Again, it’s hard to believe it’s been two months since I last posted in my blog. I usually like to post when I have good news or potential solutions to challenges. I currently have challenges without solutions, so I haven’t been thinking of posting.
Georgia, who does the actual posting for me, had to remind me that it is time. A warning that this may be difficult to read since it’s been hard for me to write.

I want to reframe news as neither good nor bad. It’s just what is. I’m sharing with you my current experience without putting a judgement on it. My symptoms of tiredness and shortness of breath have continued, and in addition I have had a cough for at least a month and have an uncomfortable feeling of fullness when I eat or drink. The symptoms seem digestive, but I don’t have nausea; although I frequently feel like throwing up. I have a barf bag in my purse at all times just in case. My doctors have suggested various anti-nausea medication, but nothing has helped.

The current theory is that tumors are pressing on my esophagus and/or stomach, giving me the feeling of fullness and wanting to throw up. A CT scan was done last week to look for the culprit. I don’t understand many of the words in the CT scan report, and I haven’t yet met with my oncologist to interpret it, but there are some things I can understand. It specifies “bilateral pleural thickening with multiple bilateral pleural nodules/masses.” I understand that to mean there are masses in the lining of my lungs.

In my last blog, I was anticipating having my lungs drained again because I assumed there was fluid in the lining of the lungs again. It seems there are tumors rather than fluid. When I saw my pulmonologist a few weeks ago, he did a chest X-ray and compared the fluid in the lining of my lung with what it was two months ago. He said it hadn’t changed, so couldn’t be explaining my worsening symptoms. Draining wouldn’t make a difference. Now that we know there are masses instead of fluid in there, draining isn’t even a possibility.

My naturopathic doctor read the CT scan report and said, “I think there is a good chance that something showing up on imaging is causing irritation and/or pressure that has been contributing to your recent symptoms. When the bronchi, pleura, and/or diaphragm get squeezed or irritated in any way, symptoms like coughing, vomiting, etc., are fairly common symptoms. These are sensitive structures and, when they are irritated, the body’s natural response is to try and expel something.”

So far, the consistent message from my doctors is that my only choice is to learn to live with these symptoms. They seem to be caused by the cancer, and we are already treating that to the best of our ability. My oncologist has ordered another Foundations One test to see if there is any new targeted therapy that my cancer is responsive to. When I had that test done three years ago, there was nothing. But something new may have been developed since then. Worth finding out, but I’m not optimistic.

I’ll repeat what I said in my last blog because it’s still true. I am continuing on the protocol of alternating taking Estradiol and Arimidex (a month or two each). When I’m on the Estradiol my cancer marker numbers go down. When I’m on Arimidex, they go up. One would expect the opposite, but it seems like the Estradiol confuses the cancer enough that it regresses temporarily. I’ve been on this protocol about a year now and we have all been surprised by how effective it seems to be in controlling the growth of my cancer. My oncologist predicted in July 2023, based on PET scans, that I would be dead by January, 2024.

I said in my last blog that I was referred to the heart valve clinic to be evaluated for a procedure because of mitral valve regurgitation. The heart valve clinic did a treadmill stress test and determined that my mitral valve regurgitation wasn’t severe enough to recommend a procedure. A mitral valve procedure is complex and risky, and they didn’t think it would make any difference. They also don’t think it is severe enough to be causing my symptoms. So that option is off the table.

For decades I’ve learned of my cancer growth from blood tests and PET scans. I didn’t have symptoms until now. I was always able to find solutions to stop or reverse any new cancer growth. I knew that couldn’t last forever and it seems like I’ve run into the end of that strategy. Now I have symptoms and the strategy being called for is acceptance.

I’m in a new phase of this 35-year cancer experience. I appreciate a frequent reminder that I’m a spiritual being having a physical experience. Spirit takes precedence over matter, always. That’s why death is not scary and my spirit is thriving. The process of getting from here to death feels a little scary and it helps to not be taking this journey alone. Thank you for loving me enough to walk this journey with me.