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I Might Be Cancer Free, But…

Todd W Franzen

May 19, 2021

“I might be cancer-free, but I’m far from healed.” This is a phrase that has been circling in my head for the past few months. My journey with cancer has been 19 months of treatment and surgeries. The day I was allowed to head home was supposed to be one of the happiest days of my life, but something felt off.

Human looking at sunset over ocean with the Text "I Might be Cancer Free, But..."
I Might be Cancer Free, But…

I wasn’t ready to start living again yet because there were so many things still unresolved internally.

At the same time, I didn’t know what those underlying issues were that were going on. Only that my actions and behavior was coming across negatively with my family. I was feeling anger, anxiety, guilt about the current situation and circumstances.

I had been living with cancer for so long that I didn’t know how to process the change. It was time to call my psychiatrist and get some sort of release on what these feelings were about. My therapist helped me through this journey by providing me with an outlet where I could share my thoughts while in the hospital during the transplant.

Work on the “WHY’S” of my Anxiety

There were a number of things that were affecting why I was feeling frustrated and angry. The big one was going through this cancer experience during the Covid pandemic.

I was re-diagnosed with my lymphoma in July of 2019. I started treatment at the end of that month. And after some setbacks got through my final round of radiation at the beginning of December 2019. At this point I had at least six months till we could see any results. In the middle of March, the country shut down.

Needless to say, the fear was running high!

Covid and Cancer

Summer came and scans and scheduling started back up. We found out that the radiation did not work and we tried four cycles of Keytruda immunotherapy. The results showed that the lymphoma was spreading and the immunotherapy was not working.

The decision was made to do a Sibling Allogenic Stem-cell Transplant. And that Included the conditioning treatment to get my body back into remission. The Month of September 2020 was heavy with he date of my transplant on October 29th 2020.

As of this writing, Im +200 days since my transplant. Spring has sprung up here in the high country and starting to spend some time outside. This has been a massive positive with my mental health.

But my Anxiety wasn’t getting better.

I was feeling anger and guilt because of this situation that cancer had put me in. My wife building up resentment because I can’t work. Not bring in financial needs that I had taken care of in the past. The stress that comes along with survivorship is difficult for anyone to go through. Even those with great financial means.

Even with current events so politically polarizing, I catch myself being super angry about things that I have no control over. Masks being a big part of that.

Living in a resort town there’s a big element of transient’s and an attitude of not caring. Like out of state drivers driving with reckless abandonment. Maybe I see and feel this more than most because of the new perspective I have on life. Especially after this last year.

Right now, I’m Cancer Free!

And that should be good enough for right now!

I’m not ashamed to tell you that this past Thursday I met with my psychiatrist that helped me during my stay in the hospital. I felt it necessary that I start working on the survivorship side. To deal with the Anger, Anxiety and Guilt of how life has unfolded in front of me over the lat 100 days.

Most importantly, my family doesn’t deserve my current behavior and attitude. The goal is to get better, not be depressed and burry my head in the sand!

I am in a vulnerable period of life. And have been through a very difficult experience. But, while my personal responsibility is to be patient and vulnerable for the sake of those who are closest to me, my family and friends, I’ve learned that it also includes being able to ask for help when needed.

When your attitude is expressed in a negative light, this can easily lead you down the road of depression if not dealt with properly. This stems from anger and/or anxiety as well as denial or avoidance.

There’s no easy way out of this only acceptance and acknowledgement.

I am a Survivor!

But that doesn’t mean I can give up and let my mental health suffer as well!

Focusing on mental health is what you should be doing to heal yourself from the inside out. And taking care of your mental state has just been another reminder for me that it’s not only about physical healing but emotional recovery as well.

This will take time, patience, and a lot of work on myself in order to get back into a “normal” life again without being depressed or anxious all because of how much control I feel like I’m losing over things.

But it’s worth it if that’s where I want to end up… To live an organized happy fulfilled life feeling at peace with myself. -Todd

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Todd W Franzen


I am a two-time Hodgkin's lymphoma survivor with 17 years of documented cancer survivorship experience that spans multiple treatment eras. My journey began in November 2009 with a Stage 4B diagnosis at age 33, and continued through recurrence and treatment in 2019-2021. This rare longitudinal perspective—living through two complete treatment cycles a decade apart—gives me comparative insight into cancer care evolution that no single medical professional can replicate.

MY TREATMENT EXPERIENCE

First Treatment Cycle (2009-2010)
• 12 infusions of ABVD Chemotherapy over 6 months
• 2 infusions of ICE Chemotherapy (4-day infusions)
• 1 infusion of BEAM Chemotherapy
• 1 Autologous Stem-Cell Transplant
• 8 PET Scans
• 6 CT Scans

Second Treatment Cycle (2019-2021)
• 2 infusions of Brentuximab and Bendamustine
(Severe allergic reaction to Brentuximab — hives)
• 25 rounds of Radiation to Mediastinum (46RAD combined)
• 4 infusions of Keytruda Immunotherapy
• 2 infusions of IGEV Chemotherapy (5-day infusions)
• 1 Total Body Radiation (2RAD)
• 1 Sibling Allogeneic Stem-Cell Transplant
• 6 PET Scans
• 6 CT Scans

COMPARATIVE EXPERTISE

Surviving two stem-cell transplants—one autologous, one sibling allogeneic—across different decades of cancer treatment has given me firsthand experience with nearly every major modality in lymphoma care: combination chemotherapy, salvage chemotherapy, immunotherapy, radiation protocols, and both types of stem-cell transplantation. I've experienced treatment side effects from the "standard" ABVD era through the modern immunotherapy period.

This comparative expertise matters for survivors. Treatment protocols in 2009 looked very different from 2019, and the long-term survivorship implications are still emerging. Doctors treat; survivors live with the aftermath. I've done both—twice.

CREDENTIALS & PROJECTS

• Founder: Strap In For Life 501(c)(3) nonprofit
• Author: Internal Architect: A Cancer Survivor's Memoir
• Licensed Insurance Agent (practical healthcare system navigation)
• 17-year cancer survivor documenting the journey since 2008

WHAT I WRITE ABOUT

Cancer survivorship doesn't end when treatment stops—it's when the real reconstruction begins. My blog covers:
• Practical survivorship (relationships, careers, identity)
• Treatment experience insights (what they don't tell you)
• Long-term effects and secondary health considerations
• Mental health and emotional reconstruction
• Healthcare system navigation

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