Create your own Fabulous

Instead of running around for last minute gifts, decorating the tree, attending fabulous parties…

The tradition we have manufactured the last three years is driving through snow storms hours away, telling each other everything will be okay, waiting for treatments that will dominate the rest of our year to come… and hoping the magic of Christmas will just somehow make everything better.

Each year I watch the first snow and it’s my symbol of hope…

I imagine that snow falling on me and just washing away everything I’ve been through in the previous year, starting anew.

Each year I wait for Christmas to allow those new beginnings; a new chance for me to heal, be in less pain, for my husband to suffer a little less.

…Back to reality

Like clockwork, my cancer always progresses to its worst state in the months following up to the end of the year, until I can’t take it anymore, and we are forced to take action. Most likely because I’ve done treatment all year long, and it’s my body’s way of saying enough is enough … or hey, why did we stop?

Either way

All of the tests, pain, investigations, right before Christmas.

“Do I really have to travel now? we’re days away!”
“We also need to know what’s wrong with you, and we’re not taking any chances, your condition has been too bad lately”
“I know. It’s just so frustrating how this happens every year”

True. I’ve felt awful as of late. Actually, Awful can’t sum up how I’ve felt.

This year is a little different…

I’ve done a year of (P.R.R.T) treatment that’s made my cancer worse.

That was a hard one. ⬅️

This IS the time to go and figure out what to do, where to go from here, there could be NO options for me, but I simply don’t believe in that 💫🙃

…There’s so many quotes out there

“Create your own happiness”

“Be your own sunshine”…

Well, I say Create your own Fabulous.

There’s ALWAYS something else, the question that always remains… are YOU willing to fight?

The answer is always yes.

The days leading up to my appointment…

I made a choice; my body had been fighting me hard, new chest pains, breathing trouble, my tumors alternating between pain crisis and adrenaline outbursts every hour.

….I was done

Which led me to my choice, do I abandon who I am, use the one opportunity I have to leave my house in weeks and go out looking as shitty as I FEEL?

Why should my outside match my insides?

Do I say F you Pheo and try and feel like my normal self as much as I know how? As much as every part of my body is telling me I can’t, what’s the point, just go like you are, it doesn’t matter.

The ‘normal’ me that brightens up those cold white walls, the me that regardless of the dark cold stormy weather, I bring that sunshine, the me that laughs off anything because I’m ready for everything?!

THAT is MY cancer.

Being prepared for just about anything..

Being fabulous despite the odds

I created.my own.fabulous

Why?

Because morale is everything.

Cancer is still going to be there despite the way I look, but it makes me FEEL a heck of a lot better when I don’t look like I have cancer 💋

So the next time you’re dreading those cold white walls surrounding you, you’re anxious for that inevitable news, you don’t want to get that scan…

  • Don’t take that extra hour of sleep
  • put on that darker shade of lipstick
  • curl your hair
  • throw on a bit of mascara
  • gurrrl contour and bake that face if you feel up to it

Go all out! 😂✨💖

I didn’t forget about my guys!
  • Give yourself a nice shave
  • wear that new dress shirt you were saving
  • gel your hair
  • put on a light (hospital friendly) cologne 😅

Do whatever it is that makes YOU have a bit of extra confidence & less sicky feeling 😉😷❤️

Most importantly, remember….

“Fabulous is your light, your smile, your energy, your positivity, your willfulness, your vitality, passion, excitement, beauty, laugh, and how you share it!” – Pheo VS Fabulous

Are you guys following my new FACEBOOK and INSTAGRAM?! 🙏🏼💖✨💄➡️👤 FB: Link ➡️📸 Insta: Link @mirandasimard

Merry Christmas my loves ❤️

This is Cancer.

How do you tell the ones you love… something you can’t begin to explain yourself”

I moved into my dream home 22 days ago

Twenty two days of contemplation and careful thought of how I was going to share this, or whether or not I would. I’ve always said I would share the good, the bad, and the fab.

I thought I would have so much to celebrate with my move, my clinical trial finishing… so many triumphs.

…But Cancer doesn’t work that way.

I couldn’t write this.

I want you to see what we live through in between treatments, not just during, I want you to see the hope, the pain… the before, middle, the after.

This is why Pheo VS Fabulous exists.

