A Date with the Oncologist…and the Office Scale

This past week I had my “9-years-since-biopsy” oncology appointment. I have sat in that same exam room numerous times since March 2017.

It still smells the same—I think it’s the cleaning solution the Cancer Center uses, but I’ll never forget that scent. On the other hand, numerous improvements in treatments have taken place since my first time there.

One thing that hasn’t changed is that I still get weighed before every doctor’s visit, just like I do for a lot of other health appointments. It’s also been my least favorite part of getting a check up. No, I am not overweight, but as a child I was taller than all my classmates; basically a lean kid with perfectionistic tendancies who was occasionally teased about having a higher number on the scale, which I can assure you is a shortcut to disordered eating. As a result, even now I am sensitive about how much my healthcare team reads into my weight numbers, even though my weight fluctuations tend to be only a few pounds up & down that are not reflected on my frame.

Yes, you would be correct if I seem to get a bit touchy about this.

I weigh myself twice a week at home with a pricey, high-quality scale that provides all sorts of other metrics. The bodyfat percentage is not accurate and tends to report a lower-than-truthful value, so I don’t swear by it. But I have a great deal of confidence in the weight measurement, especially because I control for as many variables (time of day, clothing, etc.) as possible when I weigh myself.

The scale in the exam room isn’t even one of the “good” ones!
(Photo by Samuel Ramos on Unsplash)

The scale in my oncologist’s exam room literally looks like a bathroom scale. It’s not even the typical mechanical doctor’s scale with the weights that you move across that “T” thing that stands in front of you, if you know what I mean. It’s just a basic electronic scale. I’m sure it’s relatively accurate but not what I’d consider a gold standard.

Why am I making such a big deal out of this? Because my weight at my appointment was about 5 pounds heavier than it had been when I weighed myself at home a few days before and about 3-4 pounds heavier than the last time I was at the oncologist’s office.

And my oncologist pointed it out. It struck a chord. Maybe I sensed concern on his part, maybe I interpreted it as disapproval, maybe I just imagined his reaction. But I immediately felt defensive. This was not a 20-pound difference. This was, for all intents and purposes, a few pounds higher than last time.

I work out 4-6 times a week. I lift weights. I do high intensity interval training. I row on an erg. I take the stairs two at a time. And I cannot shake the feeling that it’s never good enough.

I have been a pescetarian for the past 42 years. I eat mainly vegetables and protein. I don’t put sugar in my coffee. I rarely indulge in alcohol or rich desserts. I have been told that I’m TOO disciplined. And it doesn’t seem to matter.

So, yes, I’m sensitive about this because I’ve spent my entire adult life being very careful about diet and exercise. I have been big on avoiding the things that the general public may consider indispensible treats, even though they’re not healthy. And, quite frankly, I prefer it that way and regret nothing.

Eat healthy, exercise, get cancer—but will people believe you did your best?
(Photo by Nadine Primeau on Unsplash)

But still I feel pressure.

Now, if I were decades younger, this might have sent me into an “I-must-be-even-more-disciplined” state and triggered a clamp-down on myself. But I take a deep breath because I know what I look like naked. I can’t change how people think. I can’t change the healthcare system. The scale is here to stay.

But I can say that as judge-y as people get around weight, the negatives extend way beyond those who might be struggling with weight loss or seem not to care. The effects of perceived judgment touch everyone else too, no matter what shape or size you are. And numbers without context can ruin your day.

As cancer survivors we may already have a difficult relationship with our bodies: changes experienced through surgery, not being able to recognize ourselves after chemo, dealing with unexpected effects of endocrine therapy, even the beliefs of others that we did something to bring cancer upon ourselves. That’s a lot to handle when you’re worried about recurrence or a degraded quality of life.

Hey, it’s okay. I get why we get weighed. But sometimes I hate how it makes me feel.

Try a Little Tenderness

(Title image: Photo by Alin Luna on Unsplash)

This is a bit of a departure from the usual posts. But I was thinking about how my emotions get pushed and pulled during the course of the day…

Suffice it to say, we live in contentious times where people are compelled to take sides. That leads to an environment where we think badly of each other which, in turn, adds an underlying level of stress to our daily lives.

Perhaps you feel it like an annoying irritation, maybe a quickening of the heartbeat or an increase in your blood pressure. Heat under the collar. And suddenly you are imagining what a jerk the other person is.

