Bile Duct Cancer

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Does chemo trigger your anxiety and/or depression?

I’m wondering if anyone else has noticed that a few days after chemo, anxiety is heightened and depression sets in heavy?

I’ve noticed it the last few times along with the extreme fatigue and generally awful chemotherapy side effects. It’s a little hard to tell if the side effects and especially the fatigue are triggering my major depression and anxiety or if they’re being made worse by them or if it’s just another side effect of the actual chemotherapy drugs?

I feel like it’s worse than just the physical side effects, it stops me from being able to have any kind of enjoyment or sense of purpose or will to keep going period. Plus the physical symptoms of anxiety and depression just add to the physical symptoms I’m already having from the cancer and the chemo. I typically feel good the 1-2 days after chemo and then day 3 I feel crappy with side effects and a sneakily quiet depression and then days 4-6 the physical side effects, the anxiety and the depression are overpowering and take me over completely. I’m not me, I’m lethargic, angry, mean, I snap, I’m disoriented and disconnected from myself and everyone else. I can’t create anything, no art, no crafts, no coloring, no self care, no physical personal care… just laying on the couch staring at my phone or the tv hating the world.

Because of my heart I was taken off my psych meds in August and because I have Medicaid I only see a therapist via zoom once every other month. Which of course helps nothing. My primary care NP is the only one who can refer me to their clinic psychiatrist who prescribes and changes meds, however my PC NP is on maternity leave and that clinic has nobody covering for her patients. The joys of Medicaid in America where good medical care is only for the rich.

#Cancer #BileDuctCancer #Chemotherapy #MajorDepressiveDisorder #ObsessiveCompulsiveDisorder #Anxiety #Fibromyalgia #AutoimmuneImmunodeficiency #metastaticcancer

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I hate this cancer & everything it’s done!

In April of this year I was diagnosed with stage 4 bile duct liver #Cancer . I’ve been in #Chemotherapy since May. I recently found out I’ll be in chemo for the rest of my life or until it either stops working or becomes too toxic for my body to handle.

I hate chemo, I thought I only had a few treatments left in this “round” but turns out there is no round. My arms are so marked up and bruised from the IVs since I’m a hard stick. I had a faulty painful port put in and taken out, the complication was so severe that I might not be able to have a replacement put in. I’ve lost 53lbs and most of my hair. I’ve developed #ChemotherapyinducedPeripheralNeuropathy . It makes me so sick, so weak, so tired. I’ve had to have platelet and plasma transfusions because of chemo.

The chemo has helped shrink my main tumor from grapefruit size to a lime so far and helped with the spreading so I put up with it and I’m grateful for it even though I hate it.

Nobody tells you that cancer physically hurts. It’s does, a lot. And the smaller that damned tumor gets the more it hurts. Mine vibrates, it’s such a weird sensation. My oncologist and I joke that it’s the wicked witch melting as the chemo shrinks her. Of course I have a dramatic tumor. I have to pick and choose when I take pain killers for it because of my heart disease and fragile heart. So unless the pain is around a 9, I just try to deal with it. It’s been a 7-8 24/7 here lately.

Nobody tells you that cancer doesn’t take away your hunger but it does take away your ability to eat. So you’re just hangry and unable to eat all the time, makes me such a pleasant person to be around I’m sure. The moment I try to eat I’m instantly nauseous and feel full whilst my stomach growls. And everything tastes like crap courtesy of chemo.

Nobody tells you that cancer robs your ability to take care of yourself. It takes your energy, your balance, your strength, your concentration. It leaves you weak and exhausted and ravaged by pain and treatment side effects. I now rely 100% on my mother to care for me as if I were a child, I’m 40. If I try to walk around Walmart for more than 15 min, I pass out. So my elderly mother has to do everything.

They don’t tell you how lonely cancer makes you, how your immune system is so fragile that you’re basically on lockdown. Especially in 2021! I can’t trust others to socially distance or mask all the time or be totally vaccinated and not interact with others who may be sick so I can’t see anyone outside my household which is just my mother and our pets.

