Monday, July 29, 2013

MAKING THE MOST OF IT


I am still grieving the loss of my sister. It is all too fresh in my mind. After all, it is less than a week ago we interned her ashes beside my mother/father/brothers’ graves in the Qu’Appelle Valley on the prairies.

My kind neighbor came over to talk to me yesterday. She knows how angry I still am at how my sister was left to suffer needlessly and die after the care facility where she lived ignored her basic health needs. It goes without saying that the anguish I feel is causing my considerable stress and is putting my fragile health at risk.

Marg came to help me get past this. She listened to what I was doing to cope with my feelings. She shared some of her life experiences and in doing this she cautioned me to not getting into a negative trap which makes me constantly relive my pain. Marg explained that she believes in my capacity to be positive and to excel to beat life’s challenges. This wonderful lady is a great mentor because she has had similar health challenges and she has turned things around to help so many other people.

Anyway, I am lucky to have this caring friend who freely shares her love and wisdom. Yesterday she gave me something to think about and some encouragement about how to turn “lemons into lemonade”. Wise words from a wise woman! Probably I would get to this at some stage, but when you have lupus you have to try to get out of the negative as soon as possible.

She invited me to find my spark so I can leave my mark in this world. She encouraged me to think about what is important to me. Knowing what space I am in, she brought up the point about thinking how I would want to be remembered when I leave this world.

A little later, Marg came back with a book she had just finished reading. She brought “The Spark – a mother’s story of Nurturing Genius” written by Kristine Barnett for me to read. It was so enjoyable I devoured it in hours. This story is truly remarkable and totally inspirational. It is about how she found the spark in her autistic son who “the experts” said would never be able to even tie his shoes. This devoted mother (with lupus may I add) relied on her own intuition and found the way to unlock her son’s brilliant mind. Her son, Jacob, has a higher IQ than Albert Einstein and he has learned to relate to people and use his great gift to make advances in the fields of science and mathematics even though he is still a child. This mother not only touched her son but she reached out to the whole community of families dealing with autism in Indiana.

So exactly how did this amazing woman help her son live well with autism? You really need to read the book to find that out. One clue though is she focused on the positives and worked with what interested him. She encouraged him to play and experience nature. And she never gave up on him and believed the low expectations the “experts” had of him.

I found some of the passages of her book particularly illuminating for me. She believes that we need to experience life through our senses. She talked about how she coached a stressed- out parent to heal his spirit by following her recipe to calm his nerves one night, He was to fill his house with the aroma of rosemary and sage roasting in a chicken, wrap himself with a soft, warm blanket (heated in the dryer), listen to music he loved and sit for an hour quietly looking at a family photo album.

She writes:
“indulging the senses isn’t a luxury, but a necessity. We have to walk barefoot in the grass. We have to eat clean snow. We have to let warm sand run though our fingers. We have to lie on our backs and feel the sun on our faces.”

On a personal level, what does this book say to me? Well, it opens me up to the idea that exploring my senses will make my life more fulfilling and less stressful. It makes me think I can emulate her and not let anything (including lupus) hold me back. I, too, can identify my “spark” and ignite it. And I can strive to let my light shine by working with what I have and building on it. Yes, my life matters!

Friday, July 12, 2013

SKIN CANCER AND LUPUS


LUPUS AND SKIN CANCER

What does skin cancer have to do with lupus? Well, people with lupus are more prone to skin cancer or at least those ones who take immunosuppressant drugs. It is a fact that cyclophosphamide (Cytoxan) and azathioprine (Imuran) cause skin cancer. I have accepted this as the price of doing business (ie treating my organ threatening lupus). I have taken these chemo therapy drugs for the last 9 years and I have just had my sixth basal skin cancer lesion removed from my skin. Maybe my light skin and hazel green eyes make me more susceptible to this affliction but then my childhood days at the beach in sunny Saskatchewan probably have also played a part.

And my family history could have some bearing on it. Three out of seven immediate family members have also had skin cancer. It is worth noting that when one member of a family gets skin cancer, the other members of the immediate family are advised to also get checked out.

I consider myself lucky that I have only got basal cell skin cancer. It is the relatively benign kind of skin cancer which is usually confined to the outer layers of the skin if caught early. It is not as serious as squamous skin cancer which can spread if it is not caught in time. However, I had a friend who was not treated in a timely manner and he died from it squamous skin cancer last fall.

And then there is the most serious kind of skin cancer, that is, melanoma, which definitely needs to be removed early because it goes spread internally and does kill people. I know four people who have had that type of skin cancer and because it was caught early they are still alive and well. However, melanoma skin cancer kills one person every minute in the US and the incidence of it is increasing.

Any kind of skin cancer can be disfiguring. Again I am lucky in this regard because the two instances of skin cancer on my face have been handled by a plastic surgeon that specializes in the Mohs method. There are not that many doctors who specialize in this kind of surgery and I was fortunate to be referred to the Skin Care Clinic at the Vancouver General Hospital where some of the pioneers in the field work. Thus I have escaped, so far, relatively unscathed.
Here is a picture of the  wound on my shin. It is quite the gash! The size of this cut surprised me but I have been assured that was what was needed to:

 a) remove the tumor and the adjacent area around it

 and b) leave me with the least obvious scar.

As the plastic surgeon explained, the incision needs to be 3 times as long as the widest section of the tissue removed. He is taking the tumor plus healthy looking tissue bordering it. Thus the spot that I had removed from my shin that looked like the size of a pencil eraser, has left me with a 5 stitches and a scar 2.3 inches long.

Now if I earned my livelihood from modeling pantyhose I am sure they would have elected to do the Mohs method to remove the cancer. In this case, I would have had a lot more invisible stitches and probably a less visible scar. But there are no guarantees with scars, because everyone heals differently. The conventional wisdom is that people with lupus heal more slowly or at least for incisions above the waist (according to my last plastic surgeon).

 This is really no big deal at my age. I wear my scars as a warning to others to take care of their skin. And every time I see my young nephew, the one who balks at wearing sun screen, I trot out my portfolio of scars to serve as a reminder to not follow in my footsteps.

So how has this changed my behavior? Well, I cover up with a long sleeve shirt, a floppy hat, and wear 100% Neutrogena sunscreen on my face and a lower number on other exposed skin. I have to say that in the summer I like to wear tennis skirts when I play tennis but I guess that is going to have to change too. There is nothing like a new scar to hide, in order to make me cover up.

And I have recently read that certain foods including coffee, fish, beans, carrots, Vitamin C and beta carotene may protect people from getting skin cancer. Now I am going to make a point of eating more of these foods. Unfortunately though, I damaged my skin a long time ago. Thus even these protective measures do not guarantee that I will not get more skin cancer. For this reason, I need to see my dermatologist once a year for skin cancer checks. And if I recognize any more lesions between checkups then I will be in to see him as soon as possible.

The people with lupus in the crowd are probably questioning my sanity in going out in the sun at all these days. Even those lupus sufferers, who are not photosensitive, are not supposed to be hanging out in the sun. The doctors will tell you any exposure to sun light affects the immune system and increases the risk of a lupus flare. So I am more cautious and don’t suntan or stay out in the midday sunshine. But feeling the warmth of the sun and being in bright light makes my life worth living so I am not going to live in a cave for the rest of my life.


http://umm.edu/health/medical/altmed/condition/skin-cancer