Posts tagged: Breast Cancer Recurrence

What would have helped during those long months of chemotherapy?

Question:

It is definitely a problem in rural Ohio here in the states. Or even in the city if like my daughter you have to travel as far as from Dayton to Columbus for the chemo. My niece has children in school, her husband works, so since she had to give up her teaching job. her husband really needs to work to pay bills.  So her dad takes her to the treatments.  Hard to know how long she will continue these, since she has no much mets everywhere.  Just trying to get the chemo and radiation to take her to June. My daughters new husband ( a second marriage) took her for the treatments, but he could not handle the cancer and my daughter’s emotions.  Sadly it was found a few weeks after the marriage. They are now in the process of a divorce.  She did get extremely upset and worried, and he stayed away as much as he could, except taking her to the treatments.  He kept telling her she should act better and downplayed  the issue.  An exceptionally beautiful woman btw. It brings out the best and worst in people when tradgety strikes.  It did show what he was made of, in my opinion. Since I was taking care of my spouse 24/7,  365,  I was torn two ways.  A very difficult time. I don’t have any solutions for when there is much traveling involved to get the treatments.   I wish I did. eveline

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– Hide quoted text — Show quoted text – It is definitely a problem in rural Ohio here in the states. Or even in the city if like my daughter you have to travel as far as from Dayton to Columbus for the chemo. My niece has children in school, her husband works, so since she had to give up her teaching job. her husband really needs to work to pay bills.  So her dad takes her to the treatments.  Hard to know how long she will continue these, since she has no much mets everywhere.  Just trying to get the chemo and radiation to take her to June. My daughters new husband ( a second marriage) took her for the treatments, but he could not handle the cancer and my daughter’s emotions.  Sadly it was found a few weeks after the marriage. They are now in the process of a divorce.  She did get extremely upset and worried, and he stayed away as much as he could, except taking her to the treatments.  He kept telling her she should act better and downplayed  the issue.  An exceptionally beautiful woman btw.

Oh how awful for her! But perhaps she’ll be better off … It brings out the best and worst in people when tradgety strikes.  It did show what he was made of, in my opinion. Since I was taking care of my spouse 24/7,  365,  I was torn two ways.  A very difficult time.

Yes … I don’t have any solutions for when there is much traveling involved to get the treatments.   I wish I did.

There are always very hard cases for which there doesn’t seem to be a solution :-( Mary – Hide quoted text — Show quoted text – eveline

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What would have helped during those long months of chemotherapy?

What did help:  Getting me out of the house, when I felt up to it. Inviting me to go grocery shopping with them so it took a little less of my ebbing energy. Also, I was sicker than many women are these days on AC.  My sister-in-law came and stayed with me the night of chemo, drove me back to the cancer center the next day for another round of IV anti-nausea meds & fluids on her way to work, then picked me up & took me home on her lunch hour. I could easily drive myself to the chemo treatment & back home, and preferred to do so because I’m very independent-minded.  But I was literally too sick to take myself back in the next day — I wouldn’t have been safe to drive. At the 11th hour (asked her day of chemo) another friend pinch-hit & did what my SIL usually did (spent the night, etc.), because my SIL was sick/contagious. Friends also asked questions about what I could eat, and what felt good to eat, during the nausea phase, and made food for me. Ann T.

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What would have helped during those long months of chemotherapy? I could easily drive myself to the chemo treatment & back home, and preferred to do so because I’m very independent-minded.  But I was literally too sick to take myself back in the next day — I wouldn’t have been safe to drive.

I was puzzled by this then realised that you’re in US, in UK (where Steph is) the ambulance service will provide transport. But there can be a lot of waiting around so someone you know and can rely on to drive you must be a Good Thing. Mary

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- Hide quoted text — Show quoted text – What would have helped during those long months of chemotherapy? I could easily drive myself to the chemo treatment & back home, and preferred to do so because I’m very independent-minded.  But I was literally too sick to take myself back in the next day — I wouldn’t have been safe to drive. I was puzzled by this then realised that you’re in US, in UK (where Steph is) the ambulance service will provide transport. But there can be a lot of waiting around so someone you know and can rely on to drive you must be a Good Thing.

The American Cancer Society (a charitable organization) here has — at least in urban-ish areas — programs that can drive cancer patients to appointments.  I’m betting church groups, etc., would have volunteers who would do likewise in more rural areas.  Just my feeling:  It’s less bureaucratic, and feels more comforting, to have someone close to you taking care of you when you’re too sick to take care of yourself. Ann T.

