BC Becky

Never thought I'd want to be a breast cancer survivor

Category: Navigating the new me

  • Epic hikes and sleeping in a tent

    When we noticed a campsite available for Big Basin for one night this long weekend we decided to go camping. It was bit of an experiment for me – to see if I could sleep in a tent. Last time I tried was our weekend at Big Sur the first week in May. That weekend, I found that I could not sleep in a tent for two nights. I was exhausted by the time we got home. So, when we went camping in the Eastern Sierra’s, we rented a van so that I didn’t need to sleep in a tent. That worked well but isn’t a good option for a quick weekend get away.

    The other reason for going up to Big Basin was to do a couple of longer hikes. In the last few weeks (since vacation), I’ve been doing more and more training for the Avon Walk – which is next weekend. It has snuck up on me! Thank-you everyone who has donated to help me be able to participate in the walk. Back in May, I had resigned myself to walking only 4 or 5 miles. Even that would be a stretch given my neuropathy. However, my Aunt (who is generously coming from Canada to walk with me) has encouraged me. She too has been training, and wants to make an attempt at the entire walk (23.8 miles/38.3 km on Saturday, 15.5 miles/24.9km on Sunday).

    In order for me to walk more than 4-5 miles, I have stepped up my training. Last week I hiked 6.78 km at Alum Rock park and did a 10km walk along the Guadalupe trail.

    I decided (crazy me) that I was ready to step up my game and go for a 10 mile hike! It felt a little contradictory to be signing into an ADA campsite (California State Parks have campsites that can only be used by people with ADA placards, that is, handicapped permits), and then asking the ranger for recommendations for a 10-mile hike. And more so, it being 2pm and us planning on going for 10-mile hike that day!  The park itself was a complete zoo. There were warnings on the way up that the day use area was full. The way the park is designed, when that area gets full it backs up the ‘highway’ that runs through the park, making it more difficult for anyone to get anywhere. We were lucky enough to find a place to park for long enough to register – then parked at our campsites and headed out for a hike from there.

    For our first hike, we ended up turning around a little earlier than the recommended hike – in part because we parked at our campsite, which added 2km each way to our hike. In the end, we hiked just shy of 10 miles (15.3 km). In my lifetime I can only remember two other hikes that might have been longer (Robinson Ridge in Kitimat and Fishing Cove Trail in Nova Scotia) the Internet is telling me that both were shorter!

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    Initially our thought for our second hike was that we would take it easy. My knee had been bothering me on the downhills, so we thought we could make it to the falls and then take a bit of a climb (400m/1300ft climb!) out of the falls and follow the fire road back – which in theory would be less steep. The falls turned out to be a bit further in than we had originally thought – we again found ourselves rationing our water (oops). But, we did it. 17.3 km and almost seven hours of hiking later, we were back at the campground headquarters. We were thankful that the camp store was still open, such that we could reward ourselves with an ice cream before hopping in the car for the 90-minute drive home.

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    The trail was beautiful, often passing by groves of giant redwoods.
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    Me taking a selfie!
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    Scott didn’t mention that I had almond butter on my face until well after I took the picture!
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    Our destination was Berry Creek Falls, which we are happy to report actually had water going over it! (things are pretty dry around here)
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    After the water falls, we followed the Howard King Trail, which was pretty much straight up (300m climb over 4km).
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    Which brought us to this lovely scenic overlook were we could see the ocean in the distance.
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    Today we are both a little stiff. We are going to need to go for a short walk around the market to help loosen things up a bit! Overall, I’d say we had a great weekend. I’m feeling a lot more prepared for the Avon Walk next weekend, and looking forward to visiting with my Aunt when she arrives on Wednesday!

     

     

  • It’s not cancer

    On Monday I had an MRI of my shoulder. On my trip to Ottawa in May I had noticed a lump on my shoulder. I freaked out, had a physical exam where they said it was a lipoma (fat pocket). The problem is, I kept getting tendonitis in my shoulder. Physical therapy wasn’t helping it. So, I saw an orthopedic surgeon for an assessment. He ordered an MRI.

