From NED to Metastasis: Colostomy Reversal Story

Hello Readers.

On Monday September 16, 2024, I went under the knife to reverse the temporary colostomy I had placed December 23. Just months ago, I received an all clear with no evidence of disease from both pancreatic and colon cancers. Still, what my surgeon found tells an absolutely different story. To her surprise, multiple nodules were found in my abdominal wall (peritoneum). She took multiple samples for pathology, and then went about improving my quality of life by reversing the colostomy.

I am SO thankful for my body digesting and eliminating as it was designed to do. Temporary Tina (TT) the stoma is in the history books.

I was in a post-operative drug addled haze when my surgeon relayed the good and bad news. I didn’t understand what she meant until rereading the first pathology and speaking to Tiffany (who spoke to my surgeon alongside my husband). No one, including my surgeon, was prepared to find more cancer. It was a full helping of shock and awe.

Again, for clarity, my March 2024 CT, April 2024 colonoscopy, and July 2024 labs were all normal. All indicators pointed to a clean bill of health with no evidence of disease (NED).

To go from no evidence of disease to metastatic cancer patient is a surrealistic ride. I want off it right now.

Can you imagine the thoughts in my head? Mainstream medicine, with all its promises has both helped, harmed, and failed me. I have endured toxic and poisonous chemotherapy, not once, but twice. The daily reminders of neuropathy and traumatic side effects hang heavily within and without. Through multiple invasive GI surgeries that healed me by violence has left body deeply scarred, traumatized, and internally renovated. I have done everything asked of me and more.

How in the flying monkeys is this real?!

How were my recent July labs pristine with this number of murderous nodules trying to kill me?

So, what’s next?

First, the second pathology report defining which cancer metastasized is still in process. Though the general expert thoughts are the adenocarcinoma is from the colon cancer. Until the pathology report results, there is no knowing which cancer is the culprit. Due to a better prognosis, I am hoping against hope it is the colon cancer.

What bizarre planet do I exist on where I am wishing upon a specific cancer star?

Second, I met with an integrative oncology physician today. It was a fruitful appointment that covered several aspects of care including nutrition, supplements, non-toxic treatments, exercise, and stress management. I will keep relationship with my regular oncologist and pursue clinically appropriate treatment with her as well. Integrative medicine is using many different tools in a basket.

Third, I’m going to tap deeply into my communities for resources, referrals, and support so I can fight this.

Even with all of that is to come, I am not scared. I am disappointed. I am tired of this continued fight. And I am at peace.

I believe with my whole being I have time to fight this well. My healthy and strong body has more to give. My heart has so much more love to offer and get. My hands have more healing to give. My sarcasm has more jokes and laughter to create.

Don’t you dare count me out yet. I am definitely hard to kill, and this feels like a dare. I rarely lose a dare.

Beauty and life stay within this scarred and ravaged body.

Desirre

1 October 2024

Desirre Andrews, RN, BSN, CPM, RM, Brain Squirrel Wrangler

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Image by Raw Pixel

All Rights Reserved 2024

It’s Just a Word, Right?

December 31, 2023

Each new year I come up with a word that encapsulates what I am looking forward to experiencing, working through, or part of a goal setting plan. However, for 2024 it’s been a particularly nuanced process due to the cancer recurrence.

It’s just a word, right?

I need a word that cannot be construed to add to the struggle or inadvertently require more hardship to see it through. Words like overcome, strength, courage…fall into this category. I believe my mettle has been thoroughly proven and require no more trials by fire.

I could choose something seemingly erroneous or trite. Peace, joy, freedom…blah, blah, and the smiling facade is oh so thin.

Even finding a word that means disease free could have heavy consequences of death or disability…

All this to say, words matter in their simplicity and complexity.

What we focus on is how choices are made, how we evolve, and how we take a path.

I’m again choosing life while facing tremendous unknown and expected pain with hardship.

Perhaps the word, a word will coalesce into existence along the way.

January 3, 2024

Finally, a word, the only word that speaks to my needs comes in the form of a video that scrolled by on a social media platform.

