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    • Writer: Lauren Wolffis
      Lauren Wolffis
    • Aug 2, 2023
    • 7 min read

    Imagine the unthinkable: The phone call you never thought you’d have. The words you never thought you’d hear… “You have cancer.” Then the tears you never thought you’d cry. I’m not sure the initial shock of a cancer diagnosis ever goes away. There are still many days when I wake up and wonder if this is all just a bad dream. But the wide array of emotions experienced on a weekly, even daily, basis include much more than just surprise and horror. 


    I was on Facebook recently and saw a question posted in one of my cancer support groups asking, “will anyone ever understand what it feels like to be diagnosed with cancer?” Many women responded saying something along the lines of, “of course not, it has to happen to you or a close family member in order to understand the deep pain and emotion. No one else understands.” Though this is valid and often feels true, I thought to myself, “no one said I can’t do my best to try and explain how it truly feels to have cancer.” So, I will try to express the nitty gritty details and emotions that are unique to those closely impacted by cancer and are not enjoyable, but are very prevalent in everyday life. While this is not something fun for others to read, I’ve been using this platform to educate and hopefully help others impacted by cancer, and I believe this will be eye opening to many. I am not asking for pity, just for an open mind and heart to glimpse how difficult it feels to wake up everyday knowing I have stage IV cancer. 


    Following the initial shock of my breast cancer diagnosis described above, I experienced some of the saddest tears I’ve ever cried, as well as an anger deep in my soul. “How could this be happening to me!? It’s not fair, I’m only 26 years old with so much life to live!” I couldn’t imagine a worse scenario. While the initial emotions are oftentimes the strongest, this is not to say I haven’t experienced extreme sadness, anger, anguish, frustration, and heartbreak as I’ve lived with cancer over the past two and a half years. I have spent many nights crying in bed to Nolan, my husband, after receiving countless bad reports from medical scans. I’ve had times where I’m so upset, I have no tears left to cry. Maybe it’s because a certain treatment was ineffective, and all of the difficult side effects I experienced were for nothing once again. Oftentimes, it’s because I am repeatedly mourning the “normal” life I once had. 


    This is one of the hardest parts of receiving a cancer diagnosis. You have no sense of normalcy. Every plan you once had for your life seems to get thrown out the window and snatched away from your fingertips. For our family, it was losing the ability to have children, not being able to buy a house on our “perfect” timeline, and stopping work as a travel nurse—a career I loved—all because of one diagnosis. One day changed our lives forever, for what often seems to be the worst. In addition to these big losses, come many other disappointments. When you’re in active treatment, you’re forced to take things day by day, hour by hour, minute by minute. As someone who is a planner at heart, this has been so incredibly difficult to manage. I find joy in looking forward to that vacation I planned, but now I don’t even know how I’ll be feeling tomorrow, or if in a month my treatment plan will change yet again.  Although I've definitely learned to be more spontaneous, take things day by day, and go with the flow, I imagine this is something that will always be especially difficult. Having little to no control over your own life is not an easy way to live and I’m sure many would agree. 


    As if depression, and the inability to control your life is not enough, cancer also produces loneliness. I believe this is because of two factors: Number one, it is a relatively rare disease to have in your twenties; number two, the side effects from treatment—fatigue, exhaustion, mental fog, etc.—force you to require more solitude and resting time. 


    Before my diagnosis, I would not consider myself to be lonely or secluded. I was fortunate to rarely experience alienation since I was a pretty social person. The comfort and joy I frequently found in confiding and relating to my friends was unlike any other. Nothing could have prepared me for what it feels like to be “the only one” who has to live through cancer. I know this statement is an exaggeration, but this is how it feels. Of all my college, high school, and church friends, I am the only one with a cancer diagnosis. Being the only one in my circle of friends is not fun or easy. There is a barrier that cancer has created that forces me to feel isolated. This is not to say that my friends have not been there for me. In fact, it is quite the opposite! But regardless of how wonderful my friends are and how often they reach out to lend a helping hand or listening ear, there will always be a sense of loneliness, knowing there are no people in my circle or life stage experiencing the same life-changing realities as me.