When you get told you have stage 4 cancer you’re given a lot of hope, however false (or not) it may be. You’re not told at 40 how to plan for the “just in case but probably the case” or what the legalities are.

Cancer sucks but y’all are great for letting me vent, thank you!



When is it ok to give up?

TW: depression, trauma, terminal illness *super long vent, sorry*

I feel like this #Cancer is taking everything away from me, what little I had left. Prior to diagnosis in April, I had to quit my job for health reasons and filed for disability (medically approved now but for the cancer but still no final word from them). I was struggling with #CPTSD , #MajorDepressiveDisorder , #ObsessiveCompulsiveDisorder , #Fibromyalgia , #PsoriaticArthritis , #Asthma , #sjogrens , #SevereAllergies , #Bursitis , #PolycysticOvarySyndrome , #DiabetesType2 and a bunch of other complications from all of these things plus a few more diagnosed illnesses. All whilst trying to get a divorce (still trying to get it).

So in April I go to the ER thinking Covid. Nope. Lungs both full of fluid from #CongestiveHeartFailure . Apparently I had a heart attack and didn’t notice as I was told a lot of chronic pain patients don’t because we’re used to random severe pain. Also they found a grapefruit sized tumor on my liver, stage 4 #BileDuctCancer in my #liver and it had spread to some lymph nodes on my abdomen. I have no medical insurance.

So now here we are in July and I’ve been in chemo since May. I’ve had a few minor surgeries/procedures and I have to have my port removed/replaced which is why I’ve been in pain there since May.

Now it turns out on top of mouth problems, fatigue, low white blood cells as side effect to my #Chemotherapy , I have been diagnosed with #ChemotherapyinducedPeripheralNeuropathy which has been the most painful experience of my life. They said it was a severe case.

They also think either a #cateract or #Glaucoma in my left eye which is why my eye hurts and I can barely see. Either could leave me blind. I’m an artist by trade, I’ve won awards for my cakes and every one of my hobbies is art/craft/visual. Now I can’t tolerate any amount of light without it being painful and I can’t do anything with my hands without being in major pain from the neuropathy. I can’t enjoy anything or do anything for myself, already fell down the stairs last week because of my vision/neuropathy combo.

Also, I’ve had to get 2 Neupogen (helps bone marrow make white blood cells) shots this weekend and like every other week. The bone pain makes my body shake uncontrollably and nothing will help it.

All this has led to me being a walking pharmaceutical cocktail and the side effects are brutal. I picked up a new med today, tonight my little medicine bag overflowed and I broke down. I just turned 40 in May. I have more meds than years on this earth. I have a terminal illness that makes me ineligible for the heart transplant that I need but im technically not dying according to my oncologist.

So at what point is it ok to say I’ve done enough, I’m tired and I give up, I want out? Daily living is torture and there’s no joy.

Thank you if you made it this far!

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Chronic Illness: 0/10 ⭐️ Would not recommend.

Why is taking a shower so freaking draining now being chronically ill? So much drama, full on panic attacks, can’t breathe, exhausted... and I have a shower chair. I used to love my hotter than the Caribbean sun 1-2 hour showers. I did my best thinking and planning and relaxing in there. It was my happy place.

Now my former happy place feels like a luke warm torture chamber that I have to tolerate for 5-10 minutes. It requires planning, having some sodium, preparing ice water, placing everything within reach, taking a nap beforehand and having everything ready so I can get in bed immediately afterwards. These days it also requires assistance from my mother. And I end up with panic attacks from not feeling good whilst in the shower and then those lead to panic attacks about how much worse this could get and then I end up crying myself to sleep.

Stupid chronic illnesses stealing all our joys and happy places! Who else is tired of the shower drama?

