Monday 30 December 2019

BRiC's Collective Voice: The Bitter Sweet Symphony of Christmas, Dec. 20, 2019

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The bitter-sweet symphony of Christmas.
"I have mixed feelings about Christmas. I feel like I SHOULD be loving it, but that's not working."
This week our Sunday discussion focussed on the highs and lows of the Christmas season, and our experiences surrounding the joys and the sorrows that this season may bring for us.


While we acknowledged that Christmas is a time for celebrating joy and happiness, families coming together and sharing love and laughter, for many of us Christmas is a time that reminds us of the loved ones we've lost, to breast cancer, and our loved ones who could not be here with us. Many of us are reminded about the cancer anniversaries, when we were either diagnosed around Christmas time, having active treatment on Christmas day and/or waiting for scans and appointments around Christmas. These memories can put a dent on our 'happiness'. Some of us have just been told that our cancer has come back, and thus incurable. As such, Christmas is not a time to remind about what we've gained, but what we've lost.

For many, the pressures that build up with the expectations near Christmas are unbearable. If we have finished active treatment recently we are experiencing the side effects with greater intensity, and we will need 'me' time and space to cope with them.
Christmas brings emotions to the the surface, expectations that we are OK, when we are not. For many of us with a primary diagnosis of breast cancer, Christmas time can exaggerate our fears of recurrence, and for those of us with a secondary diagnosis it may trigger thoughts about whether this Christmas will be the last one we experience with our loved ones.

Some of our members said that they will keep Christmas simple and spend it in PJ's with close family watching TV. Others mentioned of plans to spend it with fewer people to manage expectations. Some of us have no particular plans, and others want it to be a time to reflect and be mindful of.

We conclude with one of our member's notes which we think is really poignant: "I think Christmas should be what you need it to be. Enjoy the parts you can and give you joy, and get rid of the parts that harm you".

Sending love to all of our amazing followers. We've made it to today, so can all of us.

If you are a woman with a diagnosis of breast cancer and are living in the UK please do contact us here and we can add you to our private support group.
Happy Holidays!


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BRiC's Collective Voice: What have you done to make you feel proud? Dec. 14, 2019.

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Our Sunday discussion this week was a little bit different; inspired by music played at the Breast Cancer Now fashion show we thought about “What have you done today to make you feel proud?”

The thoughts of our members ranged from small, but important achievements, to huge accomplishments and unusual activities. We had people raising vital funds for charities, taking part in races and walks, often overcoming aches and pains to manage it. Many of our members were proud that they had taken time out for themselves, a lazy morning lie-in or a pampering session were mentioned, a shopping trip with a friend or a special lunch treat. One lady had a fabulous photo shoot, stepping right outside her comfort zone. Some were proud of keeping up with exercise regimes or starting new ones.


There was some focus on the upcoming festivities too. One member said that she was proud to have shopped locally for Christmas gifts, supporting local businesses in her community. Another felt her biggest achievement was putting up and decorating the Christmas tree. For others the decorating was of the more traditional kind, paint and wallpaper conquered and homes refreshed.

For some members just joining in the discussion was a personal achievement, sharing with others isn’t always easy for everyone; many members are proud of our group and the friendship it fosters. On a similar theme one member talked about taking time to visit elderly neighbours and how much joy both she and they get from the visits. Many of our members take time to help others, to work with charities and give back to those who have helped them in the past. Forgiveness and “letting things go” also featured in our list of things to be proud of.

There were tales of speaking to large numbers of people, or attending events they might usually avoid. There was also talk about future plans: targets set for 2020 and ideas for ways to help others, courses to attend and things to look forward to – often things unrelated to breast cancer to move the focus in our lives. Our group has members with primary and secondary diagnoses and our achievements reflect the wide range of both physical and emotional restrictions caused by our cancer. Some members mentioned feeling proud of how they have coped with their illness and treatment, despite the difficulties they bring.

It was uplifting to hear everyone sharing the things they were proud of, achievements big and small, but all equally important and shared in an atmosphere of support and friendship.

