the circus of cancer

JC Braithwaite, a friend and a breast cancer survivor, wrote this poem just a few days after she was diagnosed with the disease several years ago.  In a chaotic time in her life, she turned to writing to express herself, and this beautiful piece was the result. JC was pushed into the three ring circus of cancer, and she emerged on the other side, battered and bruised but with an amazing sense of self and purpose. Today, she is cancer-free, and she and her husband are enjoying life with their two-year old daughter, Emily Shea. Emily is named after JC’s oncologist, Dr. Barbara Shea.

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The Circus of Cancer

Today the flyers came announcing the arrival of the circus.

The Circus of Cancer

With the weight of the world I became the center pole of this three ring circus.

Deflated and heavy I planted myself in the ground and began to heave the tent preparing for this crazy show.

Family and friends plant their poles next to mine and try to lift as much as they can.

Even friends from far away heave and pull tightening around me.

Slowly I raise and right myself with the help of those who love me.

This show must go on.

The side show acts bring gasps of, “Why in the world?” and “How can it be?”

Everyone silently thanking God they aren’t the bearded lady.

Tears are shed for these oddities.

I’ve been a side pole in other circuses but this one is my very own.

No one can hold this tent up but me.

In come the clowns.

No circus is complete without them.

Laughter is my cotton candy.

Pies in the face take my eyes off the trapeze being raised in the dimmed background.

Even the sad clown has his place in this show.

The tightrope walk starts

Silently the crowd stares and prays.

There are wobbles and gasps but no one will fall today.

Amid all the chaos the Ringmaster is in charge of the show.

He conducts everything.

He can make sense of this 3 ring circus.

The show will conclude with a death defying feat.

Drum roll please.

Sighs of relief and cheers from the crowd.

She made it!

The big top will be lowered and the circus will move on.
The best thing about a circus is…

It may come to town but it never stays!

your voices: kathy and breast cancer

Today I’m thrilled that Kathy Gori is sharing her story with us. Kathy is a breast cancer survivor who has a great perspective on eating well during cancer therapy and beyond.

Kathy, photo by Alan Berger

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Tell us a little about your history with cancer.

I was diagnosed with breast cancer in 1990, while in my 30′s. I found the lump while doing a monthly self exam. I had gotten a clean mammogram just 3 months before as part of a full physical well baby program (we were trying to get pregnant) . The tumor was small but practically on the chest wall. My doctor was surprised I was even able to find it. Since I was a vegetarian, a runner, and did not smoke or drink, and given my age, no one thought the lump could possibly be malignant. But I had a biopsy and it was.

The cancer was non-hormonal dependent which is common in younger women and so considered aggressive. I had a mastectomy, and chemotherapy (at the time they did not do radiation if one had a mastectomy, though now they do). The cellular matter in my tumor was aneuploid and I was given a poor prognosis.

What type of changes did you notice with your appetite for food or your tastes for food during your treatment? How did you learn to overcome these changes?

When I was first diagnosed, eating was the last thing on my mind. I didn’t have much of an appetite, mainly because I was so scared. I was doing conventional western medicine and decided to augment my treatment by following a strict macrobiotic diet recommended for breast cancer patients.

I like Japanese food but the very strict diet was boring the pants off me. Since I was not allowed eggplant, potatoes, or tomatoes (in macrobiotic terms they were considered deadly nightshades and so a big no no), which were some of my favorite foods, and since the diet was so restricted, I wasn’t eating much. I started losing a lot of weight fast. This was not good. There was talk of putting in a port to get more nutrition into me. My doctors were concerned since I was skinny to begin with and I needed to keep up my strength. My internist suggested instead of macrobiotics I might try a more Ayurvedic diet (Indian food) where I could eat the foods I liked. My sister in law is an Indologist/archeologist (expert on 3rd century BC Indian art) and has lived and worked in India. She’s also a great Indian cook and she got me started with cooking my own Indian food. I quickly began preparing my own organic healthy Indian vegetarian dishes. My appetite was stimulated and I happily ate my way through treatment.

Of course there were chemo days when I was nauseous and unable to cook and so my husband would take me out to a neighborhood vegetarian/vegan restaurant if I felt like it (sometimes going out was good for me) or he’d bring food back for me. I also smoked marijuana — which I’d never done before (my oncologist and internist both recommended it) — to stimulate appetite. It worked.

Do you have any tips for enjoying food despite cancer for other people going through a similar situation?

People told me when starting chemo to suck on hard candy so that I wouldn’t taste the medicine. I bought tons of butterscotch hard candies to the hospital with me. The result was, 21 years later I now hate butterscotch. It ruined butterscotch for me, so I always tell people if you’re bringing something to chemo to take the taste away, bring something you’re not nuts about as you may never want to eat it again after this is all over. Also I always say eat what you feel like eating..but eat! For my first round of chemo I had an insane craving for peanut butter and jelly sandwiches with big glasses of pink lemonade. Alan made all of these for me non-stop. I couldn’t get enough. Was it organic? Hell no. Was it healthy? What do you think? But I wanted it, I could and would eat it..so I did. It made me happy!

