Yes, I have a mild fever today. Boo! I canceled my patient schedule for Monday so I can rest another day after today. Fortunately, it was a really light day.

I’ve been sleeping on and off for the last two days. I am a firm believer in rest being the best medicine for a cold.

Now I’m pooped. Back to sleep for me.

Every other Thursday, I have a new little routine of doing a couple of hours of my business paperwork at the local coffee shop, Bird on a Wire. I was there two days ago. The baristas were both sick though not coughing on things. They were just congested. However, this should have been enough of a hint for me to high tail it out of there. (I am usually the Howard Hughes of avoiding illnesses. As a child psychologist with a private business, if I can’t work, no one can cover for me and plus, I don’t get paid.)

To the left of me, seated about 7 feet away was a regular customer. She is there every time I go to the coffee shop in the morning. I can tell the community at the coffee shop means a lot to her. Now she was coughing up a storm and exclaiming, “I just got this cough yesterday. I think I have a cold.”

This is when I was hijacked by hubris. I thought something along the lines of “I am pumped full of vitamins and good food. I walk three miles a day. I am strong. I a wonder Wonder Woman!”

So I stayed in the coffee shop.

This morning I woke up with a headache and a cough.

Fortunately, my hubris was not as Icaris proportions and I’ll live to learn from this experience, congestion and all.

When I am particularly stressed, I can have anxiety dreams. One theme is “bad guys chasing me.” Those are pretty darned easy to interpret, even for a cognitive-behavioral therapist who is not into dream analysis. Safety fears are old hat and very common.

Another theme is anxiety about professional competence. This plays out in two possible scenarios (a) I find myself back in high school because I really didn’t graduate (but I still have a Ph.D.) or (b) I find myself in college because I really didn’t graduate (but I still have a Ph.D.) These dreams often end with my saying to myself, “Why am I worried about this? I have my Ph.D. and psychology license, which allows me to work.” Then I feel much better. Then it magically turns out that I was mistaken about not having graduated from high school or college. See, I even do cognitive therapy with myself in my dreams.

Since my breast cancer diagnosis, I’ve encountered a third theme of anxiety dream. In these dreams, I find that I no longer live in my home but have moved somewhere else. It’s sudden and I’m not on board with the decision but it is too late. Last night I had the same dream. We moved to a pretty fancy house with two swimming pools. (In other dreams, there’s often a hot tub and in another we moved to a house on a river.) At one point the house changed so that it was part of a shopping mall. I was walking around the new house, orienting myself to it and I ended up in the shopping mall. I quickly got lost and ended up out of the mall and wandering around a city that was not familiar to me. I couldn’t get a cab or bus to take me home because I hadn’t yet memorized my new address. When I looked for my phone to call home, I kept finding phones in my purse but none of them worked. At one point, it started snowing and I was walking around with no coat. If this dream had a resolution, I don’t remember it.

I know where I am. I know where I live. I’m not going any where.

I’ve been struggling with water, the gift of life, aqua, good ol’ H2O.

There was leaky pipe in my office last Saturday, which would have created a deluge had my office mate not been there to see it so a plumber could be called to fix it.

Yesterday, as usual, I went for my three mile long walk. It was rainy, which is not unusual for this time of year. I donned my Gore-Tex armor, which has served me so well-Gore-Tex hat, Gore-Tex hiking boots, Gore-Tex parka, Gore-Tex boots, Gore-Tex pants.

If I lived a considerable distance south of these parts, I might even call myself a Gore-Texan. The rain at night, lasts a fortnight (clap, clap, clap, clap). Deep in the heart of Gore-Tex!

I came home from my walk, my boots squeaky, my socks soggy, and soaked through my coat, insulated long-underwear shirt, t-shirt, and bra! Only my Gore-Tex pants managed to maintain my faith in the magical rain shedding powers of Gore-Tex.

I took my smartphone out of my ZIPPPED Gore-Tex parka pocket. Uh-oh. It was covered in water. The screen was flickering! I quickly turned it off and opened it up. It was wet on the inside! I dried it off but being fool hardy, I tried to turn it back on even though my brain was telling me, “Leave it off and call AT&T.” It turned on but was frozen on the “Samsung” boot up screen. So I turned it off and broke it down again.

“My precious! My precious phone! My extremely complicated work, medical, family, personal life calendar is on there! The names of all of the new patients I will see between now and March 5th are on there!”