 

 

Please watch the full video 🎥
Pheo VS Fabulous has reached so many people around the world, my dream is it will continue to do so. 🌎 Please keep sharing, keep following, each time you do it’s one more person who is diagnosed sooner, or who finds hope 💫

I never want anyone to have to feel what I feel – Pheo vs Fabulous

To get a dose of my fabulous side …

Follow my Facebook & Instagram❗️✨

Instagram 📸 @pheovsfabulous

👤 Facebook

So many images!

Now that my MIBG scan is over, thank goodness, I’m onto more conventional imaging now.

What are you doing on YOUR Saturday? I’m having my beautiful brains photographed, jealous?! 📸

That’s right, it’s MRI time!

Today will be my brain, because who doesn’t want to see inside this fabulous mind? 😉 Ha!

Tuesday will be back to the normal abdomen scan, to see the good old tumors we know and love, (wait, just kidding, we hate you!) multiple imaging types allows the medical team to compare each type of scan to one another and get different views of the tumors.

Example: MIBG relies on radioactive uptake in order to visualize the tumors, if my tumor cells do not absorb the radioactive iodine – there will not be a clear picture as to where my tumors are or where they have progressed.

MRI is a great scan for most people, but not all – not all pheochromocytomas clearly show up on conventional imaging such as MRI, or CT. Sometimes it’s done with contrast, sometimes it’s done without.

SO MANY OPTIONS!

So this is why we must do multiple types of scans, imaging types, and so on, in order to make sure we have a clear view of what we are working with – to see if there are any tumors hiding in spots we didn’t see before, spreading in other areas, and just maintaining a clear view so we can properly manage the disease with the best possible options.

After all… how can you control something if you’re not aware it’s there❔

So, a friendly reminder if you are a patient with metastatic disease: it is important to have a multi disciplinary team with a great endocrinologist who understands this complicated disease, and have everyone working at full throttle in order to help manage these little grenades. It is VERY quick to become out of control, we already don’t have a cure, so we need to do our best to work with ‘managing’ it, yes⁉️

I have been presenting with some pretty different symptoms in the past few weeks, so to be on the safe side – I must have my brain scanned to see if there’s anything in there 👀

Be on the lookout for part 2 of my MIBG scan breakdown, it was a particularly hard day for me and I have been too tired to post a proper detailed post to explain to my fellow pheo friends how an MIBG scan works, what to expect, etc 🤓

Alright, off to the scanner I go! ✌🏼️✨💋

Pheo VS Fabulous

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I am rare – Rare Disease Day

Although I would like to think that I use every day as an opportunity to make this disease a little more exposed, february 29th 2016 is rare disease day.

A day to remind the world that although rare… diseases like mine do in fact exist, and because they are rare, they don’t get any attention, and as a result – we suffer.

We suffer through misdiagnosis, delayed diagnosis, and lack of information when dealing with our rare conditions. We suffer through painful surgeries, lack of treatment options, and invasive trials, with no cure in the end. We suffer in silence.

February 29th is our day to make our voices heard, help me get a little bit louder.

I have pheochromocytoma cancer, adrenal insufficiency, I’m 25 years old, and I am rare.

Rare disease day, 2016

#mirandastrong #pheochromocytoma #netcancer #ai #zebra #rarediseaseday #pheovsfabulous

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Time Limit…

Those of us with terminal cancer have the unremarkable pleasure of figuring out how to live while we are dying; yet lately, I’ve had to put all of my focus into figuring out how to not feel as though I am dying while living.

Since I was diagnosed with metastatic pheochromocytoma a little over a year ago, there have been very few times I’ve felt out of control. Despite the grim future, the poor prognosis, the “palliative” care options, the complicated nature of the disease, I have kept myself distracted by always having a plan. I felt that if I kept ahead of everything, and stayed engrossed in the process, I wouldn’t feel victimized by the illness. I also wouldn’t be able to stop and slow down and really “feel” much of anything. I chose the path of resistance, I thought that by doing this, I would somehow be able to fight this disease.

We don’t ‘fight’ cancer, we live with cancer.

We fight for our lives, we fight to be able to smile, we fight to choke back the tears that threaten to come pouring out at any moment, we fight for the ability to wake up and maintain the impossible level of positivity we possessed when we started.

We fight for the ability to not scream when someone asks us if we are okay, how we are doing, and not break down in that moment because we are unsure whether to answer the way we think we should or just answer honestly.

