One sunny day in early April, I decided it was time to pump up the tires on my bike and take it out for a test run. Truth be told, it was just as much of a test run for me, too.
Every year I wonder how I’m going to fare with many of my sportier endeavors. Will I still be able to hike? Can I bike? Am I slower? How far can I go? What kind of energy level will I have? Will I be able to maintain it? Lots of questions bombard my mind, and I can’t answer any of them until I get out there and see what happens. I visualize doing all my physical goals effortlessly and flawlessly. Visualizing success is a healthy practice. It can frustrate me when I don’t visualize the small steps to reach my goal, but I’m getting better, slowly.
Last summer biking was tougher for me. Little changes in incline bothered me and I fatigued too quickly from the extra exertion. If I rode too far, the final stretch was interrupted with lots of rest stops. It always happened in the second half of the ride. I ended rides thoroughly exhausted feeling like an old crump. The strength and cardio work I had done in other activities didn’t transfer over to biking. Last summer was hard.
Each year it feels like I’m starting over.
I held one rule heading into this spring’s inaugural ride: Easy Does It.
I biked close to home and biked around the neighborhood. Any hills were neither steep nor long. I was ready for home after only fifteen minutes. My goal was thirty minutes, so I kept pedaling, thinking of flat routes that wouldn’t challenge me. I kept talking to myself, repeating my rule to take it easy. There was no need to push. I’ve had a tendency to push myself hard. Pushing too hard is what caused some of the hardness and disappointments last summer in the biking and hiking departments. On the other hand, sometimes I’ve had to push hard to be heard, to assert myself at school, or to travel places. No one else was going to do the work for me, nor should they.
Here on my bike, I didn’t have to go fast. Easy does it. Take my time. Remember to breathe. Coasting offered welcomed breaks to reset and normalize my breathing.
A couple other rules took shape on my test ride.
Rule #2: Enjoy It.
On that particular day, I was just out to get my bearings. I needed to do some self-assessment. I enjoy a good pace if I can handle it, but I bike more for recreation. I am not interested in doing a Tour de France. If the ride became too hard and I wasn’t having any fun, I was less likely to do it again. I do hobbies I enjoy, not those I despise.
There are plenty of parts of my life (medical parts) that I do not enjoy. I am very intentional about my choices with the rest of it. Having fun is part of my well-being.
I love biking on Wisconsin’s bike trails. There are some beautiful routes that pass alongside farms, woods, and prairies. My favorite provides a perfect mixture of sun and shade.
Rule #3: Practice Makes Perfect.
The more I practice, the better I get. It was a small sign of encouragement that stayed up as a permanent poster in my classroom for years. I will build on each small success and every ride. Greatness takes time. Professional athletes train for years to make hard work look effortless and flawless. I forget this often when so many of my attempts are filled with concerted effort and countless flaws. Failing is tough. Failing teaches us how to be better and stronger. Failing is valued practice, and practice makes perfect.
Here’s the thing – I don’t need perfection. For my purposes, I’ll define perfect as being fit enough to do the long bike rides I want with confidence and strength. It means I will enjoy the ride and relish in greatness when I get it. Repetition and practice bring me what I need for happiness, not perfection.
Maybe the saying about practice needs to shift from making something perfect to bringing happiness.
These three rules got me biking again. They will work for me when I go out on my next several rides. I hope they can help anyone who is ready to embark on a new physical activity. Maybe it doesn’t even need to be anything physical. Any new activity would work. Easy does it. Slow down and don’t go too fast or push too hard. You’ll get where you’re going. Things have a way of working out. It’s okay to take your time and get something right.
Life is meant to be enjoyed. I don’t believe we are here to be unhappy or to suffer. I want to take every opportunity for happiness that comes my way. I will seek out happiness. Some parts of life come easily. Hopefully, many things are easy. There undoubtedly will be a few flops ranging from tiny to colossal, but mine have taught me needed lessons. I keep practicing. Life is a mixture of enjoyment and practice.
I finished my ride and reached my thirty-minute goal. My body felt more than ready to be done. I worked hard, but I could still walk, talk, and otherwise function normally. All good signs I didn’t overdo. I have learned (through failure) that it’s good to stop physical activity before it stops me. My energy level was so good I even tackled a couple of tasks outdoors before heading inside.
My test run was very successful. My bike worked fine and so did I. Going on that ride made me feel empowered. There was a strong sense of accomplishment that left me feeling refreshed and energized. I had control of something in my life. I had forgotten how good I (eventually) feel after a bike ride. My heart felt stronger and each breath was fuller and deeper. I felt more confident to handle other challenges.