    Another aspect that contributes to loneliness is humiliation. I’ve never been one to love being the center of attention. It makes me uncomfortable for many reasons.  Now, because of my diagnosis, it feels as though I’m constantly forced to be the focal point. When you walk into a room you’re sure to feel as though everyone is staring at you, especially if you’re bald from chemo or wearing a headscarf. It’s as if the whole room is staring deep into your soul and knows everything about you except for who you are besides cancer. By this I mean they really know nothing about who you are, but they for sure know you have cancer and then go on to make other assumptions because of your diagnosis. “I wonder what caused her cancer? She’s so young. I hope she’s not eating sugar because that feeds cancer.” Sometimes I just don’t want other people to know what I’m going through! I long for the days when I could blend in with the crowd. There was nothing unique about me. Just a normal twenty something woman. Nowadays, I can sense the shock and pity in strangers’ eyes when they look at me and put two and two together. This young woman is bald… she must have cancer. 


    One reason this is so difficult is because it feels like people treat me differently. 

    “I have to beat around the bush because she has cancer.” 

    “I can’t ask her how she’s really doing because she has cancer.”

    While I know that cancer is a big part of my life - trust me, I’m living in it everyday - sometimes I want it to be the last thing people see when they look at me. There’s Lauren— a wife, sister, daughter, friend, RN, dog mom, Christ follower who happens to have cancer. 


    Cancer also makes you feel weak. Weak in all aspects - mentally, physically, emotionally, and spiritually. There will be days when you can barely make it out of bed because of treatment. Doing normal day to day things such as going to the grocery store or doing the dishes can seem impossible. Other times you feel as though you can’t handle any more negative news. One more mention of cancer growth and you feel as though you’ll crumble. It’s funny because one of the most common things said to those of us with cancer is, “You’re so strong.” While I understand the intent, at times it seems comical hearing this when I can barely make it through each day without having a mental breakdown, and getting off the couch is a difficult task. Because of this weakness, you’re forced to learn how to rely on other people for help. This can be humiliating and cause you to feel like a charity case. It makes you feel super vulnerable and uncomfortable, especially at first. But with time, you learn that people want to help and it’s best to accept it. 


    Aside from all these negative emotions, there are a couple positives that have come out of my diagnosis. Cancer makes me feel extremely humbled and loved. Cancer has allowed me to understand how blessed I am by the amazing community I’m surrounded by. The love and support so freely given by friends, family, and even strangers is overwhelming in the best way. At times, I wonder what I did to deserve such great support. It is the biggest blessing. The way our community has rallied around us and been there for us in all of the many ups and downs is so humbling, it’s hard to properly express our gratitude.


    I also do not want to dismiss the new relationships I’ve made specifically because of cancer. I know that loneliness is one of the most common feelings associated with cancer, because one of the first things you’re told to do after you’re diagnosed is to find a support group! In other words, go find some other people who are going through something similar so you don’t feel like a recluse. There is something so comforting, knowing that in reality I’m not actually the only 29 year old woman in the world diagnosed with MBC, and I am so thankful for those friendships I’ve created because of this terrible disease. 


    Being diagnosed with cancer is also humbling because God knows all the details of this difficult life path. Even though there are so many things I don’t understand, I know He has a plan for my life. It’s wild thinking that the God of the universe thought I’d be able to handle this insanely difficult journey. Well, actually He knew I wouldn’t be able to handle it on my own. That’s why He blessed me with such an amazing support team and His only Son to rely on. This road is painful, raw, and, real and forces negative emotions to frequently be at the forefront of my life. But through the pain, depression, anger, loneliness, weakness, and humiliation is a God who says, “I am there for you in the deepest valleys.” 


    “Even though I walk through the valley of the shadow of death, I will fear no evil; for you are with me and you comfort me” (Psalm 23:4). 


    He also tells us, when we are weak, we will be strong.


    “My grace is sufficient for you, for my power is made perfect in weakness. Therefore, I will boast all the more gladly of my weaknesses, so that the power of Christ may rest upon me.” (2 Corinthians 12:9).





    • Writer: Lauren Wolffis
      Lauren Wolffis
    • Aug 24, 2022
    • 6 min read

    It's a Wednesday morning... Just another day. But the air feels different to me, and emotions are running high. Tomorrow I will have a follow up PET scan of my entire body. The stakes are high because tomorrow will determine whether or not the last five months of intense chemotherapy were worth it or not, and it's all based on if this machine that I'm placed in can still detect cancer in my body.


