Which treatment you choose, if any, will be based on many of the same factors you considered when deciding on your treatment the first time. Consider what you hope to accomplish and what side effects you're willing to endure. Your doctor will also take into account what types of treatment you had previously and how your body responded to those treatments.
You might also consider joining a clinical trial, where you may have access to the latest treatments or experimental medications. Talk to your doctor about clinical trials that are available to you. A cancer recurrence brings back many of the same emotions you felt when you were first diagnosed with cancer. Common emotions include:. When you ended treatment for your initial cancer, you slowly started to move on with your life, thinking the cancer was gone. In the weeks, months or years that passed, cancer became less and less a part of your daily life. The shock of having cancer come back after you assumed it was gone can cause distress — sometimes more so than your first diagnosis did.
You may doubt the wisdom of your past treatment decisions or the lifestyle choices you made since your last cancer experience. Try not to look backward. Instead, focus on your current situation and what you need to do now to move forward. It's very common and reasonable to be angry that your cancer has returned. You might even be angry with your doctor for not stopping your cancer the first time. Or you might wonder why you put up with the side effects of your original treatment, just to have the cancer recur anyway.
But you and your doctor made treatment choices based on the information available at that time. It's normal to feel that you can't deal with cancer again. Whether it's the side effects of treatment you're dreading or having to tell your friends and family that you have cancer, you've done it before. Take heart in the fact that you were able to do it the first time, even though you might have doubted yourself back then.
All of these feelings are normal, and the same coping mechanisms you used during your first cancer diagnosis are likely to work now. Whether it was a best friend, a family member or a support group you turned to, you know that person or group provides good emotional support. Use these experiences to your advantage. They can help you feel more in control when making decisions about your treatment. Express your feelings to your doctor. The conversation that results can give you a better understanding of your situation, and it can help you make treatment decisions.
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According to Robinson, you can, however, acknowledge the phases, give in, and rip the proverbial Band-Aid off to begin the recovery process. When I meet with people in their twenties who feel lost, uncertain and uninspired in their life, they often believe that if they make a change in their life, they will find direction, certainty, and inspiration in their life. In my work with these individuals, there are several common changes people decide to make, including leaving their significant other, changing jobs, and moving to a new city. So before you go quitting your job, look into ways you can make the most of the job you have.
Look into official job duties, talk to people who have those jobs, and ask for guidance from managers on what you should focus on. Career Girl , suggests you look into various side hustles , or volunteer work , and test the waters of your other interests and career paths instead of diving right in.
I started writing, for example, when I had free time while working in an office. It started out as a hobby that turned into freelance opportunities, and then my job.
Sure, I took a chance and jumped off a career cliff, but I had a parachute. I have a fine arts degree in theatrical performance, and here I am, so DeGroat suggests that you recognize that the problem may be with you , and that positive change can be as simple as altering your behavior. For example, you might feel like your girlfriend is a homebody and gets in the way of the things you want to do—like going out with friends.
I struggle with this constantly, and let me tell you, nothing drags you down more than obsessing over the impressive feats and possessions of someone your own age, or younger. Those are just highlight reels. DeGroat notes that this time of your life also means becoming more aware of what your interests are, rather than the interests others might have in you. So when you find something you like, go with it. The sooner you let go of what others expect of you the better. Unfortunately, Robinson and Zilca point out that the phases of the quarter-life crisis can actually repeat several times during your twenties and thirties.
But a little acceptance goes a long way. This time of your life is a period of transition, and you need to keep yourself grounded.
Afraid that you have lost the opportunity you had? They become uneasy seeing someone else doing what they cannot do. Thomas Merton Click to tweet. People hear you on the level you speak to them from. Rock bottom is as far as it gets which means the only way is up. You should not blame them for what they are doing. This means they will continue producing negativity and affecting more people.
Maybe you are now faced with making end-of-life choices for someone close to you. But, there are other issues that are important to understand in case they arise. What if the dying person starts to have trouble breathing and a doctor says a ventilator might be needed?
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Maybe one family member wants the healthcare team to do everything possible to keep this relative alive. What does that involve? What happens then? Here are some other common end-of-life issues. They will give you a general understanding and may help your conversations with the doctors. If someone says "do everything possible" when someone is dying, what does that mean?
This means that if someone is dying, all measures that might keep vital organs working will be tried—for example, using a ventilator to support breathing or starting dialysis for failing kidneys. Such life support can sometimes be a temporary measure that allows the body to heal itself and begin to work normally again.
It is not intended to be used indefinitely in someone who is dying. CPR cardiopulmonary resuscitation can sometimes restart a stopped heart. It is most effective in people who were generally healthy before their heart stopped. During CPR, the doctor repeatedly pushes on the chest with great force and periodically puts air into the lungs. Electric shocks called defibrillation may also be used to correct an abnormal heart rhythm, and some medicines might also be given.
Although not usually shown on television, the force required for CPR can cause broken ribs or a collapsed lung. Often, CPR does not succeed in older adults who have multiple chronic illnesses or who are already frail. What if someone needs help breathing or has completely stopped breathing respiratory arrest? If a patient has very severe breathing problems or has stopped breathing, a ventilator may be needed.
A ventilator forces the lungs to work. Initially, this involves intubation, putting a tube attached to a ventilator down the throat into the trachea or windpipe. Because this tube can be quite uncomfortable, people are often sedated with very strong intravenous medicines. Restraints may be used to prevent them from pulling out the tube.
This tube is then attached to the ventilator. This is more comfortable than a tube down the throat and may not require sedation. Inserting the tube into the trachea is a bedside surgery. A tracheotomy can carry risks, including a collapsed lung, a plugged tracheotomy tube, or bleeding. Tell the doctor in charge as soon as the patient or person making healthcare decisions decides that CPR or other life-support procedures should not be performed.
DNR forms vary by State and are usually available online. If end-of-life care is given at home, a special non-hospital DNR, signed by a doctor, is needed.