I
photographed a chap who was open water swimming in Port Erin a couple
of weeks ago. I was ambling around the rocks trying to fill
time... hoping to maybe a achieve something. I saw a
lady who I assumed was his wife, and wandered down to chat with her.
We got chatting, I spoke about Amanda, then the lady told me
she was also diagnosed with breast cancer only 2 weeks before Amanda
had her diagnosis. Strange isn't it. The line of
coincidences that brought me to that spot to chat with that lady.
Her lump was half the size of Amanda's at 1cm. She had no
lymph node involvement whereas Amanda did have lymph node
involvement. Her cancer was Oestrogen and HER2 positive, the
same as Amanda's. She had a bad experience with Noble's
hospital from the beginning to the end... and chose for her treatment
to proceed in London. She (like we did) checked all the
hospitals in the UK for the best records, the most experienced or
specialised clinics, and then hunted down one of the most
knowledgeable breast cancer oncologists in the country. He told
her what we'd already read. He believed from his study cases
and experience that surgery may improve survival stats by 50-60%,
chemotherapy 2-3% and Herceptin maybe 20%... The gap I assume comes
down to what you do next, lifestyle, environment, emotional state....
and luck.
I
met this lady for a long walk this week.... Apart from trying to
throw herself over the cliffs between the Chasms and Port Erin along
the coastal path it was a lovely walk (she slipped off a rock on to
her bum then rolled on to her front and began to fall head first. My
words were 'Come here you' (strange I know) as I leapt to grab her
ankle. All faired well, though I'm sure she will be suffering
some serious bruising on her bum! Her oncologist Justin, is a
bit special. He is involved in developing treatments, rather
than simply listening to what the pharmaceutical sales force tells
him what the drugs are supposed to do and how to go about
administering them. His group 'Action Against Cancer' have
discovered a related gene which can interfere with current treatment
regimes.... But the current treatment regimes need to change
anyway.... But this guy is also supportive and compassionate.... It
doesn't feel like she's just another woman with breast cancer to him.
This in itself is hugely important. It makes her feel
like she can beat the cancer. She feels supported emotionally.
It's great to find practitioners like this.
Here
are some facts and figures from 2013 from the US based charity The
National Cancer Coalition.... If you're not interested in facts and
figures simply skip the next italisized paragraphs.....
BREAST
CANCER STATISTICS: THE NUMBERS TELL A COMPELLING STORY
The
trends for breast cancer incidence and mortality have not changed
since NBCC issued its Baseline Report in 2011. The overall number of
women being diagnosed continues to increase as the population ages,
though the rate remains constant, and mortality continues to decline
slightly.
Worldwide, breast cancer accounts for nearly a quarter
of all cancers in women. In 2008, there were 1.4 million women
diagnosed with breast cancer and in 2010 there were 438,000 deaths
from the disease globally.2 In the United States in 2013, it is
estimated that more than 296,000 women and 2,240 men will be
diagnosed with breast cancer, and 39,620 women and 410 men will die
of the disease. That is one death every 14 minutes.
By any
standard, we have not made adequate progress. Despite years of
campaigns to raise awareness, ever expanding screening programs,
increased fundraising efforts and more research, there has been
little impact on the important outcomes in breast cancer. Breast
cancer incidence and mortality have not changed significantly. In
2030, with no major changes in prevention or treatment, it is
estimated that 747,802 women will die from breast cancer worldwide.
In the United States, the chance of a woman developing breast cancer
during her lifetime has increased from about 1 in 11 in 1975 to 1 in
8 today. US breast cancer mortality has been declining but only
slightly.
In 1991, in the United States, 119 women died of breast
cancer every day. This year, that number is estimated to be 108. If
we continue making progress at the current rate, it could take a few
centuries to end breast cancer.
These are not merely
statistics, they represent millions of lives. These losses are
unacceptable.
Incidence
Overall incidence of breast cancer
has fluctuated over the years. Recently, researchers at the National
Cancer Institute (NCI) projected that the overall breast cancer
incidence rate will stay the same through 2016. The median age at
diagnosis remains at 61 years. Because of increased screening
beginning in 1980, there has been a dramatic increase in the
incidence of ductal carcinoma in situ (DCIS), abnormal cells
contained within the milk ducts that have not spread to other parts
of the body. Most of DCIS will never become cancer. However, we are
not able to distinguish between the harmful kind of DCIS (that will
develop into cancer) and the harmless kind; as a result, many women
are treated with interventions that will not help them and could hurt
them.5
Mortality & Survival
Despite fluctuations in
breast cancer incidence, and dramatic increases in the use of
mammography, there has only been a slow, gradual decrease in the rate
of breast cancer deaths, or breast cancer mortality, over
time.
