Last week I underwent a surgery I had been hoping to avoid. It was a dark cloud hanging over my head for 6 months. It started with a test, a biopsy, an ineffective attempt to rev up my immune system and a surgery.

The past 6 months have been an emotional rollercoaster as I faced the possibility of cancer and potentially damaging my child-bearing abilities. I had an amazing amount of support, not only from my loved ones and friends, but also from my friends in the blogosphere.

Let me say first that there is no wrong way to support a friend. But a health crisis can send a person into an emotional tailspin of anger, fear and loneliness. Here are a few things I learned along the way.

Don’t say: Lots of people go through it.
When I heard this (which was often since lots of women do have this surgery), it made my feelings seem insignificant. While it is soothing to some degree to know that you’re not going into completely uncharted medical territory, it is the first time for you and it shouldn’t be trivialized.

Do say: Here’s the contact information for someone who has gone through it.
I can’t count how many times people told me they knew someone who had the same surgery and how she was fine. But that didn’t lessen my fears. Great. Someone, somewhere has come out OK. Doesn’t help.

A few days before my surgery, a woman called me and said that she’d had the same surgery, although it had been 20-someodd years since. She told me exactly what she went through, from beginning to the end. That was the first time I felt comfortable.

So much of what we fear as humans is simply the unknown. The more firsthand information I acquired, the more at ease I felt. After my surgery, a few more women stepped forward and said they’d had it also. I wished that they had done so earlier.

Don’t say: There are people who’ve gone through worse.
I heard this a few times, and when I did, it made feel like total crap. Not only was I (still) facing surgery, but here I am feeling sorry for myself while children in Africa are dying of hunger and disease. Thanks for the helping of guilt – it goes great with my anxiety and fear.

Do say: Let me share my experience going through something worse.
Unless you’re the person who has gone through something worse, I wouldn’t touch this one. If you can’t offer sympathy, don’t offer guilt in its place. If you have faced a bigger challenge, then please share your experience.

An older gentleman friend of mine faced (and beat) cancer three times. Another girlfriend beat a brain tumor. Two of my aunts have in recent years survived breast and brain cancer. Having watched these people walk through their ordeals with grace and talked to them about their fears, where they found strength and courage, and how they coped, were invaluable lessons.

Don’t say: Keep your chin up.
The thing about clichés is that we don’t hear their meanings anymore. Our mind sort of glosses over them because we’ve heard them so much. Besides, who wants to keep their metaphorical chin up when they feel a punch coming?

Do say: Keep your shoulders back.
This is a challenge you’re facing, and you should be in full-on attack mode. It was hard to feel self-pity, sadness, fear, or weakness when I remembered to physically round my shoulders back and down. It made me feel strong, powerful, like I was ready for a fight. It’s sort of like the moment a runner laces her shoes up – her body is ready for the run. By keeping my shoulders back, I was ready to face my challenges head-on.

Don’t say: Don’t worry.
I know this is what people say when they’re searching for the right thing to say and it just isn’t coming. People who love us desperately want to see us feeling better, faster. And it seems like anytime someone said this to me, they were willing it with all their might to take the worry away from me. But someone in a crisis is going to worry. I felt like people were trying to shut me up sometimes, like closing their eyes to an ugly house in the neighborhood.

Do say: Tell me what you’re worried about.
I realize that my loved ones don’t want to think about the worst-case scenarios anymore than I do, but I needed to talk about what I was worried about. Would it be cancer? What if I can’t have children? What if something goes wrong in the surgery?

One of my tricks for beating fear is naming the monster. I ask myself what the worst-case scenario outcome is. That usually takes the fangs off a fear. I needed to be able to do that with someone close to me, to get it off my chest. My moods were so effected by my fears, that I would burst into tears at the breakfast table. “Don’t worry” ain’t gonna fix that. Talking it through will.

Don’t say: Everything will be fine.
This is a lot like “don’t worry” in that I think people say it when they have nothing else to say. I usually just sort of shook my head in agreement or mumbled a thank-you. It just doesn’t really say anything.