The Word:

in·​ten·​tion in-ˈten(t)-shən 

  1. a: what one intends to do or bring about. b. the object for which a prayer, mass, or pious act is offered.
  2. determination to act in a certain way; resolve
  3. intentions plural: purpose with respect to marriage
  4. import, significance
  5. a process or manner of healing of incised wounds
  6. concept especially: a concept considered as the product of attention directed to an object of knowledge

https://www.merriam-webster.com/dictionary/intention

Of course, some of the above definitions do not suit my purposes, however, several do fit with the narrative I must create to again fight the beast known as adenocarcinoma. The resolve necessary to properly armor my mind, body and spirit is no small task for the grueling work ahead. With each step intention must be set and followed through with. With every choice intention must be clear and firm. With every “bad” day intention to get up and go another round must be within reach. With every breath, the intention is set to draw another. Regarding time with the intention of value, memory making, and without wastefulness.

Again, with intention, I choose to live, fight, and love through this next season of cancer battle on my own terms.

I’m curious what your theme or word for 2024?

Thank you for reading. I appreciate you sharing my posts in the hope someone else will feel seen and heard.

Desirre Andrews, RN, BSN, CPM, RM, Brain Squirrel Wrangler

TikTok: @des.andrews

Instagram: @desirreandrews

Photos are courtesy of Raw Pixel.

All Rights Reserved 2024

Losses and Gains

Cancer is a thief.

Cancer is a grifter.

Cancer is a psychological weapon.

Cancer creates a sacrificial lamb.

Cancer is a MOFO of the highest order.

The Straight Dope

I was just coming to grips with all I had been through fighting round one of adenocarcinoma. The depth of illness, exhaustion, pain, anguish, and trauma is immeasurable. Terrifying my husband and children broke my heart every single day.

As of June there was no evidence of disease. The treatment had been successful. Statistically I had a 60% chance of being alive in 5 years. Not great, but better than it could have been. I was finally coming to grips with living under the threat of the grim reaper.

Fast forward to mid-December and abdominal pain hit and wouldn’t resolve. After the third trip to the ED and doing everything to clear the diagnosed severe constipation, I was told I had a complete bowel obstruction caused by a cancerous growth. I needed emergency surgery and a colostomy.

It took a week and a half for pathology to reveal the type of cancer. There are no suitable English words to indicate my feelings on the matter.

And now I face another showdown. In many ways I know it’s going to be so much worse than before. The first time it remained static within my pancreas before it was cut out along with several healthy organs prophylactically. This time it’s in my lymph system. Absolutely fecking horrifying. METASTATIC adenocarcinoma. Oh, there aren’t enough expletives to cover it.

Losses and Gains

It’s difficult to enumerate the number of losses I’ve experienced since being diagnosed with cancer. And yet I will give it a try dear reader.

  • Time - stolen, shifted, corrupted, occupied, shrunken, and ticking away like a countdown clock with a surprise ending.
  • Body snatcher – body parts removed prophylactically to attempt to outwit the cancer, layers of scars added to my abdomen, poison running through my veins to slow or kill the beast, an angry liver left in the wake of the onslaught, stealing my beautiful hair, adding years to my external surfaces, exceptional fatigue, feeling ill, spoiling my taste buds and appetite, and the temporary disruption of GI function requiring a colostomy bag until chemotherapy ends.
  • Physical intimacy – removing the desire for sex and fearing physical intimacy from the numerous surgical and chemical side effects I’m left with.
  • Certainty – the knowing I would be here for my children and grandchildren (unlike my mother) until one of them had to care for me, living a long life like my grandmothers, aunts, and uncles, and believing being a fit and healthy person would keep me safe from cancer’s clutches and other bodily illnesses.
  • Goals – I’ve been called to be a Family Nurse Practitioner for years. a couple of weeks ago I withdrew from the grad school program I was in. Why? My time is exponentially more valuable than it was before, and prioritizing NOW was necessary. If I beat this, I can revisit the process. I’m heavily grieving this loss.
  • Peace of Mind – the disconcerting whisper constantly reminding me how close to the veil between the mortal world and the afterlife I am. Even in laughter, the sadness remains. It’s the elephant in the room wherever I go.

The gains are much nicer to think upon than the losses. Truthfully, they are also more difficult to remain focused on because the losses are so noisy and demanding of attention.