In short my advice is to eat what makes you happy. I do a lot of cooking for friends having cancer treatment and I always ask them first, what do you want to eat? What do you feel like eating? If there was ever a time to eat dessert first this it it.

Do you have any tips for caregivers of cancer patients going through the cancer experience?

To patients and caregivers I always say: be patient. This isn’t easy for anyone. I found that it was good sometimes to do things for my husband while I was having treatment so that the caring wasn’t all going one way. It also made me feel better and much more “normal” to do the things I always did.

It’s always important to remember that there’s life after this illness and when it’s over you want those who helped you to still be speaking to you.

Do you have a recipe to share you were fond of during or after your treatment?

One of my favorite treatment, post-treatment, and right-up-to-now dishes is Indian style spinach with corn. I make this at home all the time. It’s nourishing, tasty, and on the menu when I do cooking for other cancer patients. It’s easy to eat and everyone seems to like it.

photo by Alan Berger

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Kathy Gori has been cooking Indian food for 20 years. A screenwriter by trade, she works at home, so trading a hot keyboard for a hot stove was just a matter of a few steps. Her obsession with Indian cooking began when her sister-in-law, Elizabeth, an Indologist who’d lived and worked in India, introduced her to the intricacies of the Indian kitchen. Thousands of hours and hundreds of dishes later, Kathy makes her own chutneys, grinds her own spices and enjoys exploring the various cuisines of the sub-continent. She has cooked for some of the Dalai Lama’s monks, the Director of the Delhi Museum and President Clinton’s California campaign staff. She is always learning and loves to share her knowledge and love of Indian cooking with others.

In addition to her writing and cooking, she was the voice of Rosemary the Telephone Operator in the series Hong Kong Phooey. She has voiced many films and commercials, winning a Clio Award, and she ever “dated” Don Draper. Kathy and her husband/writing partner, Alan Berger, live with their Siberian Husky, Patsy, in Sonoma, and most recently worked on the screenplay for Chaos Theory starring Ryan Reynolds.

your voices: carrie and hodgkin’s lymphoma

This is the first in a series of personal experiences with food and cancer – your experiences, your voices. It’s one thing for me to tell you my opinion, what I see and hear as an oncologist. It’s another thing entirely to hear from people who have gone through it, learned from it, and lived to tell about it. Carrie is starting us off.

Carrie Winegarden is a 27 year old woman living in the San Francisco Bay Area who blogs about technology, the internet, reading, fitness,
food, and cancer at CarrieActually.com.

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In November 2009 I was in pain. I took several days off of work because it hurt to get dressed in anything other than my soft and stretchy pajamas and I was so exhausted that I didn’t bother adjusting myself to Daylight Savings Time and was perfectly happy going to bed at 8pm. The day before Thanksgiving I called my doctor’s advice line because I had a bruisey lump on my chest that was only getting worse after a couple weeks and it had hurt to laugh with my sister who was home for college for the holiday. The advice nurse scheduled an appointment for me the day after Thanksgiving. At that appointment I was sent for a CT scan, and I was told I had a tumor but because it was a holiday weekend I had to wait until the next week for a biopsy to see if it was cancerous or not.

That was the longest holiday weekend ever.

Early in December I was diagnosed with stage 3B Hodgkin’s
Lymphoma
and started chemotherapy (8 cycles of ABVD to be completed in May 2010).

The cancerous Reed-Sternberg cell (the double cell in the middle) in Hodgkin Lymphoma.

I think most of my tastebuds died, and water in particular tasted particularly metallic and awful which lead to needing bags and bags of saline along with my chemotherapy to combat dehydration. Before chemotherapy I liked only foods that were bland, sweet, or salty but over the course of my treatment I developed a taste for strong and spicy flavors – hot peppers, pungent cheeses, and loads of garlic became normal for me.

My birthday is in April and that year my family and closest friends were particularly grateful that I was able to celebrate a birthday at all. We went out for fondue because cheeses and rich chocolates were flavors I could taste and especially enjoy.

The hardest thing about eating was sometimes just getting to the food. There were days when I woke up so weak and dizzy that I didn’t even trust myself to be able to get down the stairs from my bed to the kitchen and had to call my mom (who thankfully lives just a couple miles away) to come over and bring food up the stairs to me. The thing that most helped me enjoy my food was to take the time to plate it nicely on real dishes and sit at the table. It makes the eating much more about the experience and less about the food.

My veins burned from my chemotherapy medication so it had to be administered very slowly and a session would often take 6 to 8 hours. My mom came with me to most sessions and we’d often pack a lunch and snacks for me but she’d only bring a granola bar for herself – we should have made sure she packed herself a complete lunch too.

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