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– Hide quoted text — Show quoted text – What would have helped during those long months of chemotherapy? I could easily drive myself to the chemo treatment & back home, and preferred to do so because I’m very independent-minded.  But I was literally too sick to take myself back in the next day — I wouldn’t have been safe to drive. I was puzzled by this then realised that you’re in US, in UK (where Steph is) the ambulance service will provide transport. But there can be a lot of waiting around so someone you know and can rely on to drive you must be a Good Thing. The American Cancer Society (a charitable organization) here has — at least in urban-ish areas — programs that can drive cancer patients to appointments.  I’m betting church groups, etc., would have volunteers who would do likewise in more rural areas.  Just my feeling:  It’s less bureaucratic, and feels more comforting, to have someone close to you taking care of you when you’re too sick to take care of yourself.

Indeed. Perhaps our voluntary associations – such as Lions, WI etc. – have people who would do the same. I used to use our mini bus for transporting various kinds of needy people to lots of places through an initiative in our parish church. I bet there are still such projects in UK. Although USA and UK cultures are very different in many ways we are still made up of people with similar wills to offer help where it’s needed. Mary

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What would have helped during those long months of chemotherapy? I found this group extremely helpful and supporting 3 years ago when I had a recurrence of breast cancer, and now I’m hoping to put together a piece on what those being treated for cancer would like as support and help from the people around them. I feel that friends and family often would like to help but don’t know what to do, what would *really* be appreciated. I’ve looked at the FAQ (thanks, Tim) and I’d like any other suggestions. Steph – Hide quoted text — Show quoted text –

Response:

What would have helped before/after surgery?

Question:

What would have helped before/after surgery? I found this group extremely helpful and supporting 3 years ago when I had a recurrence of breast cancer, and now I’m hoping to put together a piece on what those being treated for cancer would like as support and help from the people around them. I feel that friends and family often would like to help but don’t know what to do, what would *really* be appreciated. I’ve looked at the FAQ (thanks, Tim) and I’d like any other suggestions. Steph – Hide quoted text — Show quoted text –

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What would have helped before/after surgery?

What did help:  I live alone.  Friends helped me do certain things while I was restricted in how much weight I could lift, which went on for a while.  Examples: – Get 40lb bags of water softener salt from store & put in water softener – Buy big bags of kitty litter & deliver to a place in my house where I could deal with it from there. – For a few days, take the 1-gallon bottles of bottled water I drank & split them into half-gallons. – For a few days, carry my groceries. – For a week or so until I was permitted to drive, take me to doctor’s appointments and the grocery store. Things that helped throughout, not just after surgery: – Call & just talk (talk about cancer if I wanted to, without getting freaked out about it, but mainly just chat & distract me) – Invite me to go places that were manageable & distracting – Send cards – Bring treats – Call when they were going to the store to see if I needed anything – Stop in & cheer me up It helped me emotionally & psychologically when people did things like the above.  When you’re going through something tough, it’s wonderful to have people who show that they’re thinking about you and care about you. A big deal is for friends to ask some questions, listen sensitively, then offer *specific* things they can do.  A vague "let me know if I can do anything" is hard to work with, since lots of people say that without really meaning it. Ann T.

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A big deal is for friends to ask some questions, listen sensitively, then offer *specific* things they can do.  A vague "let me know if I can do anything" is hard to work with, since lots of people say that without really meaning it.

I agree. But that’s not specific to bc :-) In fact it’s nice even when you’re well. The vague let-me-know thing is difficult, I’ve done it myself when I’ve genuinely not known how to help – or even if help would be welcome. But it does put the responsibility onto the one who needs help and that can be a burden. I have that problem every day with my husbband – in every aspect of life. He’ll do anything I ask – but I have to ask and sometimes I feel like screaming at him to just THINK! But hey, most of the time I accept that we’re all different. Sorry to go on, must be tired. Off to bed now! Mary – Hide quoted text — Show quoted text – Ann T.

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What would have really helped immediately after diagnosis?

Question:

What would have really helped immediately after diagnosis? I found this group extremely helpful and supporting 3 years ago when I had a recurrence of breast cancer, and now I’m hoping to put together a piece on what those being treated for cancer would like as support and help from the people around them. I feel that friends and family often would like to help but don’t know what to do, what would *really* be appreciated. I’ve looked at the FAQ (thanks, Tim) and I’d like any other suggestions. Steph – Hide quoted text — Show quoted text –

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I think it is very important for family and friends to understand that not everyone copes the same way after their diagnosis.   The thing that upset me the most on my bad days was when I was reminded about how someone else was doing so great after their diagnosis  and and treatments and  I should be more like that person.   Everyone needs time to be depressed, to be angry and to just get to the point that they can accept what their diagnosis really means and how it will change their life.   Be loving, patient, and  understanding and that will help in more ways than you can imagine. Bea

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I think it is very important for family and friends to understand that not everyone copes the same way after their diagnosis.