  • Abiding friendship and support – I clearly know who my ride or die people are. My community shows up without fail in every way imaginable. You know who you are, and I love each of you to the bottom of the ocean and to the ends of the universe. I couldn’t do this work without you in my life whether near or far. I know without a doubt someone will be there to carry me if I cannot walk on my own. I’m accepted faults, quirks, and weirdness. I’m so thankful to know who my people are.
  • Family – The closeness within my family structure is BEAUTIFUL. My husband, children, siblings, aunties, cousins, nieces…the list goes on. I know without a shadow of a doubt I’m valued, loved, cared for, and supported. I. Am. Wanted.
  • Love – immeasurable, overflowing love from the corners of the earth. It keeps growing and expanding. It’s the invisible staff I hold myself up with, the cloak I cover myself with, and the air I breathe.
  • Time – each minute of my life holds a higher value than before cancer. I may not know the number of breaths I have left; however, I do know that this cancer is trying to steal as many from me as possible. Every person I spend any time on or with should know how important they are. I will never again take for granted any moment.
  • Faith – our Creator is bigger than all things. I’ve no fear of dying. I am secure in the promised afterlife. It’s the timing I’ve a problem with. Believing the calls upon my spirit matter and will come to fruition in the proper timing. I’m not a red shirt who will suffer a useless and meaningless death.
  • Trust – in myself to do the work and stay the course. Trusting in the informed choices I make. I will leave no option unturned, undone, or unsaid to get to the other side of this. Trust in my strong still healthy body to show u and FIGHT for her life.

The only risk factor for adenocarcinoma I had was being over 50 though pancreatic cancer is generally a disease of the over 70 population. Cancer is on the rise in every demographic regardless of risk factors, screening matters.

Thank you for reading. Thank you for holding space and making room for my vulnerability. I appreciate you sharing my posts in the hope someone else will feel seen and heard.

Desirre Andrews, RN, BSN, CPM, RM, Brain Squirrel Wrangler

TikTok: @des.andrews

Instagram: @desirreandrews

Photos are courtesy of Raw Pixel.

All Rights Reserved 2024

Daily Rules of Engagement for Mental Health Stability

While coming to grips with a new secondary cancer diagnosis I’m experiencing profound situational depression and sadness. Though strangely there is a slight lifting of the oppressive feelings with the pathology report indicating a return of the adenocarcinoma likely because I now know who my enemy is, the depression and sadness remain.

To keep myself in check and knowing I’m prone to isolating when I feel vulnerable and overwhelmed, I immediately instituted daily rules of engagement. I need order in the chaos so I can live and hopefully thrive. As my body heals from surgery, I’ve added additional rules to my list of three.

Rules of Engagement

Rule 1: When I get out of bed in the morning, I stay out of bed until bedtime.

Rule 2: I change out of my pajamas and get dressed.

Rule 3: I wash my face, brush my teeth, put on my usual makeup, and fix my hair.

Rule 4: Purposefully making “dates” with friends so I can remain connected to my precious community. Answering texts and phone calls from family and friends who are far away. Again to connect and limit my tendency to isolate.

Rule 5: Performing a needed task every couple of hours for at least 15 minutes so I don’t simply sit and read or zone out. This means writing down simple attainable tasks.

Rule 6: Adding in daily play and pleasurable tasks like reading, going for a walk, listening to music, or cooking.

This method works for me because I like a framework. I like tangible accountability. The order is grounding and feels safe. And yes, I’m under the care of a therapist with whom I presented my rules of engagement yesterday. She validated my method and even added to the list.

As I forge ahead in cancer treatment, I vow to be open about the good, bad, and ugly. I’m here to share in your community and to be enveloped with love and support from mine. Cancer, like other serious illnesses, is meant to be experienced in community. The support and love from community engagement are the energy boosters that make the work a little easier.

Thank you for reading. I appreciate you sharing my posts.

If you are struggling with mental health or know someone who is, here is a helpful link.

Desirre Andrews, RN, BSN, CPM, RM

TikTok: @des.andrews

Instagram: @desirreandrews

Getting Back in the Ring

The dreaded words no cancer survivor wants to hear rolled off the tongue of an ER doctor one late night before Christmas 2023. I was experiencing severe GI pain and visited the ER twice earlier in the week with the Diagnosis: Severe constipation without obstruction. However, on this fateful night, the diagnosis changed to complete bowel obstruction likely caused by a cancerous growth. Colon cancer. I shot up and bed with shock at his words. CANCER??????

However, I had no evidence of disease every three-month follow-up with my oncologist post successful Whipple surgery and completion of chemotherapy for pancreatic cancer (adenocarcinoma). I was given a clean bill of health a couple of weeks earlier. The September CT showed a normal sigmoid colon.