Do say: I’m praying for you, or I’m holding you in my thoughts.
While “you’re in my prayers/thoughts” sounds kind of clichéd, this is probably one of the things that warmed my heart the most and actually made me feel better when people said it. It told me that they cared, were thinking about me, and were offering to do the one thing they could actually do – pray for my well-being or send “good vibes” my way.

Even when I was an atheist, I welcomed people’s prayers in a crisis. I took a class in college about the mind-body connection and read about studies in which cancer patients who had an assigned prayer group praying for them survived at higher rates than control groups that did not have a prayer group. I believe in the power of lots of people sending positive thoughts and wishes for you into the universe.

My rollercoaster ended on Monday when my doctor declared me cancer-free. If I can learn to remove the stress in my life, I’ll (hopefully) never have to face it again. But that’s another post…

Photo courtesy My Lyn via Flickr.

Too often I hear people saying that my generation takes things for granted, that we act entitled and expect more than we’ve earned from life. And like all youth before us, we believe ourselves invincible, unstoppable, immortal. And while logically, I know that this is not true, I am guilty of acting like I have an endless string of tomorrows, too.

I like hamburgers. A lot. I have a thing for classic American food, like fried chicken, milk shakes, and French fries. I love McDonalds. And I’ve been known to down four Red Bulls one right after the other and still yawn at the end of the night. I don’t sleep enough. I push my schedule to the limits, suffering small breakdowns, edging out relaxing activities, and parsing out tiny increments of time to family once a quarter.

What I’d been doing was waiting until tomorrow for well, everything. I’ll just have a hamburger today, tomorrow I’ll eat healthier. I’ll see my family next weekend, when work is less stressful. I’ll start leaving the office sooner after this quarter is over; I’ll take a do-nothing day sometime later, once my business is off and running.

We treat life like bottomless chips and salsa – there will always be more when we run out.

Somewhere around the time Date #4 and I were splitting up, I got some unexpected news from my doctor. I needed a biopsy. I’ve had two biopsies in the past and some minor surgery to catch some low-level growth on my cervix before it progressed. No big deal. So I had the biopsy and waited, rather impatiently, for the results over the long Thanksgiving weekend. [I'd like to note that Date #4 drove me to and from my appointment and took amazing care of me. He even baked cookies.]

My doctor’s office called and said the results were normal. No abnormal cell growth. But we want you to come in and talk to the doctor anyway. Sure, sure. Great. No worries. I hang up the phone.

Wait.

Why does the doctor want to see me if everything is fine? My sister the nurse reassures me. “She probably just wants to talk to you about getting everything back to normal and keeping it that way,” she said.

Instead, my doctor tells me that the biopsy was normal. For my outer cervix. What that means is not that there are no problems – it means that they are deeper. In fact, the problem is so deep that the kind of biopsy required could compromise my ability to carry a pregnancy to term. [I assume by now I’ve lost most of my male readers.]

I had a decision to make. I could move forward with the more invasive biopsy, which will require hospitalization. Or, I could wait and see. Sometimes these things can go away on their own, my doctor tells me.

The bargain I strike goes something like this: I have three months to boost my immune system and then I have another test. In the meantime, I run the risk that the growth, which we know nothing about, is bigger or faster-growing than we think.

I’d like to say that things have changed in my life since that day. That I’ve learned the fine art of doing nothing, as one of my retired friends likes to say. That I’ve slowed down, eat healthy, exercise regularly, and am on the whole less stressed.

Pretty much the opposite is true.

I’ve read a lot about cancer and seen the effects of stress on family members and their health. I took a class in college all about how our minds and bodies are connected. I know that the more I believe I will be fine, the more likely I will be. But what a mind-screw.

What’s happened instead is that every time I realize how stressed out I am, I think, “Oh great. I just gave myself cancer.” And then I get more stressed out. Because what if I do want to have kids? What if the partner I haven’t even met yet wants kids? What if I freaking have cancer? And the lump in my throat grows.

Every one around me tells me it’s not a big deal; lots of women go through this. Yes, I know. But it’s not your ability to bear children, is it? I always think. It’s not you with the crap medical insurance in the hospital, is it?