If you are a woman in the UK who has been diagnosed with breast cancer and would like to join our private group, please add your name as a comment below or send us a private message and we will be in touch x

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BRiC's Collective Voice: Putting on a Brave Face; Dec. 5. 2019.

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“A brave face spares the feelings of others”

For our discussion this week we looked at keeping a brave face. Why would we put on a mask? Naz explained that there are many dimensions to this. Firstly, there is an expectation from others that we should be brave. Secondly, we may put a brave face on ourselves to say that the “new me” is just as good as before breast cancer and possibly better. Thirdly, many equate strength to endurance. Putting on a brave face can sometimes be healthy but it can also undermine the fact that we are also vulnerable. We need both strength and vulnerability to build resilience. Admitting we are vulnerable is a sign of strength.

We found that putting a brave face on is very common, although some members told us that this was impossible to do given the trauma of diagnosis of breast cancer. Many of us felt that there was a need to protect the feelings of family and friends. For one member, it was a result of a lifetime of not being allowed to express her feelings openly by her family. There were feelings that others didn’t really want to know how we were really feeling - some even felt that they were boring others by talking about their illness. A common expression was “I’m fine, thanks”. Some of us felt that we would be labelled “weak” by talking openly - one member reported being “savaged” for not being strong enough. Some were worried about our livelihood so put on a brave face with employers so that we are not disadvantaged. For some members, a brave face was helpful, distracting themselves and preventing “thinking too much” about their illness.

So how do we put on a brave face? Some of us found distraction helpful, keeping busy, working or staying active. One member told us that she tries “grabbing life, filling every moment and never allowing quiet time”. The difficulty with doing this is that all the contained emotions build up “like a pressure cooker” and many of us commented that, at some point, it felt as if everything fell apart. Another member told us that, when this happened for her, she felt bad for not dealing with the bad times well. A brave face can only last so long. Some of us told us how receiving bad news, either about themselves or friends they had met through breast cancer knocked any brave face sideways.

So, what should we be doing? One of our members had wise words - she tries to recognise when she is experiences a tough time, acknowledge it and use self care. Self care can be simple but effective - being kind to yourself and prioritising your own well being and needs. Many of us find that talking to to others who have similar experiences can really help. We feel able to to confide in our feelings and worries without the need to put on a brave face. Some of us were able to access a local support group. We all felt the support of a group like BRiC made a substantial difference in our well being, despite the fact we all live in different parts of the country.

Sometimes you just need to take the mask off.



If you are a woman in the UK who has been diagnosed with breast cancer and would like to join our private group, please add your name as a comment below or send us a private message and we will be in touch x

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BRiC's Collective Voice: Exercise and Breast Cancer; Nov. 28, 2019

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'Accepting our physical limitations is one of the most difficult mental challenges we face with serious illness.'

We all know that exercise is good for our bodies and our minds. It's good to raise our heartbeat, move our limbs, stretch our muscles. Exercise releases feel good chemicals into our brains and it lifts our mood. Recent research shows that exercise positively affects our brain, improving processing ability and connectivity. We just need to get up out of our chairs and move. It's as simple as that. Or is it?

This week our women, who all have a breast cancer diagnosis, some primary, some secondary, discussed exercise. It soon became clear that our personal experiences bear out the idea that being a regular exerciser does not stop us getting breast cancer. Nor can it prevent recurrence or the development of secondary cancer. There is no evidence to suggest that exercising can prevent progression of cancer either. Many of us were 'fighting fit' and still got the disease.

What exercise can do is help us to feel better about ourselves. It can assist in speeding up recovery from harsh cancer treatments and surgery, helping our bodies gain strength and heal better. Exercise can, most importantly, lift our mood. It may be the hardest thing, but to get out of our chair and move our body, whether this is a few gentle stretches or a full gym workout, will undoubtedly help us to feel less fatigued and less stressed, and better equipped to deal with daily life.

