Transitioning from Patient to Advocate

You have cancer.

Those 3 words would impact my life in ways I never imagined.

I heard those words in January 2016, which coincidentally is Cervical Cancer Awareness Month. At the time, I was too busy worrying about fighting cancer that I didn’t pause to think why I had never heard of this cancer before.

March 2016 I was declared NED (No Evidence of Disease) and life was supposed to go on, back to normal. What I didn’t realize is that I couldn’t just go back to my life.  Cancer had happened and I was not able to move past it. One night I came across a blog about a group called, “Cervivor” and I was intrigued by the name. I started following them on Facebook where I saw a post about an upcoming Cervivor School and they were awarding limited travel scholarships; I submitted my application for a travel scholarship and I waited. I remember thinking that my story was not special enough or I wasn’t sick enough to earn a spot at this school. Thankfully, Team Cervivor felt differently about my story.

One of the impactful things that happened during Cervivor School was the final morning.  All of the attendees were handed a sheet of paper with the following:

One thing I feel comfortable doing to advocate is: and I wrote “Like the Peyton Project for bullying I am going to crochet teal cancer ribbons and put them in public places with hashtags #CervicalCancer #Cervivor #DontFearTheSmear #CervicalCancerAwareness #CervivorAdvocate #MakePapAPriority”

 

When I got home, I went through my suitcase and pulled out the paper, I photographed it, and shared it on my Facebook.  I wanted it as a way to hold myself accountable. I still have this sheet of paper and I look at it every day on my desk.

I started a project to meet this goal: Operation Teal. I started out getting my ribbons crocheted, labeled, and distributed from Illinois.  Today these ribbons have been reported as far as Rwanda, England, Canada, Bahamas, South America, and Greece. Operation Teal has been very well received! Many people requested ribbons to help spread awareness for cervical cancer; many of these individuals had never heard of cervical cancer unless someone close to them were diagnosed.

This project was a lead into my active advocacy. I took my Facebook account from a page about my life to a full on cervical cancer awareness page. So much so that I believe people wanted me to start posting about my dogs in their outfits again, it is about finding a balance. People was told I would get tired of talking about cancer. Well, I didn’t and I couldn’t go back to posting just cute pictures. You see I had met women and put faces to cervical cancer; many women, including Erica, Sarah, Cemonia, Lauren and Tamika and each one of them had an effect on me. I was so moved by their stories, I knew I had to keep talking about this cancer no matter what because they matter. . . I matter.

Late 2016 and all of 2017 was all about advocacy from almost daily Facebook posts, proclamations from the Illinois governor, speaking at two Cervivor Schools, co-hosting events with my oncologist, news interviews, an ongoing jewelry fundraiser for Cervivor, and helping other women who were diagnosed with cervical cancer either online or in person. One interview with a local hometown newspaper was picked up by the Associated Press! I was invited to be a part of The Woman to Woman peer mentoring program. I was honored to have been asked to be a part of an advisory board as a patient advocate with the University of Chicago Medicine.

One of my most treasured moments of 2017 was while I attended Cervivor School, Delray Beach, Florida.  I was awarded the Cervivor Champion Award. I was completely speechless, and had no idea that when Tamika Felder, the founder of Cervivor, was speaking about the recipient, that it was me.  I never thought of myself as a champion. When I first started talking about my cancer story, I was doing it to help myself. It was very therapeutic to finally be able to talk openly about the chapter in my life called cancer.

Honestly, I cannot even believe all of this happened in such a relatively short time; it is just crazy how such a horrible event in my life and being a Cervivor School scholarship recipient changed everything for me. I am forever grateful to Cervivor. I don’t believe any of this would be happening had it not been for Cervivor! What started out as “I have to let my friends know this can happen to them”, has turned into so much more.

I do what I do because it is important to talk about and raise awareness for a cancer that in the U.S. alone takes the lives of 4,000+ women annually. So many people have never heard of this cancer; myself included and I want to change that. Did I want to be an advocate? Hardly. I was such an introvert and guarded person before cancer and Cervivor. I was a person afraid of public speaking and I certainly was not a person who could talk openly about my vagina and sex!