And I stop and realize that none of this is helping. It’s actually making it worse.

Here’s what I should be doing, and my hope is that by putting it out here I can somehow make this next month go the way it needs to. Because in some sense, my life depends on the way I live.

Physical elements
Eating right – Cut out the crap. Insert the fresh. I prefer to eat six small meals throughout the day, and already have a meal plan for this. Guess what’s not on it? Fast food or junk food. It’s all about the many colors of veggies and fruits, with a healthy dose of lean proteins and whole grains. Bring it on.

No caffeine – I love my lattes. I was able to cut out caffeine for three weeks before I caved into Starbucks, aka the monkey on my back. It’s a comfort thing for me, and thus I won’t cut it out all together. Once a week shouldn’t hurt. But I’m glad to say I’m off my three-cup-a-day habit. I can honestly say I have more energy.

Lots of water – Water flushes the body out. By cutting out all other beverages, I realize how little water I would drink otherwise. I also firmly believe my mother’s gorgeous skin is due to her water addiction. It’s all that woman drinks and she’s got the skin of a 25-year-old.

Exercise – Up until the past two weeks, I had a rigorous exercise routine. Three 30-40 minute runs per week, a day of upper-body strength training, a day of lower body and a yoga/cross-training day. This was a good mix for me. The cardio helped my immune system, the strength training builds strong bones (which important for women since we’re prone to osteoporosis later in life – how many of us think of that every day?), and yoga or whatever other physical activity like fishing, kayaking or hiking allows me to be active in my life and enjoy it.

Vitamins – I’ve been taking pre-natal vitamins from the get-go. They boost your immune system like nobody’s business, plus they make your hair and nails grow super fast. It really makes you realize your body is a machine that works harder the more you take care of it. I’ve also been taking calcium (see osteoporosis comment above) and fish oil. I drink Echinacea tea once or twice a day. Hey, man, whatever you say might work, I’ll do it.

Mental
You’ve got to believe you’re going to be OK – This is what everyone tells me, including my doctor. I remember a study from that college course that showed that terminally-ill cancer patients had a higher s
urvival rate if they were in denial than those who accepted their impending death. See also: The Secret.

Keep stress levels low – I have no idea how to do this. I thought perhaps if I could keep my schedule clearer, I would have more downtime and feel less stressed. But that doesn’t seem to work for me. I love all of my activities and have yet to learn the art of saying no. It’s hard to turn down projects when you want to grow your own business, especially when the economy is the way it is and you work in a dying industry. A friend recently told me I needed to embrace this about myself, and that would be the key to unlocking my stress. I do try to have one night a week that is clear of any activity. I spend that evening relaxing with a book, enjoying the quiet. This is definitely my weakest area and I welcome all advice related to this.

Renew – My life coach gave me some tips on how to do this. One is laughter. So I try to be around funny people, laugh at everyone’s jokes, and watch funny movies. It does help. Another is sleep. I try to get 9 hours a night, 8 at a minimum. Being in nature is another, and Date #4 has been kind enough to let me visit his country place out in the Hill Country. It is super relaxing, and I love tromping through the woods with his dogs and lazily kayaking in the river. Anything spiritually-related is good, which I’ll talk about below. Finally, believe it or not, music can be an invigorating activity. I love Explosions in the Sky for inspiring and uplifting me.

Visualization – OK, this is kind of gross, but part of what I do every day is to spend time visualizing a healthy, pink cervix. I even looked up a picture (thanks, Google Images). It looks like a fluffy pink doughnut, basically. I say to myself, I have a healthy, pink cervix. And I imagine it. Weird, I know, but again – I’ll do whatever will work.

Spiritual/Emotional
Faith works – Numerous studies have shown that people who have some kind of belief have higher rates of survival when facing illnesses. I’m not a religious person. To be honest, it just never worked for me. I do consider myself a relatively spiritual person, however. I believe in things like karma and hope reincarnation exists. I think that there’s a reason for things to happen, and I believe that things will turn out the way they’re supposed to. I also think that there is something bigger than binds us all. So, in some sense, I just try to trust that.

