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Exhausted in Cancer Survivorship

Todd Franzen

September 21, 2023

Coping with Fatigue After Treatment

A painting named "Exhausted" in the style of conceptual art with the text Exhausted in Cancer Survivorship: Coping with Fatigue After Treatment

As two-time lymphoma survivors, we understand the physical and emotional toll that cancer and its treatment can take on the body. Exhausted in Cancer Survivorship is a prevalent challenge, greatly impacting the quality of life for many individuals who have battled cancer.

Many survivors feel guilty or ashamed for being tired all the time, but it’s essential to understand that exhaustion is a normal part of the cancer survivorship experience.

In this article, we will explore the topic of exhaustion in cancer survivorship, including its causes, symptoms, and how to cope with it. We will also discuss survivors’ physical and emotional challenges and provide solutions for managing fatigue.

My goal is to help survivors understand that they are not alone in their exhaustion and to give them the tools they need to feel more energized and empowered.

Key Takeaways

  • Exhaustion is a common challenge for cancer survivors and is a normal part of the survivorship experience.
  • Fatigue can significantly impact a survivor’s quality of life, but there are ways to manage it.
  • Survivors should not feel guilty or ashamed for being tired and should seek support from healthcare professionals and loved ones.

Understanding Cancer Survivorship

As cancer survivors, we know our journey doesn’t end when treatment does. Survivorship is the period after cancer treatment when we continue to live with cancer’s physical, emotional, and social effects. It’s a time when we focus on maintaining our health, well-being, and quality of life.

According to the National Cancer Institute, there are millions of cancer survivors in the United States, and that number is increasing. This is due to advances in cancer treatment and early detection. Cancer prevalence is defined as the number of living people who have ever been diagnosed with cancer. It includes people diagnosed with cancer in the past as well as those who were recently diagnosed.

Survivorship is a complex journey that varies from person to person. It may involve follow-up care, managing long-term side effects, and addressing emotional and social issues. The Office of Cancer Survivorship recommends that cancer survivors work with their healthcare team to develop a survivorship plan. This plan should address their unique needs and goals for life after cancer.

Life after cancer can be challenging, and feeling exhausted is normal. As cancer survivors, we have been through a lot, and our bodies and minds need time to heal. It’s essential to be patient with ourselves and to practice self-care. This may include getting enough rest, eating a healthy diet, and engaging in physical activity appropriate for our fitness level.

Cancer survivorship is a period of time when we continue to live with the effects of cancer. It’s a unique journey for each person and may involve follow-up care, managing long-term side effects, and addressing emotional and social issues. We should work with our healthcare team to develop a survivorship plan that addresses our unique needs and goals for life after cancer. Practicing self-care and patience as we navigate this journey is essential.

Diagnosis and Treatment

Cancer Diagnosis

Regarding cancer diagnosis, it is essential to have regular check-ups and screenings. Medical history and blood tests can also be used to diagnose cancer. A biopsy may be performed to confirm the diagnosis if cancer is suspected.

Treatment Options

There are several treatment options for cancer, including chemotherapy, radiation therapy, surgery, immunotherapy, and clinical trials. Treatment choice depends on the type and stage of cancer and the patient’s overall health.

Chemotherapy uses drugs to kill cancer cells, while radiation therapy uses high-energy radiation to destroy cancer cells. Surgery involves removing the cancerous tumor; immunotherapy helps the body’s immune system fight cancer cells. Clinical trials may offer newer treatments that are not yet widely available.

Discussing all treatment options with your healthcare team to determine the best course of action is necessary. It is also essential to remember that newer treatments may be available, so it’s always a good idea to stay informed and ask questions.

As a two-time lymphoma cancer survivor, we know firsthand how exhausting cancer treatment can be. It is important to remember that exhaustion is a common side effect of cancer treatment, and it is not a sign of laziness or lack of motivation. We encourage men undergoing cancer treatment to prioritize self-care and seek support from loved ones and healthcare professionals.

Physical and Emotional Challenges

As cancer survivors, we know all too well the physical and emotional challenges that come with the territory. The side effects of cancer and its treatment can be overwhelming, leaving us feeling drained, exhausted, and in pain. The emotional impact can be just as severe, causing stress, anxiety, depression, and other other emotions that can be difficult to manage.