#ChronicIllness #PosturalOrthostaticTachycardiaSyndrome #CongestiveHeartFailure #BileDuctCancer #LiverCancer #Fibromyaliga #Chemotherapy #Anxiety


Kind hope or realistic optimism?

I’m wondering how much of the hope doctors give their patients is just kindness out of pity or if there is truth in their kind words and we’re just too overwhelmed and afraid to believe it?

Last week I was hospitalized for a week, I thought I had pneumonia. I didn’t but they found Systolic Heart Failure (with no blockages or high cholesterol so we’re treating with meds and there’s high hope) and cancer. It was a horribly traumatic hospital stay, they nearly killed me from dehydration and it was like a parade of specialists and doctors trying to out “doom and gloom” or completely contradict each other and themselves. It really messed with my ptsd and induced numerous panic attacks while I was there.

Today I had my first official oncology appointment where I learned it’s stage 4 bile duct liver cancer that has spread to my abdominal area and lungs. I’m 39, most people with this cancer are over 65 and so survival is pretty grim. I also have asthma, type 2 diabetes, Sjögren’s syndrome, psoriatic arthritis and fibromyalgia along with the newly diagnosed heart failure. My oncologist (who is the colleague/boss of the horrible oncologist who made me cry and told me I was dying before any results were back. She was really upity and had an overall bad vibe. I made them notate in my chart that she was not to touch me or my case which is how I got her boss, who is no nonsense but super nice with such a good vibe).

Today I was told I’ll have a port surgically implanted within the next 2 weeks. My oncologist is super positive and kept assuring me that I’m not dying, that I’m young and new clinical trials are happening all the time. She seemed really confident that while yes it’s serious and yes I have a lot going on, I can still fight this. But I did see a sadness in her eyes when she had to tell me the diagnosis. It makes me wonder if the hope she’s giving me is realistic or if she’s just being kind? Positivity is important and I understand that but so is planning and preparing for the end because I effed up and googled and now I feel like what if she was just being kind? Or what if my anxiety is taking over and there really isn’t a reason to immediately think death is imminent?
#Cancer #LiverCancer #BileDuctCancer #Doctors #heartfailure #SystolicHeartFailure #Diabetes #Fibromyalgia #sjogrens #CPTSD #Depression #Anxiety #chronicallyillandstrong #Hope


A few months ago someone posted a link to an article about making healing into a mental game, reframing it. Anyone know where I can find it?

The article was great, the bit I got to read. I kept it open in a tab, but one day while we were waiting in the ER my SO decided to clean up my tabs, messages, and a bunch of other stuff. Now that I’m finally in a place to read it, I can’t find it. It wasn’t a video game, just about reframing your healing process into a game. Your remission might be the end quest, with quests on the way, getting sidelined might be a side quest, you might acquire allies... but I wanted to read more about how this gal set her game up. Apparently it really helped with her positivity and well, #Cancer #BileDuctCancer #

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Rare Cancer: Bile Duct

I was diagnosed last October with Bile Duct cancer. It is un-curable , but treatable. Chemo started in January and still continues. Those who know say “you don’t look sick”, which I guess is a compliment



“Cursed and Gifted with AS”

March 1, 2018—Yay! I do have a chronic, debilitating, painful, and incurable disease! My lifelong nightmare was over when I was diagnosed with Ankylosing Spondylitis and prescribed medication to help prevent, instead of just treat, my symptoms. This happened 37 years after my first symptom as a teenager, and almost 30 years after I began having chronic pain and other symptoms in parts of the body known to be affected by AS. Although some of my pain began after very minor injuries, I believe the chronic inflammation caused by AS was at the root of my health problems.

It’s genetic, man: My father and youngest brother, both named Rubin, had AS. My father’s symptoms began at age 18 with his first bout of uveitis. He soon developed unexplained knee and shoulder pain. In later years, he had GERD, a hip replacement, aortic valve disease, and colon cancer. His spine fused completely when he was in his 50s, and when he was 76, he fell and broke his neck in five places. He died at age 84 of a subdural hematoma.

