A Holy Week to Remember

Palm Sunday, March 24, 2024. My heart was heavy and my mind was anxious. As our worship team led us in the closing songs, our pastor reminded the congregation that if anyone wanted prayer, a member of the Arise prayer team was waiting in the back. I didn’t know Diane at the time, but I lowered my head and quickly sat down next to her. “I’d like prayer for a biopsy appointment I have tomorrow,” I whispered to Diane. “What kind of biopsy is it?” she asked. “It’s a breast biopsy.”

Suddenly, Diane perked up and said, “Well I had breast cancer in 1999.” Immediately, two thought pathways flooded my mind: ‘Noooooo, nope, not happening. Lord, you are not confirming that I have breast cancer,’ and, ‘Here is a 24 year breast cancer survivor, sitting next to me and praying for me. What are the odds?? This is not a coincidence, only God could have orchestrated this divine encounter.’

On Monday morning, Eddie and I drove to the medical center where the radiologist performed the biopsy. I remember lying on the table feeling almost hopeless that it would be benign, as the doctor struggled to drive the tool deep into the very hard tissue to retrieve the samples.

On Wednesday, I received the phone call no one ever wants. “Is now an OK time to talk?”, the doctor asked. I knew, this is not good. But I still could not process when she said, “unfortunately, it’s malignant.” Things were kind of spinning, and I couldn’t sit down, I just paced around, my heart racing. Eventually, I found myself walking out my front door, standing in the grass with the phone, I was stammering out questions, “but how long has it been there? What stage is it?” None of this information could be answered. I would need imaging, first a breast MRI, which they already had scheduled for me the following day. Additional testing would be performed on the tissue to find out what kind of breast cancer. I had no idea that there are at least 8 types of breast cancer, most people don’t until they’re diagnosed. It’s still Holy Week. As I look back now on this week in Jesus’ life, this is the day known as “Spy Wednesday”, otherwise known as the day that Judas betrayed Jesus. Betrayal is an accurate word for how I felt: how could my own body betray me this way?

That day, the message shared by our local Christian radio station was what I needed to hear.

The rest of the week was somewhat of a blur: the breast MRI wasn’t horrible, and I remember the technician reassuring me, “nothing can hide on this MRI.” Good. Let’s hope it only reveals the one tumor we know about. While it was confirmed only one tumor in my breast, the MRI also showed an enlarged lymph node, indicating the cancer may have spread.

When I got home from the MRI I had a bag from some very dear friends. Two women who had already been down the road and battled breast cancer knew what a sister needs. I was sad and overwhelmed, but I was also feeling loved, seen, and hopeful.

Over the weekend our family was a bit of an emotional mess. It had only been about six weeks since my stepdad had passed, and this was the first Easter without him. We were all grieving so heavily, and busying ourselves with preparation for our large family dinner. And in the midst of it, trying to process the news that I have cancer. My mom, God bless her, could barely keep herself together. I could hardly take it after a while, so I mustered some of her old advice, grabbed her by the shoulders and tried to look her in the eyes (but she could hardly maintain eye contact without crying), “Mom, I need you to get it together. I am going to be OK.” She nodded, then looked away.

This message hit home even harder for me on this Good Friday.

On Sunday our family gathered after church at a small community center in town because Mom was not up for hosting at the farm without my stepdad, and honestly, none of us kids were up for it either. It was too fresh and too painful without him.

That day I did my best to smile and enjoy the day as much as possible; I received lots of hugs and encouragement from aunts, uncles, and cousins. I answered questions on what I knew, which wasn’t a whole lot at that time. As the day was winding down this desire I had was getting stronger, I so badly wanted to be prayed over. At church I was really wanting someone to offer to pray over me, but I wouldn’t ask. As I mingled with all of my family and extended family I couldn’t shake this desire, I want someone to pray over me. But for whatever reason, I didn’t have the courage to ask anyone…I didn’t want to ask.

After the littles finished their egg hunt, a few of my cousins were taking group photos, when one of them approached me. Pepper walked up and asked, “Cass, would it be OK with you if some of us prayed over you?” A resounding YES. What happened next was one of the most beautiful moments of my life. All of the women in my family, cousins, aunts, great aunts, my mom, my sister and sister-in-law, they all gathered around me as I sat down in a chair. Each woman laid a hand on me, some on my shoulder, my arm, some held my hand, some ran their hands through my long hair. And they prayed.

Peace washed over me, like a warm basking of sunlight. My Heavenly Father didn’t just see me, He wasn’t just walking with me, He heard the heart cries of my deepest desires, and He answered. Never once did He abandon me. He went before me, and made a way. Surely this God, who sees my innermost desires and loves me enough to orchestrate something this small but deeply meaningful, surely he will hear and answer my prayers for healing. And He did, and continues to bring healing to my heart, mind, body, and soul today.

