My Next Steps

Thriving during adversity

Educating Ourselves About Cancer and Treatments – April 2025 July 15, 2026

Filed under: First Things First — cstatenclark @ 11:32 am
Tags: , , , , , ,

My husband and I flooded our brains with information. Books, experience from cancer-survivors, YouTube, Google (yes, Google). Daily more cancer books arrived with each Amazon truck pulling into our driveway. It was our way of processing this episode of our life.

We weighed each book against the other. Versus YouTube videos from cancer-focused MD’s and PhD’s. Versus actual results of friends who survived treatment for various cancers. We considered the research sources (reputable, recent, tested, showing a similar pattern of effective results). I found great comfort “interviewing” ladies who specifically had survived breast cancer and gleaning their wisdom.

My brain allowed for differences in cancer type, exact diagnosis, stage, age, how recently they were treated, and other factors that presented a variable. But I also found that there were commonalities amongst all cancers.

  1. It’s rare that doctors know exactly what caused the cancer. Of course you can suspect obvious cancer-causing lifestyle choices like smoking, unhealthy diet, a career touching and breathing known carcinogens; and a small percent with a known genetic disposition. But after that, I felt like a detective digging through trash cans of what-ifs.
    • Was my water not filtered enough?
    • Did the non-stick pans and plastic spatulas leech foreign materials into my food?
    • Did I consume microplastics by cutting on plastic cutting boards and drinking from plastics bottles?
  2. Cells have mutated to rapidly divide and spread. Also, cancer do not die in the same lifecycle as normal cells.
  3. Typical treatment protocol recommends surgery, radiation, and sometimes chemotherapy. And there are many cocktails of chemo drugs (who knew?).
  4. Rarely are diet changes, supplement support, or complementary treatments recommended by the oncologists. Although there are boatloads of examples where those complementary treatments make traditional treatments more effective as well as more easily tolerated by the person with cancer, those complementary treatments are not part of the medical community’s standard of care.  So, doctors shy away from mentioning them. That doesn’t mean you shouldn’t use all available resources to research and implement complementary treatments.

The variations come from the following:

  1. Where (which organ) cancer is,
  2. how big the mass of cancer cells is,
  3. how aggressive is the growth of those cancer cells,
  4. has it spread (or is it contained to one area),
  5. are there special receptors involved (HER2, estrogen, progesterone, etc)?
  6. Can surgeons operate to remove the mutant cells? Do you want them to operate (and how much)?
  7. How effective is the standard cut-burn-poison protocol for your type cancer (i.e., chance of survival)?

While I fully trusted God to keep my mind, heart, emotions, and soul at peace no matter what future all this brought into my life, He also expects me to use the skills and the brain He’s gifted me with to discern options and a path forward. Next steps, right?

 

One. Step. At. A. Time. – my next steps (4/18/2025) July 12, 2026

Filed under: First Things First — cstatenclark @ 9:35 am

For the breast cancer mass they removed, the margins were more than adequate (she took enough tissue). But for the sentinel node biopsy (dye, track potential path to lymph nodes from mass), the surgeon removed 2 nodes and they found micrometastases.

My next meeting was with the medical oncologist and I suspected he would likely recommend both a HER2 targeted drug + chemotherapy (even before radiation). I reminded myself daily not to get ahead of myself – or ahead of reality. I researched like crazy so I would be prepared for productive discussions. But I had to resist jumping to conclusions.

Meanwhile, my husband and I continued our KETO eating routine, and I took a ton of supplements including iodine and Ivermectin (whether the oncologist wants me to or not). God gently eased me into this new reality which resulted in an extraordinary peace.

Although my husband was a strong pillar for me, I prayed for him to remember that God was holding him up as well. He lost two sisters and a niece to breast cancer in the past 20 years, so no doubt the devil kept throwing that fear dart at him.

 

Breathe. Relax. Trust God. Doubt my fears. (4/13/2025) July 6, 2026

Filed under: First Things First — cstatenclark @ 12:00 pm

Every day is an opportunity to be consumed by anxiety and doubt, especially when the future seemed uncertain. But it was equally a chance to have faith and trust God with the outcome. Both doubt and faith require believing in something you can’t see. My fears melted into tears when I heard the following hymn at church.

Encouragement flowed in for months – from friends, family, prayer warriors, calls, cards, flowers, lunches, and check-in texts. I heard uplifting messages from Scriptures, songs, poems, and prayers. If you ever question how to help someone in your life face a mighty interruption in their life, remember that all of these acts of kindness make a difference. You might doubt that something so simple as a note or a call will lend true support, but I assure you they do. You’re providing nourishment for the soul.

