Many times, people–especially young people–ask me how I knew I was sick. “What were your symptoms?” I was sending an email to another young survivor who is battling the same cancer I had (NHL) and we were swapping stories. So, I thought I’d share that with you, too! From my journal on September 3, 2007:
I started feeling bad about six weeks ago. I think it started with my back hurting. The week before youth camp, I got a massage, assuming that I was stressed and that’s how my body was responding…muscle aches. It didn’t help. It was a deep pain and wasn’t a normal back ache. I went to camp the next week and had a great time. However, my energy level was so low. I worked lots of hours in the weeks before camp, so again, just figured that I was exhausted. I had to take a nap everyday, which seemed so ridiculous. Who does that at camp?! I didn’t really have a choice. I absolutely couldn’t function without sleep.Â
I got back from Summer Jubilee and wasn’t feeling better. It’s not unusual for me to be tired. In fact, I’ve been pretty lethargic most of my life. But this was extreme–even for me. I developed a low-grade fever that lasted for the next three weeks. Melinda [my roommate] had a virus that made her real tired and she had a fever, too. Naturally, I thought I caught something from her. However, I began to have a strong sense that something was wrong with me. I also remember being home in TX for the American Idol audition (the week after camp), standing in the kitchen preparing Ryan’s birthday lunch and suddenly feeling like I couldn’t stand anymore. I was so exhausted–as if I’d just done a marathon. I had to sit down.Â
Mornings were really difficult. So hard to wake up and get to work. During the work day, I was so frustrated because I was in a constant fog. Couldn’t communicate my thoughts or generate ideas for anything. I remember sitting at my desk one day and started to cry because I was so frustrated and tired of not feeling well. I knew I wasn’t doing my job to the best of my ability. My co-workers were unaware of the physical struggle I was having. I briefly shared with Steve and Jay and they prayed with me. I told them my mom and dad had had cancer and for some reason I was afraid that I might, too.
On Friday, August 17, I went to the doctor. When the fever didn’t go away, that was a reasonable indicator to me that I was legitimately sick. Dr. Schmitz was so patient and attentive and I felt like she was completely hearing me. I shared all of my symptoms and she got to work immediately. I had extensive lab work done that day, as well as a chest x-ray. She test for like nine different things–mono, lupus, epstein-barr virus, thyroid disease, etc. She also did some other tests which turned out to be the most important. Prior to this appointment, I wasn’t too worried. I knew I was sick, but felt like it was probably a relapse of mono. That was reasonable.Â
I didn’t get those results for almost a week. Dr. Schmitz called me at work. I freaked out a little because the doctor herself was calling. Not the nurse. The nurse calls when everything is normal. I was at lunch when she called, so I spent the rest of the afternoon calling every 15 minutes! She finally called me back. “Sarah, I have the results of your lab work, and basically, the results are horribly inconclusive!” She told me that I was negative for everything–mono, lupus, etc. but was mildly anemic. Anemia causes fatigue, but not fever. She also said that my platelets were elevated and that these other tests indicated a high level of infection/inflammation somewere in the body. But, my chest x-ray was clear. At this point, I realized that she was looking for lymphoma…thus the x-ray. It was likely to present in the chest somewhere if I did have that type of cancer. Negative x-ray = good news. Step two was more blood work and a CT scan of the chest…just to make sure the x-ray was accurate.
[side note to my blog readers: i have NO idea how in the world i documented all of this! but it's cool because there is no way i could remember everything. if you're bored...discontinue reading. won't hurt my feelings! and plus, i'll never know.]
I had the scan on Wednesday, August 29 (after much fighting w/ insurance). Shelly [Alfred] went with me. And Nadia. What wonderful company! It didn’t take more than ten minutes. That’s a good sign, right? If the tech would have seen something, I’m sure she would take more pictures. At least that’s what someone told me.Â
On Thursday, August 30, my mom and David [youngest brother] started driving to Nashville to spend Labor Day weekend w/ me. I was so ready to see my Momma! Also that morning in staff meeting, Linda informed the staff that I was waiting on test results and had to precious staff pray for me. About an hour later, Dr. Schmitz called. Yikes! “Sarah, I have the results of your CT scan. You have a mass in your chest.” Gasp. As confidently as I knew that I was sick, those were not the words I was prepared to hear.