We fight for the patience to explain ourselves over and over and over again to people when they ask what we have, because our disease is so complex, and so rare, one cannot begin to comprehend we cannot simply answer by saying _______ cancer… because it’s far too complicated, and it deserves awareness, we deserve awareness.

We fight for the strength to continue to cope with everything we are facing so that we can muster up the strength to continue to ‘live with’ whatever you want to call this, cancer.

In the beginning of my diagnosis, I still felt closer to my regular self. I could fake it a little more, it was easier to play the part of ‘normal’, and I could even take part in my own denial. There is always a multi level plan when it comes to cancer, mine went something like this: first we do surgery to remove as much cancer and infected organs possible, then we will do MIBG radioactive therapy to try and kill some of the cancer we cannot remove during surgery, and then later down the line when that is no longer an option and there’s nothing left that we can do, we essentially do chemotherapy and then typically people die. Now mind you every case is individual, that’s why the textbook 1-5 year prognosis is debatable. Some people can live longer, depending on their condition.

See, for the last year and a little while… I’ve had something to say “okay, this is next”, except now that the ‘multi level plan’ is dwindling away, I am feeling a bit like… okay, “what now?”

The fact of the matter is, there has to come a time when I have to start accepting the nature of my illness. I think that I have finally started to ‘feel’ the gravity of my situation vs trying to manage, plan, and control. Over a year has flew by, I’ve already had surgery, I’ve already done MIBG, and of course without these, I’d be dead by now, but that doesn’t mean I feel any better. In fact, my quality of life has gotten significantly worse. I feel very grateful that I am alive, but I still wish the life I have left could be spent living.

That’s the problem with cancer, every single step designed to treat you… will ultimately feel like it’s harming you in ten ways to help you in just one.

Living with death hanging over me constantly, while still trying to smile and stay positive is incredibly difficult. So far I have managed to do so by remaining in the moment, focusing on what’s happening right now. Although I will always hang on to my positivity, because it’s who I am, I would be lying if I didn’t tell you that this is becoming more and more difficult for me.

When you are given a time limit, you think… I’m going to do all of these amazing, incredible things. I will see the world, I will fulfill my wildest dreams, I will check off all of the things on my bucket list. Well what if you had a time limit, and you weren’t even able to do the simplest of things, how can I possibly fulfill my wildest dreams if I cannot even take a shower or climb a fight of stairs in my own home? I don’t want to ever utter those words, it’s not fair, but it’s not fair. You picture yourself being able to at least do what you wish with the time you have left, should you be in this situation, but often it’s so far from that movie-like fantasy. Forget my wildest dreams, at this point… I crave normal, I yearn for normalcy. I just wish for the remainder of my time to be spent with the ability to be normal, to carry out normal tasks, to be able to contribute and feel a sense of pride and accomplishment again.

I resent the fact that I am finally at the stage where I feel discomfort when someone speaks about something in the future, I feel a twinge of uncertainty suddenly. I just want to enjoy the time that I have, but I don’t know how to do that while I am so ill and in pain. I want relief, I have been enduring more and more pain in search of relief… only to find more pain.

All I can think about lately is a special Miranda friendly dream home tucked away in the woods, designed for peace and serenity… with NO STAIRS!, surrounded by nothing but the sound of nature, a porch with a nice cozy chair that I can sip hot tea and just sit and relax… that way if I continue to be able to do nothing, at least nothing could be stress free and fabulous…

Pheo VS Fabulous

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It can only get better…

WELL I CERTAINLY HOPE SO.

I keep being told it will be worse before there’s a chance of it getting better… I’ve had quite a bit of proof of the first portion of this statement, now I will have to practice my patience and good faith for the second.

MIBG, NOT my favorite treatment.

So far we have not gotten along so well you could say… I’ve been meaning to update everyone since my last appointment and share what I know so far. Except I really haven’t been well, and I had a pretty big dose of reality lately.