I still need to figure out how to handle some fatigue issues. My anxiety button gets pushed too quickly when pedaling becomes hard. Then anxiety pushes my panic button. Hopefully, my “Easy Does It” reminder will kick in at these times and keep panic far away.
Time has passed and now it’s June. I can bike from home to do a couple short bike trails. My next step is to put the rack on my car so I can do rides that gradually lengthen. As long as they remain relatively flat my enjoyment level will stay high. I plan to enjoy many beautiful rides that make me feel fit and healthy throughout the long summer.
- How do you apply Easy Does It?
- What are some guiding rules for your life?
Two weeks ago my oncologist told me some devastating news – he was leaving. It’s honestly one of the hardest things I’ve heard at an office visit over the years, and trust me, there have been some tough conversations.
He is leaving the UW health system.
He is moving to Florida.
He said he had to go.
What does that even mean?
I know I have been unhappy with some of the management decisions that have trickled down and affected my care. There have been changes I don’t think serve patients’ best interests. There have been facility needs that have gone unmet or approached with band-aids rather than true solutions. There very well could be demands put upon him that I know nothing about and he feels he can’t work in an environment that doesn’t match his philosophy anymore. I don’t know anything for sure other than he is leaving.
He is a GOOD DOCTOR. The best.
I understand he has to do what he needs to do. I can’t be mad at him for doing what is best for him. However, if he’s leaving because of some bureaucratic crap coming down from people who have lost their connection to treating, caring, and curing people with cancer, then I am outraged. My gut tells me to be outraged.
Whatever the reason, I am losing my oncologist.
I feel such sadness and an immense sense of loss. I have that feeling of a small child who suddenly discovers she has lost sight of her parent in a grocery store and stands frozen and scared as she begins to cry. I feel broken like a mirror that has shattered into many shards of sharp glass. The image looking back at me is now jagged and distorted. I feel like a kicker who missed placing the final kick through the uprights by inches in a championship game. Everything feels wrong. I am all out of sorts.
My oncologist has been a constant in my life for more than seven years. I’ve seen him every three weeks for the last three years. I’ve known him for about fifteen years because he was also my mother’s oncologist. I have held him to a very high standard. I’ve depended on him to be there for me. This is someone whom I’ve trusted, respected, and knew was one hundred percent on my side. He is a good blend of medical expertise and hope that every oncology patient needs. He understands I have many questions, I worry, and I’ve always wanted (and will continue to want) aggressively appropriate treatment options. I will choose option A with challenging side effects over option B with lesser effects if A can potentially do better work than B. Every. Single. Time.
He’s gone to bat for me on more than one occasion.
He knew how badly I wanted to keep teaching and helped me keep doing what I loved doing for years. He also told me when he thought it was becoming too tough and unrealistic.
He suggested supplements that have helped me feel healthy and strong.
He encouraged more testing that opened doors to current protocols. Protocols that have been good for me.
My oncologist understood me. He viewed me as a person and not just as a patient. I have grown very attached to him. I will miss him.
Where do I go from here?
I am fortunate for a few reasons. The UW Carbone Cancer Center where I receive care is one of the top cancer centers in the country and the only comprehensive cancer center in Wisconsin. I know I will continue to receive quality care. I am also lucky that if my oncologist is leaving, he is leaving at a time when I am doing really well. I can only imagine how much harder this would be for me to handle if I were struggling physically. Lastly, my oncologist has taught me well. I’ve learned a lot from him about my health. He has really shaped my thinking since we embarked on our doctor-patient relationship. I daresay I may have rubbed off on him, too. At least I hope I have.
I am not always an easy-going patient. I’ve edited consent forms before signing them. Someone there once compared metastatic breast cancer to a cow that had been let out of a barn. It’s Wisconsin. I added on to that analogy and told him, “Just because the cow’s been let out of the barn, it doesn’t mean it can crap all over the pasture.” I’ve questioned, I’ve pushed back, I’ve disagreed, and I’ve complained. Mind you, I’ve also agreed, supported, amazed, and sparkled because that’s the kind of gem I am. And I am a gem. I like to think my spirit has never been diminished there because of my health status.
Oncologists come and go. I understand this is true, perhaps I have been fortunate that it took this long to happen to me. People move on in the professional world all the time. Yet an oncologist is very different. In my eyes, an accountant, dentist, plumber, chef, lawyer, teacher, or other professionals all have very different relationships with the people they serve. The relationship with a doctor is different, more intense, and more personal. I feel lost, abandoned, and alone. This person just isn’t going to be around and that makes it similar to a death in some aspects. A good friend of mine has had two oncologists leave her, and a third tell her she couldn’t see her again because she has passed enough benchmarks in time and is there is no evidence of disease.