“Little” Rubin’s battle with AS began with ulcerative colitis, which was initially misdiagnosed as irritable bowel syndrome (IBS). He also had chronic back and neck pain with very limited flexibility; he appeared to be fused like our father. Little Rubin eventually developed primary sclerosing cholangitis and bile duct cancer that I believe were complications of his AS-related colitis, and he passed away at age 50—just six months after our father died.

My story is similar to theirs, but like all AS patients, it’s different in its own way. The following is a timeline of my journey with AS:

Fall 1981—First shot fired: I was an active junior in high school when I began having unexplained fatigue. I could hardly get out of bed and had low energy during the day. My father, who besides having severe AS was an amputee with one leg, accused his able-bodied daughter of being lazy. I soon found that nicotine and caffeine helped me “manage” my fatigue, but after I gave them up many years later, my fatigue got progressively worse.

May 1989—Release the Kraken: I enlisted in the navy, and during boot camp I began having severe stomach pain and chronic constipation that was diagnosed as irritable bowel syndrome (IBS). After boot camp, I twisted my back slightly but developed persistent, severe pain that was diagnosed as chronic mid-back strain. Just two months after I injured my back, I hyperextended my knee and was diagnosed with chronic right knee strain. Why I had sudden, persistent pain was never investigated while I was in the service. I have dealt with chronic bowel, back, and knee pain ever since.

After having two major injuries in my first six months of active duty, I was placed on permanent light duty. Additionally, I was considered unfit for ship duty, so my seafaring dreams were crushed. At age 25, this was just the first of many disappointments caused by AS.

December 1992—Say hello to a new pain: One month after my son was born, I felt a sharp pain in my left hip that shot down to my knee. I was diagnosed with sciatica, which the doctor said was likely caused by the trauma of childbirth. Regular stretching helps, but I still get flares several times a year that hamper my mobility.

1998—Ah, my neck! I was rear-ended, and although the damage to my car was very minimal, I developed severe neck pain. I’d had no previous neck injuries, but I had herniated discs in three places. The natural curvature had straightened as well. The pain from that injury resolved, but I still have unexplained, extensive damage to my cervical spine and recurrent neck pain.

1999—Brace yourself: I started to get numbness, tingling, and pain in both wrists and hands that was diagnosed as carpal tunnel syndrome. Shortly after, I was diagnosed with GERD (GERD), and years later, with chronic gastritis. I reduced my digestive symptoms with medication and dietary changes, but they have persisted.

May 2000: Missed it by that much: After driving cross country, my back pain flared, and the x-ray showed “sclerosis” of my sacroiliac joint. I later learned that sclerosis (thickening or hardening of bone) is how sacroiliitis, an AS marker, can appear on an x-ray. The doctor didn’t mention this, but he tested me for the HLA-B27 gene. When it was negative, he diagnosed me with sacroiliac joint dysfunction. I received the same treatment that I’d gotten up until that point: physical therapy, NSAIDS, and painkillers.

January 2005—…and broke my sacroiliac: I bent to lift a bench when I suddenly felt such a sharp pain near my tailbone that I couldn’t stand back up. I was diagnosed with facet joint arthropathy and low back sprain, and received my first spinal injections. I was off work for five months, and at age 40 I began to realize that the biggest struggle of my life was going to be living in my own body.

2008-2010—Deterioration: My life became a pattern of manageable pain periodically interrupted by very painful flares. Now a single mother, I started working full time as an auto claims adjuster. Within months of driving hundreds of miles a week, my neck, back, and wrist pain flared up worse than they ever had. I was on disability for almost two years this time, during which my father and brother died. After their deaths, I became afraid I had AS, so I saw another doctor. This time, the x-ray of my sacroiliac joint was “unremarkable”, and I was still HLA-B27 negative, so he told me I didn’t have AS. He explained that my entire spine simply had degenerative disc disease.