Prayer/meditation – In that same college course, I found out that people who had others praying for them generally survived also. I thought this was really interesting. There didn’t have to be a connection between the patient and the prayer-er. I like to think of it as “good vibes.” You’ve got all these good vibes coming in your direction – that’s gotta help, right? Spending quiet time in meditation and prayer also helps center an individual, quiets the mind, and can lower stress levels.

If you’re facing the same situation, I’m not sure what to tell you, except that you aren’t alone. Maybe that’s why I’m writing this. Because even though my friends and family are very supportive and kind, it’s an isolating thing. It makes you question your priorities, your lifestyle, your past decisions. It makes you realize that life is not bottomless, and that the things you feel entitled to, that you take for granted, may not be there in a month.

Photo: Courtesy JPhilipson via Flickr.

Eating crow: humiliation by admitting wrongness or having been proven wrong after taking a strong position

Eat humble pie: to apologize and face humiliation for a serious error

I’m not sure either of these describes exactly how I feel, but they come close. I had a particularly, and unexpectedly, emotional day. Around noon, I learned that a friend’s sister overdosed last night. I didn’t know the sister, but this recovering alcoholic can tell you that there is something about hearing that this disease has claimed another person that shakes you at your core. I believe it was that shaken state that allowed everything to bubble up to the surface.

I can’t write list posts or tell you how to get through your first day of work or even how to make more room in your life for love. The only real thing I have to offer is a candid view of the way I live my life, and to be as achingly honest about it as possible. And I’ve been wrong. About several things.

It started innocently enough. I stopped by Old Navy on my way home from work to pick up a pair of pajama shorts since it’s become clear to me that Date #4 will not take the hint and leave behind the necessary boyfriend boxers I would prefer to sleep in. While there, I decided to be a good auntie to my cousin’s 1-year-old daughter and pick up a few cute little things. I dumped it all on the bed when I got home, changed into my new shorts (ah…) and stared at the clothes. They were so cute, so little, and I couldn’t wait to see her in them. A feeling started to come up… and I shoved it back down.

All day, I’d been shoving it back down.

The loss of my friend’s sister stirred up my still-raw emotions over the loss of my friend Maureen back in March. I shoved it back down. Date #4 not being able to spend his birthday weekend with me stirred up feelings of jealousy, resentment and fear. I shoved it back down. As I stared down at the little girl’s clothes, it stirred up emotions of something I’d lost years ago, and I shoved that down too.

But it wouldn’t stay down.

As I tried to finish going about my night (I needed to blog, get my work and running clothes ready, make some concrete business decisions…), it just wouldn’t stay down. Something wasn’t right. It’s been this way for a few months but I couldn’t put my finger on it. I thought it was maybe my sinuses, maybe not exercising, not having my work and life balanced just the right way or not doing the right kind of work. I searched, all the while shooing away this nagging feeling that I wasn’t working something important out. Shoved it down.

It came up. All at once.

I miss Maureen and her death has affected me. I can’t ignore that. I don’t want to feel that pain because it is so very strong. I am missing a friend, a person who totally got me, who gave to me and took from me, to whom I told “I love you” every time we said goodbye. I wasn’t dealing with those feelings, that grief. I ignored it.

What I really want when I imagine a good, fine life for myself is to own my own café, just as I envisioned it in December, an airy cozy shop full of funky vintage furniture, good coffee and an owner (me!) who knows everybody. I would be in a cool town, maybe not too big but too small. Somehow I got the notion into my head that it just wasn’t grand enough a business for a smarty-pants like me. So I shelved it, said it was best left for retirement.

The most startling realization to you, my readers, might be what else I see in this picture. As I run my own successful café, I very clearly see children running around my shop. I want children. Three years ago, I was an alcohol who could not bring myself to bring a child into my world. That experience has been far more impacting than I ever thought, and fear has driven me in that regard.