    This was the first time I was doing an MRI that wasn’t about cancer. I was still afraid of scansiety. In many ways, the ordering of scans can cause anxiety. It is in part about the waiting for results, and the worry of the results. But even more, it is about the memory of previous scans (someone else blogged about this, but I cannot find it – if you did leave a comment and I’ll link to your post).

    My point is, that when I went into the MRI, I was very aware of how I was feeling. I was aware of the possibility of anxiety – and where that might actually be coming from. I’m happy to report that I didn’t have any anxiety. Actually, the MRI was mostly a non-event. The tech didn’t do much to prepare me – perhaps because he thought I had lots of experience with MRIs already? I don’t know, but I think he would have forgotten to give me ear plugs had I not asked for them! The MRI took about 25 minutes … after the first two scans (about 2 minutes each) I actually fell asleep – yup – I took a nap during all the whirring, clicking, and banging …

    The tech said the doctor would be able to read the scans immediately. The next morning, I sent off an email to the doctor asking for a short summary of the results. I needed to hear that it wasn’t cancer – part of me was thinking that cancer had spread everywhere – so I wanted to know. I’m happy to report that it is not cancer … yup, now I have a scan that confirms it. I do, however, have a tear in the labrum. In a couple of weeks, I have a follow-up appointment with the orthopedic surgeon to talk about how one might treat this. Most importantly, it is not cancer!

  • Transitions, #avon39, and the Peak Hike.

    In any long journey, transitions matter. Back in August last year, I wrote about the importance of transitions – transitions help mark our waypoints along the journey, but they also give us something to celebrate. A sense that something is finished a new thing is beginning. A way to start things anew.

    Shortly after writing the post Transition Matter, I signed up to do the San Francisco Avon Walk. I had planned on the Avon Walk as being a major transition in my cancer journey. It was to represent the completion of treatment and the journey into living beyond breast cancer. In many ways, a bridging ceremony.

    Little did I know just how far down breast cancer treatment would bring me, and how long it would take for me to climb back out of it. The Avon Walk has helped give me a focal point for my exercise. It has helped to inspire me to walk further and longer than I otherwise would have. It is encouraging me to push myself. That is a good thing.

    I no longer see the Avon Walk as a major transition. This is in part because I do not see myself mysteriously getting better just by walking through the arches at the end of the walk. I know that I still have a long way to go. But I am encouraged. Four weeks ago I thought I’d be lucky to walk 4-miles. I did a 6.2 mile training walk yesterday. There is hope yet that I’ll be able to walk a large portion of it – even if it isn’t the entire 39, it is quite significant. I’m come a long way and that is worth celebrating.

    Today I also signed us up for the Peak Hike. The Peak Hike was the last big walk/hike I did before the Taxol chemo took away my ability to walk. It was monumental for me – hiking further than I had before – bald and fighting off the cognitive fog and physical neuropathy caused by the chemo. I’m a little bit amazed that I managed it.
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    This year is the 20th year of the Peak Hike. We are part of a team – Em the Gem – who have being doing the hike since it began. The team captain has become a friend and was one of my many walking buddies. The ‘honer family’ have helped me with rides to chemo and provided us with dinners after my surgery. We are honered to be part of the family 🙂 …

    The Peak Hike will be an interesting transition for me. It will happened at almost the one year post chemo mark. This is the point where we start to figure out what neuropathy is permanent. It represents a reset in the expectations – at this point the expectation is that the neuropathy will go away – we’ll see. Looking at it now, I’ll be happy if I can make the 7 mile hike. It will be just as momentous this year as it was last, only this time I’ll have hair – so my struggles will not be so obvious to those around me.

    The Breast Cancer Fund looks at research and works towards changing public policies and educating people about things that might lead to breast cancer. They are focused on prevention rather than treatment after the fact.

    If you’d like to contribute to our fundraising for the Peak Hike, you can use these links – Thank-you!

  • Healing takes time

    As frustrating as it may be, the reality is that healing takes time … and lots of it … calendar time … it isn’t something that you can speed up no matter how much you will it to.