Yes.  The thing that upset me the most on my bad days was when I was reminded about how someone else was doing so great after their diagnosis  and and treatments and  I should be more like that person.

That must have been awful. I wonder, though, how you can get that message across to people. Everyone needs time to be depressed, to be angry and to just get to the point that they can accept what their diagnosis really means and how it will change their life. Be loving, patient, and  understanding and that will help in more ways than you can imagine.

It can be difficult though – some patients aren’t easy :-( Carers themselves can sometimes need care … Mary – Hide quoted text — Show quoted text – Bea

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I got sick and tired of hearing the statistics.  My cancer was the first time in my life that I had so much as a lump.  When I found the lump, everyone kept telling me how all women get lumps and it was almost certainly benign, blah, blah, blah.  But it wasn’t.  I was 43 and the first and only lump of my life was cancer.  I didn’t want to hear the positive spin on anything.  I wanted straight hard facts. What I did want was hugs, just out of the blue. During treatment I met people who – at least to me – had it (cancer, treatment, side effects, whatever) worse than I did.  I could see for myself that "my" experience wasn’t "that bad" – I didn’t need people telling me that so frequently before and right after diagnosis. -Melody – Hide quoted text — Show quoted text – What would have really helped immediately after diagnosis?

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I got sick and tired of hearing the statistics.  My cancer was the first time in my life that I had so much as a lump.  When I found the lump, everyone kept telling me how all women get lumps and it was almost certainly benign, blah, blah, blah.

That rings a bell, I’d forgotten. Yes, I felt patronised about all the blah. It could make it much worse for some people if the lump IS malignant. I didn’t want to hear the positive spin on anything.  I wanted straight hard facts.

Yes. I’m not sure that everyone does though. What I did want was hugs, just out of the blue.

Yes. I think most people would want them. During treatment I met people who – at least to me – had it (cancer, treatment, side effects, whatever) worse than I did.  I could see for myself that "my" experience wasn’t "that bad" – I didn’t need people telling me that so frequently before and right after diagnosis.

Yes. Mary

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What a wonderful question! You must be a teacher, or perhaps I should say; You  *are* a teacher. Thank you for asking… I have had three life-altering illnesses. The word phoenix doesn’t begin to describe it. Thoughout those illnesses (one with which I still cope, and now, a new one), thoughout illnesses in loved ones with which I must cope too, the one constant has been action. What is this? What do we know? What do we *not* know and more importantly, WHY do we not know? What is good about the information we have? What needs to be changed about that… …and how can I do it? Zee – Hide quoted text — Show quoted text – What would have really helped immediately after diagnosis? I found this group extremely helpful and supporting 3 years ago when I had a recurrence of breast cancer, and now I’m hoping to put together a piece on what those being treated for cancer would like as support and help from the people around them. I feel that friends and family often would like to help but don’t know what to do, what would *really* be appreciated. I’ve looked at the FAQ (thanks, Tim) and I’d like any other suggestions. Steph

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What a wonderful question! You must be a teacher, or perhaps I should say; You  *are* a teacher. Thank you for asking… I have had three life-altering illnesses. The word phoenix doesn’t begin to describe it. Thoughout those illnesses (one with which I still cope, and now, a new one), thoughout illnesses in loved ones with which I must cope too, the one constant has been action. What is this? What do we know? What do we *not* know and more importantly, WHY do we not know? What is good about the information we have? What needs to be changed about that… …and how can I do it?

Stop listening to Donald Rumslfeld!. Mary – Hide quoted text — Show quoted text – Zee

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Who would you rather have as Secretary of Defense?