The process has started to find a new oncologist so I have one in place when he leaves in a couple months. If you know me, you won’t be surprised that I’ve compiled a list of requirements my next oncologist must have.
My oncologist needs to be:
- Personable yet professional
- Up to date on current research and new treatments
- A lot like my current oncologist 🙂
My oncologist must:
- Have a breast cancer specialty
- Keep a very close eye on me
- Advocate for me
- Remember I am a person and not just a patient
- Accept and even enjoy my personality (I’m anxious, I’m smart, I research a lot on my own, I advocate for myself, I can be intense and insistent, I’m thorough, I’m hopeful, I’m fun, I cry, I’m sensitive, and I’m tough).
Sure, I have high standards and I am not going to settle for someone who doesn’t meet them. A good fit is essential for my best care.
I am confident I will find the right fit.
Unfortunately, I feel the time has come for me to move away from the smaller clinic setting I love so dearly and transfer to the center at the giant hospital. I need to put more weight behind a preferred oncologist than my preferred location. Truthfully, I’ve heard whispers that the smaller clinic may not stay open. I wouldn’t be surprised if it closed. It would be consistent with the kind of nonsense decisions that have been made regarding that smaller setting. Then, once again, I’d have to make a move with either a new doctor, a new location, or both. More importantly, I don’t know if I can continue to go to my current clinic once my oncologist leaves. Maybe I need a fresh start. It could be the best choice I can make.
It would be tough for me to leave and make this change. I’ve also grown very attached to my nurses, NP, and even the schedulers and people at reception. Everyone is so friendly and it’s one of the reasons I prefer the smaller setting. I get attached far too easily. Still, I must put myself first and make the decision that serves me the best.
I will be fine. I have time to accept this change, make a plan, and transition positively whatever I decide. As for my oncologist, I will thank him, say goodbye, and be forever grateful that I have been in his care for so many years. He’ll always be my oncologist. I’ll just have two now.
- What helps you when you need to make a difficult transition?
- What qualities or characteristics do you look for in your doctor?
Summer arrived right on time. Last weekend brought a picture perfect day. Little clouds scattered themselves across the blue sky. Green leaves danced on tree branches, delighted with the sunshine. Green grass swayed in the warm breeze. Frogs on the ground sang to one another but still went unseen. Birds called out to each other from branches with their song. Everything was fully alive again.
I went for a hike in Pheasant Branch Conservancy.
I enjoy hiking there for many reasons. Sometimes I enjoy the shade and protection of the trees in woodland areas. When phlox blooms, it can almost completely cover some places in shades of purple and white glory. Other parts are wide-open prairie. The watershed is of particular interest to people and wildlife alike. The area even has geothermal springs.
I love the hill the most. It offers unparalleled views of the watershed as well as of the Capitol building in the distance. It’s never crowded. After the climb and I’m on top looking out at the conservancy wetlands, I take a well-deserved rest for a few moments. I’ve even done warrior pose on the lookout platform to remind myself of my strength and celebrate my accomplishment.
The path leading to the top had been closed earlier in spring because it was too wet to have people hiking it. My understanding was there was a mix of safety concerns for walkers and also concerns to protect the trail from damage caused by people stomping all over it before it had hardened from the spring thaw.
My hike last weekend held challenges for me. I didn’t know if the hill path was going to be accessible or not, so I parked my car farther away so I could do a long quality walk if it wasn’t open. My hike wound up being a little longer than I wanted and I got hotter than I hoped. I don’t function well when I overheat. I was warm from the start but I refused to wimp out on the first truly warm day when there would be months of summer heat ahead of me. I enthusiastically convinced myself this was conditioning and I could do it.
I could do it, albeit not very enthusiastically or convincingly.
I discovered the hill path was open and thought I could manage it. I wanted to make it to the top. It’s never been terribly steep or long. However, my walk was plenty long already not including the hill. The ground was still muddy from recent rain in a few spots. There always are uneven parts and I need to watch my footing. I had about five minutes or less left to reach the top when I decided I should turn around and make sure I had ample energy to get back to my car. A tinge of disappointment tugged at my heart, but I know my body well. It was time to head back. I knew I would come back soon.
On my trek down, I met a man going up. He was about my age, give or take a few years. He hiked on crutches. He wore a boot on his left foot like you’d see on someone who had had surgery or had injured his foot. A smile on his face exuded cheer.