    People will often ask me how my neuropathy is. At the moment, it is mostly just painful. I’m looking to that as encouragement – as in, the nerves are re-growing, so it hurts. At this point in time there is nothing they can or will do for it. I take some meds that in theory help to manage the pain. That is about it. Time must pass, and as it does things slowly heal.

    Once a year has passed (end of October), then my neuropathy will be re-assessed. It is at that point (or maybe even 18 months) that we start talking about what is permanent versus the transient pain associated with recovery. As much as I might wish to will it to get better, the reality is, that the only thing that will make it better is time. No amount of physiotherapy, ultrasound, acupuncture, etc, will make the nerves grow back any faster – although those treatments may help temporarily manage the pain – the only thing that will fix the real problem is time. And so, I must learn to be patient and wait.

    When I think about time and healing, I am reminded about just how far I’ve come. I think of my various walking buddies and how they must see the remarkable differences. Back in December, after my surgery (so Christmas), I could barely walk around the complex. I remember going on 5 or 10 minute walks within the interior courtyard with my mother-in-law. Not exactly our usual Christmas afternoon turkey in the oven walks.

    Eventually I graduated to walks out to the pathway behind our house. Even then, I’d walk for 10-15 minutes – very slowly – and then need to sit on the bench. I knew where all the benches were – I created a walking route so that I could stop and sit at each bench as I needed to. So, I must say, that I have come a long way. Yesterday I walked 10km (6.2 miles for the metric challenged). It took me two hours. I didn’t stop to sit down even once.
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    My parents last saw me in person after my first surgery (American Thanksgiving). I wasn’t quite at my lowest at that point, but I was still in pretty rough shape. Chemo had taken a lot out of me and my neuropathy was pretty darn bad. I’m looking forward to seeing them in a couple of weeks – so that they can see just how far I’ve come.

    As so, I remind myself regularly. Healing takes time. I’ve come a long way, but I also have a long way to go. As much as I want to be back to the super fit me that I was before cancer (or at least that is how I remember myself – the reality of that may also be a bit of a myth that I tell myself), I need to remember healing takes time. It isn’t something that can be rushed.

  • Perspectives

    Sometimes, when you are living it, you focus on one perspective and miss everything else around it. Sometimes all it takes is a friend to make a comment that helps you re-see the issue from a different perspective.

    The theory behind cognitive behavioural therapy is that you can change how you feel by changing how you think. For me, this matters, because I will find myself feeling down or thinking about worst case scenarios – catastrophizing. Worrying. And sometimes, it takes the help of a friend or family member to change the perspective.

    On June 17th, I celebrated 6-months cancer free (woo-hoo). But with this came worry. I saw a graph once about recurrence rates, and it had a bump at 6-months and a bump at 5-years. I think this happens in part because 6-months and 5-years align with doctors visits. It isn’t that it is 6-months post treatment – it is 6-months after my last visit. Anyways, that timing is coming upon me soon. I found myself worrying because no one I know has had a recurrence after I met them. That is – I know people who have had recurrence or worse progression, but they were diagnosed with this before I met them.

    As an aside – progression is a term I’m becoming more familiar with and one that I haven’t used on this blog before so people might not be familiar with it. The term recurrence is usually used when you have a local recurrence of the disease. This is when the disease is found again in the same area. A local recurrence may happen if a new tumor appears on the chest wall or in the opposite breast (not that common). But progression is when the disease spreads – it typically means that you went from an early stage to metastasis (stage 4) or if you have already been diagnosed stage 4 it means the cancer is growing again.

    So I don’t know anyone who was diagnosed at the same time as me who have had a recurrence or progression. I know that statically, this means that someone will .. and sometime soon .. and this worries me. I mentioned it to hubby and he immediately put a different perspective on things .. he said, no one has and maybe no one will .. that it is a good thing that no one has .. it made me think that I need to change how I think. I should be celebrating that no one has, rather than worrying that someone might. It may sound like a little thing, but it is actually a huge shift in perspective – and that shift helps me clear some of the fog that is my current brain …

     

  • Mirror Mirror on the wall

    One thing about California – the closet sliding doors are often made of full length mirrors. This means that every day, after my shower, as I walk passed the closet to the bedroom, I see naked self in the mirror.