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Feeling tired, sad, content, and um like I better not dwell on anything…

Question:

Well not all the details ;-)  That’s what I get for taking a Concerta.  I should be getting some paperwork done for my job.  Now THAT is avoidance!   As far as details and b.c. I have learned that the dr’s don’t have all the answers.  I have also learned that those who do have more info are not allowed to do what they think is best because those efforts may not be approved by the currently functioning system that is in place.  My thoughts on such were verified by the comments made to me about the different treatment I would receive if I should go on a clinical trial–more careful monitoring and intervention.  That would not have been necessarily for my benefit (although in reality it could be so), but for the good of the trial, itself.  When will people be thought of as more important than archaic systems???  Okay, I will stop philosophizing or is that philosophosizing…sorry, I was raised by a father who taught me not to accept everything I learned at face value but to think for myself and question.  No, I am not one of those ‘obnoxious’ (sorry for the value judgment) persons who questions someone to show them up or try and prove them wrong–I do so in my mind after digesting the information I have been given.  Unfortunately, because of my training–the inconsistencies often smack me in the face.   I know it sounds as if I am going off on another tangent again–so for anyone bored–please delete or don’t read–but really I do hope that in someway what I am doing will help increae my survival and hopefully be of benefit to some others as well.

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Well, one of the members was a male. He ticked me off ! I was ticked for them allowing him in the session. All he wanted to talk about was that he was a teacher in secondary high school and was physically attracted to female students. I wanted to rip his eyes out and beat him up. I wanted to yell at him. I wanted him to quit his job. I wanted somebody in the group to tell the police. I wanted him fired. I wanted him put in jail – so the kids would be safe from  him.

I feel the need to put the male point of view. I do understand your feelings of outrage on peeking inside a man’s mind, but it is perfectly normal for male primates to feel physical attraction for sexually mature females.  Sometimes it works the other way too. You cannot put someone in jail for feeling attraction, or for confiding those feelings in a support group.  It is a duty of people employed in positions of responsibility to control such feelings, not to deny having them.  It is only a professional misconduct if he lets the attraction control him, and puts it into practice.  It is only a crime or danger to children if furthermore his target is below legal age and/or he forces his attentions on an unwilling victim. In this country an 18 year old girl could be attending high school by day and legally getting pie-eyed on the dance floor of night clubs by night.  We would condone her courting a man in his late twenties in the latter situation, how could we then condemn him for admitting that he is attracted to her by day. Attraction to sexually -immature- females is something else entirely, I am not defending that, but this problem usually arises with girls in their final years, who are legally old enough to consent to marriage. If we imprisoned all men who are attracted to women, the race would not last long, although women might enjoy running the place for a while. In support groups we are there to give as well as take support.  On this occasion you may not have been able to get the group to support you, but you might have found an opportunity to help someone else who was struggling with an internal conflict. Tim Jackson

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- Hide quoted text — Show quoted text – Well, one of the members was a male. He ticked me off ! I was ticked forthem allowing him in the session. All he wanted to talk about was that he was a teacher in secondary highschool and was physically attracted to female students. I wanted to rip his eyes outand beat him up. I wanted to yell at him. I wanted him to quit his job. I wanted somebody in the group to tell the police. I wanted him fired. Iwanted him put in jail – so the kids would be safe from  him. I feel the need to put the male point of view.

Sorry Tim, I wasn’t clear enough. He’d lived with these thoughts all his life – that’s normal. <I agree He was married. He’d been booted out of one school for <unexplained and was currently working at a new school. He was talking about 13, 14, and 15 year olds and the reason he was integrated into the group is because his counsellor (social worker) had "run out of ideas" and each time it was his turn to speak, he either elaborated on the physical reactions to watching females (school girls) with tight clothing, low cut tops, or shorts while on the job and how he had difficulty doing his job (concentrating). AND (as the meetings progressed) he expressed that he had plans to execute his thoughts with them. That’s abuse of power IMO, if he did act on his thoughts. It had become an obsession which ruled his life. He was in the wrong support group IMO  The rest were there to talk about general relationship problems or day to day depressive/stress issues. He needed professional help. J

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it was hard enough wearing a wig or hat.  I don’t like my head nor face covered That was the hardest part about the thought of losing my hair, but the wig didn’t turn out to be so bad.  It was kind of fun.  The best part was no more bad hair days!  That analogy won’t work for the mask–I am not going to start putting one on.  At the same time I am not going to reveal my inner soul to every Tom, Dick, and Harry I meet.  What is important is that I have come to understand my inner soul and have a choice whether or not to share it, and have close family and friends in my life to whom I can share it if I choose.  In that sense I am very fortunate.  