I have learned so much about myself and I know my WHY. That WHY drives me every day to talk about cervical cancer, raise awareness, and make impactful changes in the lives of the women I meet. I do what I do so no one else has to hear those 3 words. Today we have the knowledge and a cancer prevention vaccine that can eradicate this cancer. I feel very strongly that, as a Cervivor Ambassador, it is my duty to share what I know and to help others.

Check out Paulette’s story here:  https://cervivor.org/stories/paulette/

Paulette Apostolou resides in Illinois with her loving husband and two rescue Min Pins. She is the owner/designer of ThePartyDeeva.com and founder of Operation Teal; an awareness ribbon campaign she started in 2016 after attending Cervivor School Louisville. Contact her at  [email protected]. She is available for speaking/advocacy events.  #WeAreCervivor

The Cancer Trauma Project

Cancer Related Traumatic Stress is real and the The Cancer Trauma Project, together with Cervivor is doing something about it. We appreciate this opportunity to share our project with the Cervivor community and to make a lasting impact. The Cancer Trauma Project seeks to promote understanding of the emotional trauma people experience from cancer. We do this by listening to stories, writing, speaking, and training providers and we need your help.

Cancer Related Traumatic Stress is related to Post Traumatic Stress Disorder (PTSD) in that it falls on the spectrum of stress-related mental health conditions but it is not widely recognized. In fact, if your medical team told you about it, please contact us because we want to thank them! More often people aren’t told about Cancer Related Traumatic Stress even though people with cancer are often screened for distress. Distress and traumatic stress are very different. We might be distressed about being late to an appointment, having another scan, preparing for surgery or something else. For the most part, when the event that is causing us distress is over, we are OK.  With traumatic stress, the effects are lasting, might not show themselves until long after the event, and are often marked by experiencing the same thoughts, feelings, and body sensations as they did during the event, even though we know we are nowhere near the doctor’s office. This is a hallmark or trauma – your body remembers the event and can activate the same feelings and sensations as if you were there again. In its extreme form, this is a flashback.The most common events during the cancer journey that cause traumatic stress are the diagnosis conversation, the time between that conversation and a treatment plan or starting treatment, and follow up scans. But we know that the cancer journey is fraught with many more daily events, like having to get another needle, realizing that your plans for biological children may be over, losing your hair, figuring out how to explain to employers why you were out of work, medical bills, the onslaught of “well wishes” from others, sharing the news with loved ones, especially children, and many others.

The Cancer Trauma Project has collected over 50 stories. We incorporate these stories into our writing to demonstrate the impact of cancer related traumatic stress. Hear the words of one survivor:

The chemo. You feel like you’re really sick. It’s the chemicals and not the cancer but your mind can’t distinguish that. So emotionally you’re dying. I felt like I was facing my death even though I had some chances I wasn’t going to die. I could have. But I gripped it like I could die.

The biggest thing is I couldn’t ever feel grounded. I felt I was always on, trying to go 100 miles an hour to try and deal with everything. It is as if you’re playing dodge ball and everyone is always throwing balls at you.

I’d stay up late at night, my heart was racing, my actions were quick, trying to figure things out. Panic is disorganized but I would focus on let’s get on with everything. That stayed at a heightened level.

When we talk about the emotional trauma related to cancer so many people validate what we are saying but when push comes to shove people aren’t getting the right kind of mental health treatment and that is a BIG issue. To be effective we have to hear your stories. We are grateful that the Cervivor community teaches cervivors how to powerfully share their stories. We all know that having cancer can be a very stressful experience for both the person with cancer and their support system. But what hasn’t been clearly documented is the way the stress of cancer is emotional trauma. The Cancer Trauma Project is looking at trauma as Dr. Saakvitne and her colleagues did. Trauma in people with cancer is the unique individual experience of an event, a series of events, or a set of enduring conditions, in which the individual’s ability to integrate their emotional experience is overwhelmed.

Your story provides the wisdom that guides our work. If you’d like to participate you can complete our screening or send an email to [email protected]. After you complete the screening form, we’ll follow up to schedule an interview or send you the online interview. If you’re in the Washington, DC area, we’d love to meet you in person. If we are going to truly help people with Cancer Related Traumatic Stress, we need to know how the emotional trauma of cancer happens. By listening to your stories, the Cancer Trauma Project will learn from you and spread the word through writing, speaking, and training. Please join us in this mission.

Click here to complete the screening to share your story.