We were reminded that for many women, exercise is curtailed following a breast cancer diagnosis because of the debilitating effects of active treatment and the side effects of ongoing treatment. When getting out of bed and showering becomes a major feat, then exercise has to take a back seat. Much as many of us might like to be swimming the channel and running marathons, for many of us this just isn't possible. We do what we can, and rest when we can't.

Accepting our physical limitations is one of the most difficult mental challenges we face with serious illness. As one member put it, we need to stop beating ourselves up about what we should/shouldn't be doing. We each need to find a way to enjoy exercising in a way that supports our healing.

If you are a woman living in the UK with a breast cancer diagnosis and you would like to join our private group, please leave your name in the comment or send us a private message.

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BRiC's Collective Voice: Diet and Breast Cancer; Nov 22, 2019.

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"So, have you introduced more greens in your diet, since diagnosis?"

This week our interactive discussion focused on perceptions of how diet may or may not be related to breast cancer. How our diets may have influenced our likelihood for diagnosis, and whether feeling that we have control over our diet post diagnosis can help us stay healthier and lower fear of recurrence and metastatic diagnosis.

The sad truth is that breast cancer takes away a lot of control over how we can build for a better quality of life. Diet is one of the very few ways we can feel like we are taking control back. It is therefore a hot topic: many books are written, many blogs and cancer sites are produced to showcase the potential for so many different diets: low or high in, sugar, fat, protein, and greens, to pave their way through our lives.

The story however isn’t that simple. Many of us talked about how ‘fit’ and ‘healthy’ they were PRIOR to dx. Some were vegan, some never drank alcohol, some were super fit climbing mountains, running marathons, and there were others who believed they did eat and drink in ‘moderation’.

It is puzzling therefore to try and sketch a direct relationship between diet and breast cancer. This in itself has caused many of us much distress as well as confusion over what we should or should not include in our diet post diagnosis. Thoughts of ‘could’ve, ‘should’ve’, run through our heads and sometimes the stress of feeling that we are not including the ‘right’ thing, or not eating enough ‘broccoli’ is too much to bear.

Many of us reported how feelings of guilt weigh heavy, that it was somehow our fault. Now, if we do have a slice of cake, or chocolate, we are eating too much sugar. If we do have a glass of wine we feel guilty; if we have red meat we can feel guilty, if we aren’t eating enough greens… and the list continues. Feelings of guilt and self-blame are key risk factors for depression, which many of us suffer from. It gets worse of course when others question us on whether we are keeping an eye over what we eat and drink.

Breast cancer is a multifactorial disease, and one of the most complex cancers. Whilst many risk factors are identified, no cause and effect has been established. There are many genetic factors that interact with environmental influences that may or may not involve diet. A ‘healthy’ diet we agreed involves eating and drinking in moderation. A healthy diet yes is key for building psychological and physical well-being. It is not healthy however to stress over what we eat and drink.

Diet is about self-compassion too, nourishing ourselves and yes, if we want to, have some delicious chocolate.

If you are a woman with a breast cancer diagnosis in the UK and wish to join our private support group send us a message here and we will get back to you.


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Wednesday 20 November 2019

Loneliness

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“Cancer is a lonely place to be”

In our discussion this week, we talked about our experiences of loneliness. Naz told us that loneliness can be a long-lasting effect of a cancer diagnosis and can increase the chance of developing depression. So why do we feel so lonely, even among our family and friends?

We found that whilst some of us have experienced loneliness lifelong, for many of us the experience of feeling lonely after diagnosis of breast cancer is new. We find that loneliness continues even years after developing cancer. We find that there is a lack of connection between ourselves and our friends and family, even in the most supportive of our relationship groups. Having a serious illness such as cancer changes our perspective on life with a real sense of fragility and a loss of our own sense of self in a way that cannot be fully understood by others who are not directly affected. We have all lost friends who did not - or could not - support us, which was hurtful. This adds to the feelings of being alone. We feel apart from those around us.

Many of us describe that we prefer to spend time in our own company and that this makes us feel “lonely - but safe”. We don’t feel the need to put a smile on when we feel so alone, even in company.