    In many ways, this has helped me heal. It has helped me see myself – my scars – and accept them. My breast surgeon and plastic surgeon both did a remarkable job. Sure, my body isn’t perfect (no ones is), but I’m pretty happy with the outcome.

    I do think looking in the mirror every day helps. It helps me accept my body. It is also a constant reminder – so are all the pills I take at 9am and 9pm each day. I am hoping that one day, I will internalize all this change – and it won’t be something that I think about – that the scars will not be a reminder, but rather will just be me. Someday. Just not yet … I’m not there yet. For now, I’ll choose to be happy with the body that I have, and try to accept what has happened and move forward.

  • Trying to get unstuck

    I’m feeling rather stuck lately. This is not being helped by my network, we seems to be posting things that are depressing rather than up lifting. I haven’t written much on this blog lately because I don’t want to contribute more to the depressing nature of the posts that going around on my cancer network. I want to help change the tone to help be more up lifting, but I’m just not feeling up to that.

    One of the decision I made on vacation was that I wanted to focus more of my time on writing. I want to write a couple of books. That is in part why I was focusing on writing more about our vacation. I wanted to practice that genre of writing (adventure travel writing), which is quite different than the writing I do here, and the writing I do on my academic blog.

    Last week, I created a blog post per day about our vacation to the Eastern Sierra’s. I wanted to write about all the wonderful hikes we went on. I wanted to remember the fun parts of the vacation, in part because it didn’t end well. I got stuck on day 7. Not because day 7 was bad, but because I chose to relax on Day 7. I didn’t go on a hike that day, rather, I lazed around in the hammock and read. After five days of hiking, I needed the break, but also, I wanted to give hubby the opportunity to go on a more rigorous hike then I was physically able to go on. I didn’t want to be holding him back. I’d say that this was another one of those losses from cancer, but it isn’t really. Even before cancer hubby was always more of a hiker than I. So, it would have been pretty normal for me to take a day off while he hiked.  And as you can see, I was comfortable in he hammock!
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    My plan was to go on a nice hike on day 8, but the weather gods didn’t agree with that plan. I got stuck on day 7, and need to just get past that stuckness. I need to learn to just write even when that writing is a more difficult.

    Day 8 was really the end of our vacation. We came home  a day early. It got to a point where I was no longer having fun. I wanted to just be home, back in my bed. Back to familiar comforts.

    I find that interesting too. I used to love travelling. I used to want to spend time away. Now, I find travel to be exhausting. I do enjoy it, but I also find it stressful and tiring. I find that I miss the routines that I have at home. I find that I just want to be back into those routines. This scares me. I feel like I’m prematurely aging. Like I’m becoming someone who doesn’t want to adventure anymore.

    I’m so thankful that we did our Going East bike tour while we were young and relatively healthy. I cannot imagine doing that type of trip now. It would be so complicated – I’m having a hard enough time managing my pills for a 10-day trip (my pill organizer only has space for a week). I cannot imagine how to manage the pills for a longer trip.

    I’m writing this post in part to help me get unstuck. To get the creative juices flowing again, so I can get back into the routine of daily writing. And with that, it is time that I go and write about vacation day 7 … coming soon …

  • Introductions (or not)

    This post was originally posted on my other blog, but I thought people who read this one might also find it interesting…

    The first activity in #clmooc is to create an un-introduction – or really a re-introduction – that is to introduce yourself in a different way. A way that involves making and remixing.

    At the moment, introductions are one of the hardest things I do. I have no clue even where to start …

    Hello, my name is … 

    Hello, I’m Rebecca Hogue …

    Hello, I’m Becky …

    The name says something about me. You see, I use Rebecca professionally. I use Becky with my close friends, my church community, and the breast cancer community. When I attended the et4online conference, I discovered that what people called me became a cue – If they called me Becky, I knew that they knew my breast cancer story. If they called me Rebecca, then likely not. An interesting side note, I found it very uncomfortable being called Becky by my healthcare team. It took me a while to realize that I saw that as a patient safety issue.

    I’m … 

    a writer

    a blogger

    a PhD student

    a part-time professor

    an instructional designer

    an education technologist

    an eBook producer

    a researcher

    a breast cancer warrior

    a breast cancer survivor

    an ePatient

    ….