 

Am I going to die – Part 2? – Post-surgery pathology (4/11/2025)

Filed under: First Things First — cstatenclark @ 11:01 am
Tags: , , , , , ,

My breast specialist surgeon called on Friday morning, 4/11, a couple of days after a successful lumpectomy. She was all business. The air going into my lungs suddenly felt thick and I managed to swallow the lump in my throat. Although she had estimated pathology results to come a week after surgery, she received them a mere 2 days post-surgery. Good news: the margins were negative for the golfball-sized mass they removed. Negative margins are what we hope for;. It means she removed sufficient flesh to know they got all the cancerous cells. Not-such-good-news: the sentinel node biopsy — dye runs from the mass to see which lymph nodes are fed by the mass. Protocol is to remove those nodes that show the dye. Two of my lymph nodes showed dye from the cancer mass so she removed them during surgery. The concerning part of the pathology showed micrometastases in those two nodes. That means cancer spread. Although they were tiny (micro) cells, cancer had still spread. Still my cancer was rated as stage 1.

The presence of micrometastases influenced the course of my treatments. The surgeon indicated that I likely would receive a bit of everything from the oncology menu, instead of avoiding either chemo or radiation. I went into surgery thinking they’d remove everything, there would be no lymph spread, radiation would be minimal, then on to blocking the HER2 cells. Now the radiation may be more extensive, and chemo a likely part of the plan. And I’m not sure how they discern whether these micrometastases have spread beyond the lymph nodes since a few individual cancer cells aren’t visible on MRI or sonogram. Thankfully, according to pathology, the few cancer cells had reached those two removed lymph nodes, but gone no further.

So much to process. More appointments coming. Breathe. Am I going to die? Not today.

 

Surgery – lumpectomy (4/9/2025) July 2, 2026

Filed under: First Things First — cstatenclark @ 10:59 am
Tags: , , , , ,

The night before my scheduled surgery, my checklist consisted of 1) take “before” photo of my “cancer breast”, 2) stop eating/drinking by midnight, 3) pray for the surgeon and for my own peaceful sleep. The morning of, the checklist was 1) shower with Hibiclens, 2) wear something comfortable and button-up, 3) remove all jewelry, makeup, lotions, deodorant, 4) pray again for surgeon and all her medical team. I was as prepared as I could be. We were prepared. Peace was God’s gracious gift to me as we drove into Austin.

The surgeon showed up early and was ready to get the show on the road. Prayer warriors were warmed up, ready to intercede on our behalf, and wore their Team Carol t-shirts in support. I told the surgeon that half of Bastrop and friends across the country were praying for her and her team. She, in turn, told us she had prayed for me as well. What a way to warm my heart.

During all the prep (gown, IV, BP, reviewing which body part was to be operated on), the medical staff was so kind. In reviewing my medical history, they became super interested in my past stroke from 30 years ago, peppering me with dozens of questions about reason it happened and recovery from. That kept us all occupied as we rolled down the long halls to the surgery room. The chilly room and bright lights made me thankful for the anesthesia which gently and quickly coaxed me into dreamland. What seemed like only moments later (actually about an hour), I was in recovery with the team saying how well the procedure went. Since I was not experiencing pain and woke up fairly quickly, it was soon time to get dressed for the drive home to Bastrop. Wow – that was quick!

I didn’t experience much pain at all afterward, but they gave me hydrocodone before I left the hospital, just in case the drive home was painful (bumps, braking, seatbelt).  Before bed that night, I took my last dose of hydrocodone “just in case” I had trouble sleeping (which I did not). The next day, I barely had pain at all – only slight tenderness. So I transitioned to Tylenol, then within a day to zero pain meds. Since the small incision was securely glued shut, I showered the next day and we took “after” photos. To our surprise, that breast didn’t look horrible. How in the world could the surgeon remove a golf ball-sized section of tissue from my breast without it looking misshapened? She’s talented! We both felt very blessed for the smooth surgery and minimal pain.

Pathology of the surgery tissue would take about a week for results. The following Sunday, one of the hymns we sang at church was A Mighty Fortress Is Our God. My eyes overflowed with with gratefulness for a mighty God.

 

Prayer Warriors (3/28/2025) June 30, 2026

Filed under: First Things First — cstatenclark @ 5:13 pm

When this cancer diagnosis quietly crept into my life February of 2025, my 50th high school reunion was about to take place. It was poised to be a BIG event, perhaps not in number of attendees, but in significant reconnections after five decades of living disparate lives. Two other classmates and I had been working on and organizing the weekend for the prior 9 months when I received the diagnosis. There were still so many event details to lock down including venue, food, parking, music, memorial slide show, school tour, decorations, door prizes, and photography – oh and collecting payments from 96 attendees. Then in waltzes cancer.

