Brenda at pain rehab at Mayo Clinic
We thought you might want to know a little more about a day in the life of Brenda — her progress after having recently completed a comprehensive pain management program at Mayo Clinic, her overall health, her daily routine, and her various coping mechanisms that help to get her through the day.
Everything is new; everything is different. Gone are the days of running marathons, climbing rocks, and riding bicycles — at least, for now. Brenda’s current life is a very different existence; not necessarily worse, but certainly a far cry from her former life. This once very active young woman makes conscious efforts just to get up every day, make the bed, and take deep, mindful breaths.
Being a person is hard sometimes
Truer words were never spoken.
An observant very young man recently said, “Some days gross things will happen. Some days awesome things will happen. Some days you’ll get ice cream and some days you won’t. Some days your kite will fly high. Some days it will get stuck in a tree. It’s just how it is here (on earth).” Simple yet profound observations from Kid President.
Such is the case with Brenda’s exacerbated yo-yo life, full of unpredictable ups and downs ever since the doctors first gave her the cancer diagnosis three years ago. There’s no way of knowing when that next victory can be celebrated, or the next fall will be lamented. Adult onset neuroblastoma is so rare — and so unforgiving — that its effects and outcome are impossible to predict. The oncology experts are often left scratching their heads.
Tossing out the drugs and getting rid of the pain
Brenda has spent the month of February at the Pain Rehabilitation Center (PRC) at Mayo Clinic in Rochester, Minnesota. The goal was to wean her off the multitude of medications she was forced to consume. The meds aimed to reduce her pain, at least enough to get out of bed and engage in the basic daily routines that once came so naturally. Pain management specialists were charged with using a behavioral therapy approach to deal with the pain differently and to improve the quality of life for Brenda, as well as for anyone seeking to improve their chronic pain condition.
Of course “dealing” with it doesn’t mean it is gone. Nope. Brenda’s kite is stuck in that tree where it will remain for an undetermined amount of time. It’s there taunting her, far beyond her reach. The life Brenda once knew has vanished. The plans she had envisioned with her family — dreams of having more children — gone. Just like that. Poof.
Brenda is alive today, right now, this moment. Maybe she’s strong enough to take a leisurely walk in the park; perhaps she can resume her jogging habit; and possibly — eventually — ride a bicycle again. Not the tandem bike on which David needs to do most of the pedaling, but using her own bike and her own muscle power. Heck, Brenda should get a ‘high five’ just for getting out of bed, according to Kid President.
Brenda’s life is different now than it had been and different than the one she imagined, but that’s just it. It is different. It doesn’t have to be “worse” or “bad.” If history is any indication, Brenda will again be motivated to achieve great things. She just hasn’t figured that out yet. Besides, life isn’t about what we do, it’s about who we are.
The greater the obstacle, the more glory in overcoming it. — Molière
Over the past month, gradually, the overall pain has subsided; though, the increased level of pain specific to the nerves in her legs has forced Brenda to take more medication for the ache that reached a level previously not felt.
The good news is, Brenda is off all opiates, stimulants, and benzodiazepines. That’s not to say she didn’t think about using some whenever the pain returns. It’s a constant struggle.
So, how does she do it?
Brenda does a variety of PRC-endorsed basic rituals in order to cope with the pain. The routine includes many habits from which each and every one of us could benefit.
- Get up in the morning and shower. This simple activity is not so easy for some of us in the cold upper Midwest winters!
- Help watch Hannah. A pleasure, for sure, but this little bundle of joy requires a lot of attention and energy.
- Find a distraction. Brenda has many interests, so finding a distraction is not a problem. She helps friends paint interior walls of their home; takes Hannah to her swimming lessons when possible; visits family — unfortunately, that grueling four-hour road trip to visit her sister and dad in North Dakota wreaked havoc on Brenda, both physically and mentally, spiking her level of pain at least 200 percent. Another distraction includes house cleaning, albeit in small, tolerable increments. A never-ending endeavor.
- Exercise, in any amount possible. Brenda has begun walking in the mall with a friend — a fellow PRC program graduate — up to three times a week. On alternate days, she’ll relieve some stress on the treadmill at home. Brenda is lifting light weights at least four days a week — a considerable contrast from the heavier weight-lifting days of her past.