I was admitted to the hospital and met the surgeon who would be doing the emergency the following morning surgery to remove the mass along with as many lymph nodes as she could harvest for pathological testing. In the process, she had to create a stoma and I would require an ostomy bag for at least three months.

The hits kept coming.

The pain was excruciating.

My mind was reeling.

The surgery went well and I awoke with a very different body and a load of staples closing the large wound. 

Grave disappointment followed as I was put in a room so tiny my husband couldn’t even stay the night with me. Deep grieving and sadness descended upon me. More distress followed when the nursing staff ignored my calls for hours post-op. Thankfully some longtime friends spent some of those hours visiting with me. By the evening shift a more attentive nurse cared for me. Even so, the night was endless without my husband with me.

The next couple of days, including Christmas, were a blur. I sunk into a hazy sadness while doing my best to learn how to use the ostomy and struggling to get up and walk. My husband came twice a day to sit with me and help me in any way he could. He’s my rock.

I left for home on December 26th armed with a giant bag of various ostomy supplies and education given by an amazing wound care nurse. She, along with the NP and surgeons, were bright lights in the situation.

The first several days home were filled with pain and challenges trying to navigate the new normal. Every part of my body hurt. Nothing tasted good. Depression settled in.

I knew I needed some safety net rules for myself. Depression is something rare to me. I knew I was playing with mental health fire.

Rule 1: When I get out of bed in the morning, I stay out of bed until bedtime.

Rule 2: I change out of my pajamas and get dressed.

Rule 3: I wash my face, brush my teeth, put on my usual makeup, and fix my hair.

The rules help me to function and look ahead. I’ve added a few more but that’s for a later post.

Finally, New Year’s Day arrived and we had our missed family Christmas dinner. It felt good to cook and prepare for the evening. It was good to have most of my family here. We opened our stockings and simply spent a few hours together.

Every day I feel stronger and more competent in managing my new digestion. That’s the good news.

Then yesterday everything changed again. The pathology results arrived. When I opened the document ADENOCARCINOMA screamed off the page. FOUR lymph nodes positive involvement. Clean margins surrounding the golf ball-sized tumor.

Though I don’t know exactly what the path will look like. I do know this means more rounds of chemotherapy. MORE of the nightmarish Folfirinox. Another port placement. More pain and suffering. All of this mere months after being declared no evidence of disease present. Mere months after completing chemotherapy. I will have more answers and a clearer direction mid-month when I see my oncologist.

Turbo cancer is a dastardly mofo. Adenocarcinoma is my sworn enemy.

As of last night, I’m getting back in the ring. I’m not going to be an easy target for this nightmare fuel.

I have grandbabies to meet. Memories to make with my family and friends. Patients to care for.

I again choose life.

I enter this fight intentionally.

The Waiting Room

Today, September 20, 2022, begins the next leg of my pancreatic cancer journey. After a repeat CT scan, intake, and lab work, I am sitting in the waiting room while my future path is being decided by the group of people on my interdisciplinary team at UCHealth Anschutz.

It’s an incredibly daunting wait. Has the cancer spread or stayed the same? Have the cancer cells in my common bile duct become tumors? Does my lab work reflect the otherwise excellent health I possess? I wouldn’t wish this wait upon a single soul. Not even a walk at a nature reserve after a late breakfast soothed my increasing agitation.

Chemotherapy. Surgery. Possible genetic mutations. Those are all heady topics beyond the insidious pancreatic cancer diagnosis. Yet, when I walked in this morning, I knew without a doubt I am one of the “lucky” ones. I am not the 80% who are slowly being internally proliferated by pancreatic cancer and find out when it is too late for them to have a decent fighting opportunity. Often death is soon upon them after learning they are ill. That is not my story and I grieve for each one who’s story that became or will become.

I know I have a fantastic DNP who worked at John Hopkins for a decade with one of the oncologists on my team before coming to Colorado. I believe that is an excellent start.

I also believe I am meant to be here, in this place, to receive the best help I can to beat this mini murderer I carry within.

What I steadfastly do not believe is that God placed this disease within me. Nor did God give me this cancer because I could handle it. As my eloquent cousin Mark says, we live in a mixed bag of a world. We do not know what is ahead of us or why some of us go through what we go through. Difficult things happen to everyone, as do beautiful things along the way in this finite earth-bound life.