    It's been a long two weeks of waiting post-chemo until I'm able and ready to have testing completed, per my oncologist. So, I wake up the following day, ready to conquer the world and get this silly scan over with. Though that's not to say I'm not completely anxious and freaking out inside. While the scan itself is relatively easy - you just need to drink this delicious, thick oral contrast, get an IV placed so they can inject you with a radioactive tracer, and then after some more waiting, lie completely still on a table for 20 minutes - there's a fear inside of me that I can't seem to let go of. I've had a PET scan before, so "it'll be easy" the technician says. And while I know that the physical testing is nothing compared to what I've already been through, it's the mental game that makes this scan so difficult.


    As I lie on the table for what seems like the longest 20 minutes of my life, my mind goes a million places. "There's a chance chemo worked really well and all my cancer is gone or at least has shrunk majorly," but the next minute I think "what if chemo did nothing, and the cancer is worse than before, and I'm dying?" So many emotions. So many possible scenarios. I try to take some deep breaths to relax but of course the machine is monitoring my respiratory rate and I see the wave on the screen above me as I take a deep breath in, only to see the wave fall on the screen as I exhale. "So relaxing," I laugh to myself. I try to close my eyes and pray that I will remain calm and that results will bring good news, but my mind is so distracted, it's hard to stay focused. Finally, the scan is complete and the technician comes in to release me to leave. The scan is over so I can go home and rest easy.


    Joke's on me, because the next 48 hours will be more anxiety-inducing than the previous 24, because even though the actual scan is no fun, at least something was actively being done. Now all I can do is wait, and wait, and wait for what seems like forever for my oncologist to call me with the results. I try to distract myself, but in the back of my mind, I'm constantly feeling on edge. My phone could ring at any minute, but I have no idea when. And then it does. I try to steady my breath as the next few words I hear will determine the future course for my life, good or bad. This time, it's good news and I let out a huge sigh of relief.


    But the next time I wait for scan results, only a month later, I’m caught off guard by some of the worst news I've ever received. "I'm so sorry, Lauren, but the MRI showed more cancer on your liver than we ever knew was there, so because of this, we will have to cancel all future medical and surgical plans and go down a different path," my oncologist says. "How is this possible? It can't be," I think to myself. I had just received good news from my PET scan a month prior and now these MRI results have to ruin all future plans. It takes everything in me to hold back tears while my oncologist reiterates the devastating news. I try to process everything, but the shock of it all blurs her words making it hard to understand that this is my new reality. All I know is the next few months will look nothing like I imagined, and the next time I'm forced to sit in that machine again I will be petrified.

    .

    .

    .

    .

    I’ve come a long way since that summer of 2021 described above. While this is only a sliver of my cancer story, I share it to give some insight into the thoughts and feelings that occur when it is time for a scan, also known as "scanxiety." Although I'm not sure who coined this term, it's a very well known word in the cancer world. Many of us with cancer are required to have scans every so often - for me it's every three to four months - to observe the growth or hopefully shrinkage of cancer in our bodies. As each scan approaches, my family and I experience a wide range of emotions leading up to the results and the treatment plan going forward. My entire future can be determined based on a single test alone. And if I receive good news, God willing, I can rest at ease for the next three months until I have to repeat the process all over again.


    It’s not a fun way to live, but sadly this is reality for those of us with cancer, especially if the cancer is a later stage or metastatic. I tend to say that I live my life in three to four month increments all based on when my scans are scheduled. If I'm fortunate and receive good news, I live the next three months like "normal" (my new cancer normal anyway). If I receive bad news, I have to throw many of my future plans out the window because new treatment courses require flexibility, time, and sometimes cause terrible side effects.


    I'm thankful to say that my past two scans have shown positive results, but I've found that even though I've received good news in the past, it doesn't necessarily make the next scan any easier. One of the worst things about cancer is that it's so unpredictable, so I rarely have confidence that everything will be okay. The rollercoaster of emotions that comes with the ups and downs of cancer is not an easy ride. It is so hard not to freak out if you see one poor lab result, or read a negative report of your most recent scan -- thank you, patient portal. Especially if you've received bad news in the past. And when you have cancer, a disease you never expected to have, you feel as though you have to expect the worst with every future medical test so you won't be defeated again. Yet somehow, there's a tiny glimmer of hope in the back of your mind that you will be the anomaly and will beat this, so when you actually receive the negative news it still hurts and wrecks your soul. This may sound dramatic and make me seem like a Debbie Downer, but I've learned from experience that I'd rather not get my hopes up only for them to be crushed again in case of bad news.