    And the list goes on. I’m not one thing. I’m many thing. And yet in some ways I’m none of them. I’ve been trying to figure out how to introduce myself, and have yet to find something that really works.

    On vacation last week, I decided I wanted to focus more on writing. I wanted to identify not just as a blogger, but also as a writer. That I wanted to really focus on writing one of the several books I keep talking about writing. And so, when the lone gentleman in the next campsite came over to visit around our campfire, I introduced myself as a writer. His first question was What have you written? Would I know it? What genre do your write? This outlines one of the challenges when you are trying to figure out who you are, and who you want to be. The minute you try to be that person, you need to be able to be that person!

    This has become a real challenge with the Google Hangouts that Maha and I do as part of our Virtually Connecting project. You see, she starts off with “Hi, I’m Maha Bali. I’m a professor of practice at the American University in Cairo, Egypt”. When I haven’t come up with anything wittier, I usually respond with “I’m Rebecca Hogue from sunny Santa Clara California”. You’ll note that I don’t actually say what I do. I do, however, talk about the weather a lot. That is the Canadian in me. Canadians are obsessed with the weather. In this part of California, conversations about the weather get kinda boring pretty quickly.

    Anyways, I thought I’d finish this off with a little clip of me introducing myself over the last two years. It begins as me back in January 2012, January 2014, February 2015, April 2015, and finally ends in May 2015.

  • Numbness and pain …

    I’ve noticed that lately I’m a lot more aware of these appendages on my chest, which have no feeling, and my surgeons continue to remind me “are not breasts” even though they look an awful lot like breasts, and when you touch them, they kinda feel like breasts. But alas, they are not breasts, in that they do not have any of the fatty breast tissue in them. That was all taken away when I had a double-mastectomy to remove the last bits of cancer in my system – December 17, 2014. Although I don’t remember much of that day (I was wheeled into the operating room at 8am), I shall never forget it.

    Lately, I seem to be much more aware of the numbness in my fake breasts. I’m particularly aware of the area where my new breasts brush up against my upper arms. My upper arms can feel that something is there, but the breasts don’t feel the upper arms. So it all just feels kinda wrong. I actually caught myself bumping into a cupboard in the kitchen today – the cupboard door made contact with my breast, so I didn’t feel it.

    I’m also numb in a large portion of the front of my stomach – where the donor tissue was taken. I have a scar that goes from one hip bone to the other. I can feel the outside 2 or 3 inches of the scar – the part that is actually over my hipbone, but I cannot feel the middle of my belly. In some ways, I’m feeling like I’m loose more feeling rather than gaining it. That more of me is numb now than it used to be. I’m also starting to feel some pain along the incision in my belly. I’m particularly aware of it on the part of my stomach between my new belly button (which is pretty cute BTW) and my stomach incision. The pain comes and goes – and it is not bad pain – in that I don’t need to take any meds to block it – it is an awareness pain. I find that rubbing my belly helps – perhaps it is a way to help the brain make the connection between the new nerves and the physical location of the sensation. I don’t know, I just know that when I get that feeling along my belly, it is eased by rubbing.

    I’ve also had a couple of times where I’ve had an itch on my not-breasts. This is really difficult to manage. The itch feels like it is coming from the skin on the breasts, but I don’t have any sensation there – which means that scratching it does nothing. It is horribly frustrating – it is an itch that cannot be scratched.

    One of the times when I am most aware of the numbness is when I go for a swim. I find myself hesitating going out to the pool – in part because it just feels really weird. I am thankful for my reconstruction surgery – such that I can wear the same swimsuit I wore before my mastectomy, and I don’t need to worry about prosthetics. I’m afraid that prosthetics would have been one too many sources of inertia that I’d never actually get to the pool. As it is, I can spend a good hour between the time I decide I’m going for a swim and the time I actually get my swimsuit on and walk out to the pool (thankful that I don’t actually have to go any further to swim or I’d never actually get there).