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know or want to know about their disease. As a group they let their doctors think for them — I am amazed when I find that but think that is or at least ‘was’ the majority. Those kinds of patients do make the drs’ and nurses’ jobs alot easier. Then again, I am finding alot of dr’s act in a similar manner.  They base their decisions on reports from other dr’s whether or not that information is accurate or consistent with what is going on at the time or moment it was done.  It sure makes life a lot easier.  That is cookbook medicine at its finest or ‘managed care.’ If one attempts to go outside the box, it arouses suspect and puts those inside on the defense.  It must be done carefully and tactfully.  If one tries to bulldoze their way through it often results in their sabotaging the good of what could be received and may result in a worse outcome had they gone along with the ’system.’   It also has the potential to alienate those who are following the system–either it creates dissonance by arousing their insecurities and they don’t want to deal with it–so turn off or avoid it–or it makes them feel ’superior’ because they are the ‘good’ ones and receive what they feel is the ‘best’ treatments of the system (whether or not correct, but they haven’t taken the effort to find out), or they avoid or tune out because they don’t want to hear it or deal with the possibility that something is ‘wrong’ with the system. I am not sure how I got so ‘lucky’ to have so many things happen that are out-of-sync with the existing system.  I almost feel that I have been given a challenge–to do something to help correct it–albeit in a ‘positive’ manner.   That’s what I get for saving our rabbi–behind the scenes.  I had forgotten about that one.  I won’t go into the details but what was being done to him by a greedy, self-centered executive director and former director of education was against my religion.  The latter inappropriately reprimanded a teacher in front of students and called that teacher inappropriate names.   The outcome–the director’s temporary contract was not renewed and one of the best teachers who also had an administrative credential became the new director–where she has done more than a satisfactory job for the past 8 or 9 years.  The rabbi completed his term until retirement, retired to be rabbi emeritus and a new fabulous rabbi came on board at the appropriate time.   It became a win-win situation–except for the ‘bullies’ who tried to arouse and create animosity and division of loyalties.  I was sort of thrust into a position behind the scenes (where I wanted to be) by those who came to me for advice.   What I did was network and seek out the assistance of loyal supporters who were flabbergasted to learn what was going on.  We mobilized together into a positive, cohesive unit that was able to effectively withstand this horrific unwanted invasion.   Why am I writing about this here?  I think that my subconscious is trying to tell me something about my cancer, the treatment I am getting, and what to do about it.   I am not sure where to turn next for support–but the night before last it all ‘hit’ me.  I didn’t pick up on the private radiologists eval. of MRI and rec’s for PET scan–which were rejected by HMO but we did on own–but what she had said just ‘hit’ me when I re-evaluated the reports.  I will have to share further.   But, basically, the CT scan reports are confusing.  They were imaged at different settings which makes comparison difficulty.  The dr.–one radiologist  was making recommendations that seemed as if he were trying to cover himself for something not done in the past. But, even more problematic is that the information is conflicting, and I just saw it.  The private rad. had alluded to it but I/we didn’t pick up on it at the time.  I had been too focused or more concerned about the other that was going on at the time.  

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  That may be true for some.  I don’t have time for masks.  I don’t need to pretend.  I am who I am–take it or leave it but that doesn’t mean I am without tact, compassion, understanding, and concern for others.  Cancer has made me a bit more self-centered–but that is because I am trying to survive.  Besides it was hard enough wearing a wig or hat.  I don’t like my head nor face covered ;-)

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FWIW, I had a very similar experience with alleged "support groups" Kaye. Mine was run by a local hospital, they even served lunch (heavy on unhealthy sweets, and carbos, etc.) The women in the group I went to were nice people who didn’t know or want to know about their disease. As a group they let their doctors think for them — which I couldn’t do. I had to think for myself, and like you, that meant making INFORMED decisions. Got no information, hence wasting my time, too. I understand where you were coming from. Adrienne Lady8

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wishing I’d stayed and "had my say". I understand your frustration about not taking action in this situation.  I see the difference in ‘realities’ here.  I suppose in my situation I could have made the group ‘fit’ but I felt my time (back then–soon after diagnosis)–would be better spent in learning about b.c. AT the time of my dx I was ignorant.  All I knew about b.c. was that either one had it or didn’t.  I had no clue about the implications of positive nodes.  I didn’t know what metastasis meant and  couldn’t even remember how to pronounce it.  I couldn’t understand the info I was reading.  Yet, I was being asked to make decisions based on minimal information with minimal comprehension.  Is that an informed decision?   I threw myself into learning as much as I could about b.c.  I had never even taken a chem class (my loss but bad chem teacher at our high school–and when my friends were in college they were studying it 24/7.  I wanted to learn about ‘real life’ then of which studying wasn’t necessarily a part of).   So, what I learned from that group was that I was at a very difference place than the majority who were being dx’d with bc.  I wanted to spend my time learning about bc not talking about other peoples bc that had a much better prognosis than I had.  I think I succeeded in that goal–it has allowed me to work together with my oncologists-and they agree with what I am doing.  I am not even sure I would still be here now if I hadn’t.  I am not sure  if what I have done is still working, or how long this will continue to work if it still is–but at least I have a basic understanding of cancer is and can now make as informed a decision as possible which I couldn’t do before.