Women do not die of primary breast cancer. More than 90%
of breast cancer deaths are due to the spread of the disease to other
parts of the body. While we want to believe we have made significant
progress in saving lives, that is not the case. The incidence of
women diagnosed with advanced breast cancer has not changed.
'If
you want to commit time to really understanding where we are at
globally with breast cancer please read the Breast Cancer Coalition's
pdf, just scan over the figures from page 9 to 16 if there is too
much. The above is from pages 9 and 10... If you would rather not,
then please don't get bogged down in the reality of where we are at
with it
all.'http://www.breastcancerdeadline2020.org/assets/pdfs/2013-progress-report.pdf
I
read through the beautiful cards I received after Amanda's passing
every now and again..... I read one a few days ago, from a lady who
lost her husband in a motorcycle accident, she is a great friend of
us both. She said I had a choice, and the best one was to
acknowledge what has happened, dust myself off and get on with life.
Take up every invite I get as it will help me to get out and
about.... and this is what I've tried to do.
Every
Saturday my wonderful brother and sister-in-law Tina have me around
for a huge three course home cooked meal. Jess (20) & Jim
(14... hmmm maybe 15), Tina's lovely children are usually there too
which adds more fun and mayhem to proceedings. Thank you all so
much for Saturday evenings. I love them.
Then
a friend invited me to join them on their 33 ft sailing boat on
Sunday morning for a race from Douglas to Port Soderick and back....
It was beautiful, cool and refreshing!
Whenever
Cam suggests we get out for a spot of fishing I do my damndest to be
enthused, but it's not always easy....
Last
night I decided to head out in to the frosty darkness to try a few
new techniques with my camera equipment. I arrived at the
Chasms Cafe in total darkness at 7.15pm.... Then began. With
slow shutter photography, where you aim to catch the movement of the
earth, which is reflected in the star trails on the final image, you
need to occupy yourself for a an hour or more whilst the camera sits
there constantly recording the planet's movments via the pin prick
trails of light......
I
set up the camera and then settled in to a meditation. I was
well wrapped up, the temperature was down to a chilly 5 degrees by
the time I packed up at 9pm.
My
initial mediation was based on bringing a light focus to the out
breath, then on keeping the mind clear. Everytime a thought
dropped in it would be acknowledged then let slide away..... I did
this for the first exposure of 45 minutes.
The
second exposure I decided to bring my focus on to mine and Amanda's
travels, beginning at Thailand we we started our adventure. I
played through 30 days of travel in my mind, aiming to remember as
much as I could. The troubles, the smiles, the hassles and the
love and laughter. It was wonderful. I even caught myself
sitting cross legged with the tiniest, gentle smile as I
meditated/reflected on our wonderful experiences. It was silent
at The Chasms. Silent and dark. Just the stars for
company....
I
will go there again and think about my love.... think about our
love.... and hopefully smile again.
Pink
Ribbons - Pleeeeeease no.....
Amanda
did the Moonwalk, which was pink....but the whole Pink Ribbon thing
is just aiming to bring a bit of 'pickness/fluffiness' to a brutal
disease that is killing 10's of thousands of women every year. Plus
much of the money doesn't even go towards helping these women even
indirectly.... Same with Cancer 'bloody' Research.co.uk another
fairly useless attempt at a cancer charity. There are literally loads
of them out there, some really well established. Some which are
merely business entities. There are a couple of decent ones out
there. Action Against Cancer and The National Breast Cancer Coalition
to name but two.... But there are so many where vast swathes of cash
are invested badly. Like Cancer Research UKs British American Tobacco
investment of £90 million, until it was found to be invested
unethically. I know everyone doesn't have the time to investigate
every 'charity' or 'research' company, but the Pink Ribbon does get
the backs up of a lot of women who are actually suffering or have
suffered from breast cancer. Rather than a pink ribbon, there should
be a picture of woman who has just had a mastectomy, or a woman
suffering throws of chemotherapy... Breast cancer is not pink nor is
it pretty. I'm sure you can see where I'm coming from on this one.
The
Bench....
So
I've had three full day letter carving lessons from Mr Simon Capelen.
Local wood carver extraordinaire.
I've
worked on pine (nice and soft - easy) and oak (tougher, harder wood -
more difficult).... The Teak Root will be even harder, even more
brittle and knotty, plus I won't be able to use a couple of G clamps
to hold it in place.... and the surface is curved.... It's a
challenge. I await my chisels to arrive... then I'll practise a
little more, then I'll let loose on the bench. A few simple words
from me, then a few words that would have meant something to Amanda.
I'm a little frightened of turning an
already
beautiful bench in to a scarified hunk of wood. I can guarantee
whatever happens, however it looks, it will have been done with all
the heart and soul.