December 7, 2022 – A date which will live in infamy…

I know FDR said this about December 7, 1941. And not just because he was talking about Pearl Harbor, but let’s face it – it would be flipping amazing if he said it in 2022 since he’d been gone for 77 years.


It’s not lost on me that my own day of infamy – the one where I got that call no one ever wants to get – was December 7. Even if I don’t know when that date rolls around, I still just know. It’s one of those things that I can’t forget, no matter how hard I try.

It’s not every day that your doctor is like,

“Hey girl! Just want to let you know that you’ve got this thing in your body that’s aggressive and actively trying to kill you. All we have to do to get rid of it is load your body up with poison for a few months, lop off your boobs, and by the way – you’re going to lose all your hair in the process, during the coldest part of the year. K? Thx bye.”

I like to think I handled my diagnosis and treatment fairly well, or as well as one can, anyway. It was make-or-break, so I used my ridiculous sense of humor and followed the sage advice of one Andy Dufresne who once said,

I guess it comes down to a simple choice, really. Get busy living or get busy dying.”

(Yes, sometimes I take life advice from Stephen King and Frank Darabont. It could be worse. I could’ve chosen to follow the plot of Misery.)

So that’s what I’ve done over the past three years. I’ve been busy living. And through it all, I think I’ve kept my sense of humor.

Why Autumn, whatever do you mean? Can you give me an example? I’ve been dying to tell someone how thoroughly I’ve embarrassed my dad with the random things that will just pop out of my mouth. You know, like the time that we were sitting at a game in Allen Fieldhouse and I turned to him straight faced and laid out this gem,

“You know, Daddy – the last time we were here, I had boobs and no hair. Now I’ve got hair and no boobs!”

The look on his face was priceless. I’m not sure if he was amused, mortified, or equal parts of both, but I got quite a kick out of it. Catch us at a football game sometime. I’m sure I’ll have a couple more bangers.

I don’t recommend running out and getting cancer. It’s not remotely on my top ten list of things to do. But if anything remotely good has come out of this whole adventure, it’s given me perspective.

  • The awful haircut I got a few months ago? Meh. It’s just hair. (Seriously, I’ve been bald. It can be worse.)
  • Meeting someone for the first time and having a totally awkward conversation? It would’ve sent me into the gold medal round of the Overthinking Olympics before. Now, not so much.
  • Finding out someone doesn’t think super highly of me? First, they’re wrong, and second, so what? It’s their loss.

As the great Ferris Bueller said, “Life comes at you pretty fast. If you don’t stop and look around once in a while, you could miss it.”

Long story short (or long, who knows?) – anyway, listen to Andy and Ferris. Life is too short and it’s going to throw you some curveballs. If it doesn’t, then you need to buy a lottery ticket and share those doll hairs with me.

But seriously, take it from someone who knows. Spend an entire weekend with your family doing nothing but eating pizza and binging Stranger Things. Take the trip to NYC. Go see the Jonas Brothers or Taylor Swift or Bad Bunny or Hozier or Foo Fighters. Don’t wait until something super fucking serious happens to start living.

Getting a little political

“I will never understand how politicians who call themselves Christian can read the Gospels and then treat the poor and the sick like dirt.” – James Martin, Jesuit Priest

My cousin shared this post on his Facebook page yesterday. Pretty straightforward and to the point. And then someone made a comment asking him to explain how the poor and the sick are being treated like dirt.

So I took a long, very deep breath and began writing.

Dear person:

As the daughter of a preacher, I’ve got some thoughts so I hope you’ve got some time to sit back…

Limited access to healthcare: Many of the places that we take for granted, such as a primary care doctor, can be unattainable for folks who live hand to mouth. Need to visit a primary care provider and don’t have insurance? Good luck finding one who will take you without paying cash up front, unless you go to the county health department (which can take forever to get into) or you go to the emergency department. Those ED visits aren’t free either. You’ll be billed until the cows come home.

Food insecurity: The USDA just halted $500 million in food deliveries to local food banks, which serve those who have limited incomes and the working poor. The shelves at local food pantries haven’t been filled to the brim and this further impacts the help these agencies can provide.

Wages: The federal minimum wage is $7.25 an hour and has been since 2009. Sure, some states have set a higher minimum but that’s not universally true. Can you live on just over $15K per year if you work 40 hours? What if you have two full-time jobs that pay the minimum? $30K for a year?

Housing costs: If you think insurance and food are issues, wait until you hear about the cost of housing. Try affording much of anything with a job that pays less than at least $15 an hour.

