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Coping with Appearance Changes

(Emotions, Treatment) Permanent link

For many people, the side-effects of cancer treatment include appearance changes that can be difficult to deal with. Some of these changes usually temporary, such as weight loss or gain, swelling of the face, skin irritation or redness, and hair loss. Permanent physical changes, such as loss of a breast or organ, surgical scarring, and swelling due to lymphatic obstructions present even greater challenges.

Chemotherapy drugs are powerful medications that aggressively attack rapidly growing cancer cells. They can also damage healthy cells, such as in the roots of your hair. The resulting hair loss is usually temporary, lasting until several weeks after treatment is completed. The type and dose of chemotherapy you receive will determine whether or not you have hair loss, and some patients will not lose hair at all.

Radiation therapy can also cause hair loss, but only in the area that is being treated. For example, radiation to your head may cause you to lose some or all of the hair on your head, even eyebrows and lashes. But radiation to your breast will not cause hair loss. Your doctor or nurse will be able to tell you what you can expect from your particular treatment.

While hair loss can be a blow to your self-esteem, it will help to have a positive attitude and the support of your friends and family. Many patients gain a sense of control by cutting their hair very short, or even shaving their heads, before the hair loss begins. If you opt to purchase a wig, it is best to do it while you still have all your own hair. That way, you can match your current color and style. Wigs are available in a variety of materials and styles and at all price ranges. See a list of companies that sell wigs and other hair accessories

Chemotherapy and radiation treatments may also cause changes to the appearance and texture of your skin, including redness, dryness and irritation. By making adjustments to your regular skincare regimen, you can lessen the effects of these treatments. See suggestions for keeping your skin healthy and comfortable during your cancer treatments.

Visit the American Cancer Society Web site for information related to skin changes specific to radiation therapy

Radiation therapy or the surgical removal of lymph glands can cause lymphedema, a build-up of fluids in your body that make an arm or leg to swell and become painful. Symptoms may begin six to eight weeks after surgery or after radiation treatment for cancer, or they can take years to develop. Lymphedema is a lifelong condition, but there are many things you can do to help keep it under control

Whatever physical changes you are dealing with related to your cancer and treatment, remember that your feelings and concerns are perfectly normal. You are not being vain to care about your appearance. 

To help you boost your self image during this vulnerable time, it is especially important to surround yourself with positive, supportive people. Ask for help when you need it, and accept help when it is offered. It may be beneficial to talk with others who are facing similar challenges. Ask your health care provider or an Allegiance Health Patient Navigator (517 780-7388) for local or online support groups you can join. 

Allegiance Health offers a free makeover and grooming class for women who are dealing with cancer through the nonprofit organization Look Good … Feel Better. The class includes hands-on instruction on makeup, skin care and nail care and offers suggestions for using wigs, turbans and scarves. Led by licensed cosmetologists who are American Cancer Society volunteers, the class is offered on the third Thursday of every month from 2-4 p.m. at Allegiance Health Radiation Oncology—Tejada Center. Each participant receives a free makeup kit valued at more than $250. Call 1-800-227-2345 to reserve your spot. If you would like to receive a free beauty guide, without the class, click here.

Managing the Emotional Side of Cancer

(Emotions, Treatment) Permanent link

Recovering from cancer involves both physical and emotional healing. Learning to manage the stress and anxiety can be as important to your body’s ability to fight cancer as your medical treatment. Many patients tell us that dealing with their emotions is the most difficult part of their cancer experience. This was a major consideration in designing Allegiance Health’s Gayle M. Jacob Cancer Center as a physically and emotionally healing environment. It is also central to the care plans developed by our physicians and staff.

Hearing the words “You have cancer” can be overwhelming in itself—flooding you with such feelings as shock, fear, guilt, numbness, confusion and anger. The diagnosis will affect each person differently—not only patients but also their family and friends. And each will deal with these feelings in his or her own way way. 

All the thoughts, fears and worries that may be going though your mind are a normal part of the healing process. It is important that you express these feelings instead of trying to ignore them. The support of those closest to you is critical at this time, and you will likely find it helpful to bring a trusted person with you on your doctor visits. It might also help to talk with other people who have experienced cancer. Ask your doctor or patient navigator if one-on-one support is available and also ask for information on support groups.

Cancer treatment can be lengthy and complex, but it will become part of your routine, and you will get to know and feel comfortable with your care team. During this time, there are many things you can do for yourself to help ensure you get the most from your treatment. These include taking moments in your day to clear your thoughts with mindfulness and meditation, to relax by practicing deep breathing, go for walks and enjoy the fresh air, listen to soothing music, do gentle stretching exercises or write in a journal.

When cancer treatment is completed, it is very common to feel a bit lost and unsure about leaving the safety of a medical setting to face the future on your own. it is also normal to worry that the cancer might return, even if you are feeling healthy. These fears usually lessen over time, but they may not go away entirely. There are, however, ways to help manage your feelings

Ask your doctor what you can do to lower your chances for recurrence, be diligent about going to your follow-up visits, continue to make healthy choices regarding food and physical activity. Not only with these things help you maintain your optimum level of health, they may also help you feel more in control of your life. 

While a mix of emotions is normal and expected in those experiencing cancer treatment and follow-up, you can reach a level of distress that is too high. It is important to be aware of warning signs of depression. Remember to stay active and keep connected with friends and family.

Wishing you strength and well-being,
Malcolm Trimble, MD

Watch these pages for my next blog on Nutritional Health and Supplements for Cancer Survivors.