As much as I like to share when things are on a positive note … Well, the reality is, living with this disease is often dark and all consuming – although I AM bright and try to find the good in everything despite this constant torment, there are times when I must be candid and speak through my pain and suffering. I’ve actually been telling myself, “I’ll wait until I feel better to update, I’ll wait until I have something good to share” until I realized… That isn’t how MY life works, I wish I had the luxury of blocking out all of the bad and fast forward until I had something good to hear, or skip over all of the parts where I suffer and wait until I feel better…

I also know that nobody else expects that of me, so here I am, sharing the in between with you, I may even throw in an f bomb if you’re lucky. That’s how angry my pheos are, yes I’m blaming any profanity on the tumors, they’re really being assholes. MIBG has got them all kinds of angry… Let me just tell you. Ok, where do I start?

So it’s been 22 days since I had MIBG radioactive iodine injected into my blood stream, 22 days of radioactive pheo cancer hell, 22 days of worsening symptoms, and every day is a new adventure. Rather than get better, I get worse. See how fun that is? I thought the idea was that you get better as the days went on, most people do, NOPE. My symptoms get stronger, more aggressive each day, it’s super awesome. I like the spontaneity and danger of it all I guess, who wants to wake up and be normal for a day? How boring. (I would also like to be excused from any and all sarcasm, I’m going to blame the excess of Catecholamines (adrenaline) being made by my angry tumors, thereby making me very sarcastic… I think too much epinephrine and norepinephrine makes people very sarcastic) Science. YES! Science.

We went to my last appointment with some expectations and no expectations: I’ll explain.

Some expectations meaning… We thought we were going in to do a day of tests, and meet with my pheo Doctor, and have an idea of how the treatment was working so far. Since I was doing another MIBG scan, 2 week blood work, we were under the impression that we would be seeing how the treatment was taking.

What I meant about having no expectations? Well, I didn’t want to get my hopes up, so when nuclear medicine told me I would be having a MIBG scan 2 weeks after my treatment to see how I was doing, I didn’t want to get too excited about results, so I remained neutral, and said to myself “I’m going to go in with no expectations, that way I can’t be disappointed”

It was the first time I had left the house since treatment, it was an incredibly hard day. We drove out normal 3 hours to the hospital. The scan was long, painful, with the way I feel it’s so hard to do just about anything…Being scanned for 2 hours is not ideal, Laying with my arms above my head for 52 of those minutes isn’t at the top of my list. Then I gave blood, and then I waited to see my doctor to discuss the results of my blood, and maybe the scan.

We then saw my doctor, and at this point we realized there was a misunderstanding, the scan wasn’t being done to see how the treatment was working. It was actually being done to take advantage of how much MIBG radiation was in my body, and the MIBG scan was being done at this time to find any MORE cancer that’s potentially in my body that otherwise would not be picked up normally in regular circumstances with trace amounts of MIBG. NOT what I was expecting…. Good thing I had no expectations LOL. We went from thinking we would hear how the treatment was working, to hearing they were looking for MORE cancer.. So, not in any rush for those results. Moving on!

So once we got that misunderstanding out of the way, we then of course asked when it would be that we would find out if the treatment was working or not, since it was clearly not now. It turns out it won’t be for a while, it’s a long process, a few months. We will revisit this in a couple months, maybe at that point we will start having an idea if the treatment is lessening the output of adrenaline the tumors are having.

The main priority over the next few months is just constant monitoring of all of the other complications that could potentially happen from the treatment itself, and making sure my bone marrow doesn’t deplete, I don’t get any infections, my tumors don’t kill me from all the adrenaline they are producing, and we control all of the worsening symptoms and side effects being caused. Easy peasy.

It’s a long process, I will be feeling like this for a long while. I knew that, but it’s hard to know what to expect until you’re in the situation. Surgeries are the most difficult things I’ve had to endure, but I’ve known what to expect once they’re done, this is so different, because not only is every day a surprise … I also can’t know if it’s even worth doing in the end.

It seems like every couple days we are increasing all of my medications to try and control my vitals, to keep me out of the hospital, and despite these efforts… They’re still out of control. I literally have left the house once since I have been back, the stairs are a danger zone, getting up too quickly is a danger, going to the bathroom is a danger, showering is a HUGE danger, breathing too hard is a danger.
It’s not as if I am doing anything at all to provoke these episodes, I cannot cut down my activity level any further… Existing is and breathing is all that is left lol. When you are told to stop showering, because it is a danger to your health, it is quite frustrating.