- Stretch. Limbering the muscles every morning is good practice and, as a bonus, Brenda occasionally enjoys the company of a tiny little workout buddy, Hannah.
- Meditate. More and more experts are receiving mainstream attention for their expertise on the many benefits of meditation.
- Relax. Brenda tries to make use of audio tapes that walk her through muscle relaxation and guided imagery.
- Breath. Yup. Another seemingly mundane activity is quite significant for relaxing, healing, and bringing self-awareness. Using the emWave devise, Brenda focuses on breathing slowly and deeply through the diaphragm, potentially reducing the negative effects of stress, improving relaxation, and building resilience.
- Luminosity. The web-based program claims to help increase cognitive abilities; something all of us can use with the goal of improving recall and focus. By her own admission, Brenda hasn’t challenged her brain much over the last three years, ever since she stopped working and was forced to spend every ounce of energy fighting this attack on her body. The chemotherapy, constant doctor visits, radiation, surgery, stem cell transplant, and all that other cancer-related chaos has taken priority over pretty much everything else. The hope is that the daily use of this program could improve cognitive thinking and reverse the effects of chemo brain.
- Moderation. For an ambitious go-getter, the PRC-supported recommendation to use moderation is not something Brenda could easily accept. We often think of people eating or exercising in moderation, but this is about doing everything in moderation — spreading out the day’s activities to lessen the amount of stress condensed into small increments of time. For example, do the prep work for supper earlier in the day; clean little by little, taking small breaks; don’t cancel a lunch appointment if you don’t feel up to it, make the effort and keep it short, if you must.
The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of those depths. — Elisabeth Kubler-Ross
Brenda enjoys a simple, yet significant, moment with Hannah planting seeds
Essentially, Brenda is having to change the way she does nearly everything; watching Hannah can only be done in small chucks of time. This is another contributing factor for David’s inability to return to work full time. He balances a few days of work with designating time to look after his family and other priorities in need of attention.
Sure, we all have our issues — a noisy neighbor, micromanaging boss, barking dog, student loan debt, unemployment, a cheating spouse, weight gain, weight loss, teenage daughters, bills, food sensitivities, household chores, or estranged family members — but when just getting up in the morning is on the to-do list; when taking a shower is a required part of a pain management program; when a mom’s time with her baby is limited because of the debilitating effects of cancer, it tends to put our problems in perspective.
“Let us be kind to one another, for most of us are fighting a hard battle.” — Ian MacLaren
Throw everything at the wall and hope something sticks
When dealing with the exceptionally rare adult onset neuroblastoma, pain management involves a lot of trial and error. Brenda will try anything with the goal of winning this battle. That includes seeking treatment from a huge variety of experts, traditional and alternative.
- Oncologists, of course
- Massage therapist for rehabilitation
- Reiki healing specialist
- Psychologist
- Psychiatrist
- OBGYN doctors regulate hormones, closely monitor blood clot in Brenda’s heart.
- Audiologist to address hearing loss.
- Eye doctors monitor eye health following massive amounts of chemotherapy.
- Primary doctor watches withdrawal symptoms and ensures against danger.
- MRI expert
- Pain doctor
- Vocational specialist.
Brenda practices her mindful breathing, reducing stress
Brenda’s biggest issue she’s struggling with, right now, is the ability — or inability — to sleep. Experts recommend a solid eight hours of sleep each night for all of us in our efforts to maintain good health and mental clarity. This is especially true for someone whose body is fighting an illness and needs more sleep and energy to take on that disease. On good days, Brenda might get seven hours of sleep, but the bad days aren’t so good. The pain taking refuge throughout her body sometimes limits Brenda to just one or two measly hours of rest.
You never know how strong you are until being strong is the only choice you have.
There are many things over which we have no control. All we can hope for is to do our best. Regarding something as common as breathing, Kid President says, “You’re gonna do it a lot, but nobody knows exactly how much. So enjoy it.”
We should all breathe more intentionally, focus on the good in our lives, count our blessings, spread compassion, and make every day count.
(By the way, here’s that video from Kid President referenced earlier in this blog. It’s not about cancer or illness, but it is about living life with compassion and respect. Watch it.)