Am I saying that this problem falls squarely on the shoulders of either the right or the left? Absolutely not. There have been systemic inequalities for years that Congress hasn’t seen fit to do a damn thing about because they’re beholden to lobbyists and are more worried about being re-elected or what the occupant of the White House wants than doing what’s right for their constituents.

But I ask you, how are the poor and the sick NOT being treated like dirt?

Thanks for coming to my TED talk.

Rage, fear and everything in between

Today we’re departing from our usual content and veering into the world of politics. Frankly, you might see that happen more often if things in the States continue down the insane path they’re currently on.

I wish I could say that I was shocked when I learned that the Republican-controlled Senate Finance Committee advanced Kennedy’s nomination to become the Secretary of Health and Human Services for a full vote on the Senate floor.

The words that came out of my mouth when I saw the news weren’t what I think my grandmother would have approved. I think I may have actually made up a couple out of sheer frustration and anger. But then again, she was a nurse and I know she would have had the same feelings (if not the language).

When I attempted to call my senators and tell them how I felt, I was met with either a busy signal or a message that, well, I couldn’t leave a message. So instead, I’ve emailed them my thoughts, but I’m going to leave it here in case it sparks a fire for you.

Ahem… *clears throat*

Subject: Opposition to the Confirmation of Robert F. Kennedy Jr. as HHS Secretary

Dear Senator,

I am writing to express my strong opposition to the potential confirmation of Robert F. Kennedy Jr. as Secretary of Health and Human Services (HHS). While I respect his family’s legacy of public service, I believe his appointment would pose significant risks to public health policy and undermine the department’s core mission.

Mr. Kennedy has a well-documented history of spreading misinformation about vaccines and public health measures, which contradicts the scientific data, consensus and the principles that should guide the nation’s top health agency. His rhetoric on vaccines, in particular, has contributed to public distrust in life-saving immunizations, potentially endangering communities by encouraging vaccine hesitancy.

The Department of Health and Human Services must be led by someone who upholds science-based policy, prioritizes evidence-driven decision-making, and fosters trust in public health institutions. Unfortunately, Mr. Kennedy’s past statements and advocacy work indicate that he would not provide the steady, fact-based leadership required for this role.

I urge you to oppose his confirmation and instead support a nominee who will advance public health through expertise, integrity, and a commitment to science. Thank you for your time and consideration. I look forward to your response on this critical issue.

Sincerely,
Autumn Bishop

One year later…

It’s been one year (and six days). One year (and six days) without cancer. One year (and six days) since I finished my last immunotherapy treatment.

The date snuck up on me. It was a look back at my Facebook memories last Sunday that told me it’d been exactly a year since my final time in that brown recliner at the Cancer Center. I can tell you the date that I found out I was sick – December 7, 2022. (The irony of that fact that is not lost on me.) Wasn’t the date that I claimed victory one that I should also have etched in my brain?

I haven’t been dealing with the debilitating side effects of chemo for a year, but I continue to discover ways that cancer is still present each and every day. First, my toenails are weird and I do not like it. Apparently this is a side effect of treatment and one that I am not pleased about. No more shall be said. And no, I won’t show you my feet. What kind of weirdos are you, anyway?

But the biggest issue for me is post-traumatic stress. It’s pretty obvious (at least to me) that I’m a little off-kilter when I have an appointment or labs coming up, but it manifests itself in other ways too.

Back pain? Cancer. (Not the fact that I sat like a pretzel on the floor.)
Headache? Cancer. (Not the astounding lack of caffeine.)
Upset stomach? Cancer. (Not the stupid amount of Nerds that I devoured.)

I’m hopeful that the further away my diagnosis and treatment appear to me in the rearview mirror, I’ll jettison some of the anxiety and stress. But I know that there’s always going to be a little bit of me that will still wonder “what if?”

Weird toes and anxiety aside, it’s time for me to get moving and live the rest of this cancer-free life that I’ve got. I intend to make the most of it.

Nothing lasts forever

“If you had a friend you knew you’d never see again, what would you say? If you could do one last thing for someone you love, what would it be? Say it, do it, don’t wait. Nothing lasts forever.”

One Tree Hill is one of my favorite shows. It’s one that I turn to time and again when I need something familiar, something comforting when I’m having a day. So it’s all too fitting that this quote came to mind today, on Andy’s birthday.

I wish I had known when I saw Andy on his birthday in 2023 that it would be the last time. I would’ve stayed to take in the evening just a little longer, laughed just a little louder, and listened just a little closer. I would have made that last hug a little tighter. And while I’m sure that he knew, I would’ve told Andy how grateful I was to have him in my life, how lucky I was to have him as my friend, and how much I absolutely adored and loved him.

I’m thinking about you and missing you especially hard today, my friend. Happy birthday.