    So tonight, with my ankles unhappy with me, I was happy to hop in the pool (rather than biking or walking). It was weird walking in. There were kids playing in the pool, so I tried to walk in (one hand on the railing so as not to lose my balance) without making funny faces as various parts of my body first get exposed to the cool water (the pool was pretty warm tonight, which made it easier). I recall from before, that stepping into the pool involved a shock at the belly line and again at the booby line – that is, when the water first approaches the belly and the breasts respectively. I no longer get that shock – the impact of the cool water on my belly and breasts just isn’t there. If the water is cold, I will eventually feel the coolness in my bones/flesh – but I don’t have that direct cold sensation on my belly or breast skin.

    One thing that being in the pool does, is it helps me figure out what I’m feeling and what I’m not feeling. I recall when I first started to get neuropathy, that I found swimming to be an odd sensation. Climbing into the pool highlighted that I couldn’t feel the water on my skin. I could feel the coolness of the water, but I couldn’t feel the actual water. Similar to how rubbing my belly when it hurts helps my brain figure out where those new nerves physically are – hopping in the pool helps me appreciate the boundaries of my numbness.

     

  • A year ago today …

    A year ago today, I went to see my primary care (family) doctor about a hard spot on my left breast just below the clavicle. I was sure it was nothing and that I was just over reacting, but figured that it was worth a visit to the doctor just to be sure. I didn’t know then that most breast cancers are not hereditary. That the majority of women diagnosed with breast cancer do not have a relative that has experience it. Cancer wasn’t something that was common in my family. I was more worried about heart disease, stroke or dementia. The thought of breast cancer never really crossed my mind.

    So I told my primary care doc that I just wanted to have her check this out. I had not yet mentioned it to Scott. It was just something I had noticed the week before, and it didn’t quite feel like a muscle strain, but I figured that was what it was.

    As she systematically examined my right breast first, and then the left breast she paused.

    The look in her eye was telling. She asked Is this what you are feeling? 

    Yes.

    She examined it more detail. I now appreciate that she was feeling for the size of it. She told me that the next step was to do some diagnostic imaging. She said ultrasound and then mammogram (turns out they do it in the other order). She placed the order.

    I went downstairs to the area where I could make an appointment for mammogram and ultrasound. I didn’t want to wait for them to call me. It was Monday morning. The earliest appointment I could get was Thursday afternoon.

    I went home. Unable to focus on much, I decided to go on a long bike ride. I hopped on my bent and headed north. I ended up out near Shoreline and Scott’s office, right about the end of the day. I texted to see if he wanted to ride home with me (he had biked into work that day). He said sure, so I rode out to his office.

    He came out with a couple of his colleagues who wanted to check out the bike. Since my recumbent is easier to let others ride than his (I have pedals that work better with street shoes). One of his colleagues gave it a try.

    The delay was difficult. How do you tell your husband that you found a lump in your breast and your doctor is concerned? That is not easy. There is no right time. I knew I had to say something but didn’t want to say it in front of his colleagues. So, as we were pulling out of the parking lot at his office, both on our bikes, I blurted out to him:

    I found a lump in my breast. [Family doc] is concerned. I have follow up imaging on Thursday afternoon so I’ll need the car.

    He had the bike ride home (about 30 minutes) to process the information. We didn’t know anything yet. It still could be nothing. There was no point in getting worried if it was nothing.

    At dinner that night he told me that I could have told him about the lump sooner. That I didn’t need to hide that information. That he would be there for me. That whatever it was, he would be there for me.

    People often say that the not knowing time is the worst time. That time before you are definitively diagnosed, when you don’t know if your whole world is about to be turned upside-down or it is nothing. Looking back a year later, I’m not so sure I would agree. I’m pretty sure I’ve gone through some worse times. I was healthy back then. Feeling stronger than I had ever felt in my life.

    That day, I resolved that until I knew for certain what was happening (I still didn’t really think it could be cancer), I would concentrate on getting stronger. I figured that if it was indeed cancer, then the stronger I could be going into it, the better off I’d be. Since I wasn’t really able to concentrate on work anyways, it made more sense for me to concentrate on bike rides and swimming. Exercise became my priority, but also my outlet. It was my coping mechanism. It kept me sane. It still does!

     

     

     

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