@Camper62 You have brought forth some very good points for discussion and I hope my post will help you on your own journey.
This is pulled from your post:
Ovarian cancer seems to bring with it more unknowns than some cancers. We know it will recur - this is my second recurrence and my oncologist is honest in saying it will recur again. How often can one put their body through treatment? Chemotherapy is accumulative, I have had 15 rounds! Is it OK to say no to more? 18 seems like enough. It seems like wishing ones life away - just 3 more chemo treatments but 9 more weeks. Then wait until hair grows back, energy levels to return only to wait for another recurrence. How long will I wait? A year? Two maybe?
This sounds like you are conflicted/grappling with quality versus quantity. To me, it sounds like you may be wanting more "quality of life" than quantity. To be honest, it is what I want on my own journey. You have the ability to say "when". If you feel you don't want anymore treatment right now then stop. Go live and do things you want to do. Only you can decide this. You may have to dig deep to figure out what it is you really want and maybe not so deep either. This is your decision. It does not mean you are "giving up" and I understand that the "you got this" isn't cutting it anymore. I don't accept that saying either. What I have, personally, is the ability to navigate my own journey. For myself, if any treatment option reduces the time I am spending with others or how I feel in general, then I don't want it. I am good with how I feel (mostly) and how I spend my days. If something might offer a little blip in that, well that is okay for me. I will give you a 'for example'. I was switched from my Letrozole maintenance drug to Tamoxifen. The Tamoxifen after a week was making me feel terrible. I discussed how I was feeling with my pharmacist and then my team. Even before my team got back to me, I had decided I would go off it and return to the Letrozole. Feeling worse was not quality to me. It was reducing my time with my family and friends on top of not feeling well in general. That is not for me. I know a time will come that those things will be taken from me without my wanting them to be and that is beyond my control. For now, I can control what that looks like and is my 'quality'. Does that make sense? I feel that you may need to have discussions with yourself, your inner circle (maybe) and your team as to what that looks like for you and how they can all help you achieve that. This is YOUR journey.
I found that reading that book "Hope for the Best and Plan for the Rest" re-iterated all that for me. It talks about all of it in the book, how to talk to different ones about it and above all your health care team. They also have a podcast entitled "The Waiting Room" that touches on all of the stuff in the book. Maybe you might find your way in some of that. For me, after finding out I recurred, I delved into many books on death and dying. Not because I thought that was imminent but because I wanted to steer my own boat and what that looked like for me. I wanted to know what "others" thought they missed out on and how to make sure I was being heard despite treatment being ongoing. I have turned down a pro-active surgery on my kidneys after much consideration, confliction, discussions and all of that was not easy. As my palliative doctor said at the time and is how I look at things now, "If you are fence sitting, then the answer is 'no'. For if you were not fence sitting the answer would be there without hesitation." Now when I am faced with decisions, I come back to that and 'sit in it' for a bit before I make a decision. No one knows what lies ahead but you can ask the questions needed to arrive at your own answer. Ask your team what it looks like if you stop for a month, two, longer. What will happen or do they even know? How do you feel about stopping treatment? Is there another health care provider that you can see or look into a trial? Do you want to? When I inquired about a trial in PMH and saw the physician there, it was their recommendation that has led me to the path I am on currently. They recommended looking into pro-active surgery for my bowels, change of meds, etc. This led me to seeing the general surgeon yesterday for a consult. I am now looking at some more diagnostics to determine if we can figure the 'why' behind my obstructions and if there is or is not anything we can do about it. So currently I am 'sitting in the dark' and hope by the end of it that I will be 'in the know' with the information we get from it all. Even if they come back and tell me there is nothing they can do, well, I still get to decide what that path looks like and have discussions around it all. For me, that is empowering. Will I go through a ton of emotions with it? Yes, I sure will but that is okay. Does any of this help you or make sense? I hope it does. If you want to talk/discuss further, we can here on the open forum or in a private chat. Whatever you need, we will do. If you want to chat on the phone, we can do that too. You let me know what you need and I will find the resources or knowledge you require in order to make the decisions you need to. I 'get it' and will be here for you whenever you are ready.
Hope is what we all need and I sincerely, hope you received some today. <3