I’m baaaaack!

Bet you thought that I’d forgotten about you. Fear not, friends!

Yes, it’s been a minute – okay, months – but I’m back. Why now? Well, it was something that my friend Megan said.

I was sitting in the office not too long ago, kicking around ideas to sort out what I should write about in upcoming articles. I’d hit a road block. Breast cancer was the next topic I needed to tackle, but I felt like I didn’t have anything new to say.

Why don’t you share your story?

When Megan said it, I wondered why I hadn’t really considered it before. Maybe it was too personal, would make me too vulnerable – maybe it would make me realize how tough the journey actually was.

Maybe that’s all true. But I bet that it would also help someone who is scared about their own diagnosis, who doesn’t know what may be coming next.

So stay tuned, friends. There’s more on the way.

New year, new me?

I bet you thought I’d forgotten about you. Rest easy, my friends. I’m back!

There’s been a bit of writer’s block going on in this noggin. I’m still writing at work, sharing stories about our patients and their care (shameless plug for my work at LMH Health), but I’ve had a hard time continuing to tell you about mine.

By all accounts, 2023 was an eventful year.

  • I started out the year with hair, then I lost it and now it’s back.
  • I started the year with boobs, then I lost those. No, those didn’t grow back – well, kind of but not really. But I do have new boobs!
  • I started out with cancer and guess what? It is definitely NOT BACK.

I made it to 2024 and on January 12, almost 14 months after being diagnosed with cancer, I finished my last treatment and I rang that bell. It was such an overwhelming feeling knowing that I was done. No more Friday afternoon trips to have blood drawn and hang out with my oncology nurses, even though I pop up in the office to say hi and ask all kinds of other questions. No more Zoom meetings or calls with reporters from the comfort of my comfy brown recliner while having those life-saving drugs poured into my body. I was done.

It sounds weird to say that even though I was elated to have that moment, to declare so loudly that my treatment was done, I felt a sense of sadness. I wasn’t sad because it was over (trust me). I felt a pang of guilt because I was able to get that happy ending when so many others didn’t.

My friend Andy was heavy on my mind. He was in a room on the second floor of the hospital, having an “annoying and inconvenient battle” with colon cancer. I was so happy to be done with my treatment and so blazingly angry that he was upstairs fighting for more time. I wanted to be able to see him ringing the bell, slapping that blue button that opens the doors and busting out of the cancer center with that sly grin plastered all over his face. I wanted my friend – the one who said that we should get Cancer Club jackets made – to have that same chance, that same experience.

It wasn’t meant to happen. Less than a week later, Andy was gone.

After that, I felt really guilty that I was still here and he wasn’t. I know I didn’t have anything to feel guilty about, but that’s the thing with grief. It doesn’t always make sense, but sometimes it gives you purpose.

I’m still grieving for Andy and frankly, he’s always going to be there in the back of my mind. But as another wise Andy said, “I guess it comes down to a simple choice really. Get busy living or get busy dying.”

Yes, I just quoted The Shawshank Redemption. And yes, I’m sure Andy – like real-life Andy – is out there somewhere rolling his eyes at me for it. But let’s be real, it’s exactly what I’m going to do.

I’m going to spend the money and take a trip with the hubs overseas. I’m going to take the time to see a show that wouldn’t have been on my radar before. I’m going to force myself out of my comfort zone. It’s time to get busy living.

Miss you, Andy.

Giving thanks

Thanksgiving this year shines in a whole new light, with a renewed sense of thanks and grace. I couldn’t have known it at the time, but last year’s celebration would be the final “normal” holiday I would have BC – before cancer. 

I’m ashamed to admit it, but I don’t remember a lot about the day. We spent the day in Kansas City with Brian’s family and the kids and came home after a ton of food, conversation and football, but I wish I could grab on to the little memories. It’s not that I want to hang on to those so tightly because I want to return to life BC, but because I want to realize how different things are for me now. 

I made it through the biggest fight of my life. I made it through days where I was so sick that I didn’t want to move an inch and when I was so tired that I just couldn’t keep my eyes open. I made it through panic inducing moments like watching hair come out of my head in clumps and days where food tasted so awful that I didn’t want to eat. But I did it. I made it. 

It hasn’t been an easy year. I’ve experienced the loss of beloved family members, grieved changing friendships and coped with ways that cancer will forever define my life. But one thing I have not done is given up. 

I have so much to be thankful for this year. I became the Mimi to the sweetest boy in the world two months ago. I get to watch my niece continue to grow and learn. I get to spend time with my folks, my family and my friends. I am beyond grateful to have been here for the whole experience. 