FOUR generations of amazing WOMEN. Mighty women of faith. Some of the women had left before we captured the photo…love to my aunts and cousins who are missing here.

A Few Things Cancer Taught Me…So Far

While I appreciate the sentiment that I’ve been told, “it’s not your fault you got cancer, it just happens”, looking back there are certainly some changes I have made and will recommend to others who want to do all they can to prevent a cancer diagnosis. If I can’t look back and learn a few lessons of what I can do to better care for myself and share with others, then I feel pretty helpless, and no one likes to feel helpless.

SLEEP

If you know me well then you know that for years I would always say that one area of my health that needed improvement was sleep: getting more sleep, prioritizing sleep, creating and sticking to a bedtime routine, etc. I knew I needed better sleep and more of it, but for years I allowed myself to deprioritize it and my body suffered. When you become a parent it’s given that for a season you will not get a lot of sleep, but eventually, the baby learns to sleep through the night. Even before I became a mom though, I would stay up late and power through on 4-6 hours of sleep because I was cramming for a test, or out late watching a game, or staying up late binge watching a show, and eventually what became common was scrolling on my phone, reading blogs and articles, or just scrolling through a feed on social media. My body would ache in the mornings, but I would just pound caffeine and function on 4-5 hours of sleep, 6 at best. This went on for years, even when I was getting up at 4:30 AM for bootcamp workouts I was going to bed much later than I should have.

Our bodies need sleep to repair itself and restore certain functions, sleep is our body’s time reboot and it’s essential for optimal health. Once I received my cancer diagnosis I started to prioritize sleep and was in bed usually by 9:00-9:30; I was mentally and physically exhausted and I knew I needed sleep, suddenly I had no trouble shutting down distractions.

PLASTICS

More than 80% of breast cancers are estrogen receptor positive, meaning the cancer is fed by estrogen hormones. Did you know that microplastics are endocrine disruptors and our bodies process microplastics as a faux estrogen? Since my cancer battle, we have gotten rid of plastic food containers, cups, water bottles, and most of our cookware is stainless steel, cast iron, wooden, etc. Get rid of plastics or minimize them as much as possible.

EMOTIONAL AND MENTAL HEALTH

This is still a work in progress, but I have learned that grief, pain, and trauma effect our physical health as much as our mental and emotional health. There’s a book called “The Body Keeps the Score”, and when we carry our pain without fully processing and taking steps to heal it can have negative health impacts. Thankfully, Siteman Cancer Center offers their patients free mental health counseling for a period of time, and now I am in a survivorship support group. I’m also continuing to pursue counseling and therapy to address past traumas from my childhood and adulthood that had devastating impacts on my emotional health. I believe this is a very important piece of holistic health and healing.

EXERCISE AND NUTRITION

NINE servings of fruits and vegetables daily! Most of us hear 5 – 6, but through my cancer journey I have consulted with a holistic health practitioner and for optimal health we should aim for NINE servings of those nutrient dense plants! In addition, exercise/movement is critical. Thanks to a good neighbor/friend, I had accountability and encouragement to walk at least 4-5 days a week throughout my entire cancer journey, including chemo and after I recovered from surgery. I believe this was key to maintaining some energy, strength, and having a good response to treatment, not to mention the mental health benefits experienced when we get those “feel good endorphins” from exercise, fresh air, and nature. Sure it’s OK to order pizza every once in a while, but trying to do at least 80% of our meals at home with healthier ingredients and cooking methods keeps us on a good path. Check those food labels or use a free food scanning app, we like to use YUKA, and avoid highly processed, unnecessary ingredients.

STRESS

We can’t completely avoid it, but making decisions to mitigate unnecessary stress is very helpful. I do not need to try and do “all the things”: letting go of striving for a perfectly organized/clean house – I just strive for a level where we can function and be comfortable, not perfect. Work – I can’t control everything, I do my best and try to keep some healthy boundaries where needed. Parenting – letting go of trying to always be in control, trusting that they will be OK if we do our best and continue to encourage them to walk with Jesus, praying God will always be with them and they will know that He is with them…it’s not all up to Eddie and I, and thank God for that.

I am sure there is so much more I will continue to learn, but these are just a few of the things I would recommend we all incorporate to our best ability, not allowing it to create a stressful, legalistic mindset, but being thankful we CAN / get to do make these changes that will reap positive health benefits.