I realize now that when it comes to the emotional things in my life, it’s going to take much longer to heal than I thought. It wouldn’t say much about my friendship with Maureen if I weren’t still moved to tears a mere five months later. I am. It wouldn’t be treating my disease with enough respect to think that the choices I made years ago because of my drinking would just go away on their own. They haven’t.

As to my business choices, I think I simply veered off course looking for something perhaps a little more glamorous, a little more grand than my simple dream of owning my own coffee shop. But now that I’m back there, it’s like a warm blanket, familiar and just right.

In some respects, I’m back where I was in December, which isn’t necessarily bad. I feel a little sheepish, a little humbled admitting that my ego inflated as I attempted to fluff myself up to meet these grand ideas. I don’t always know what I’m doing. I thought I was just putting on a brave face. When I put a brave face on, I only fool myself. And fool myself, I did.

Life is a tricky thing. I’m skeptical of anyone who says they’ve got it all figured out. Especially in these early years, as we try to form ideas of who we want to be and how we can become those people, certainly we’ll look a little foolish along the way. I guess I’m just happy to be trying.

If you haven’t read my previous post about my issues with mamahood, then go for it so you can get an idea of how serious I’ve been about not wanting kids. My sentiments are also echoed here and here [hat tip: Penelope Trunk; TwentySet]. Now, bear in my mind that the decision I’m scrutinizing is my own, and not the decision of whether or not to have kids in the empirical sense.

I’ve been doing a lot of thinking about this lately, primarily because (of course) it is an issue in my fledgling relationship. Granted, we’ve both agreed that it’s not an immediate issue, but he would like to have at least one child with whomever he marries. It’s no secret that I’m crazy about the man, but I’m not willing to agree to children just because that’s what he wants.

We have had a lot of conversations about it though, and it’s got me thinking about it on my own. As I began to examine my issues with having kids, talking about it openly and honestly with friends of differing ages, marital and child status, and watching people with kids more closely, I started to realize how close-minded I’ve been.

I began to realize that my problem is not with actually having kids, but that they become an end in themselves and not a side effect of living the life I’d like.

A few things happened leading up to this realization. One, I’ve been talking with a mentor of mine who is 50 and has the coolest relationship with her daughter I’ve ever seen. I have no qualms being totally open and honest with her, even with the ugliest parts of myself. She pointblank told me one afternoon that I was being close-minded when it came to my thinking regarding family life. I realized that I was assigning arbitrary labels to people and making assumptions about their lives based upon that. Married, divorced, middle-aged, overweight, with or without kids, single, thin, etc. Does the label make the experience of the life?

Somewhere around that same time I was leaving Date #4’s house, and an early-thirties-ish couple walked by with a stroller and a grandparent in tow. They were just taking a Fourth of July stroll after a fresh rain, chatting and such. “That’s probably the best thing that could ever happen to me,” was the unwelcome thought that popped into my head. Whoa. Where’d that come from?

On my drive home, I rolled it around in my head and realized the truth of it. I’ve seen a lot of families that are happy, in which the parents continue to live dreams independent of their children. While their families greatly enhance their happiness, their kids are supplemental to the happiness that they already experience in life. They are not, and never did, expect children to be the main source of their happiness in life. They are simply one of the aspects of their life that they derive joy out of.

I have been watching a few families in my life since I began to seriously evaluate this issue. One is a young couple who have probably the cutest baby girl I’ve ever seen. I’ve said before that if I could insure that a child of mine would come out that cute, happy and well-mannered, I’d have kids without a doubt. The thing is that I watch the parents, too. They’re happy, and appear to be very much in love. I’m not close to them, and so they may have more problems than I’m aware, but they seem like fairly transparent people. I see them together, separate, and with their families. I won’t lie – there is a part of me that craves a normal family life because of the dysfunctional part of mine. They are always friendly and seem to possess a sense of peace about their lives.

I also watch my older female mentor and her family closely. She’s been a single mom for a long time, and her daughter is a well-adjusted, intelligent young woman. She has self-confidence at 13 that I still wish I had. The openness and frankness with which they deal with the little and big things in their lives is truly inspiring to me. It gives me goose bumps. That family probably has the most irreverent sense of humor I’ve been privy to and they have a lot of fun in their lives. It’s clear that they simply enjoy the ride.

