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.

 

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.

 

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.

 

Diagnosis and Denial – is this really happening? Did they get the wrong person? (2/14-16/2025) June 25, 2026

Filed under: First Things First — cstatenclark @ 3:23 pm
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On Friday, Feb 14, (yes, Valentine’s Day), I received a confusing and unexpected call from my former GP. We had transitioned to a different GP in Austin a year prior, but hadn’t updated records with the gynecologist who ordered the the biopsy. So the biopsy pathology report went to the wrong GP. He was surprised that I’d had a biopsy since he hadn’t seen me in over a year. Likewise, since results weren’t expected until the following week, I was surprised to hear from him (or anyone) that Friday afternoon. He gingerly read the pathology report to me and explained the diagnosis – CANCER. And then he referred me back to the OBGYN for next steps. I was in shock and wanted to see the report in writing so he let us drive to his office to pick up a hardcopy of the report so we could study it further.

To add to the confusion, neither my OBGYN (who ordered the biopsy), nor the biopsy facility received the report that Friday. Therefore, they didn’t call me to review the results. That’s when denial started to cloud my brain. I reasoned that perhaps they had the wrong Carol Clark. Common name, right? I doubted this news…All. Weekend. Long. It all seemed like a plausible mistake in a surreal way.

On Monday, after multiple calls to the gynecologist and biopsy facility, I eventually confirmed that this report WAS mine. How could this be? I had no symptoms, wasn’t sick and didn’t feel like I had cancer. I didn’t look like I had cancer. All of a sudden, next steps began to stream in as I was assigned a breast surgeon and an oncologist. This was happening! Breathe deeply.