It's a so and so this Breast Cancer business but the support that comes from those you've never met is just so uplifting.  For me personally I found myself in a message group of 4 others.  When the forum changed we found our ability to engage on the forum was difficult until the teething problems were resolved.  Fortunately we now share privately and of the 5 of us I have met 2.  We are family to each other and support as much as we can through our day to day and challenges that present.

        Melinda I wish you nothing but the best as you get through these new challenges.  I do hope your heart issues are under control.

        Sending a virtual hug xoxo

        Take care

        Christine