Finally, I watch the families that make me not want kids. In doing so, I’ve come to realize that the thing that bothers me is not that they have children, but what their intentions or preconceived notions were in doing so. They all have a few things in common for the most part. One is that they had their children too young and/or too soon into a relationship/marriage. I’ve watched people have kids and treat them as accessories, and I’ve seen people have kids because they wanted something to love. They were trying to fill a hole that remains unfilled. And now they have kids to take care of when they didn’t know how to take care of themselves in the first place. (Side note: I was in the ER with my grandmother last night and a 17-year-old came in with impacted bowels, i.e. constipation. Her second birth and she didn’t realize that she should’ve been drinking lots of water, eating fiber, and probably shouldn’t have waited a week to tell the doctors she hadn’t had a bowel movement. If you can’t take care of yourself, how will you raise a child?)

I guess my point is that as Gen-Y women we’ve been told that “having it all” is a myth. That makes me feel like I have to choose between my career and having a child. It’s saying that I won’t be able to do both. While I know that to some extent one suffers at the hands of the other, I’ve been watching this young couple juggle a baby and a new business successfully. By successful, I mean that the baby is clearly happy and well cared for, the business is doing very well, and they both seem extremely happy and still in love, though at times admittedly tired.

It gives me hope. Perhaps I can live life happily without any sacrifices.

There’s something about magazines like Real Simple and TV shows like House Hunters that depresses me. I can’t quite put my finger on it, but every time I attempt a sit on the couch post-work I am irritated by things like Everybody Loves Raymond. There’s a part of me that is suspicious that these forms of entertainment have been created to make us believe that not only are you content with your life, but you are enthusiastic about it, a subtle (or not-so-subtle, in my opinion) brainwashing of home-improving, toddler-yogaing, exasperated-but-happy-at-the-end-of-the-day, we’re-the-same-kind-of-unique status quo. Welcome to the new yuppiedom.

Maybe I’m just feeling particularly fed up with the new American dream this evening, as I sit in my underwear, toenails unpainted and unmanicured, eating Oreos with orange juice, wondering why I’m throwing 5 months of perfectly good conditioning down the drain. Maybe it’s that I’ve recently fallen in love and have caught myself twice already daydreaming into that magical land I call Not A Chance in Hell.

That place involves a relationship that can survive my apparent two-year statute of limitations with a guy who looks like a J. Crew model, a baby as cute and happy as the one that couple at the café has that will magically disappear when it needs to be fed/changed/burped or cries inexplicably, a house that requires little-to-no maintenance which of course we obtained at a steal, a thriving business that I built and doesn’t require me to be around all the time, and a Holly who does not feel overwhelming pinned-down and caged by it all.

Puh-shaw.

That’s when I turn off the TV. And call Real Simple to remind them, once again, that I unsubscribed two months ago. I fight off the sneaking suspicion that somehow, somewhere my father has bribed a Starbucks barista to spike my lattes with hormones. I have been told repeatedly that one day I will want all of these things. When I get a case of the I-just-want-to-be-upper-middle-class blues, I daydream another life.

In this life I usually am married, or in a long-term committed relationship. Yes, I am happy and content being single, but like many, I would like to have a companion through life. I think a character in Shall We Dance? sums it up best when she says people get married so that in a world of billions, one person says they will be the witness to your life. I agree with this. 

At any rate, 90 percent of me says no to kids. This is mostly a financial decision in my mind. Yes, I know you can be financially well off and have kids also, but the majority of folks are not. Here are a few examples of childless couples who are financially better off than their peers (especially where it comes to retirement). And here’s an entire online community dedicated to couples who have chosen not to have kids for a variety of reasons. I take comfort knowing that I’m not the only one out there like me.

Mostly, though, this daydream life is about being able to do the things I am passionate about without any compromises or guilt feelings, such as diving tirelessly into my own businesses, having a partner who I still find sexually appealing, coming nowhere close to any variety of poop/snot/vomit, and traveling at will and on whim.