Soraya Lamilla was a force to be reckoned with. We shared a homeland and a breast cancer diagnosis, and though she is gone, she inspires me every day.
Soraya was one of my favorite Colombian singers. She taught herself to play the guitar as a little girl, and wrote and sang in English and Spanish. I met her once in Coconut Grove, but I would never have imagined that she would become a source of strength for me.
At 31, Soraya was diagnosed with Stage III breast cancer. My cancer was Stage IIIA. Like me, she had chemotherapy, a double mastectomy and radiation therapy. She moved on with her life, and a few years after her breast reconstruction, she won a Latin Grammy.
Soraya was the first Latin spokesperson for Susan G. Komen for the Cure. To raise funds for the foundation, she dedicated a song to breast cancer survivors titled No One Else/Por Ser Quien Soy and performed it in downtown Miami in 2002 before thousands of people who participated in the Komen Race for the Cure. (Both tracks can be downloaded at her website, .) The cancer returned, taking her life in 2006 at the age of 37.
Soraya embodies both the resilient spirit of a defiant fighter and the fierce force of the disease. Even when we do everything we can to survive, the cancer can come back with a vengeance.
The American Cancer Society reports that about two-thirds of women diagnosed with Stage IIIA breast cancer in 2001 and 2002 lived for at least five more years. (The numbers do not take into account unrelated causes of death.)
Most recurrences happen in the first three to five years after initial treatment. There were cancerous cells in three of the lymph nodes the surgeon removed from under my arm, which makes the odds higher for me.
Still, a host of factors including the size of the tumor, its response to estrogen and progesterone, the presence or absence of the HER2 protein and genetic mutations mean every diagnosis is different.
When I asked Dr. Alicia Rodriguez-Jorge, my new internist, for the signs I should be looking for she responded in frustration.
Out in the waiting room there are patients with cystic fibrosis and other diseases, she said. People accept their conditions and continue with their lives. You have to accept that breast cancer is a part of your life now.
I wanted to walk out of her office, but I didnt. I reminded myself that I had chosen her as my doctor because I could tell that she was a caring woman.
We are going to be watching you closely, she assured me.
Nonetheless, my need for statistics got the better of me. I found a report from the California Breast Cancer Research Program that put the relapse rate for Stage III patients at greater than 90 percent.
I couldnt sleep, and before 5 a.m., I called the 24-hour Y-Me Hotline (800-221-2141). Linda, who was diagnosed about a decade ago, answered. I told her everything.
Every patient is different. You need to talk to your oncologist. You cant rely on these statistics, she said. Not everyone dies. I know many women who have survived several recurrences. Chances are you may never have one.
My thoughts returned to Soraya. She left behind a short audio diary that could serve as a treatment guide. (It is searchable on YouTube under Sorayas Diary.) I listened to her soothing voice as my treatment progressed. In the seventh segment, she shared that after treatment, she didnt like her reflection in the mirror.