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Adrienne, thanks so much for your support–much appreciated.  Still, though, I think J wanted to draw me into debate about some issues and get me to think about some other areas.   Again, though I did take issue with the depression/anger issue based on my own knowledge and experience.  Repressed anger can lead to depression/not the other way around.  And as far as that one support group meeting experience–that was a learning experience for me but not in the way it was intended.  It made me realize how much further advanced my b.c. was than what is now the norm for what is usually discovered these days within that community (our non-profit HMO).  I did go back to at least one other meeting–and basically got nothing from it.  It was not very well run. All it involved was going around with each person telling about their own experience with b.c.  One thing that I had been concerned with was the lack of discussion of what should have been basic rules of confidentiality.  That wasn’t even mentioned.  I have run counseling groups–for students and parents–and found the one I attended not up to standards I expected.  I wasn’t going to place myself in that situation again nor did I want to ‘take over’ the group which was being led by a trained ‘professional.’  I had no interest in it and found it not only an unexpectedly negative experience but a waste of my time.  I would rather write about my feelings on line and provide written support and helpful info to others.  Besides, for the one hour meeting, 1/2 hour drive the alone, time to park, time to get ready for it (with not enough of a long enough block of time to get into anything major–took up almost half a day.  That is not how I want to be spending my time.

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12:35 well I didn’t get what I needed done.  Instead of doing what I shouldda’ I started reading–biography of Bill Clinton–and promptly fell asleep.  It’s not the book per se but what happens these days as I try and read print. Of course doing it in bed didn’t help.  I woke to find 8 kids in the kitchen having a late  breakfast.  It was a really neat filling–hard to explain–but since my youngest went off to college I sure miss having kids around.  As I said these kids have been wonderful and assume that some of them will be big name stars on ‘Broadway’ in the future.  Several of them are on scholarships for musical theater at varying universities.  I hope my daughters hopes and dreams materialize in this was as well.  She, too, is on scholarship but chose a university that didn’t have musical theater alone–and also is double majoring–international relations and hopes to go into politics…future president she once thought but am thinking it is more like ambassador of someplace, somewhere… Again what  does this have to do with b.c.  Not much excepts that it frees my mind from the prison that I often find myself in.  The feelings I get from this give me a renewed sense of hope.   Hmmm…perhaps the despair and sadness that unexpectedly confronted me when the first feelings of emptiness were stirred did something to my body chemistry that laid way for the cell changes to take place that allowed the b.c. to set in.  That does sound a bit far fetched. However, I experienced ‘empty nest’ big time back in ‘96, about almost 5 years before the  b.c. was dx’d.   That was when my eldest graduated high school, our middle daughter graduated jr. high, and our youngest graduated elementary–first time in 13 years I wouldn’t have a child in elementary school and our eldest would be leaving to go away for college.  I was excited but at the same time very saddened about the upcoming change that would take place within our family structure.  I would cry, literally, over nothing–it was strange.  I never thought I would take it like that.  Friends whose kids were younger experienced something like that when their kids graduated, too.  Perhaps this is a mom thing that happens naturally? When our middle daughter went off to school, there was a session for parents on this very subject.   A prof from her university wrote a book on it. I have read that women who experience a sense of profound loss may have onset of illness about 5 or so years later.   I have no idea if this could have been a precipitating event–or one of several–or just a coincidence… Anyway, its great when they–either one, all, or some are here alone and/or with their friends.  I felt this way last winter, too, when all were home together, and when two of their boyfriends were here, too.  I also felt this way when our foreign exchange student from 2 years ago visited with her family.  Maybe we should look at having more exchange kids to stay with us…hmmm…would do that if I worked locally…but…hmmm…

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Have you thought about seeing a counselor or looking into anti-depressants? You have been so wrapped up in your fight with b.c. that maybe you have lost sight of how to let go of the stress? Being a warrior can be exhausting. Wishing I could send you relaxing thoughts so that you can find peace.  You do sound awfully stressed these days. Sending warm, happy, loving thoughts, Catherine W.

