Saturday 24th July 2021
“On your journey, don’t forget to smell the flowers. Take time out to notice you’re alive. You can only live in one day.” — Ray Fearon
So it’s 28 months since I finished my chemo. Since then, I’ve had 7 surveillance appointments and 2 CT Scans. So far, so good. No cancer, long may it stay that way.
How short out memories are. I forget this blog is here sometimes. Tonight I was alerted to a comment on the blog, and alas I remembered it was here again. It got me thinking I should really post an update. How is it still going ? Am I still here ? etc. It’s been a while.
Lets start with Surveillance Appointments. Year 1 = every 3 months, Year 2 = every 4 months, Years 3 to 5 = every 6 months. CT scan at the end of Chemo, and CT scan at the end of year 1. No CT scan’s at the end of year 2 onwards unless blood results suggest one is needed – apparently I can do without the radiation ! Basically I turn up, have bloods done, then an hour or so later have a quick chat with the Dr to say how things are going, i.e. still self examining and all ok. He checks my neck lymph nodes, and then tells me they will be in touch if my bloods/X-Ray suggest any problems, which so far they never have done. Most times I have had a chest X-Ray, so it’s usually an all afternoon affair with the waiting around, but I still never tire of going to The Christie. I actually look forward to it in a very strange way.
Next lets cover some of the long lasting effects, some of which I attribute to the chemo.
Firstly Reynauds. This is by far the worst long term effect I’ve been left with. The sensation where my fingers / toes go white and lose feeling when they get cold. Over the winter this is really difficult to manage. The picture below is simply me having gone for a short drive (school run I think) on a day where it was about 3 degrees Celsius, and the chill of holding the steering wheel has trigged the Reynauds. Once they’ve gone, they are gone until they get warm, and it’s painful. I have heat packs in the house that I put in the microwave to warm up, and have to put them on my fingers / toes to bring them back to life. It can take a little while too.
Now this sucks big time for a number of reasons. Cycling being one. Anything less than 5 degrees and even with thermal socks, winter cycling boots, heat packs in my shoes and winter overshoes, I still lose feeling in my toes on any ride longer than an hour. That kept me indoors over the winters, partly the reason I’ve invested in a decent exercise bike that I can continue to use during the colder months indoors where it is warm. I barely went out between October 2020 and April 2021, it was just too cold to go out without losing my toes to it. Same for running, albeit easier to manage as you’re moving more slowly and therefore less wind effect. The indoor bike and now treadmill mean I can keep up my cycling and running all year round, otherwise it would be hard. Fitness is lost far quicker than gained. Even going for a walk in winter with the family, thick boots and thermal socks and I still lose feeling. I’m just learning to control it as best I can. The Dr says there is no treatment.
Secondly, not necessarily a long term side effect, but depression. Late 2019, I realised I’d been pretty badly depressed and this came to a head in early 2020 when I was barely able to function normally. I can’t say it’s due to the chemo, or the journey, or one thing or another. I can just say it happened. I think there was an element of a massive comedown from the journey itself. I spent that time focussing solely on getting through the chemo and then getting back to “normal.” I just rolled my sleeves up and faced it head on. It was euphoric completing the Manchester 10km run, and my first 100 mile ride post-chemo. It felt like job done. But then came the crash. What now ? The fight was over. It seemed to spiral. It manifested by not wanting to do anything, ever. You know how “time flies when you have fun,” well I didn’t want to have fun because then time wouldn’t fly. I could just sit in misery with life dragging by. No weekend plans – “great, it will drag.” Monday will take longer to get here. No motivation to work, cycle, run, do housework, see friends, go out, anything really, which then causes anxiety because you have things stacking up that you really should have done and you haven’t, so sleepless nights worrying about the consequences.
I sucked it up and went to the GP for help in Feb 2020, then spent 6 months on sertraline. I saw a counsellor (via whatsapp chat!) through work’s scheme, and that was brilliant. Had some good honest chats. Then lockdown came, but it gave me a routine and I slowly came out of the nose dive. I started running every day to get out of the house. I started making plans where we could, and not worrying about having so much fun that a weekend would pass by too quickly. Around September time I felt back to myself, so I weaned myself off the meds over a few weeks and again, so far so good. I have to say though, the first two weeks on sertraline, it got worse before it got better. Those were some dark days, which seems to be common. Luckily I had read about how people react, and I was prepared for it.
Was this the mental effects of a tough period through chemo ? Was it a comedown after winning the fight ? Was it a chemical imbalance caused by the aggro my body went through ? Was it caused by lower testosterone (see last post re: gynaecomastia) ? I’m not sure I’ll ever know, but it was every bit as tough a battle as what went before it.
Next: Gynaecomastia. This didn’t really go anywhere. My testosterone levels were deemed to be within the “normal” range. The frustrating thing is that I don’t know where they were pre-cancer. I would guess that they dropped from being higher in the “normal” range. Anyhow, I notice when I start to put on a bit of weight that the fat gathers a bit more around my right “breast” area. In laymans terms, 1 manboob slowly grows. When I lose the weight, it goes away. I didn’t consider I needed any surgery, which was an option if it was cosmetically an issue, but it’s so minimal that even I don’t notice it. Case closed on that, but I still suspect lower testosterone levels were a cause, and contributed to the depression too.
Sleep: this one is just my musings on a marked difference from pre-cancer/chemo to post cancer/chemo. I was pretty ok getting by on 7 to 8 hours sleep a night before all this happened, even 6 to 7 hours and I’d be generally ok. Now, if I don’t get 8 hours minimum, I struggle waking up and then I struggle at points in the day. Again I’m not sure if it’s related, but the timing was coincidental.
Other bitty things. My scar is still numb from where I had my initial operation. Very little feeling came back, not that it ever really causes an issue.
General health: other than these things above, life is much the same as it was before. It’s not like I’m living 70% of the life I was used to. On the contrary, fitness wise I’ve recorded my longest bike ride (136 miles,) longest run (a few half marathons,) fastest 5km & 10km runs, all post-cancer/chemo. Bear in mind I’m 2 years older too, that’s something I’m particularly enthused about. I was pretty fit before, but I’ve pushed that further in the last 12 months than I have before. It hasn’t held me back. I’ve not been ill any more than I would have been either, the immune system bounced back well.
I really can’t complain at this point. Life is good, I have my health. It’s all becoming a distant memory. I’ll do what I can to keep enjoying life. Perhaps the biggest reminder of it all is the big unnecessary American muscle car I bought in June 2019 not long after I finished my chemo. I’ve wanted one for as long as I can remember, mainly because I think they look and sound fantastic. It’s often impractical, the 13mpg isn’t a selling point, but it’s my dream car, and in my head it will always be my “reward.” It gets a lot of looks and smiles, and it gets people talking to me, often asking “what made you get one of those?”
Well sir, I beat cancer back in 2019. It made me realise that life is short. You need to do the things that make you happy, and this thing puts a beaming smile on my face every time I look at it and more importantly it reminds me how lucky I am, and reminds me I’m alive. Long may that continue…




































