Written by Anita La Forgia, VIC

I had just blown out the candles on my 40th birthday cake, with everyone telling me that “life begins at 40.” Yet I had a persistent niggle in my hip that wouldn’t go away. How does a sore hip lead to blood cancer? One moment I was sitting in my osteopath’s office, and before I knew it, after weeks of referrals and scans, I was in hospital undergoing radiation treatment with a plasmacytoma in my hip. All caused by myeloma, a blood cancer I had never heard of. Until now cancer was something that happened to other people.

At the time, life was busy but fulfilling. After years on parental leave raising my four young children, I had just returned to my career. My hobbies were going to the gym and cooking; we were also building our family’s home oasis on five acres in the Macedon Ranges, in regional Victoria. Overnight, life as I knew it was turned upside down.

Coming to terms and acknowledging you have cancer is one thing; accepting it is another. Myeloma requires you and those around you to constantly learn and adapt. It’s not an easy cancer to understand let alone explain. The treatments are as unique as the cancer itself. Little by little we told friends and family, each conversation brought a wave of emotion. To ease the burden of retelling, we eventually used group messages and social media updates, as suggested by a wonderful Specialist Myeloma Nurse from Myeloma Australia.

Having what is often described as an “old person’s cancer” at 40, with four young children, was confronting. The logistics were daunting; I couldn’t just attend an appointment “tomorrow” with school runs and sports to manage. My haematologist and myeloma nurse were amazing, even explaining the diagnosis to my boys. My haematologist told them, “Mum has myeloma bullies in her body, and it’s my job to help her fight them.” My sons went on to create a comic called “Super Doctor Saves Mum”.

Myeloma can feel like living in a COVID-style bubble, protecting your immunity while the world moves on. I found relationships can shift as other peoples’ lives move forward while yours feels paused. However, I found great support within the myeloma and cancer community. Just six days into treatment I joined Myeloma Australia’s Younger Persons Information and Support Group. Later, I connected with a small group of young women ‘Myeloma Warriors’ as well as a local ‘Mums who had faced cancer’ group. The bonds I made with people in these groups reduced my feelings of isolation, increased my feelings of support and answered my questions about the unknown.

As someone fiercely independent, it was a big lesson in accepting support. I learned to make treatment days memorable with something I enjoyed like a pedicure or facemask. My friends made my life brighter with my favourite things and even decorated the hospital room where I had my autologous stem cell transplant. Our tight-knit regional community became our lifeline- friends from the Country Women’s Association (CWA) dropped meals at our gate and school mums pulled together to buy me a wig and eyebrow tattoos, allowing me to feel “more human.”
My husband coordinated help with friends and family through an app called Lotsa Helping Hands. The most meaningful help was practical. A friend folding washing, another cleaning windows so I could see outside, organising kid pickup and drop offs, a meal roster and support with everyday activities. At the heart of everything was my treatments.  Hospital admissions, appointments and tests. Living regionally friends would take turns driving me or keeping me company while I had treatment. My head was full, fuzzy and the mental load was a lot. At times the everyday felt difficult, I felt forgotten, lost and missed the mundane nuances of life without cancer.
If I could give any advice to someone who knows someone with cancer, check in. A simple “thinking of you” costs nothing but means everything.
Cancer services became vital. Cancer Hub provided parenting support, counselling for me and my carers, and programs for our children through Camp Quality and Canteen. Feeling safe and trusting your medical team is essential. I found leaning on my GP who truly understands me helpful, she became a critical link to hold everything together.  One of my sons now dreams of becoming a GP, inspired by ours.

Life after diagnosis is never the same. The truth is all you can do is hope for a ‘new normal’. Even with good treatment responses, every blood test brings anxiety- What is my myeloma doing now? My haematologist said after my transplant, “you’ve just won your first myeloma war. Now you deal with the aftermath.” For me, that aftermath includes nine months on crutches due to fractures and a 10 cm hole in my pelvis, medically induced menopause, chronic pain, digestive issues, fatigue, maintenance therapies, bone hardening medicines and, surgeries after a difficult autologous stem cell transplant.

Hope for the future-despite everything, I hold on to hope. I hope advances in treatment give me a full lifespan, I hope for equal access to treatment for regional patients, I hope for preventative testing, so others don’t endure these complications. And I hope my story shows that myeloma is not just an old person’s cancer – you are never too young. If I could wish for one gift, it would be the luxury of growing old, holding my husband’s hand while watching my children grow taller than me.
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