– Hide quoted text — Show quoted text – 12:35 well I didn’t get what I needed done.  Instead of doing what I shouldda’ I started reading–biography of Bill Clinton–and promptly fell asleep. It’s not the book per se but what happens these days as I try and read print. Of course doing it in bed didn’t help.  I woke to find 8 kids in the kitchen having a late  breakfast.  It was a really neat filling–hard to explain–but since my youngest went off to college I sure miss having kids around.  As I said these kids have been wonderful and assume that some of them will be big name stars on ‘Broadway’ in the future.  Several of them are on scholarships for musical theater at varying universities.  I hope my daughters hopes and dreams materialize in this was as well.  She, too, is on scholarship but chose a university that didn’t have musical theater alone–and also is double majoring–international relations and hopes to go into politics…future president she once thought but am thinking it is more like ambassador of someplace, somewhere… Again what  does this have to do with b.c.  Not much excepts that it frees my mind from the prison that I often find myself in.  The feelings I get from this give me a renewed sense of hope.   Hmmm…perhaps the despair and sadness that unexpectedly confronted me when the first feelings of emptiness were stirred did something to my body chemistry that laid way for the cell changes to take place that allowed the b.c. to set in.  That does sound a bit far fetched. However, I experienced ‘empty nest’ big time back in ‘96, about almost 5 years before the  b.c. was dx’d. That was when my eldest graduated high school, our middle daughter graduated jr. high, and our youngest graduated elementary–first time in 13 years I wouldn’t have a child in elementary school and our eldest would be leaving to go away for college.  I was excited but at the same time very saddened about the upcoming change that would take place within our family structure.  I would cry, literally, over nothing–it was strange.  I never thought I would take it like that.  Friends whose kids were younger experienced something like that when their kids graduated, too.  Perhaps this is a mom thing that happens naturally? When our middle daughter went off to school, there was a session for parents on this very subject.   A prof from her university wrote a book on it. I have read that women who experience a sense of profound loss may have onset of illness about 5 or so years later.   I have no idea if this could have been a precipitating event–or one of several–or just a coincidence… Anyway, its great when they–either one, all, or some are here alone and/or with their friends.  I felt this way last winter, too, when all were home together, and when two of their boyfriends were here, too.  I also felt this way when our foreign exchange student from 2 years ago visited with her family.  Maybe we should look at having more exchange kids to stay with us…hmmm…would do that if I worked locally…but…hmmm…

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Anyway, its great when they–either one, all, or some are here

alone and/or with their friends.  I felt this way last winter, too, when all were home together, and when two of their boyfriends were here, too.  I also felt this way when our foreign exchange student from 2 years ago visited with her family.  Maybe we should look at having more exchange kids to stay with us…hmmm…would do that if I worked locally…but…hmmm…<<< I can relate, Kaye…as I always feel better when surrounded by our small family (dear husband, 2 daughters, on son-in-law and one precious precious grandson…I, too, tend to dwell on negative things (not just health issues but anything that makes me anxious or sad) when they’re not around and have to work very very hard every single day to keep my mind occupied with something more positive…on a good day, I am successful and on a bad day, well, you know the scenario…and I haven’t had a diagnosis of bc (but too many to count in my immediate family have, including my mother and sister, a maternal aunt…and on and on… What I find works best for me, if I can catch the negative thoughts in time…and that’s a big IF…is to do something/anything that occupies my mind…for example, I tutor ESL on a regular basis…I am always in a better frame of mind when I have many students…since spring, I’ve decided to read all the literary classics I’ve alwasys been planning to but never quite made time for…I’m not an athletic person at all and at the moment am laid up with a stress fracture in my foot so it is essential for me to keep my mind busy… I’m not sure where I’m going with this, but did want to say that I think the idea of your having more exchange kids is a great one and would encourage you to do so even if not working locally will make it harder for you to do so… I hope I’m not being too intrusive to ask whether you had  morbid thoughts before your diagnosis…I guess not but perhaps I’m wrong…I think about my own mortality often even tho I’ve had no bc diagnosis…I had a terrible time embracing my 60th birthday last March and still have not totally accepted it…strange because age has never bothered me in the past…I know it’s totally irrational but I think about it all the time…I was brought up short when a very pragmatic friend of mine reminded me that "we all have to die of something" lol…still hasn’t stopped the morbid thoughts, though…anyway, enough for now…Take good care…Catherine