For some, the physical reality of breast cancer exacerbates the feelings of loneliness. Some have retired from jobs we enjoyed and miss that purpose and connection with our colleagues. Symptoms such as fatigue mean some of us cannot participate in activities we used to love and this makes us sad - missing out spending time with others makes us lonely.

Almost all of us find that being in the company of others who have been diagnosed with cancer allows us to talk honestly about our feelings. There is a sense of connection and common experience in spending time together - either in a local support group or in a virtual group. Nearly all of us agree that our mutual support eased loneliness and many of us have found firm friends in this way - people who “just get it”.

In BRiC,  we realise we are no longer alone - we hold hands together.

The Lonely Poem

We didn't know it was possible to feel so alone and yet be surrounded by love and people.'

The collective voice of BRiC: the loneliness of cancer. In free verse, in our own words, from one of our recent discussions.

A silent holding of hands

A listening ear

Is that too much to ask for?

They don’t want us to talk about our cancer

Our friends fall away

They block us out

Put distance between us

So much time alone at home,  recovering from our treatment, not just alone, but lonely

We see our scars every day

But we can’t talk about it.

Others don’t get it, they don’t get us

They change the subject

‘But you’re ok now, aren’t you?’ they say

We’ve given up trying to explain

Our emotions belittled because they feel uncomfortable

We hide our feelings to protect our loved ones

We didn’t know it was possible to feel so alone and yet be surrounded by love and people

We feel like ghosts

Not able to be our real selves

We hold back, hold it in, hold on

Deny who we are 

Our cancer is part of us now

We don’t really know who we are anymore

It’s the whole effort of figuring it out, not burdening people with it,

Yet lacking that connection because we can’t explain it

Sometimes we self-impose isolation because we don’t feel 

Important enough to take up other people’s time

And we find it hard to accept support

A lonely place to be, especially at night when the pain is bad

And our minds are working overtime

Are we responsible for our own loneliness?

We’re not OK

We want to be allowed to not be OK

We want to be acknowledged

But they are bored of our journey, living with the legacy

And no-one understands this inbuilt fear

The loneliness of our thoughts

So busy fearing the future that we aren’t living in the present

We’ve learned it’s ours to carry alone,

We withdraw into our little lonely bubble 

Our loneliness a constant companion

Alongside isolation, fatigue, boredom, silence, regret

Where is our joy?

Where is our excitement?

We carry this huge secret,

We want to shout out, ‘if only they know what’s going on inside me!’

We are scared, we are alone, we are lonely in this new world

We walk alone.

Yet there are a few of us, who have limited time left

Who have never felt less alone.  We are blessed to have devoted family 

And our happiness may seem inappropriate

Are we in denial? Or just acknowledging our real feelings, 

Rather than the emotions the situation would seem to demand?

Does it even matter?

For others this is a terrible time,

Thinking about death, we try to be part of the crowd, the living,

But we are sad and lonely there. 

We cling to each other, our cancer friends,

The ones who’ve been there, the ones who understand

Sharing our loneliness through our honesty

And when we reach out to those who understand, we build a bridge

And for a time we can feel less alone

As Joseph Conrad said, ‘We live as we dream, alone.’ 

Alone at night, afraid of the future,

But with hope 

We’re finding our way now

And other special people become our friends

In our parallel world

Our virtual safe space

To be whoever we want to be, and know we are not quite so alone



BRiC's Collective Voice: Self-perception and well-being; Nov. 14. 2019

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“If I can be kind to myself as well as to others then I’m half way to being happy in my own skin.”

Last Sunday we discussed self-image after a breast cancer diagnosis and how our self-perception affects our psychological well-being.

Naz started the discussion by pointing out that how we perceive ourselves has a huge impact on our self-respect.