Take stock of everything you have to be thankful for and take it all in. Savor those experiences and make tons of memories. I intend to make the most of this beautiful, scary, messy life and I’m glad to spend it with all of you. ❤️

Time to go

It’s been exactly two weeks since my surgery, so I think it’s time for an update. Since this is the first time that I’ve really sat at a computer for any length of time, who knows how long (or short) this might be. Off we go!

June 21 will forever be a date that’s seared in my mind. It’s the date that marked the end of a dark chapter in my life and blew open the doors to an entirely new and foreign adventure. It’s not a route that I would have chosen or one that I wish on anyone, but this is the hand that I was dealt. It’s time to play.

For those of you who are new here (or those that just want a quick recap), I was diagnosed with triple negative breast cancer just after Thanksgiving 2022. Six months later, after what felt like an eternity with chemo, I elected to undergo a bilateral mastectomy with the hope that it would wipe out the remaining cancer that decided it’d like to hang out in my body a bit longer.

So in the wee hours of Wednesday, June 21, 2023, Brian and I got up, got ready and drove out to the Lawrence Surgery Center for a day that would change our lives forever.

The “wee hours,” Autumn? It couldn’t have been that early.

Au contraire, my friends. I was up at 4:30 in the a.m., a time that’s rarely been seen by these eyes unless I was coming home from a closing shift at the bar. It certainly isn’t a time that either of us are accustomed to starting our day, but that’s exactly what we did. Brian had coffee and a shower, I had a shower and no coffee (no fun), we did a few last minute things around the house and we were off by 6 so that we’d make our 6:15 check-in at the facility.

The very kind woman at reception started the day off right – she told me that her first name was Rachel and her daughter’s name was Autumn – and that calmed this nervous wreck enough that I don’t think my hands were shaking any longer. At least, it felt that way anyway. Brian and I sat for a few minutes before they called my name and whisked me back to pre-op, where I got a nifty cap, gown, compression stockings and some contraptions on my legs that gave me a nice massage every couple of minutes. I know they’re meant to keep blood clots from forming but really, that alone might have been worth admission. There was also a blower that pushed warm air into my fancy pants blanket to keep me warm throughout the procedure, which I learned is meant to help reduce the risk of infection.

Once I was all fancied up, Brian came back and sat with me as I got some pre-op meds and had the IV placed. My folks came back shortly afterward to hang out as well and got to witness the myriad of doctors and nurses coming in and out of my curtained room. I repeated my name and date of birth more times than I can count (which I don’t mind at all, as it’s meant to ensure that I am the person whose boobs they want to whack off), got drawn on by both of my surgeons and had some more fancy drugs to finish off the prep before it was time to go.

I remember being wheeled down the hallway and into the operating room and thinking that this might not be so bad. I was going to be totally asleep, after all. We got to the OR and what struck me is how bright and white the room was, not like what you see on Grey’s Anatomy with the muted blue and green walls. This was bright, like I’m not sure it could’ve been any brighter in there without sunglasses. (You have to remember that I was as high as a kite, so my memory may be a bit exaggerated.) I scooched my behind from my bed to the table, had a little conversation with a nurse and that’s where the memories stop, my friends.

The next thing I knew, I was in the recovery room chatting away with my family. How long I’d been chatting before my memory comes back is entirely unknown to me, so God knows what actually happened. I am told that someone asked what drugs I was on and when I heard that I was on fentanyl, I asked if it was the Narcan kind. Fortunately, I was told that it was not that kind and I was pleased the docs had it all under control.

After a few hours in recovery (and some amazing pudding), Brian brought me home to begin resting and the journey of getting to our new normal. We aren’t entirely there yet, but we’re headed in the right direction.

The final countdown

It’s been a minute since I’ve felt like sitting down, taking a breath and sharing more about my journey. I think it’d be appropriate to say that I’ve been overwhelmed over the last couple of months with chemo, a myriad of doctor’s appointments and getting ready for what comes next.

I survived my dance with the red devil and came out the other side unscathed. That’s not to say that it was a pleasant experience. If anyone tells you that it was, they’ve probably also got a bridge in Brooklyn to sell you. I give the experience 0 out of 10 stars.

Now the countdown is on to the next step – surgery. Yes, friends – it’s almost time to get rid of these things that are actively trying to kill me. We’re having a double mastectomy.

It’s a strange feeling knowing that at this time next week, I’ll be asleep on a table while two skilled surgeons whom I trust will be taking me apart and putting me back together again. That parts of me that I’ve always had, straight from the original manufacturer, are going to be taken away and replaced with something new, something foreign.

Am I nervous? Yes. The closer it gets, the more anxious I get about the unknown. Am I ready? Also yes. It’s time to get this show on the road.

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