BRCA1: Knowledge is Power

Remember when Angelina Jolie had a bilateral mastectomy because she tested positive for a genetic mutation that brings a propensity for breast and ovarian cancer? Turns out . . . I’ve got it too.

From the cancer.gov website, “BRCA1 and BRCA2 are human genes that produce tumor suppressor proteins. These proteins help repair damaged DNA and, therefore, play a role in ensuring the stability of the cell’s genetic material. When either of these genes is mutated, or altered, such that its protein product either is not made or does not function correctly, DNA damage may not be repaired properly. As a result, cells are more likely to develop additional genetic alterations that can lead to cancer.” Essentially, it means that by the age of 70, I have an 87% chance of getting breast cancer and a 44% chance of getting ovarian cancer. (https://www.brightpink.org/ is a great resource for information)

My mom passed away from ovarian cancer, her sister had breast cancer, and one of my sisters tested positive for BRCA1, so I always knew there was the possibility that I had it as well. I wasn’t ready to know, until my step sister’s breast cancer came back a few months ago. Finally the weight of not knowing was more than the potential weight of knowing. The phone call came while I was racing go karts with my co-workers in Tooele last Monday and I drove my team back to Salt Lake with tears falling behind my sunglasses while I joked about my slow-poke pace around the track.

My sweet friends know me well.

What does this mean in my life? I hope that one day I will get to have children, so no surgeries for now. Advanced screenings, close observations with my doctors and an overall awareness of what to look for. My family’s reactions included things like, “This is not a diagnosis of anything,” “Don’t let this feel bigger than it is” and “Knowledge is power – that is all.” They are the absolute best at dealing with less-than-ideal circumstances. My rational mind will get me to that outlook eventually, but in the mean time I have many emotions about this, and writing things down is very therapeutic for me, so please bear with me as I attempt to identify all that I feel.

I am afraid. Afraid of dying the same way I saw mom die. Afraid of the ravaging effects of chemotherapy and radiation. Afraid of the pain that can come from surgery. Afraid because every year I get older without having children, my odds of getting cancer increase. Afraid that cancer will show up before I meet the right man and I won’t be able to have kids. Afraid that no man will want to take on a ticking time bomb.

Overall, this feels like a very complicated game of chicken.

I am grateful. Grateful to live in an age when I can know my risks ahead of time, and we have ways of monitoring my body. Grateful for an awesome doctor who was prepared with a plan. Grateful for amazing friends and family who have made me laugh and smile and helped me feel loved and supported.

“How much of life do we miss by waiting to see the rainbow before thanking God that there is rain?”

I am hopeful. Hopeful because if mom had known what I know, she would probably still be alive. Hopeful that we will catch any signs of cancer before they become deadly. Hopeful that life still has some wonderful surprises left for me. Hopeful because I KNOW it’s all in God’s hands, and that one way or another, I will be given the strength to endure whatever lies ahead.

“Faith in Father’s plan gives us endurance even amid the wreckage of such proximate hopes. Hope keeps us anxiously engaged in good causes even when those appear to be losing causes.”

Plus, like my sister said, there are worse things in life than a medically necessary boob job.

Live Forwards

I was driving through Provo last week on a road marked 45 mph. As the road crossed over the freeway, there was a sign indicating that the speed limit was dropping to 35 mph, and underneath there was a sign that said, “Hill Blocks View.” Instantly my thought was, “Wouldn’t that be nice if I could get those signs of explanation for everything in life??”

I love understanding. It took months of having daily headaches but I loved finally getting to the place where I could say whatever I wanted and understand what everyone was saying in Spanish. I recently talked several friend's ears off as we were watching Lord of the Rings because I wanted them to know how each part of the movie was made (it enhances my enjoyment so OBVIOUSLY it would enhance theirs). Going for hikes with me is dangerous because I will inevitably try to tell you how a rock formation came to be. I love listening to people’s stories because the more I know about them, the more I can understand why they are the way that they are. Understanding is safe. Predictable. Clean. Bright.

Unfortunately for me, very few things in life come with an explanation. People certainly don’t come with personal histories attached – we are at the mercy of what they choose to divulge. Natural disasters are impossible to predict. Even things in the work place rarely come with a perfect explanation and set of expectations.

Faith, by its very nature, does not come with perfect understanding. We must have the room to doubt within faith, otherwise it’s not actually faith. As I’ve pondered that sign and my life over the past week, I’ve decided that maybe the lack of explanation makes life . . . better.

If people came with guidebooks, I’d never know the joy of earning someone’s trust. If I understood every task perfectly, I’d never know the satisfaction of working hard to figure something out on my own. Without uncertainty, I would never feel brave.

And most importantly, if God divulged every detail of my life, the reason behind every commandment, the result for every choice, I would have no room to grow. I would never learn to trust and leap. I would not be able to become who I am meant to be. “There are times when we have to step into the darkness in faith, confident that God will place solid ground beneath our feet once we do. And so I accepted gladly, knowing that God would provide.”