Peace

Sitting in my favorite chair

Flames dancing in the air.

Reflecting back on my day.

Shooing any bad memories away.

Only quiet satisfaction remains

Letting go of guilt sustains.

Allows my mind to rest.

Save myself for a bigger test.

Nobody told me about the guilt!

I had no idea just how much guilt comes with chronic disease. This may not be true for everyone, but it is definitely true for me. I just can’t seem to balance the whole “just concentrate on getting better” side of me with the side that is worried about everybody else, my business, other people’s schedules, my patients, and just generally letting people down with all of my limitations. Sometimes I think it takes me more time and energy to process all the guilt and worrying than it would just to be sick. I get it. That sounds ridiculous, but it is the truth for me. It is just a tough balance for me.

You know what I think would be a good idea? We should sit patient’s down, after they have had a chance to digest the news of their new diagnosis, and hook them up with a mentor or counsellor to sit them down and help them start to wade through and plan for all the other complications and stuff that comes with any chronic illness. It might make it less overwhelming than just having everything smack you in the face as it comes, while you are busy trying to “just concentrate on getting better.” I get that some cancer patients have patient navigators, but the main role of these individuals is to keep the patient on track in terms of appointments, tests, and treatments. This is useful to be sure, but the real trick is managing all the outside life stuff that is on top of the tests, etc. I say we start offering life navigators too because, in most cases, the damage that is done with all the life fails, failed relationships, missed work, and unpaid bills far exceeds whatever damage the cancer inflicted.

Dr. Katz

Suckin the Life Outta Ya

Man this cancer thing is already kind of ridiculous, and I haven’t even started treatment. From the moment I found out, I firmly positioned myself in full bad-ass stance, made long term grandiose plans and capriciously swore that nothing would hold me down or stop me from caring for other people and patients. I was cocky. I was confident. I thought that it would help me beat this thing.

So, that was like….so last two weeks. Now let me tell you about what I actually should have done or learned…lol When I first learned that I had cancer, I had people telling me everything from reminding me how I need to slow down to I could work full time with this no problem with no pauses! Well of course I gravitated toward the full throttle advice! Who wouldn’t? I didn’t cancel patients right away. I started writing my book. I started a new podcast. I recruited my army, once I finally let the cat out of the bag. I cried for about two seconds and then I was ready to go! I was not done yet! Screw you cancer! You’re not the boss of me! Sound familiar? Anyone else been there? It doesn’t last too long does it?

Here is what I should have realized and learned. The first thing to realize when you are told you have cancer is that it has been around a lot longer than you thought. You need to add a couple of years in some cases to the time of diagnosis. Whaaat?! A couple of years?! That sucker has been sneaking around in my body for a couple of years? What the hell?! What that means is by the time you are diagnosed, it has been around long enough to give you symptoms. This means that the path from feeling normal to shitty has been significantly shortened before you even get the chance to process the fact that you have cancer in the first place. How rude!

Second, I should have realized that now is the time to plan carefully, anticipate and CONSERVE energy, not burn it all up before you even start. This is the time to try to be realistic, without guilt, about what you will be able to do and not do. This is my biggest challenge. Instead of just relaxing, I spend way too much time feeling guilty on what I am missing out on and who I am letting down. I am fixated on the fact that I am dropping the ball. Ugh! I went from feeling good to crappy in about a week. Now I walk across the room or just sit and promptly get short of breath, depending on the day. I have fatigue that is so intense that it literally comes out of no where and sucks the life out of you to the point that even breathing seems like too much effort. I am told that this is common with lymphoma since it is a condition that has a lot more inflammation associated with it. Therefore, your body requires a ton of excess energy and calories to try to fight it off. It makes sense I guess. My point is, that I waste time when I feel good trying to accomplish a million things until the next time I don’t feel good. I am not good at resting. How will this benefit me? It won’t. It will only make it tougher and take me longer to get better.

Last but not least, I should have realized that I have to let people help me! They are doing it because they want to, not because I am making them. I need to stop trying to do everything myself. I need to stop confusing accepting help with some weird acknowledgement of failure or weakness. What is my problem? I still don’t know…lol All I can promise is that I will work on it, because I intend to see this thing all the way through. Wish me luck!

Dr. Katz

Once a manipulator, always a manipulator

There are manipulators everywhere. I am pretty sure all of us have fallen victim to their wiles at one point or another. Depending on the skill of the manipulator, the process may be so sly and so subtle that you don’t even realize that it is happening until it is too late. I personally have been on the receiving end of countless manipulations over the years. After doing a lot of research and reading, plus a side dose of life experience, I have realized a few things about manipulators that are the key to foiling their efforts and getting your life back.

First, you have to recognize a manipulator. A manipulator is a person who uses other people to seize power, influence outcomes, create scapegoats, gain control in relationships and reap the benefits of the work of others. These individuals use a lot of different tricks to accomplish these goals: deceit, guilt, false hope and last but not least, lies.

Second, master manipulators can twist any situation in their favor. They are very skilled at making you talk more about you than themselves. This is a how they gain information about you and use it to exploit potential weaknesses. They feign supreme interest in order to gain your confidence and learn all your inner most secrets. They may be genuinely interested in you, but not for the reasons you think. Their interest and your information reveals may ultimately be your undoing. Turn those questions around and ask them probing questions instead. This is like putting a deflector shield up and may result in the manipulator backing down.

Third, a manipulator is always two-faced. He or she acts differently to different people in different situations. Beware of the person that is smiling and chatting with a person one second and then talking about them to another person the next.

Fourth, a manipulator will always try to make you feel guilty for standing up for yourself and what you believe in. Anyone that tries to make you feel bad for expressing your opinion or maintaining your ground is trouble. It is said that belief can be manipulated while knowledge is truly dangerous. Knowing yourself and your boundaries and your beliefs makes you less vulnerable to someone’s efforts to put you down and undermind you.

Fifth, a manipulator’s actions never meet their words. They may tell you what you want to hear but their actions spell out something completely different. They promise to support you but fail on the follow through. They compliment you and tell you how amazing it is to be with you, but then turn around and act like it’s the biggest cross to bear in the world. This is just one more way that they attempt to mold your perception of reality of the world around you to one that works in their favor.

Sixth, a manipulator will always play the victim in every situation. They are experts at pointing the finger in every other direction but toward them. They blame everyone else for everything. They take no accountability. Nothing is their fault.

Last, they are all about intensity. Everything is too much too soon. They pretend to reveal everything right away and expect you to do the same. They pretend to be vulnerable so that you will be flattered because they “let you in.” It is all part of the plot though to make you feel sorry for them and to make you completely responsible for their feelings, regardless of what they are actually based on.

All of these attributes are important to spot, but once you do, now what? Use this awareness to maintain emotional distance from the manipulator. Refuse to participate in their guilt traps. Control the chaos. Don’t get sucked into it. Delay your responses to situations rather than offering instant gratification to the manipulator.

In the most serious cases, these manipulative relationships can progress into violence. This is a situation in which outside intervention is often needed because the victim has been so conditioned to think the interactions are normal that they cannot see their way out of it. This is where national hotlines come in.

The bottom line is, when it comes to manipulators, you need to trust your instincts. If your gut is telling you that something is off about the relationship, reassess and break away. Don’t let the worry and self doubt that they have carefully implanted in your mind take over. You have nothing to gain and everything to lose by staying in the relationship. Extricate yourself while you can.

Dr. Katz