Seasons Greetings from the Rickards

If ever there was a year where we have an excuse to skip sending holiday cards, it would be this one. Even still, I convinced myself in October that I will definitely find time to prioritize holiday / thank you greeting cards to all our family, friends, and neighbors who supported us this year. Alas, by December 22nd I admitted that a blog post will suffice. Here is 2024 in review for the Rickards, including an update on my cancer journey:

January – March:

What can I say, we started like every other year, resolutions to get healthier, less screen time, more family time, etc. February hit us like a tsunami, ripping apart our hearts when we lost my loving stepdad rather suddenly to a battle with leukemia. As we tried to regroup in March, Ben’s 16th birthday rolled around and he got his license, Eddie turned 44, we were planning a beautiful beach getaway with some friends to sunny Florida…and the month rounded out with my devastating breast cancer diagnosis.

Kicked it off with trivia and our favorite Ferrel impressions
Addie and Eddie ready for the father/daughter dance
He’s a legal driver
Florida with the funnest crew!

April – June:

The spring was a blur of end of school activities and more doctors appointments than I can count. I started chemotherapy, lost my hair, coached Addie’s softball team, got away with our friends to the Lake, served on Memorial Day with family for wounded veterans, and cheered Nolan on during baseball. Eddie was promoted at work! I completed the first 6 rounds of chemo, with ten to go.

We saw the northern lights in St. Louis MO!
Memorial Day weekend was not the same without Grandpa
Another year of coaching the best softball team ever!
Our friend’s wedding in KC
Nolan kicked butt at the 200 in track this year

July – September:

My mom hosted an epic fourth of July cookout with our family, some good friends visited our farm, we got to take a camping trip to a new to us National Park with my mom. I was able to go on a fabulous road trip with my mom, aunt and cousins to Dallas, TX. I beat COVID during chemo and rang the bell finishing all of my chemotherapy treatments on September 18. We attended and cheered on our boys at many Lindbergh Flyer’s football games, and Addie during many volleyball games. I also received news that I was promoted to a new position at work (voluntold is more accurate, and what an adventure it has turned into!)

4th of July at Mom’s
20 year anniversary
Mammoth Cave with Gma
Rang out chemo!

October – December:

I was able to focus on just recovering from chemo, soak up a little of the fall, and remember for a bit how it feels to not be nauseous and fatigued all the time (that was short lived before surgery and radiation). Ben took his sweet girlfriend, Madi, to homecoming. Nolan’s football team played in the championship game and took second in the league! Addie made the girl’s Flyer’s Elite basketball team which Eddie is helping to coach, and I made it through surgery (a bilateral mastectomy with 3 lymph nodes removed). The best day in October was a phone call on my birthday letting me know pathology results showed a complete response in my lymph nodes, and near complete response elsewhere (one microscopic lymph vessel with a tiny amount of cancer which my surgeon removed). “We got it all”, the nurse stated. I was stunned and so relieved. Thank you, Lord! November rounded out the end of football and volleyball; I worked on recovery from surgery, and in December I returned to work, to my new job. December 18 – December 26, I completed radiation. We like to call this “the final throat punch” to knock out cancer once and for all!

Madi and Ben at Homecoming
Thanksgiving at Mom’s

Our amazing trip to Scottsdale, Arizona!
Sonoran Dessert was beautiful!
Finishing radiation December 26!

All in all, it’s been a long, hard year. But wow. I cannot fathom the amount of love and support our family has received throughout everything. Every step of this journey, we have been surrounded, cared for, lifted up; from nourishing meals, to giftcards, to trips, to flowers, to house cleanings, to yardwork…to free head shavings from a friend…every little act of love and service has meant the world to us and made an impact. THANK YOU to all, and may you have a healthy and healing 2025!!

Life Changing News

February 2024 was a whirlwind of shock and grief. We suddenly lost my stepfather to a battle with leukemia. We were not expecting this because prior to February he had been managing and battling the chronic form of this disease, and doing quite well. As our family was just beginning another journey of grief, trying to learn a “new normal” none of us wanted to accept, I had a doctor’s appointment on the horizon as well. I had a few concerns to be discussed and looked at, but I had experienced some of these things in the past and they always turned out to be nothing, so I felt safe to assume this time would be the same.

March is always a busy month with two birthdays in our household, and this year we were celebrating our first born’s sweet sixteen! Ben did great and passed his driver’s test on the first try. We had a trip planned the following week with a group of his friends and their families to a beautiful beach in Florida. Eddie also celebrated his 44th birthday, and the kids’ spring-break was just days away. So on this Monday morning, as I sat in the chair across from a nurse explaining to me how a breast tissue biopsy works, I was in total denial, and really just angry and annoyed. I’m leaving for a vacation in four days, I have had these symptoms before and it was no big deal so I don’t know why this time they want a biopsy, and is she serious that I won’t be able to get in the ocean or swim for seven days? I do not need this biopsy, they want to mark me and put me through all this and it will be for nothing. Yet, I accepted the initial appointment, walked out to my car, called my husband, and cried. We both agreed we shouldn’t get upset or too worried yet, we don’t know anything, it’s just a biopsy. The next day I called and requested to postpone the biopsy until after our trip. I have zero regret making that choice.

