My Next Steps

Thriving during adversity

Not in this alone (5/30/25) October 2, 2026

After speaking with a single girlfriend (cancer-survivor), I imagined how difficult it would be to walk this treatment path alone. Of course, she had her support system and so did I — my husband was with me each step including treatment choices, research, and fasting. Also in my corner were my siblings, childhood girlfriends self-dubbed “Team Carol “, local friends, work friends, church friends (who gave me the lovely prayer quilt below), and my panel of cancer-surviving tutors. God was hearing pleas on my behalf from so many directions as I received a steady stream of calls, texts, and cards. 

Yet, at its core, the cancer experience was primarily between me, my body and God. I woke up alone, prepped my body alone, studied alone, was infused alone, scheduled alone, and dreamed alone. Only I felt the changes and tweaks my body was experiencing. As the days of treatment turned into weeks, the tally of physical oddities increased — I kept wondering if a tingle or twinge was a new symptom, or just a fleeting reminder of old age. My energy contrasts could be extreme. I would vary from a halting I-have-to-take-a-nap-right-now fatigue to intense how-many chores-can-I-accomplish energy – sometimes in the same day.

My health journal also tracked energy hoping I would recognize a pattern. Was I losing my mind if I felt sudden sadness while sailing through treatments with no serious side effects. My trust/peace muscle was getting plenty of exercise and I began each day pouring out fresh doses of gratefulness. But some days, the looming anticipation of waiting for the other shoe [symptom] to drop seeped into my otherwise peaceful heart.

Out of necessity, I focused on my body (how it’s responding, measuring health markers, counteracting the adverse affects of poison) and my soul (replace fear with faith, exchange tomorrow for today, rejecting the world’s concern in favor of God’s courage). Oh how my mind did bounce around as I shunned the thought of fear, yet washed my hands each time I touch anything or anyone (dogs included) to protect my body’s ability to heal. I had to remember, “Prepare, then trust the preparation”. Surviving cancer took so much focus and energy.

Yet, all this self– focus wore me out – I bored myself. It was like reading the same book over and over again searching for new meaning. I became desperate to pick up another book. My antidote to chronic self-focus was to identify someone I could support and uplift. Must. Step. Outside. Of. All. This. One diversion I used was to note in my calendar significant upcoming events of friends and family (birthdays, graduations, surgeries, travels, new homes, landing a job). Then I followed up with them via call, text, email, e-card, or snail-mail…to let them know I was thinking about and praying for them. Sometimes a small, well-timed gift could brighten their day (flowers from the sale rack at Lowes, overnight delivery from Amazon, a pretty find at a resale shop, share my favorite book). We all appreciate knowing we’re not alone in life and are important enough to be remembered.

 

The cancer two-step…two steps forward, one step back (5/29/25)

Filed under: First Things First — cstatenclark @ 2:03 pm
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How could it be that I felt well, even energized, most days, yet my blood markers were quietly decreasing? Some markers were outside of the normal ranges experts say they should be, yet I didn’t feel different. Some markers were simply edging their way closer to too high or too low. What constitutes being too far out of range? At what point would I be at risk of infection or complications? At what point might they postpone the weekly treatment, waiting for my bloodwork to improve? Ugh. The thought of delaying this odyssey at all makes my heart groan. I just wanted to move past this.

In addition to bloodwork changes, my very thick hair was shedding more than its normal pace. Or was it? Hard to tell since I had so much of it to begin with. Was I to focus on how much hair I threw away on shampoo days or how much was still attached?

Cancer treatment is not necessarily a straight line. It was more like jumping on a trampoline, not knowing exactly where I was going to land each time. In those moments, the Holy Spirit would prompt me to breathe deeply and remember the excerpt from the Serenity Prayer below:

“Living one day at a time; enjoying moment at a time; accepting hardships as the pathway to peace; taking, as Jesus did, this sinful world as it is, not as I would have it.”

 

Learning to WAIT (5/20/2025) September 28, 2026

As a planner and organizer, I understood that this journey would be challenging on many levels. Learning to wait is an essential skill for surviving the odyssey of cancer and the lengthy treatments. Breathing deep, long yoga breaths through the days, weeks, and months help to diffuse the unknown. Like, waiting for appointments and surgery schedules; for approvals from insurance; for referrals; for pathology and test results; for answers to questions posed via myriad medical portals; for too many days until the next step; for the end of our weekly 24-hour fast; for weekly blood-marker results; for the next oddity that my body would serve up (read earlier post on “skeeter syndrome”). And for the metaphorical “other shoe to drop” as I await side effects that may never arrive.