I retain my choice in all this to find peace, joy, laughter, and love. And yes, there will be moments or days of sorrow, grief, and pain. I choose to live for today and tomorrow on my terms until the possibility slips away (hopefully decades in the future), and it is time for me to return from whence I came. As a believer in Christ, I am confident my inner peace and gracious attitude begin with Him.

Until there is more to report…

Pax,

Desirre

Living with Death in Pursuit

Grim Reaper Wallpapers – Wallpaper Cave

Every day I get up and prepare for the day ahead. I connect. I attend nursing school. I study. I go to clinicals. I exercise. I laugh. I grieve. I love people. As always, I show up.

It’s a beautiful, purposeful, and yes, painfully normal existence knowing I am living with death in pursuit.

Death is growing inside of me. Its sole purpose is to proliferate and kill everything healthy from the inside out. What it cannot touch is my soul. It cannot take away what makes me, me.

I absolutely choose life. Yet, I have no fear of death. I know leaving this corporal body and returning to heaven where those I love are waiting. Where there is no death, no pain, no suffering, and an abundance of love, joy, and peace for eternity.

Even knowing what comes next after this physical world, I’m in NO WAY ready to leave this plane of existence. I have a deep call to live the years my mother and brother Jay didn’t get with the purpose of the betterment of others. I adamantly believe I have 50 more years on this Earth to pursue and answer what I have tried repeatedly to dismiss and run away from.

As difficult as it is to admit, my life is no longer the normal I have come to expect and function within. I am no longer within normal limits. I am sick though I appear perfectly healthy. I am ill though I feel well and strong.

I choose life and have no plans to lie down on the proverbial train tracks allowing pursuing death to win without a fight. I am in the battle of my life.

In a few short days I will be meeting be having more imaging, lab tests, and meeting with an interdisciplinary team of oncology experts to determine the most effective treatment path. In reality my odds are pure sh*t. I have little statistical opportunity to beat this grim reaper. AND I also know statistics do not tell the whole story. I truly have either 0% or 100% option here to live or die.

I choose life. I choose the fight.

Don’t you dare count me out.

Your prayers, check-ins, thoughts, and love are always appreciated. I dare you to show up with me and help me continue to choose life.

Pax,

Desirre

No One Expects the Spanish Inquisition

Or cancer for that matter.

Please, take a few deep breaths…I have cancer. Yes, cancer. I have a malignant mass on the head of my pancreas. It’s a 2cm miniature death star called adenoma sarcoma (adenosarcoma). I will call it Addy for short. I don’t know how long Addy’s been growing inside of me. Pancreatic cancer is often a silent killer leaving the unsuspecting host feeling quite normal without specific signs or symptoms. I’m among the more fortunate hosts with an early warning system prompting me into care earlier than many.

Leading Up

As August 30, 2022, unfolded, I became jaundiced. I had lab work drawn and a urinalysis performed. I had high levels of bilirubin in my urine, but why? The next day I went to my assigned hospital clinicals while waiting for lab results. When I finally received the lab results, my clinical scholar walked me to the hospital emergency department. I thought maybe I was taking too many supplements or somehow picked up Hepatitis as a way to explain my jaundice and obviously angry liver.

The ED team saw me right away and drew more labs. Then I was sent for a CT scan. Thirty minutes later, while sitting alone wearing my nursing school scrubs in an ED room, my life turned upside down. The PA came in and apologetically shared the results with me. “You have a 2cm mass on the head of your pancreas.” I think she said she was sorry and other things, but I cannot clearly recall anything else. She was kind and seemed shocked by having to break the news to me.

After the Diagnosis

The first word I uttered when the PA left was a slow, emphatic f*ck. Next, I phoned my husband, Mitchell. He drove up to the hospital while I was being admitted. It was the longest 90 minutes I had ever spent waiting for him.

CANCER. BIG BAD CANCER. CANCER that kills swiftly. Me. That was inside of ME. Many reading this may wonder how I knew it was cancer without further screening. Pancreatic masses are nearly always cancer. It is so rare for them to be benign it’s not something to consider. The questions became: Is it isolated or has it spread? How bad is it? Will I even get the opportunity to fight it, or has it metastasized?