    Scanxiety is terrible and inescapable. I don't know anyone who likes laying in an MRI tube, but what's even more difficult is all the waiting. The waiting, sitting in the literal MRI or PET scan machine. The waiting for results to come back. The waiting to hear from my oncologist to discuss the results. And, potentially, the waiting to start a new treatment plan if results are negative.


    As I'm writing this, I have a scan coming up in less than a week. I'm happy to say that because of prayer and distraction, as well as familiarity with the process of what's to come, I actually have been feeling less anxious about my upcoming scans than I have in the past. Still, I know that as soon as the actual day is here, I will experience anxiety. My stomach will be full of knots with the fear of the future, the frustration of being poked (again), having to lay in that uncomfortable tube (again), and the stress of the unknown. But in the back of my mind there will also be a glimpse of hope that this will be the time I learn I have no cancer left in my body.


    This is scanxiety.



    • Writer: Lauren Wolffis
      Lauren Wolffis
    • Jun 15, 2022
    • 7 min read

    There's somewhat of a stigma when it comes to being bald in our society. No one wants to be accused of balding, let alone look like Mr. Clean, especially at a young age, but if you're a woman, being bald is just out of the question! I specifically remember watching the movie, My Sister's Keeper when I was in high school and thinking, “If I had a sister who had cancer, would I be willing to shave my head?" Followed by the thought, "Good thing I don't have a sister, cause I would never want to shave my head!!!" As petty as this sounds, I think it's a much more common thought than people like to admit. I don’t think I personally know one woman who would voluntarily shave her head and lose all her hair. And I'm not talking about a stylish buzz cut or shorter hairdo. No—hair completely gone, all you're left with is a shiny egg head. Not sure why my memory of watching My Sister's Keeper so many years ago sticks in my head, but after receiving a very unexpected cancer diagnosis myself, I had to kind of laugh at the irony. Who in their right mind, ever thinks they're going to have to go through chemo and lose their hair, let alone receive a cancer diagnosis, especially in their 20's (or ever)?! No one!!! I say all of this because today marks one year since my last day of chemotherapy—one full year of hair growth!!! So, I thought it would be fitting to talk about hair loss with chemo. The good, the bad, and the ugly (yes, there's a tiny bit of good that comes with hair loss).


    I'd like to say that losing my hair was just another part of having cancer, but it's so much more than that! I have vivid images in my head of the moment I realized chemo had started to take my hair. I was trying to be proactive and buy a wig in advance that matched my natural hair color and style, and while I'm sitting in the salon chair at the shop, the store owner casually goes, "oh, looks like you're already starting to lose your hair!" The way she nonchalantly mentioned it as she was handing me wigs to try on still boggles my mind. Yes, I was at a wig store for a reason, and yes, she works with balding people all the time, but you cannot just casually tell a 26 year old woman, "oh, looks like your hair's already starting to fall out" and act like it's nothing. I remember sitting in that chair, looking in the mirror at myself, and trying to hold back tears with everything in me. It's one thing to know, maybe even expect, that your hair is going to fall out, but it's another thing to actually see it happening right in front of you for the first time and try to process it. From that moment on, I knew that losing my hair was going to be excruciatingly difficult and painful for me.


    So if you're going through chemo, and experiencing similar feelings, please know you're not alone! I know for me, it took weeks, maybe even months to fully mourn the loss of my hair. It's no joke when I say I think I cried the most consecutive days in a row when my hair was falling out. There's a chance I cried about my hair more than when I originally received my diagnosis. This may seem crazy to some people, but let me explain some of the reasons why this experience was so painful. Number one: the reality of having cancer finally hit me. Although the first few weeks and months after receiving a cancer diagnosis contain many emotional ups and downs, losing my hair made me feel like a true cancer patient. Yes, I'd already been to what felt like a million appointments and counting, as well as had multiple scans, pokes, and prods but up until this point, when I looked in the mirror, I still saw myself. After that noticeable first clump of hair falling out in the wig store, I was afraid to look in the mirror. Not only was I afraid of what I'd see physically, but I was also afraid of the new reality that was my life. Number two: I felt like I was losing a part of who I was. You may think, "oh, it's just hair, and people cut their hair all the time, so why is it such a big deal?" But if you grow up and have had long, beautiful hair most of your life, it's a huge change!! Also, not trying to toot my own horn, but I had people compliment me on my thick, long, curly hair all the time! Random strangers would come up to me and comment on how lucky I was to have such gorgeous hair, and while I appreciated their kind words, I think it made losing my hair that much harder. It felt like a big part of the way people identified me was being taken away, and I thought people weren't going to look at me the same way again. Rather than being a normal looking girl, who happened to be blessed with nice hair, I was now going to be looked at as a bald girl and could immediately read peoples' thoughts as they labeled me as someone with cancer. Number three: I actually liked my hair! It made me feel beautiful, and without it, a lot of my confidence was lost.