2010-2017—Voodoo doll: During these years, I developed several new recurring symptoms: tenderness and pain in my chest and outer hips and thighs; pain in my thumb, heel, and elbow; shortness of breath; and excess protein and trace blood in my urine. I became depressed dealing with all this pain, and I’m sure my emotional state worsened my physical symptoms. I switched to a desk job, but sitting all day seemed to aggravate my symptoms even more.

In this 8-year period, I managed my pain with seven joint surgeries and numerous injections into ten different joints. I endured these procedures because I couldn’t take NSAIDS by mouth anymore. I also spent a small fortune on massages, heating pads, ice packs, braces, and seat cushions, and Biofreeze. I did get diagnosed with fibromyalgia in 2014, but the treatment for it had no effect on my joint and digestive symptoms.

Not surprisingly, working full-time became impossible, so I retired on disability in 2014. Fortunately, I managed to earn my master’s degree in 2010, and started teaching English as a Second Language to adults part-time after I retired. I love what I do, and it’s been a great diversion.

2018—Sick and tired of being sick and tired: After nearly 30 years of chronic pain and digestive issues, I’d gotten used to living with regular discomfort. However, I was growing weary of the flares, which were occurring more often and lasting longer (and now included debilitating fatigue and feverishness). Even the stiffness in my back in the morning, which used to be sporadic, had become a daily occurrence. It was like the first day of the flu every single day. When I could take it no longer, my only option was to go to the doctor for a Toradol (an NSAID) shot.

I was also an emotional wreck. Relieving stress was difficult. I had no energy for exercise, and leisure activities I’d previously enjoyed now increased my pain. I avoided social activities because of anticipated pain, but I was also tired of being housebound “socializing” through social media. Furthermore, I was angry that I although I was well-educated and experienced, my health had killed my career and stifled my earning potential. Worst of all, my disease had put a strain on my marriage and revealed how unsupportive some of my friends and family were. I was even called a hypochondriac. I became despondent, and occasionally suicidal.

Fortunately, when I reached the end of my rope, there was…Google. It started when I had a CT scan for an unrelated condition. The report said I had sacroiliitis and osteitis pubis—two diseases I’d never heard of, but had been suffering from for years. I googled their causes, and Ankylosing Spondylitis was all over the search results. I also discovered that my other recurrent conditions (costochondritis, trochanter bursitis, Achilles tendonitis, tennis and golfer’s elbow, De Quervain’s tenosynovitis) were possibly AS-related enthesitis.

I was convinced now that I had AS, but I remembered the HLA-B27 gene issue, so I did some research. I’m a black female, and I was surprised to learn that about half of African Americans with AS don’t have the gene. This wasn’t new information—it was discovered in the 1970s. Unfortunately, the doctors I’d seen up until then believed AS only happened to folks who were HLA-B27 positive, regardless of their symptoms.

Today— Acceptance and renewal: Armed with knowledge about AS and determined to have a thorough workup this time, I was fortunate to find a rheumatologist who really listened. He took my full history and ordered imaging studies of my entire spine, which showed active sacroiliitis and bone marrow edema (inflammation in the bone), two AS diagnostic criteria. He diagnosed me with AS when he got the test results and established a treatment plan. I was so relieved that I just sat in my car after the appointment and cried like a baby.

My first treatment was the biologic, Humira, which stopped working after several months. Now I’m on Enbrel, which helped give me my life back. I also manage my disease with regular stretching, exercise and massages, and I’ve found new leisure activities to relieve stress. Although I still live with daily pain and fatigue and occasional major flares, I’ve accepted my new life and no longer feel hopeless about my situation.

Lastly, I’ve also learned to forgive the people who haven’t been there for me and truly appreciate the angels who have. AS has been a curse and a gift in my life. It’s broken me physically over the years, but it’s also strengthened my resolve to live life to the fullest. Today, I’m the best I’ve ever been.