“Golem, I feel your pain,” I thought to myself. “I am a psychologist. I am not addicted to technology. I am an excellent problem-solver. Get a hold of yourself, woman!” I took a deep breath and called AT&T.

A very sweet technical support rep named Shannon answered. “Oh, I just did that. I was so worried. I keep EVERYTHING on my phone. Surround your phone with rice to get it to dry out. Leave it for at least a day. I’ll call you tomorrow and see how you are.”

Shannon has felt Golem’s pain as well. I confirmed with her that if the phone didn’t dry out, it was curtains for the information on my phone. (And yes, Google is supposed to automatically back up my calendar but that stopped working and I’ve been procrastinating about figuring out a fix for that problem.)

“My precious! My precious! God, you can take my breast but not my SMARTPHONE!” I was again, I’m afraid, losing some perspective. So I then imagined the Albert Ellis section of classic 1960’s psychologist training film, “Three Approaches to Psychotherapy“, also known as “The Gloria Films”. Gloria, a real person with real life problems, agrees to be taped seeing three super famous clinical psychologists (Fritz Perls, Carol Rogers, and Albert Ellis), one at a time. Pioneers in fields can be kind of extreme. The Gloria films illustrate this quite nicely. By the time I saw the film in the 90’s, it was for historical purposes. The film served up unintentional hilarity with a side of guilt since Gloria was a real person with real problems. They were not getting addressed.

So what does this have to do with my meltdown about “My precious”, you may ask? Albert Ellis was a brilliant psychologist who developed Rational Emotive Therapy (RET), which is the foundation of modern cognitive therapy. The goal of RET is to use reason to reduce psychopathology. However, Ellis did this in the absence of stuff like, you know, demonstrating empathy and establishing rapport. He also had a rather distinctive nasal northeast accent. Combined with his lawyerly therapy style, it was pretty funny. “I can see that your situation in inconvenient, but it is not terrible and awful.” Or my favorite when Gloria puts her self down and he responds by telling her that if she makes a mistake it does not make her a “no good-nik”. The sight and sound of Dr. Ellis trying to use 60’s-era hip slang was double hilarious. Check it out for yourself here.

“Elizabeth, your anecdotes require too much exposition! What does this have to do with your phone?”

Thank you, patient readers. Basically, I tried to reason with myself as I often do, but this time I remembered Albert Ellis, and it made me laugh.

That pulled me out of my tizzy and I went about recreating my schedule, piecing it together from memory, emails, and other non smartphone dependent methods.

Today, I took my phone out of it’s rice bed and it awoke!

Thank you, Albert Ellis. Yesterday was inconvenient and more than a little stressful but it wasn’t “terrible and awful.” I hope you forgive me for laughing at you and for being able to do a dead-on impersonation of you. You were definitely not a “no good-nik.”

This is your brain on breast cancer-mush. This is what the part of your brain that is still working has to say to the rest of the brain to keep it going, “Mush, mush!”

I got through the day. Tomorrow I am bringing a sled and a full team of Huskies and Malemutes.

Cancer treatment is kind of like racing the Iditarod but not as cold and with fewer furry animals. On the other hand, cancer treatment takes way longer than 9-15 days.

The most Iditarod races won by any one musher is five. Susan Butcher won the race that many times along with five other athletes.

Women and endurance. We have a lot of it and good thing, because we have much to endure!

Mush, mush!

Out into the fields of frozen white! We can do this!

I have a wonderful support network, including you lovely folks who read this blog. And by and large, I have experienced very little unwelcome advice concerning my breast cancer treatment. Very little. Much less than I expected.

There is one little arena into which some unwelcome advice has crept. I have gotten some negative feedback about my choices regarding breast reconstruction. A couple of voices have opined that I should skip reconstruction. I’ve also fielded the opinion that I should opt for an implant rather than a TRAM surgery (transplantation of belly fact and some abdominal muscle to make a new breast) because the former is a simpler surgery and the latter involves a more major surgery (abdominal and breast).

While I haven’t been floored by the opinions and no one has been super insistent, I would be lying to say that they didn’t bother me. I did examine the part that bothered me to make sure that I’m not doubting my own decision. I concluded that based on the information I have now (since I can’t predict the future), I made the best decision for ME. Also it is a little extra annoying when the opinions have been stated AFTER I’ve already done a number of steps, including two surgeries, which are prepping my body for the TRAM surgery. If I had chosen an implant, which I think is a fine option, by the way, I would have had different procedures done.