I can be sitting in bed doing nothing at all, and when these new “MIBG spikes” is what I’m calling them – happen, it feels like my heart is being dredged in cement suddenly, and it takes everything it has to beat… It hurts so much, each beat is accompanied by a very unique pain, and my head is filled with pressure, so much that my eyes feel like they’re going to pop out of my face, my chest is filled with pain, and it feels like I am having a heart attack. This lasts for a few minutes, and then I’m so very fatigued… And nauseous, I feel I could sleep forever. Except then I am plagued with insomnia later at night. I’ve had plenty of pheo attacks, I still do, except this is above and beyond those, it’s the effect of my blood pressure sky rocketing while my tumors release a dangerous amount of catecholamines from the MIBG treatment. The problem is that … my medication continues to be increased, which should lower this, except this continues to actually go higher and higher, NOT supposed to happen. So I will continue to do nothing, relax, and just endure this vicious assault MIBG has on my body, because what choice do I have? It’s scary knowing that every time this happens, thinking about the damage it has on my body, I try not to think about those parts, I try to remain naive to that, you can only do that for so long though.

I will continue to be closely monitored, AND I decided while writing this…. The good I am taking out of this so far, is … My bone marrow is good so far!!! (YAY) for strong marrow results, that’s good right? SEE, I knew I’d find a positive in there, f*ck you pheo. I also found an f bomb, HA. I will continue to go every 2 weeks to do blood, make sure I’m alive, check my cell counts, make sure my thyroid is functioning… And all of these other great and scary things. SO MANY COMPLICATED FUN PUZZLES! So….. Let’s hope I can stay out of the hospital between then, yes?! Today was A SUPER CLOSE CALL, crisis level was high in the Simard house, Doctor Serge to the rescue as usual, formally known from now on as doctor cupcakes (lol) – when in doubt… Just prescribe cupcakes. Words to live by

Hm what else…. Oh! The taste of eating batteries has calmed down a bit also, that has been a welcome change! It’s not quite as strong. Yes yes more good news! See, as I continue, I find more good. So yes even though the adrenaline, heart, blood pressure, vital elevation attack side of things are worsening …. The taste of batteries has decreased and my blood work was okay so far, SOOOOO there’s a bit of a bright side. Now we just have to make it through the next 6 months or so of this, and we are smooth sailing.

The last time I put on makeup was Christmas, a random thought I know, but it is strange not physically being able to do anything.. Especially things that were once just an everyday routine for me, now they are a “luxury” Now since I am barely allowed to shower – or closely monitored when doing so because it is my most dangerous activity, (you should see the calories my Fitbit claims I burn just by breathing) 😂 I’m gonna get really crazy and say… I really would love to be able to be normal and plan a vacation, or EVEN just go out for dinner one night, or actually just do anything at all.. At this point I’d like to just be able to walk up or down the stairs without my body imploding. I would like to be able to go a day without my body attacking itself while doing nothing. So I will say this, I’d like to be able to soon be well enough to just .. Have a day where I can feel good enough to just leave the house, change my surroundings, and feel like my normal fabulous self for even just a few hours. This is me being realistic with my expectations, I will find a way to be FAB… I always do 😉💋

Day 22, I pray this disease will become a little more manageable – because nobody should have to fight this hard.

I promise to update as my body allows, but for now…. It is tired xox

Pheo VS Fabulous

There’s always a reason to smile

With so many awful things to worry about, feel, and experience… Cancer gives you two options: succumb to it’s misery and pain, and let yourself be one with it physically and mentally, or… Allow yourself to feel the inevitable pain and misery, be honest about the trials it imposes upon your life, and still find a reason to smile every single day… because let’s put this differently, with so many awful things to worry about, why NOT smile?

If you are still able to see the beauty amongst all that pain, that is a smile worth having.

It’s been 16 days since I did MIBG radioactive therapy (read link here) – It is definitely still an imposition, and I certainly can go on and on about my struggles, but instead I’m just going to focus on today – with no expectations, and just keep smiling my way through it for now.

Today I will get a look at how my body is performing after my high dose of MIBG radioactive therapy, and make sure I’m not in any imminent danger, we like knowing I’m safe and sound and my tumors aren’t going to do anything sneaky. You never know… Since the surprise attack we initiated on them, they can be very vindictive.

So happy world cancer day my friends ✌🏼️💜

Smile & Stay Fab

pheo VS fabulous 💖

#mirandastrong

#pheovsfabulous

Instagram: @mirandasimard

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