Physical Side Effects

Cancer and its treatment can cause various physical side effects, making daily life challenging. Cancer-related fatigue, for example, is a common side effect that can leave us exhausted and unable to perform even simple tasks. Anemia, chronic pain, bone loss, and lymphedema are common physical side effects impacting our quality of life.

Emotional Impact

The emotional impact of cancer can be just as severe as the physical side effects. Stress, anxiety, and depression are common emotional responses to a cancer diagnosis and treatment. The fear of recurrence can also be a significant source of stress and anxiety for many survivors. It’s important to recognize and address these emotions to prevent them from taking over our lives.

Cancer survivorship’s physical and emotional challenges can be overwhelming. It’s important to recognize and address these challenges to prevent them from impacting our quality of life. By seeking support, managing our symptoms, and caring for ourselves, we can overcome these challenges and thrive.

Coping Mechanisms

As cancer survivors, we know that coping with the physical and emotional changes that come with cancer treatment can be challenging. However, there are several coping mechanisms that we can use to help us adjust to our new normal. In this section, we will discuss three key coping mechanisms that can help us maintain our emotional well-being and adapt to the stresses caused by cancer.

Exercise and Diet

Maintaining a healthy lifestyle is essential for cancer survivors. Regular exercise and a healthy diet can help us manage our weight, improve our mood, and reduce our risk of other health problems. We should aim for at least 150 minutes of moderate exercise per week and include plenty of fruits, vegetables, and whole grains. It’s also important to stay hydrated and limit our intake of processed and sugary foods.

Rest and Relaxation

Rest and relaxation are crucial for our physical and emotional well-being. We should aim to get at least 7-8 hours of sleep per night and take naps or breaks during the day if needed. Meditation, deep breathing exercises, and yoga can help us manage stress and anxiety. We must listen to our bodies and take breaks when we need them.

Support Networks

Support networks can provide emotional and practical support during our cancer journey. We should contact family, friends, and support groups for help and advice. Support groups can provide a safe and supportive environment where we can share our experiences and learn from others. We should also consider talking to a mental health professional if we struggle with anxiety or depression.

In conclusion, coping with cancer can be challenging, but we can use several coping mechanisms to help us adjust to our new normal. By maintaining a healthy lifestyle, getting enough rest, and reaching out to our support networks, we can maintain our emotional well-being and adjust to the stresses caused by cancer. Remember, we are not lazy or unmotivated. We are just exhausted.

Communication and Relationships

Communication with our doctors and loved ones is crucial for our well-being as cancer survivors. Expressing our feelings and concerns can be challenging, but it is essential. Effective communication helps us understand our diagnosis and treatment options and make informed decisions about our health.

Communication with Doctors

Having open and honest communication with our doctors is critical. We should feel comfortable asking questions and expressing our concerns. It is essential to understand our treatment plan and any potential side effects. We should also discuss any pain or discomfort we may be experiencing.

One way to ensure effective communication with our doctors is to prepare a list of questions before each appointment. We can also bring a family member or friend to help us remember important details and provide emotional support.

Family and Relationships

Cancer can strain our relationships with family and friends. Communicating openly and honestly with our loved ones about our diagnosis, treatment, and feelings is essential. We should also let them know how they can support us.

Children may have a difficult time understanding cancer. It is essential to communicate with them in age-appropriate language and answer any questions they may have. We should also tell them that cancer is not contagious and they cannot catch it from us.

Relationships with partners can be particularly challenging. Cancer can cause physical and emotional changes that affect intimacy and communication. Communicating openly and honestly with our partners about our feelings and concerns is essential. We may also consider seeking counseling or therapy to help navigate these challenges.

In conclusion, effective communication with our doctors and loved ones is essential for our well-being as cancer survivors. We should communicate openly and honestly, ask questions, and seek support. By doing so, we can better understand our diagnosis and treatment options and make informed decisions about our health.

Types of Cancer

There are many types of cancer, each with unique characteristics and treatment options. Here are some of the most common types of cancer:

Lymphoma Cancer

Lymphoma is a type of cancer affecting the lymphatic system, part of the body’s immune system. There are two main types of lymphoma: Hodgkin lymphoma and non-Hodgkin lymphoma. Symptoms of lymphoma can include swollen lymph nodes, fever, night sweats, and weight loss.