We are fortunate to have a number of options regarding breast reconstruction. All of the options have major pluses and minuses. Not all of the options are available for every breast cancer survivor due to finances, particular breast cancer treatment regimen, body weight, smoker/non-smoker etc.

My personal opinion is that there is no perfect solution but there are a number of alternatives, often more than one of them being satisfactory for a given individual. But the ultimate choice is individual so folks, if you would kindly keep these typically well-intended opinions to yourself, we breast cancer ladies would be much obliged.

P.S. I know that I have also lost 31 pounds since May. My plastic surgeon assures me that I still have enough belly fat to make a new breast. Yay, belly fat!

I met a goal today. My BMI (body mass index) now officially lands in the “Healthy Weight” category. Hooray!!!!

Now for maintenance, which is even harder. But I am cautiously optimistic and for today, I’m going to concentrate on the achievement!

By eating better and exercising, I have:

-Decreased my chance of future serious health problems, including decreasing the chance breast cancer recurrence.
-Improved my daily quality of life. I am more energetic, positive in attitude, and confident.

-I am now a better role model of healthy living for my 14 year-old daughter.

Okay, now to celebrate with a big box of chocolates! I kid, I kid!

My professional (two reports to write), domestic (three loads of laundry to fold), and family (father-in-law is arriving soon) worlds are colliding with my blogging world! I need more blogging time.

And yes, it is funny to have too much normal life interfering with my cancer life. I guess it’s one of those kind of problems I want to have. That is to have enough room in my life as a cancer patient to be able to cram in too much non-cancer living.

I was doing some testing this morning with a 7 year-old girl. A very nice girl. Cute as a button.

I was watching her complete a writing task as she quite absent-mindedly put the blunt end of the pencil up her left nostril.

I decided to retire this pencil from my test kit and send it home with her with my holiday wishes!

I also offered her one of my nose-shaped pencil sharpeners. This way, the next time she sticks a pencil up a nostril she’ll at least get a sharp point out of the deal!

You can get some of these sharpeners of your very own from Oriental Trading Company

You can get some of these sharpeners of your very own from Oriental Trading Company

Hi 2013,

First, I must admit that I’ve had other relationships. This is not my first visit to the rodeo that travels around the sun. You are my 48th. Most of the relationships were good and I learned a great deal. 2011 and 2012, however, kind of stunk. In 2012, for example, I discovered that I had breast cancer. Although I have mostly healed from the six surgeries I had in that year, I am not eager to have any more big bad stressful stuff happen other than what’s already planned, like my next surgery in March. So please do me a favor and be a little on the boring side. I’ve kind of had it with the “bad boy” years. Boring and stable sounds good to me

For my part, I promise to continue to eat healthy, meditate daily, exercise, and participate in my healthcare by attending all of my appointments and following recommendations.

I am happy to show my appreciation by providing you with an endless supply of gluten-free baked goods!

Lindbergh High School Reunion '82, '83, '84, '85

Join us this summer for our reunion in Renton, WA!

George Lakoff

George Lakoff has retired as Distinguished Professor of Cognitive Science and Linguistics at the University of California at Berkeley. His newest book "The Neural Mind" is now available.

KomenWatch

Keeping our eyes and ears open.....

4 Times and Counting

Confessions Of A 4 Time Breast Cancer Survivor

Nancy's Point

A blog about breast cancer, loss, and survivorship

After 20 Years

Exploring progress in cancer research from the patient perspective

My Eyes Are Up Here

My life is not just about my chest, despite rumblings to the contrary.

Dglassme's Blog

Wouldn't Wish This On My Worst Enemy

SeasonedSistah

Today is Better Than Yesterday

The Pink Underbelly

A day in the life of a sassy Texas girl dealing with breast cancer and its messy aftermath

The Asymmetry of Matter

Qui vivra verra.

Fab 4th and 5th Grade

Teaching readers, writers, and thinkers

Journeying Beyond Breast Cancer

making sense of the breast cancer experience together

Entering a World of Pink

a male breast cancer blog

Luminous Blue

a mother's and daughter's journey with transformation, cancer, death and love

Fierce is the New Pink

Run to the Bear!

The Sarcastic Boob

Determined to Manage Breast Cancer with the Same Level of Sarcasm with which I Manage Everything Else

FEC-THis

Life after a tango with death & its best friend cancer