    About a week after my experience at the wig shop was when my hair really started to fall out, and I mean clumps and clumps of hair everywhere. Every time I took a shower, I sobbed because I could see a part of me being washed down the drain. In fact, it was so emotionally painful for me, I could not get myself to shower. So, in my extremely vulnerable state, I cried as my loving husband, Nolan, helped shower me and wash what was left of my hair. It was at this point when I knew something had to be done. I couldn't keep slowly watching my hair fall out each day. I needed to rip the Band-Aid off. So, with tears, I told my family I needed to shave my head to get the pain (both physically and mentally) over with.


    I will never forget how, in the spur of the moment, my only friend in the area (at the time) came running over to be with me and support me in this emotional time. With the help of Nolan, my parents, and my friend, Murphy, we shaved my head. I felt so exposed and weak, but I had my loved ones there embracing me and holding my hand, telling me it was going to be okay.


    This may seem completely depressing, and while it is, there is more to the story (this is where the "good" of hair loss comes in). A couple weeks back, before chemo started to cause my hair to fall out, my mom had the idea to invite some of my friends over to hang out, and to celebrate me as I cut my long hair, to a shorter length above my shoulders. I loved this idea and asked some girls if anyone would be interested, and of course, my amazing girlfriends said yes in a heartbeat! One of my friends had the idea to have the ladies dye their hair pink in support of me and breast cancer. I was so flattered by this and loved the idea. My sweet husband, brothers, and dad all wanted to join in on the fun so they shaved their heads in support as well. It was one big hair dyeing, head shaving party! And let me tell you, I felt so loved and supported by some of the people I love most in this world. I will never forget how fortunate I felt in that moment, that I had multiple people in my corner who were there for me and willing to do whatever it took to make me feel better. While I realize I am extremely blessed with the support system I have, I would recommend to anyone going through chemo to rally your people to be there for you. Whether or not they shave their heads is up to them (no, I did not ask my amazing family to do that, they offered), but just having some friends or family around for moral support is so helpful. It was also recommended to me to cut my hair shorter before I started chemo because not only can having long hair cause more physical pain when your hair is falling out but it can be so helpful to ease yourself into the idea that you're going to look and feel a whole lot different. Another thing we did to celebrate this moment was take some before and after pictures (shown below). I'm blessed with a photographer as a mother so while that may help, even just taking a few photos to reminisce on the day is a great idea.


    While cutting my hair shorter did not completely take away the pain I was about to experience in a few short weeks when my hair would begin to fall out, it still helped me feel as though I was in control of something in my life, when there was so much that was out of my control. This is one of the hardest things about having cancer - everything is out of your control and you feel so helpless. There is nothing you can do to make your life go back to normal. Throwing a hair-cutting party with friends was a great way to take control of something, and it reminded me how fortunate I was to be blessed with such amazing people in my life. So, if you find yourself having a hard time before you start chemo (which you will), or while your hair is falling out (which you will), or while your eyelashes and eyebrows fall out (which you will), or after you've been bald for a few months and you're just missing you hair (which you will), just remember that you're not alone in these feelings. Chemo sucks and is exhausting, difficult, and lonely, and on top of that being bald sucks! But you can get through, especially with the help of family and friends. And then one day you'll look back (like me), and see how far you've come, and how much stronger you are because of what you've been through. And you'll see a photo of yourself a year ago today—thanks Facebook and snapchat memories—where you're completely bald, and you'll look at yourself in the mirror and see how much your hair has grown, and how much you've grown and smile









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