The waiting is not necessarily about worrying. Being in the midst of waiting can mean wanting to be closer to completing this chapter in my life. But this was another season that reminded me that each chapter is meant to be lived fully. Breathe and move on. Pause and then get back to it. If you ruminate about the waiting, it will be like chasing some unseen, lumbering creature you’ll never quite catch.

So how did I get through these waiting moments? I attended meetings and events all the while being mindful of not exposing myself to possible sources of germs and infection. I read – as a long as wasn’t another cancer book. Don’t misunderstand – I’m an avid researcher and knowledge-gatherer. Yet at some point the learnings need to stew and marinate without more ingredients added. Gardened during spurts of energy. Cleaned and organized – that list of projects was as long as our half-mile driveway. Short-term projects were great – ones that wouldn’t be interrupted by the next appointment, stalled energy, or fatigue that wrestled me onto the couch.

One of my favorite ways to use this waiting time was to write notes to others. Birthday, greeting cards (I know, how old-school of me), or thank you notes. I was grateful for so many people who had reached out to me and wanted to make sure they knew how much their gesture meant to me. Besides, people still enjoy receiving something in the mailbox other than junkmail. Bringing the needs of other people into the foreground was the best method for moving my “waiting” into the background. Call about a special post on social media. Ask about their family and job. Write an uplifting note to someone who’s grieving. Make a quick call to bring laughter into someone’s day.

Create in me a clean heart, oh God; and renew a right spirit within me.   Psalm 51: 10

 

Skeeter Syndrome & Slippery Elm (5/16/2025)

Filed under: Maintain Health & Sanity — cstatenclark @ 11:27 am
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The rest of week ONE chemotherapy went well, with normal appetite, no nausea, and only one nap. Three days after that first treatment, I woke up noticing multiple mosquito bites on my legs, ankles, and feet. There was no plausible explanation for mosquitoes bites, but I recall sleeping with my legs outside the covers to cool myself. The day before, I had joined my husband, during some yardwork – acting as his lovely assistant. But I wore thick jeans, socks and tennis shoes, so can’t imagine being bitten during that outing. And there were no bites on my uncovered arms. We concluded there must have been a ravenous army of mosquitoes in our room overnight. The next morning, as the day progressed, the itching intensified, even after trying “After Bite”, Tecnu, and hydrocortisone cream. By evening, I popped a Benadryl and tried to sleep with all my appendages covered up. By 3am, I was super hot from all the covers, itching like crazy again, so got up and slathered on more Tecnu and moved to the cooler living room couch and attempted to fall back asleep. By 5am I gave up, grabbed ice packs to apply to the large whelps, swallowed an Allegra with my coffee and attempted to read while settling into a less miserable existence.

While drinking coffee, I GOOGLED “chemo and mosquito bites” and I found several articles stating “reaction from mosquito bites can intensify while on chemotherapy” with the histamine response stronger and the body’s natural antihistamine response hindered. It even had a name – Skeeter Syndrome. Terrific. In addition to minding my gut microbiome, blood counts, immune system, and a multitude of potential side effects from cancer treatments, NOW I also needed to be mindful of the pervasive Texas summertime pest – the mosquito.

While all of this was transpiring, I noticed on my daily health measures chart (see chart below) which I began tracking before treatments, showed one glaring issue. On Thursday, I realized I hadn’t pooped since Tuesday. Having struggled with constipation occasionally, I’d been careful to over-hydrate. Perhaps I had not moved around quite enough, especially during the 5-hour treatment day. I ticked through the list of everything I did each day to care for my digestive system (water, magnesium, yogurt, chia seeds, and berries). By the next day, I threw everything I knew at this new problem (liquid magnesium, more movement, large dose of Miralax). Then it occurred to me that I had started taking Slippery Elm on Sunday before my first chemo, preventatively to stave off potential nausea side effects (effects I wasn’t certain I would experience). Hrmmm. I GOOGLED again and one of the main side effects of Slippery Elm is…constipation. Ugh. Must. Research. Supplements. Better. I happily report that I finally pooped. Lesson Learned: while Slippery Elm might prove useful for some people, I’ll move it into the basket of “as needed” treatments should nausea become a problem.