Prostate Cancer

Prostate cancer is a type of cancer that affects the prostate gland in men. It is one of the most common types of cancer in men and usually grows slowly. Symptoms of prostate cancer can include difficulty urinating, blood in the urine or semen, and pain in the lower back or hips.

Colorectal Cancer

Colorectal cancer is a type of cancer that affects the colon or rectum. It is one of the most common types of cancer in both men and women. Symptoms of colorectal cancer can include changes in bowel habits, blood in the stool, and abdominal pain.

Lung Cancer

Lung cancer is a type of cancer that affects the lungs. It is one of the most common types of cancer in both men and women. Symptoms of lung cancer can include coughing, chest pain, and shortness of breath.

As a two-time lymphoma cancer survivor, I know firsthand how exhausting and draining cancer can be. It’s important to remember that if you are feeling exhausted, it is not because you are lazy or unmotivated.

Cancer-related fatigue is a common symptom affecting many cancer survivors, including breast and childhood cancer survivors. It’s important to talk to your healthcare team about how you are feeling so that they can help you manage your symptoms and improve your quality of life.

Screening and Early Detection

Early detection of cancer is an essential part of cancer survivorship. Screening tests for cancer are routine tests that aim to detect cancer at an early stage when treatment works best. Several cancer screenings include prostate, breast, cervical, skin, lung, and colorectal cancers. The American Cancer Society recommends that people at average risk of colorectal cancer start regular screening at age 45.

Cancer screening tests are imperfect, and they can sometimes miss cancers or give false-positive results. False-positive results can lead to unnecessary tests and procedures that can be stressful and expensive. Talking to your doctor about the benefits and risks of cancer screening is essential.

Early cancer detection can make treatments more effective, with fewer side effects and improved long-term survival. For example, the five-year survival rate for breast cancer is nearly 100% when detected early, while the five-year survival rate for advanced breast cancer is around 27%.

It’s important to note that not all cancers can be detected early, and not all cancers can be cured. However, early detection and treatment can improve cancer survivors’ outcomes and quality of life. We encourage everyone to talk to their healthcare provider about cancer screening and early detection.

Management and Care

As cancer survivors, we understand the importance of proper management and care. It is essential to have a comprehensive plan that includes palliative care, medical management, and regular assessments.

Palliative Care

Palliative care is an integral part of cancer survivorship. It focuses on improving the quality of life for patients by managing symptoms such as pain, fatigue, and depression. It is essential to have a supportive team that includes family, friends, and healthcare professionals.

Medical Management

Medical management involves using medications and therapies to manage symptoms and side effects. Working with your healthcare team to develop a personalized plan that addresses your specific needs is crucial. Some common medications used in cancer survivorship include pain relievers, anti-nausea, and antidepressants.

Regular assessments are also necessary to ensure your management plan works effectively. These assessments may include blood tests, imaging studies, and physical exams. Communicating any changes in symptoms or side effects to your healthcare team to adjust your plan accordingly is essential.

In conclusion, proper management and care are crucial for cancer survivors. It is essential to have a comprehensive plan that includes palliative care, medical management, and regular assessments. Working with your healthcare team and communicating any changes in symptoms or side effects is essential for a successful survivorship journey.

Life Changes After Cancer

Surviving cancer is a life-changing experience that can affect our well-being in many ways. Cancer survivors often experience physical and emotional changes that can impact their daily lives. After treatment, feeling a sense of uncertainty and fear about the future is expected. Adjusting to a new normal is challenging, but finding hope and happiness after cancer is possible.

One significant change that many cancer survivors experience is fatigue. Cancer-related fatigue is a feeling of exhaustion that does not go away with rest. It can be a frustrating symptom that affects our ability to do what we enjoy. It is essential to prioritize rest and self-care to manage fatigue.

Cancer survivors may also experience changes in their relationships and social lives. Some people may feel isolated or disconnected from others after treatment. Communicating with loved ones and seeking support from cancer survivorship programs or support groups is important.

Surviving cancer can also change our perspective on life. Many survivors report feeling grateful for each day and appreciating the small things in life. Some may feel a renewed sense of purpose or find new passions. Reflecting on our experiences and finding meaning in our lives after cancer is essential.