All that based upon a single interaction. This is an unfair snapshot judgment of people and brings with it the kind of stress I don’t need.

So this is what I do. And I love the instant effect that it has on me.

When I find myself getting annoyed with someone—whether it’s a rude customer service representative, someone interviewed on the news with an extreme political view, even a person who cuts me off in traffic—instead of muttering something hateful under my breath, I pause and think.

What might be going on in someone’s life to cause them to act or think this way?

If you had the kind of day they did, you’d be in a bad mood too.
(Photo by Alex Greenberg on Unsplash)

Did the customer service rep receive bad news at home followed by an interaction with an aggressive customer?

Has the person with distinctly different world views had a frightening personal experience that affected them deeply?

Is the driver who cut me off in a hurry to help someone with a medical condition?

You can say that, no, all those people are just malicious, egotistical jerks. But in reality, they are far more than the two-dimensional view that we have of them. Their lives are as full as ours and they share the same struggles and dreams that we do.

I sit with these thoughts. The “empathy” muscle is an important one to exercise.

For some, this is hard work to do. When we feel slighted, it can be difficult to give someone the benefit of the doubt. And when political tensions are high, some people may feel that being emotionally generous towards someone with views they find odious is like “giving in” to them, letting them “win”.

But you are not losing anything by practicing empathy.

Why do I bring this up? Because this helps give us peace. It makes us less reactive and helps us see things more clearly. It provides space for our brains to function in. It relieves anxiety.

In the end, it makes the world a better place. And we all need that.

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Anger is exhausting. Hate bleeds around the edges. Welcome peace back into your life regardless of whether or not the other person deserves it.

What Is Self-Talk Telling You?

Last week we had a guest come visit. This was preceded by a flurry of preparation on my part as I caught up on all the cleaning and organizing that I’d been putting off.

And as I was planning out what I was going to tackle on which day, I berated myself for waiting this long to start, thinking that if I’d done more the previous week, I wouldn’t feel so rushed.

So as I pushed through late day fatigue, I realized that there was a soundtrack running through my head. In it, I’m explaining to our guest why there’s still clutter and dust, and what issues I have with where we live that we get a lot of road gunk coming in through the windows. Excuses, explanations…

I always imagine my home as being dirtier than it really is, and it continues that inner narrative in my head that I’m never going to be good enough.

I actually went as far as to text our guest an apology that we didn’t have a nicer place to offer them to sleep. I felt that they should know in advance.

I was getting quite stressed about the whole thing, so I took a moment to ponder what was actually going on.

Yes, keeping a very tidy apartment is difficult when I’m the only one working actively towards maintaining it. Particularly now that my plate feels even fuller as I try to incorporate teaching yoga into my current work schedule…

But that’s not the real issue.

Problem is, I was raised to believe that my home is a reflection of me. My abilities as a housekeeper were practically a moral issue, as allowing in clutter and not keeping up on scrubbing things meant that there was something wrong with me. I was shown examples of other women who seemed to have no problem giving cleaning the priority that it required.

I felt like a failure.

With a guest coming to visit, I realized that no matter what the apartment looked like, I would still fear being judged. And it is that fear of judgement that has followed me through my life, throughout all the ups and downs, cancer and anxiety.

What did I hear from my inner critic? That no matter what I do, it’s still not good enough.

In fact, I have taken a liking to getting things clean and organized, standing back and surveying the work that I’ve accomplished. But that feeling of not being good enough still haunts me, and it’s not like this is a new revelation.

Frankly, I’ve been aware of this for years, especially when I realized that deep down I had viewed getting cancer as a failing, like I had brought it on myself, even though I was doing everything imaginable to live a fit life. So it wasn’t until I turned my attention to my inner critic and listened to what it was telling me that I realized, ah, maybe I wasn’t over all of this just quite yet.

Mindfully allowing that voice in my head to express itself, but without getting sucked into the negativity, offered me insight into those old fears and worries that encrust my mind like mineral deposits on a bathroom faucet. They’re tough and really stuck on there.

Bringing awareness to that negative soundtrack takes some of its punch away, kind of like identifying the monster under the bed and making it sit on the living room couch where I can keep an eye on it.

Yes, it’s still there. But now it’s tamer and eventually I’ll be able to show it out the door.

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Undoubtedly, negative self-talk can be harmful, but it’s also quite difficult to stop. However, being able to allow yourself the space to examine it and understand its roots is one of the best ways to free yourself of it.