The reunion weekend (3/28-29) was actually a welcome distraction from medical uncertainties looming ahead in the next few months. I got to be “Carol without cancer” for a few hours. Laugh. Hug. Tell stories. Remember our younger selves.

On Friday before the official reunion events kicked off, a cluster of our closest childhood girlfriends gathered for lunch to reconnect in a small setting. It was a time of deeper sharing than would be possible during the large group events. One of the girlfriends surprised me by presenting Team Carol t-shirts to each of us. The design had the pink breast cancer ribbon incorporated. What a touching moment and I was humbled to tears by the gesture. I wept. Not from fear, but because I was overwhelmed by feelings of gratitude for these special ladies and our bonds that had lasted across 50+ years. I’m truly blessed to have these prayer sisters. We posed for a group photo as they pledged to hold me in prayer through each step of this odyssey.

Prayer warriors geared up from other walks of my life as well — our church, my brother’s church, neighbors, churches we’d attended in the past, work friends, and of course family. I never felt alone in this journey, especially with the Holy Spirit leading the way and guiding my steps. I read so many medical books those first few months, but also devoured devotional books that kept pointing me back to the most reliable source of strength and hope – my heavenly Father. Yahweh. Abba. The Holy Trinity.

A terrific devotional book called 50 Days Of Hope came from one of my prayer sisters. It walks through so many of the questions and doubts and a foundation for facing each fear. If you want to check it out, the Amazon link is here. It was so uplifting to me during those first couple of months that I’ve recommended it to several friends since.

 

Adjusting Daily Activities – face, cooking, teeth, body (3/17/2025) June 29, 2026

Filed under: First Things First — cstatenclark @ 2:25 pm
Tags: , , , , , ,

As part of this new reality of treating cancer, I researched cancer-causing substances and exposures in my everyday life. Some common carcinogens are not ones I’m exposed to: tobacco, alcohol, radiation in excess, chemicals (heavy metals, asbestos, production environments, etc), tanning beds or excess UV rays. Something that made the list that have been part of my history are birth control pills and hormone replacement therapy (more on that in another post).

So I looked at the less obvious carcinogens and began to update dozens of products that I put ON and IN my body. A site called EWG.org helped identify carcinogen-free products (body soap, shampoo, conditioner, toothpaste, face cream, makeup, detergents, etc). Similar to when we began our Ketogenic eating habits and cleaned out a huge portion of our pantry (rice, wheat, corn, beans, pasta, potatoes, sugars, canola oil), I modified the contents of my kitchen and bathroom cabinets, shower caddy, and laundry room.

In the spirit of cutting out microplastics, our kitchen took on a new set of rules. We removed old non-stick pans and substituted both stainless or ceramic pans. We used cast iron for a bit, but found them harder to clean/care for. We swapped out all plastic left-over food containers for glass or stainless ones. Then replaced plastic utensils with wooden or stainless. Tossed the plastic cutting boards (ones we thought were so much more hygienic than wooden ones) and reverted back to wood boards. Here’s how to clean them properly.

In the bathroom, I confirmed that the Castille soap I used for showering is healthy, and I’ve always been careful about facial soap due to my sensitive skin. For soaps and lotions, think paraben-free and phthalate-free and typically without fragrance. Soaps using coconut oil, chamomile, avocado work well.

As for my shampoo and conditioner, I searched EWG.org again — always look for sulfate-free, silicone-free, and paraben-free. For body lotion, I like Medline Remedy. My make-up drawer got a hefty make-over (pun-intended) with even my Laura Geller foundation going in the trash (just because something is expensive doesn’t mean it’s healthy). I like the products from Well People and avoid products with silica in them.

Conventional wisdom always tells us all to stay sufficiently hydrated and I do that by carrying a lidded, metal insulated glass with me everywhere. Adding a slice of lemon helps make me thirsty for more water. And staying hydrated during this 12-month trek was crucial since my body would be battling so many treatment chemicals. So, another big change was to dig out our Berkey drip water filter system and use that water for everything (drinking, coffee, cooking, dog’s water, etc). The water from our faucets wreak of chlorine. We stopped using the Berkey a couple of years ago because we thought it was a pain in the neck to refill it multiple times a day – and the drip system is fairly slow. Our filter has double filters but still leaves some important minerals in tact. We love it! Another option is a Reverse Osmosis system. Those are great, but remove all the minerals, too…and might be cost-prohibitive for some people.

 

Medical Oncologist – Solidifying the plan (3/10/2025) June 27, 2026

Filed under: First Things First — cstatenclark @ 2:45 pm

I never knew there were so many types of oncologists. Surgical Oncologist (removes cancerous growths). Radiation Oncologist (oversees any radiation treatment prescribed). Medical Oncologist (lays out the overall plan for treatment, administers treatment drugs, and is the overall quarterback of the oncology team).