Overall, life after cancer can be challenging, but it is possible to find joy and fulfillment. It is important to prioritize self-care, seek support, and find meaning in our experiences. We are not alone in this journey, and resources are available to help us navigate the challenges of survivorship.

American Cancer Society

As cancer survivors, we understand the importance of having access to reliable information and support throughout our journey. The American Cancer Society (ACS) is a nonprofit organization that provides resources and services to cancer patients, survivors, and their families.

ACS offers a wide range of programs and services that aim to help cancer survivors manage their physical, emotional, and financial needs. These services include:

  • Cancer education and awareness programs
  • Support groups and counseling services
  • Transportation assistance for cancer treatments
  • Financial assistance programs for cancer patients
  • Survivorship care plans and guidelines for clinicians

ACS also researches and advocates for policies that improve cancer prevention, diagnosis, and treatment. Their research efforts have led to significant advancements in cancer treatment and care.

Clinicians can access ACS survivorship care guidelines to help them provide comprehensive care to cancer survivors. These guidelines provide evidence-based recommendations for managing the long-term and late effects of cancer and its treatment.

Overall, ACS is an invaluable resource for cancer survivors and their families. Their commitment to improving cancer prevention, treatment, and survivorship is essential to our collective fight against this disease.

Final Thoughts

Survivorship is not an easy journey. As two-time lymphoma cancer survivors, we understand the physical, emotional, and mental exhaustion that comes with it. Acknowledging that feeling run down is a normal part of the process is essential. You are not lazy or unmotivated. You are just exhausted.

We want to remind you to give yourself grace and take the time to rest and recover. Don’t feel guilty for taking a break or asking for help. You deserve it. Remember to prioritize self-care and listen to your body’s needs.

It’s also essential to seek support from loved ones and healthcare professionals. Don’t be afraid to share how you’re feeling and ask for help when you need it. You don’t have to go through survivorship alone.

As men, we understand that there can be societal pressure to push through exhaustion and tough it out. But it’s okay to prioritize your health and well-being. Taking care of yourself is not a sign of weakness but rather a sign of strength and resilience.

In conclusion, we want to remind you that you are not alone in your exhaustion. It’s a normal part of survivorship, and it’s important to prioritize self-care and seek support when needed. Keep pushing forward, and remember to give yourself grace along the way. -T

Frequently Asked Questions

What are some common symptoms of cancer survivorship?

Cancer survivorship can come with a range of physical and emotional symptoms. Some common physical symptoms include fatigue, pain, difficulty sleeping, and changes in appetite. Emotional symptoms may include anxiety, depression, and fear of recurrence. It is important to talk to your healthcare team about any symptoms you are experiencing, as they can offer guidance and support.

What are the long-term effects of cancer treatment?

Cancer treatment can have long-term effects on the body, including damage to organs and tissues, changes in hormone levels, and an increased risk of other health conditions. Some people may experience cognitive changes, such as difficulty with memory or concentration. It is essential to have regular check-ups with your healthcare team to monitor for any potential long-term effects.

How can cancer survivors manage fatigue?

Fatigue is a common symptom of cancer survivorship, but some strategies can help manage it. Regular exercise, eating a balanced diet, and practicing good sleep habits can all help reduce fatigue. It is important to talk to your healthcare team about any fatigue you are experiencing, as they can offer additional guidance and support.

What are some strategies for coping with cancer-related fatigue?

In addition to lifestyle changes, other strategies can help cope with cancer-related fatigue. These may include pacing yourself, prioritizing activities, and using relaxation techniques such as meditation or deep breathing. Finding what works best for you and being patient with yourself as you navigate this experience is essential.

What are the psychological effects of cancer survivorship?

Cancer survivorship can have various psychological effects, including anxiety, depression, and fear of recurrence. You must seek support from friends, family, and healthcare professionals as you navigate these emotions. Support groups and counseling services are also available to help you cope with the psychological effects of cancer survivorship.

What resources are available for cancer survivors experiencing fatigue?

There are many resources available for cancer survivors experiencing fatigue. Your healthcare team can offer guidance and support, and support groups and online communities can provide additional resources and information. Reaching out for help and support as you navigate this experience is essential.

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Todd Franzen


Todd Franzen is a 2X Hodgkins Lymphoma Survivor. Living in Breckenridge Colorado

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