For months after her diagnosis of non-Hodgkins
lymphoma, Jen Singer operated on full-throttle fight mode. The 40-year-old mother
of two had been diagnosed with a 15-centimeter stage 3 mass in her left lung;
the malignancy wrapped around her heart. Singer endured several weeks of
aggressive chemotherapy in the hospital, followed by four rounds of outpatient
chemotherapy and, soon after, five weeks of radiation, totaling 25 rounds.
To outsiders, it seemed like Singer
handled it all. She negotiated an extension on her looming book deadline,
writing the final chapters -in bits and pieces- -from her hospital bed.
She refused to halt her New Jersey home's extensive renovation, which
included a kitchen demolition, an addition, and a new roof, among other
construction headaches. She strived to retain a sense of normalcy for
her sons, ages 10 and 8.
Amid it all, the humor writer
approached her diagnosis with, not surprisingly, a steady patter of jokes.
She joked about her "G.I. Jane" hairdo after ditching her head scarf.
She pointed out the wisdom of gutting her kitchen, given that everyone
was delivering meals to her doorstep anyway. She wisecracked that the mass,
when she first spotted it on a PET scan, looked like "I'd inhaled Connecticut."
It wasn't until December 2007,
weeks after treatment ended and six months after her June diagnosis,
that Singer realized it was OK to wallow a bit - to be angry or
morose or edgy about the future. In subsequent weeks, she
cycled through the various stages of grief, even after
the cancer went into remission. "I still have a one in four chance
of it returning this year; it's still touch and go," Singer says.
"And it's OK to be upset about that."
During those months
of fighting cancer, that final day of treatment can beckon as
an enticing respite, a punctuation mark and, above all, a
stair step back toward one's pre-cancer life. Increasingly though,
clinicians are realizing that the reality can be far more complex
logistically and emotionally, a transition - dubbed the re-entry phase -
that can require months or years to navigate. Contact for complete article.