I went on to spend 3.5 days in the hospital and had two ERCP procedures to take biopsies and to place stents to allow proper flow through my biliary and pancreatic ducts.

During those 3.5 days, I made more personal phone calls than expected to share the news. I live and breathe community. This was no time to be my usually private self. Not only do I need community surrounding and supporting me, but my family also needs it too when the dark days come.

Today

I received the results yesterday. The mass, as expected is indeed Addy. Currently, there is also one other area being infiltrated with cancer cells is the common bile duct. It is not the best worst news, and by far not the worst worst news.

I GET TO FIGHT.

I was recommended to an oncologist who specializes in pancreatic cancer. I have an appointment in 3 weeks.

That’s all I know right now.

Please check back here for updates as I chronicle my journey. And please if you text or call, know I am still in nursing school and living life for today and tomorrow. I may not respond right away.

I am in it to win it.

Please feel free to place me on your prayer lists or share with others who will pray for me. I know God is here with me. I am peaceful and without anxiety or fear. I feel the armor of God upon me.

Pax,

Desirre

Picture attribution Credit: JOHN BAVOSI/Science Source

Childbirth Time Machine

Did you know time-walking is possible? I assure you it must be because I experienced it first-hand spending a day in a labor and delivery unit recently.

Why did I perceive a disturbance in the timeline?

  • Admission to the unit when in early labor.
  • Epidural placement prior to active labor.
  • Labor induction without medical reason before 39 weeks.
  • Allowing only “clears” (only broth, ice chips, popsicles, gelatin) during an induction or after epidural placement.
  • High primary and repeat cesarean rates.
  • Additional Interventions because of the above practices.

The most frustrating thing of all is that no one seemed to be bothered by how anti-evidence or anti-standard of care this all is.

I’ve attended more than 100 hospital births and many hundreds of homebirths; I’m absolutely gobsmacked by the laissez faire attitude toward the common usage of outdated practices and the absence of evidence-supported healthy practices.

Evidence shows how each of these practices increases interventions, maternal and fetal morbidity and mortality. NO WONDER THE US ranks so poorly amongst all of the developed nations of the world.

NO WONDER women exhibit high rates of fear surrounding childbirth. What women are routinely experiencing in labor and delivery units is scary, trauma-producing, and increases poorer outcomes. It doesn’t resemble or imitate physiologic spontaneous birth and how positive it can be.

The fact that most women still can have vaginal births in the hospital is a TESTIMONY of how fantastically designed women and babies are, not that the interventions and practices are beneficial to most.

Drop me a comment or email. I would love to hear about your experiences.

TO lighten the mood. Cord cutting to start the newborn exam at a homebirth.

Day 156 Nursing School Diary

During this clinical rotation, my “weekend” is during the week instead of the traditional Saturday and Sunday. Clinicals happen any day because hospitals never close! Instead of spending the day in class, I spent a few hours in the sun hiking with roughly a gazillion insects.

I LOVE being outside. I’m like a little kid who counts the minutes to recess. The closer I got to the trail, the happier I got.

Why do I hike? Hiking is a meditation. A prayer. A physical work that calms and organizes thoughts. It provides a sense of completion and satisfaction. Being immersed in the green things and dirt connects me to something bigger than myself.

As a side note. Being in green spaces is a form of recognized therapy. I know, do we need a study to tell us going outside is therapeutic? Apparently so, because with evidence comes providers “prescribing” it to patients.

I allowed a slow start to my day, so optimal hiking hours grew shorter, and the temperature climbed. I chose a shorter 5.5-mile hike with a 1200ft elevation gain as my first act of self-care on my day off. The moderate hike got my heart pumping, worked my legs, sweated out stress, and freed my mind from anxious thoughts. Content and endorphins pulsed through me at the end of the trail. I wanted to continue but the rising heat of the day and UV intensity sent me to my car.

Sweaty and covered in grit and dust, I drove back to my school apartment with a lightness of spirit and a few insect bites.

I confirmed my therapy appointment as my second act of self-care. At 20 years old, during a period of night terrors and severe panic attacks, I found a therapist. Since then, therapy has been an integrated part of my life whenever I need it. Between appointments, there can be months or years, but it is always available.

Studying and doing the work of life presented few obstacles over the rest of my day.

I’m looking forward to seeing what tomorrow brings. Until then, please enjoy some wildflowers from my hike.

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