The scars and ongoing side-effects can have long-lasting effects on how we see ourselves. As breast cancer patients we undergo many serious changes as a result of surgeries and treatments. The physical changes we undergo are many and varied. If we have chemotherapy as part of active treatment we may lose our hair, eyelashes and eyebrows, and nails can also suffer, but even when (if) our hair grows back its texture is often different. Ongoing hormone therapy or chemo-induced menopause can result in thinner hair and other changes such as increased weight, fuzzy brain and feeling like we’ve lost ourselves. Surgery may leave us with one breast or none, or an imbalance between the size of our breasts following lumpectomy, with scarring for all in varying degrees. Some also find they have permanent lymphoedema (a condition where damage to the lymphatic system results in the arm on the affected side being swollen and painful so we need to wear an compression garment on that arm for life). But the most noticeable – and most disliked – change for most of us was weight gain, often accompanied by difficulty in losing weight. And despite it not helping at all with losing weight, comfort eating was an issue for many.



For all of us, the experience of cancer and its treatment has changed us. Many of us said that we don’t like how we look, and some actively dislike looking in a mirror because we feel that we see a stranger looking back at us: “I don’t look like me any more.” Some have found it hard to adjust to and accept our changed shape and have difficulty finding suitable and appropriate clothes for our new body. Some members dislike their bodies without clothes, and because breast cancer leaves us with scars that aren’t visible to others most of the time, they forget what we’ve been through. Even when someone compliments us, we may have difficulty accepting the compliment – one member summed this feeling up succinctly: “even if I do look alright I don’t feel it.”

We are not only concerned about how we see ourselves but also the impact the changes have on our partners. We may feel sad for partners, as dealing with cancer is not what they signed up for. Most have said that partners have been very supportive and still say they love us and find us attractive, but a couple of members related that partners have stated they no longer find them attractive, so physical intimacy in the relationship has suffered.

Being single is particularly difficult after cancer treatment, because of both the physical and emotional changes: “I can’t honestly ever see me dating again.” Our single members may be unsure what kind of reaction a potential partner may have, and even if they’ve had a few dates they may not have the confidence to develop a relationship.

We can be told every second that we are beautiful, but if that’s not what we believe ourselves then nobody else saying it matters. So what have we done to help us improve our self-image?

Some members said that they have come to feel happy with their new body, and work hard to get to know and accept their new bodies. One member commented, “Self-love and self-image is something I’m working really hard on. I wouldn’t be so harsh on anyone else so why do it to myself?”

We have learned that in the grand scheme of things, appearance isn’t everything. While society seems to encourage us to judge and compare ourselves to unachievable body shapes, we need to realise that it’s us who need to change our own opinions of ourselves and reclaim our bodies. One member found a programme on Channel 4 by Kathy Burke very helpful – she is not a classic beauty, but she believes she’s a beautiful person in a beautiful body.

We also shared some practical tips.

Some members have taken up fitness activities since diagnosis and work hard at maintaining their new body. One member found it very hard at first but perservered and has made new friends of all shapes and sizes. In the words of one member, “I work hard at maintaining my new body in order to like something about myself”.

Those of us who have pets find them a great source of solace as they still love us, however battered we are. Dogs in particular mean we have to get exercise, which helps with the difficulty we may have losing weight. Some members swim, and one member even plays Pokémon GO in order to get out and walk!

How we dress can also been positive. Nice underwear can help us to feel better about ourselves, but although it can be a challenge finding something nice, particularly for those who have had mastectomies or are now odd sizes, finding some reasonably priced sets has boosted our morale.

For others, in order to get to feel comfortable with our “foob” (a contraction of “fake boob”) or mastectomy scars we have chosen to have a tattoo, and this has been a positive choice as it has allowed us to take control. Some have had other smaller tattoos elsewhere, and all who have had tattoos have been pleased with them.

The idea of control continued for those members who have actively chosen to “go flat” and not have reconstruction, either after a double mastectomy or after getting a second mastectomy. They have found that being able to make the choice has helped them to accept it, and helped with their psychological wellbeing.

“Learning to accept the ‘new you’ both physically and emotionally can be very difficult, but it can improve our general wellbeing and eventually bring about contentment and happiness.”

If you are a woman in the UK who has had a breast cancer diagnosis and would like to join our private group, please send us a private message or leave your name in a comment and we will be in touch.