Don't Let Cancer Take Control

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Taking back control of your life with small wins.

One of my biggest issues over the years in dealing with cancer and other health issues has been the sense of losing control of my life. One minute I’m living the good life with a job I like, friends and have the ability to do whatever I want, whenever I want; and the next minute I can’t even go see a movie because my blood counts are too low. Then there’s always the worry in the back of my mind of what the future holds. Will I be hospitalized with an infection? Will I need to change up my chemo regimen? Will I get more bad news?

As a result of all of this, I have experienced anxiety, depression and again, that feeling of being out of control. So, what can be done about this?

In the book, The Power of Habits, Charles Duhigg talks about "small wins" as a way to improve not only mood, but the actual production of dopamine in the brain. Small wins like simply making your bed every morning to improving your posture can help improve your mood—they are considered “small wins.”

"I love the ‘small wins’ idea! You can 'do one thing different,' and reap outsized rewards," as counselor Bill O’Hanlon is quoted saying on the PsychologyToday.com website.

For me, small wins have helped me tremendously through extremely tough times. One problem I always had was that my head was like soup, constantly being stirred, on a boat, in a hurricane... if you can imagine that. I had so many thoughts and they were all totally unorganized. For me, my small win here was to simply keep lists of things I needed to get done. For each item I could check off of the list, that was a small win for me.

In 1998, when I had to have my bone marrow transplant, I knew I wouldn’t have the ability to lift weights for several weeks. I wasn’t the biggest guy on the planet, or even in the room, by any stretch, but I loved lifting weights because of how they made me feel and I didn’t want to stop lifting. I had to do something. So, I turned the situation into a small win. The small win came from taking five-pound weights to the hospital with me. Yes, I said five-pound weights. By simply doing “a routine” of sorts, I felt that I was achieving something. I definitely wasn’t achieving large amounts of muscle mass, but the very, very, small workouts were helping me get that win I needed. The ironic thing is, at the time, I wasn’t even aware of the “small win” concept. It wasn’t until years later that I read about it and realized what I had been doing, I was winning big in a serious of small victories.

If you are feeling a bit out of control because of cancer or cancer related issues, I'd suggest giving the small win strategy a chance. You might be surprised at how well it can work for you.

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For patients with cancer, the ongoing chemotherapy shortage may cause some anxiety as they wonder how they will receive their drugs. However, measuring drugs “down to the minutiae of the milligrams” helped patients receive the drugs they needed, said Alison Tray. Tray is an advanced oncology certified nurse practitioner and current vice president of ambulatory operations at Rutgers Cancer Institute in New Jersey.  If patients are concerned about getting their cancer drugs, Tray noted that having “an open conversation” between patients and providers is key.  “As a provider and a nurse myself, having that conversation, that reassurance and sharing the information is a two-way conversation,” she said. “So just knowing that we're taking care of you, we're going to make sure that you receive the care that you need is the key takeaway.” In June 2023, many patients were unable to receive certain chemotherapy drugs, such as carboplatin and cisplatin because of an ongoing shortage. By October 2023, experts saw an improvement, although the “ongoing crisis” remained.  READ MORE: Patients With Lung Cancer Face Unmet Needs During Drug Shortages “We’re really proud of the work that we could do and achieve that through a critical drug shortage,” Tray said. “None of our patients missed a dose of chemotherapy and we were able to provide that for them.” Tray sat down with CURE® during the 49th Annual Oncology Nursing Society Annual Congress to discuss the ongoing chemo shortage and how patients and care teams approached these challenges. Transcript: Particularly at Hartford HealthCare, when we established this infrastructure, our goal was to make sure that every patient would get the treatment that they need and require, utilizing the data that we have from ASCO guidelines to ensure that we're getting the optimal high-quality standard of care in a timely fashion that we didn't have to delay therapies. So, we were able to do that by going down to the minutiae of the milligrams on hand, particularly when we had a lot of critical drug shortages. So it was really creating that process to really ensure that every patient would get the treatment that they needed. For more news on cancer updates, research and education, don’t forget to subscribe to CURE®’s newsletters here.
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