My medical oncologist also reviewed the pathology report with me — the report that I’ve scoured and reviewed and Googled dozens of times already.  I took notes, but the main words he used to describe likely post-surgery treatments were “radiation”, “Herceptin”, “maybe some chemo”, and “anastrozole”. O wrote all those down for further study. I asked about possible immunotherapy treatment (which tends to be milder on the body) and learned that wasn’t an option for me due to the HER2 + cells present in my cancer. His plan all seemed like a cookie-cutter recipe following the cut-burn-poison protocol. The intent was to give me the best odds of survival. Survival. Breathe deeply.

Shortly after this appointment I chose to also start a complementary regimen of Ivermectin and Fenbezadole daily. In studies, (see Journal of Orthomolecular Medicine, June 17, 2024 edition, volume 39, number 3) both have shown to be effective in boosting the body’s immune system and increasing the effectiveness of traditional treatments. Oncologists are not big fans of this supplement since it’s not “standard of care”, but lack of negative side effects and many studies showing evidence of their usefulness convinced me to add them to my daily supplements.

I also spoke with several friends about the benefits of Vitamin C infusions. Although not covered by insurance, I was convinced that I should add it to my weekly protocol during chemo and radiation. More on that later.

 

Initial appointment to formulate treatment (3/3/2025)

Filed under: First Things First — cstatenclark @ 1:48 pm

Per the biopsy three weeks prior, I already knew the mass was small and that all indications said no lymph node involvement. The surgeon added more details I hadn’t seen on the original pathology report. My cancer is Estrogen positive. Progesterone positive. HER2 positive. It’s called triple positive breast cancer. HER2+ is an aggressive form of cancer. Thankfully HER2+ has specific drugs that target those over-active HER2 cells — Herceptin is one of those drugs. My surgeon also estimated the Stage at stage1, although confirmation of stage comes after surgery and subsequent pathology.

Since the size of my cancer mass was small, she (my surgeon) gave me the surgical choice of mastectomy + zero radiation or lumpectomy + radiation. I had to think this one over. If during surgery they discovered ANY lymph node involvement while performing the sentinel node biopsy, then radiation would still be recommended – even if I chose to have a mastectomy. Therefore, choosing a mastectomy just to avoid radiation seemed short-sighted. I’m glad I chose to have a lumpectomy.

The team quickly got me scheduled for the 4/9 surgery.

 

Am I going to die – Part 1? What did I do wrong? (2/20/2025)

Filed under: First Things First — cstatenclark @ 1:17 pm
Tags: , , , , , ,

While I was becoming a student of cancer and all its treatments, my mind seemed to be bound by the central question, “why?” and “What did I do wrong?”.  My brain was the tether-ball tied to the pole of “why did I get cancer?”. I’ve heard that just before you die, you see glimpses of all the wonderful snippets of your life – a life recap of sorts. But as I mull this diagnosis with all its possible future ramifications, the slow-motion newsreel takes on a different theme. Every. Thing. That. I. Have. Ever. Done. Wrong.

  • Did I smoke, do drugs, drink to excess? No. No. No.
  • Is my diet terrible? No – especially for the prior 1.5 yrs it’s even been terrific (ketogenic – with no starches, no sugar, only meat, dairy, and non-starchy vegetables).
  • Do I have family history of breast cancer? – No, going back 3 generations.

Now to the hard part of the self-reflection.

  • Did I ever exercise enough? NO. Did I have a sedentary job most of my career? YES.
  • Did I eat processed food for much of my life (prior to the KETO diet)? YES.
  • Have I made poor choices in my life? YES.
    • The devil specifically leaned in on all those poor choices, hinting that perhaps my cancer was penance for those moments. What a jerk he is. I have long-ago reconciled those poor choices with God, repented and lead a new life.
  • Books like Cancer As A Metabolic Disease (which is a great book) can also fan the flame of past lifestyle environmental behaviors, like exposure to micro-plastics, fumes inhaled, chemical exposure, carcinogenic makeup/soap/lotion ingredients, and other environmental causes. Was I perfect? No. Was I the worst? No.
  • Then there’s the HRT (hormone replacement therapy), prescribed by my gynocologist after my full hysterectomy. Some studies show a link between HRT and breast cancer. And my cancer is hormone (estrogen and progesterone) positive.
  • And lastly, some studies show a link between women who don’t give birth or breast feed and breast cancer. That’s me.

Pause. Breathe. Time to focus on how do I resolve this medical issue? Not wallow in “what did I do wrong?”.