 

Chemo Treatment – Day 1 (5/13/2025) August 10, 2026

Filed under: First Things First — cstatenclark @ 9:39 am
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We arrived that Tuesday with multiple bags in tow, looking like we were moving into the oncologist’s treatment room. A big, shiny, pink bag held:

  • Fuzzy blanket gifted to me by Team Carol (College Station girlfriends and my frontline prayer warriors)
  • Pashmina, in case I needed a shawl to keep warm. Although it was summertime, the treatment room was cold!
  • Blank notebook and pen (to take notes on my experience, note tips for future sessions)
  • Laptop, charger block, headphones in case I was inclined to get online during the 3-4 hour treatment
  • Miscellaneous small bag (containing lip balm, healing oil, xylitol gum, reading glasses, hair tie)
  • Metal glass filled with lemon water

And then a small cooler containing:

  • Snacks (ham, boiled eggs, peanut butter and spoon)
  • Ice gloves and socks and hat (more on that later)
  • Frozen pads to keep ice gloves, socks, hat cold
  • Refill for my filtered water from home

First stop was drawing blood and running labs for the week – using my newly installed port for the first time! The port made this process (repeated weekly) very fast, painless, and easy on my vascular system. After that, we waited for lab results and then to see the medical oncologist prior to first treatment. He had no concerns with my bloodwork and so we were ready to get this party started.

Once I settled into one of the eight comfy recliners, the nurse tech measured my blood pressure and offered a warm blanket. The blanket was a sweet offer, but I opted for my fuzzy, plush blanket with “Team Carol” embroidered on it in pink. Next, NP injected an antihistamine and antacid into my port (to lessened potential side effects), then a steroid (dexamethosone, to also stave off allergic reactions and potential nausea). Next up was connecting the Herceptin immunotherapy for 90 minutes of slow drip, followed by another 90 minutes of Taxol (chemo) slow drip. In total, we were there from 9am to about 2pm. The nurses estimated that future weekly treatments wouldn’t take 5 hours due to no doctor visit and slightly faster drip.

My active imagination kept me on high alert the next 24 hours as I kept waiting for the other “shoe to drop” all day and into the night. But, praise God, no adverse side effects came. My appetite was normal and energy was surprisingly robust. Same the next day. The only noticeable change was that my arthritic ankles (due to a history of 5 surgeries) seemed to hurt LESS. Hmmm. Could it be the steroids they shot into me?

 

The Day Before Treatment Begins – Nervous Energy (5/12/2025) July 30, 2026

Filed under: First Things First — cstatenclark @ 3:48 pm
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After much research about fasting and how it enhances chemo effectiveness, my husband and I chose to make it part of our weekly routine. The day before each chemo session, we would water fast for a day (which technically turned into a 34 hour fast each week).

My loving husband joined me in this weekly fast — in tangible support of this health trek. It honestly helped me managed through a few hunger pangs to have someone in the house also making the same choices (to not eat). Each week the fast became easier and oddly welcomed as we experienced a unexpected residual energy from fasting. And when the hunger was almost unbearable, we found drinking carbonated water took the edge off of the pangs.

In an attempt to control part of this expedition, I packed a chemo bag to bring with me each week to treatment. It included luxurious fuzzy blanket (the treatment room was always cold), hand lotion, lip balm, tumbler of water with lemon, book, earbuds (in case I wanted to listen to something on my cellphone), ice gloves/ice socks/ice cap (see next post), chewing gum, and a small bag of Ketogenic snacks (usually ham slices, cheese, strawberries). I was warned I’d be there for 4+ hours.

As for nervous energy, I did small projects around the house to keep myself busy. I could tell that my husband was also burning nervous energy since he rebuilt a paint sprayer motor three times in one day.  They all warned of nausea, but I knew that rarely experienced upset stomach (my entire life). But still, I froze ginger and lemon ice cubes just in case I need quick ginger tea to calm nausea. I picked out my comfy clothes that I’d wear for the long oncologist visit. I read and re-read bible verses throughout the day that friends had sent to me. I even shampooed my hair knowing that it may or may not fall out in weeks to come.

 

Educating Ourselves About Cancer and Treatments – April 2025 July 15, 2026

Filed under: First Things First — cstatenclark @ 11:32 am
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My husband and I flooded our brains with information. Books, experience from cancer-survivors, YouTube, Google (yes, Google). Daily more cancer books arrived with each Amazon truck pulling into our driveway. It was our way of processing this episode of our life.