Beautiful sunsets in Cape San Blas

On March 27, I was at home by myself, working, when my phone rang. The radiologist let me know that unfortunately, my results were malignant. I can’t accurately express how it feels to hear these words, but shock and disbelief are as close as I can get. The next several days and weeks were excruciating: telling my loved ones I have cancer, particularly my kids, is just an experience I would not wish on the worst person on earth. I was suddenly living in fragments based on doctor’s appointments, scans, more biopsies, waiting on results, and consultations with surgeons and oncologists. I never thought, “my oncologist” or “my breast surgeon” would be part of my vocabulary. I have been riding on the scariest rollercoaster of my life and there is no way for me to get off this one. I have no choice but to grab on to the handles, close my eyes, and hold on for every twist, turn, and dip. There have been crashing lows “because it’s in a lymph node, you have to do chemotherapy”, and a few huge reliefs “your scans show no evidence of disease anywhere else”.

Over the past 12 weeks, I have been walking through a very dark valley, and it’s terrifying, overwhelming, and yet at some points, I can still see so much beauty and goodness surrounding me. Wonderful warrior friends have rallied around me and given me tools and lots of love and support so that I am not walking this journey alone or blind. My “bosom buddies”, “pink sisters”, fellow breast cancer overcomers, are walking beside me and I am so grateful for their encouragement. Looking at them has given me something critical to getting through this: HOPE.

Two fellow warriors taking me out to lunch after a day of scans

Along with support from fellow survivors, my church and community have rallied around our family. Our church started a meal train and many friends, family and neighbors have pitched in with meals, gift cards, rides for my kids, flowers, house cleaning, books and comfort gifts for infusion days, lots and lots of greeting cards (each one I treasure and save and go back to read through them for ongoing encouragement), hats and scarves to help me get through the hair loss, encouraging texts, walks with my neighbors, and so much more. My mom drives up during my treatment weeks and helps us with laundry, housework and kid’s activities. Our family is going through a lot, and it’s hard, but thank God, we are not alone.

Fellow warrior Jacki in the back with me and two dear friends at the drive-in last weekend watching Inside Out 2 w/the kids

In April, I had surgery for a port in one of my larger veins. I also cut off my long hair and was able to have mine and some of Addie’s hair made into a halo wig that I can wear under hats. Having a piece of me that I chose to take and not allow chemo to take has been somewhat empowering.

Short hair, don’t care!
Lopping off the locks…this time they were for me.

As of today, I have completed four rounds of chemotherapy: I started with a dual dense dose, two drugs at once: Adriamycin and Cytoxan. Thank GOD, I am finished now with that specific regimen. I begin a third regimen on June 26, 12 weeks/rounds of Taxol. Once I complete chemotherapy, which will be mid-September, I will have about a month to recover before I have surgery. Surgery will likely happen in October, and then I will have radiation following surgery. There will be a lot more that I have to endure and process, but for right now, I am trying to only focus on what is right in front of me: getting through chemotherapy. I am confident the worst of the chemotherapy side effects are behind me, but I do have a long ways to go.

Eddie & I at round 2 infusion. This was the same day my hair started to fall out. On the bright side, the nurses and staff at Siteman SoCo are phenomenal!
That big syringe of red stuff is Adriamycin, I affectionately refer to it as “the red ninja”, because it is demolishing those cancer cells! I’m icing my hands, feet and mouth during the treatments to protect against certain side effects.

I would be remiss if I did not mention where my faith is in all of this. I can write pages about it already, but I will save that for another post. I do want to mention that all of this news unfolded during Holy Week this year. It was no coincidence, and there were moments I was trembling with fear and emotion, but acutely aware of God’s presence with me. He has not abandoned or forsaken me, I know this to be true. He was not shocked by my diagnosis, and He knew exactly what I would need to get through this battle. He has and is surrounding me with all I could need, want or hope for with the best doctors, family and friends praying for us, a solid support system, and so far, prayers are being answered. I am responding well to treatment and my tumor has shrank so dramatically I can no longer feel it! More to come….

Another survivor friend gave me the idea to create this countdown of my treatments…it’s a long one, but each round finished is a link removed. Four down, 12 to go!