I didn’t need to see this man. Or maybe I did.
Crutch Man was obviously fit and strong. I was amazed by how steady he appeared. The nearest parking lot was already a good distance away to have traveled on crutches. Here he was taking on a climb. I marveled at his confidence. I wanted the kind of will power he possessed. It appeared like this hill was no big deal to him. It was too big of a deal for me to push myself with two strong legs and on two feet. The image of him accomplishing something that I wasn’t doing stuck with me for the rest of my walk. It stuck around for the rest of the day.
I felt I had invisible crutches.
How did he manage? What kind of mindset did he have? How could I get it? What was the lesson for me to learn?
Crutch Man, if you’re by chance reading this, I’d love to talk and ask you these questions directly.
What’s easy for one person is challenging for another and vice versa. I imagine I do (or have done) things that others can’t fathom. Teaching a room full of second graders could fall into that category. Living well with cancer could be another. I deal with a lot of medical stuff. I travel on my own. I support myself. We all have something.
Crutches are there to support you while you need help, not keep you less mobile indefinitely. Someone wouldn’t use physical crutches longer than what was needed. Invisible crutches are often used longer than necessary. They are comfortable and safe. They can’t be seen so the owner may not fully realize they are even using them. They are that little voice that nags we better not do “x” for any number of excuses but most of all because then there would be no use for the crutches anymore.
What are other names for invisible crutches people have that are harmful rather than helpful?
There is fear of being hurt, physically or emotionally. There is fear of rejection. Fear of failure is a big one. Failures only keep us from success if we don’t try again. Fear of change is another possibility.
Getting rid of this invisible crutch lets you live more boldly. What if you don’t meet a goal on the first try? So what? I see two possibilities. You try again or move on. What if everything does go as hoped? Wonderful! Do not fear success. Abandon worries and enjoy your moment in the sun.
Comparison is an invisible crutch if you compare yourself unfavorably to a colleague at work, another’s diagnosis, progress, another relationship, or some type of success that you haven’t experienced. There seldom is enough information to make a valid comparison. Why do we do this? I know I’m not the only one. Getting to the top of the hill may have been a goal of Crutch Man’s for some time. Perhaps he had been chunking together small successes for months. Maybe he is part bionic. I have no idea. I don’t know his story. The story I initially told myself was he was better than me and I must be a loser. He very well could have been more capable than me at that moment, but I am definitely NOT a loser.
I know I can hike the hill. I just can’t hike the hill, include a long walk, and do a little gardening all on one hot day (which is what I tried). People are always comparing themselves to others with results that usually find they don’t measure up. I need to stop. Who’s with me? The only thing I need to compare myself to is my own progress. Even then it’s silly because comparing myself to the “me” of my past doesn’t help with the “me” of my present.
Live in the now and forget about comparing.
Limiting beliefs and negative self-talk get you nowhere. They may cause regression. If you think you can’t do something, you probably can’t. If you think small, you may be successful but you might not fulfill your potential.
If you think you can, you may very well succeed. If not, you will learn something that will help you move toward your goal. A positive mindset propels you toward success. An “I can” attitude goes a long way, even if you aren’t entirely sure. How I see myself as a success or failure is part of my identity. I choose to see myself as a winner.
A few of those limiting beliefs may be opinions others have thrust upon you. I have gotten a lot better at not listening to these, but one creeps in every once in a while. Then it’s harder to give it the boot. I was told earlier this week I couldn’t do something. I did it.
Focus on those around you who are supportive. These helpers are not crutches. They are the ones who teach you to fish rather than give you fish. They teach you how to do something rather than do it for you. They encourage instead of criticize. They pick you up, dust you off after you fall, and tell you to keep trying.
Sometimes an invisible crutch is that everything is just fine. Nothing needs to change. Why push to hike a hill when flatlands are much easier? Why make life harder? Life is plenty hard already.
True, but without the hill, I don’t get the panoramic view. I don’t get to be where Native Americans chose as a location for burial grounds long ago. I don’t get the feeling of satisfaction I get from many things when I don’t do the work. Being at the top is worth the effort. The view is worth the work.
Crutch Man wasn’t there to show me up and make me feel sad about turning back early. I may not have encountered him at all had I kept going and looped around the top of the hill before heading back down.
I was supposed to see him.
He reminded me I am stronger than I think I am.
Sometimes I forget.
He was there to show me if he could do it, so could I.
Thanks, Crutch Man, whoever you are.
You keep being you.
I’ll be me.