We weighed each book against the other. Versus YouTube videos from cancer-focused MD’s and PhD’s. Versus actual results of friends who survived treatment for various cancers. We considered the research sources (reputable, recent, tested, showing a similar pattern of effective results). I found great comfort “interviewing” ladies who specifically had survived breast cancer and gleaning their wisdom.

My brain allowed for differences in cancer type, exact diagnosis, stage, age, how recently they were treated, and other factors that presented a variable. But I also found that there were commonalities amongst all cancers.

  1. It’s rare that doctors know exactly what caused the cancer. Of course you can suspect obvious cancer-causing lifestyle choices like smoking, unhealthy diet, a career touching and breathing known carcinogens; and a small percent with a known genetic disposition. But after that, I felt like a detective digging through trash cans of what-ifs.
    • Was my water not filtered enough?
    • Did the non-stick pans and plastic spatulas leech foreign materials into my food?
    • Did I consume microplastics by cutting on plastic cutting boards and drinking from plastics bottles?
  2. Cells have mutated to rapidly divide and spread. Also, cancer do not die in the same lifecycle as normal cells.
  3. Typical treatment protocol recommends surgery, radiation, and sometimes chemotherapy. And there are many cocktails of chemo drugs (who knew?).
  4. Rarely are diet changes, supplement support, or complementary treatments recommended by the oncologists. Although there are boatloads of examples where those complementary treatments make traditional treatments more effective as well as more easily tolerated by the person with cancer, those complementary treatments are not part of the medical community’s standard of care.  So, doctors shy away from mentioning them. That doesn’t mean you shouldn’t use all available resources to research and implement complementary treatments.

The variations come from the following:

  1. Where (which organ) cancer is,
  2. how big the mass of cancer cells is,
  3. how aggressive is the growth of those cancer cells,
  4. has it spread (or is it contained to one area),
  5. are there special receptors involved (HER2, estrogen, progesterone, etc)?
  6. Can surgeons operate to remove the mutant cells? Do you want them to operate (and how much)?
  7. How effective is the standard cut-burn-poison protocol for your type cancer (i.e., chance of survival)?

While I fully trusted God to keep my mind, heart, emotions, and soul at peace no matter what future all this brought into my life, He also expects me to use the skills and the brain He’s gifted me with to discern options and a path forward. Next steps, right?

 

Am I going to die – Part 2? – Post-surgery pathology (4/11/2025) July 6, 2026

Filed under: First Things First — cstatenclark @ 11:01 am
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My breast specialist surgeon called on Friday morning, 4/11, a couple of days after a successful lumpectomy. She was all business. The air going into my lungs suddenly felt thick and I managed to swallow the lump in my throat. Although she had estimated pathology results to come a week after surgery, she received them a mere 2 days post-surgery. Good news: the margins were negative for the golfball-sized mass they removed. Negative margins are what we hope for;. It means she removed sufficient flesh to know they got all the cancerous cells. Not-such-good-news: the sentinel node biopsy — dye runs from the mass to see which lymph nodes are fed by the mass. Protocol is to remove those nodes that show the dye. Two of my lymph nodes showed dye from the cancer mass so she removed them during surgery. The concerning part of the pathology showed micrometastases in those two nodes. That means cancer spread. Although they were tiny (micro) cells, cancer had still spread. Still my cancer was rated as stage 1.

The presence of micrometastases influenced the course of my treatments. The surgeon indicated that I likely would receive a bit of everything from the oncology menu, instead of avoiding either chemo or radiation. I went into surgery thinking they’d remove everything, there would be no lymph spread, radiation would be minimal, then on to blocking the HER2 cells. Now the radiation may be more extensive, and chemo a likely part of the plan. And I’m not sure how they discern whether these micrometastases have spread beyond the lymph nodes since a few individual cancer cells aren’t visible on MRI or sonogram. Thankfully, according to pathology, the few cancer cells had reached those two removed lymph nodes, but gone no further.

So much to process. More appointments coming. Breathe. Am I going to die? Not today.

I chose faith. The alternative stinks. Choosing faith is practical as it brings a level of peace as you slog your way forward.

 

Surgery – lumpectomy (4/9/2025) July 2, 2026

Filed under: First Things First — cstatenclark @ 10:59 am
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The night before my scheduled surgery, my checklist consisted of 1) take “before” photo of my “cancer breast”, 2) stop eating/drinking by midnight, 3) pray for the surgeon and for my own peaceful sleep. The morning of, the checklist was 1) shower with Hibiclens, 2) wear something comfortable and button-up, 3) remove all jewelry, makeup, lotions, deodorant, 4) pray again for surgeon and all her medical team. I was as prepared as I could be. We were prepared. Peace was God’s gracious gift to me as we drove into Austin.

The surgeon showed up early and was ready to get the show on the road. Prayer warriors were warmed up, ready to intercede on our behalf, and wore their Team Carol t-shirts in support. I told the surgeon that half of Bastrop and friends across the country were praying for her and her team. She, in turn, told us she had prayed for me as well. What a way to warm my heart.

During all the prep (gown, IV, BP, reviewing which body part was to be operated on), the medical staff was so kind. In reviewing my medical history, they became super interested in my past stroke from 30 years ago, peppering me with dozens of questions about reason it happened and recovery from. That kept us all occupied as we rolled down the long halls to the surgery room. The chilly room and bright lights made me thankful for the anesthesia which gently and quickly coaxed me into dreamland. What seemed like only moments later (actually about an hour), I was in recovery with the team saying how well the procedure went. Since I was not experiencing pain and woke up fairly quickly, it was soon time to get dressed for the drive home to Bastrop. Wow – that was quick!

I didn’t experience much pain at all afterward, but they gave me hydrocodone before I left the hospital, just in case the drive home was painful (bumps, braking, seatbelt).  Before bed that night, I took my last dose of hydrocodone “just in case” I had trouble sleeping (which I did not). The next day, I barely had pain at all – only slight tenderness. So I transitioned to Tylenol, then within a day to zero pain meds. Since the small incision was securely glued shut, I showered the next day and we took “after” photos. To our surprise, that breast didn’t look horrible. How in the world could the surgeon remove a golf ball-sized section of tissue from my breast without it looking misshapened? She’s talented! We both felt very blessed for the smooth surgery and minimal pain.

Pathology of the surgery tissue would take about a week for results. The following Sunday, one of the hymns we sang at church was A Mighty Fortress Is Our God. My eyes overflowed with with gratefulness for a mighty God.

 

Am I going to die – Part 1? What did I do wrong? (2/20/2025) June 27, 2026

Filed under: First Things First — cstatenclark @ 1:17 pm
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While I was becoming a student of cancer and all its treatments, my mind seemed to be bound by the central question, “why?” and “What did I do wrong?”.  My brain was the tether-ball tied to the pole of “why did I get cancer?”. I’ve heard that just before you die, you see glimpses of all the wonderful snippets of your life – a life recap of sorts. But as I mull this diagnosis with all its possible future ramifications, the slow-motion newsreel takes on a different theme. Every. Thing. That. I. Have. Ever. Done. Wrong.

  • Did I smoke, do drugs, drink to excess? No. No. No.
  • Is my diet terrible? No – especially for the prior 1.5 yrs it’s even been terrific (ketogenic – with no starches, no sugar, only meat, dairy, and non-starchy vegetables).
  • Do I have family history of breast cancer? – No, going back 3 generations.

Now to the hard part of the self-reflection.

  • Did I ever exercise enough? NO. Did I have a sedentary job most of my career? YES.
  • Did I eat processed food for much of my life (prior to the KETO diet)? YES.
  • Have I made poor choices in my life? YES.
    • The devil specifically leaned in on all those poor choices, hinting that perhaps my cancer was penance for those moments. What a jerk he is. I have long-ago reconciled those poor choices with God, repented and lead a new life.
  • Books like Cancer As A Metabolic Disease (which is a great book) can also fan the flame of past lifestyle environmental behaviors, like exposure to micro-plastics, fumes inhaled, chemical exposure, carcinogenic makeup/soap/lotion ingredients, and other environmental causes. Was I perfect? No. Was I the worst? No.
  • Then there’s the HRT (hormone replacement therapy), prescribed by my gynocologist after my full hysterectomy. Some studies show a link between HRT and breast cancer. And my cancer is hormone (estrogen and progesterone) positive.
  • And lastly, some studies show a link between women who don’t give birth or breast feed and breast cancer. That’s me.

Pause. Breathe. Time to focus on how do I resolve this medical issue? Not wallow in “what did I do wrong?”.