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Anger can come from depression, depression can come from anger.. So what do you do? You do physical things instead of "letting it all out".    Not really denial–just treat the things that ‘pop’ into my mind as interesting phemonena.  I do wonder if there is some specific mechanism that triggers them as we reach different stages in our life–including one that might be triggered if one, in fact, does have metastatic disease or even cancer itself. As far as anger and depression–it’s the other way around.  Depression is often the result of repressed anger.  Believe me my anger isn’t being repressed. << I’ve snipped it all, but you wimped out. Admit it, Kaye. Go back to the group and tell them what you’ve learned about yourself.   Not at all—fully disagree.  This particular group was so not for me—totally  mismatched.  The majority had stage I or early stage II b.c.’s.  Since I went to that group my onc re-classified it as stage III — very advanced stage III if not stage IV.  What I learned wasn’t about "myself" it was about my stage of cancer and where I fit in or didn’t fit in with the others.   I should have been in a more advanced group.  Being with those women brought me closer to the reality I was dealing with but that was being dissed by the professionals–or at least some of them.   My gut level feelings were solidified as my reality in regards to cancer was so different from theirs.  It would have been most helpful to be with a group of b.c.’ers whose cancer was stage III or even stage IV.  My 2nd opinion onc also confirmed our thoughts re. my case. My first experience in ‘group’ therapy was something offered for all freshman in our dorm back in the late ’60’s.  I then had several professional classes in counseling and group counseling.  Um, to sayan an individual-centered purpose. Somewhere where I can do something to make a difference.  Let’s just say I am not going to sit back and take this ‘crap’ and be allowed to have my experiences dissed or minimized.  I know "too much" of what I wish I never had to know.   It isn’t easy.  When one of the consulting radiologists we saw who took a look at my CT scans for a second opinion told us–that we–my husband and I– knew more than 90% of the experts in regard to my type of b.c.  This was rad. onc. who wrote research findings on different patterns of metastatic lobular–that it continues to metastasize as lobular does in the breast–not in tumor form–but in sheets.  Eventually, it may take the form of a tumor but often doesn’t.  It shows up in scans as "thickenings."  My scan reports are full of what has been seen as "thickenings" in various areas but none of the radiologists interpreting them has linked them to the type of b.c. that I have.  In fact they aren’t even being told what type of b.c. I have.  When I mentioned that fact to the specialist–the univ. professor rad. onc. he threw his hands up into the air.  He has the same problem.  He said he has begged the oncologists to tell him what type of b.c. the patients have but even he, the specialist in this area, has not been successful in getting the oncs to do that.  If that is the state of ‘art’ in the treatment re. b.c. it is barbaric. They are so behind the times in terms of linking current research with current practice.  Hey, this doesn’t only happen in the field of medicine.  It happens in education too–where it took almost 25 years to bring what was being learned in research into just beginning introduction–and even 30 years later that research has not become the standard in use. So when a research professor tells us that we know more than 90% of the experts THAT doesn’t make one feel overly secure.  There is something VERY WRONG about a system where that can happen.   << I’m betting you either keep it all inside or only talk to "safe" persons. People who won’t disagree with you. I hope I discuss things appropriately with the appropriate persons.  I am certainly not keeping it all in here.  Having an outlet here to write about it helps me  maintain my sanity and perspective.  My wonderful husband gets quite a bit too as do some close friends.  At the same time I wouldn’t want to overwhelm anyone.  Then there are the so-called ‘experts’ or 2nd opinions–they get only what time they have in their appt. slot allotted for me/us.  However, the one who offered to work together with us as a team sort of ‘flaked out.’  I wonder if that might be because we weren’t rolling in the money he assumed we had or if he got in over his head.  We are still in touch but I am still waiting for him to come through with some of his initial offer(s).  I might be a little harsh here because I do believe some personal and family health issues intervened at the ‘wrong’ times. J, I am very aware of my feelings.  It’s just these odd snippets that pop into my conscious seemingly out of nowhere.  I have since read a few books/articles and do try to separate myself from them–i.e. people who are dying often talk about taking a trip.  When I read that I had that ‘aha’ feeling and then thought ‘yikes.’  One thing I likened my b.c experience to was jumping on a running train and feeling as if I were holding on for dear life.  Like I had just "made it" but that it wasn’t going to necessarily be an easy journey nor would it necessarily end up where I wanted to be going. I thought that association was based on my past vagabonding experiences as a student–when I actually did jump on a running train as it was pulling out of Amsterdam for Paris.  That day turned out to be both the worst and then best day of my entire 11 month week of backpacking alone throughout Europe at the age of 22.  Technically, I was never ‘alone’–met so many people and had my pick of whom to travel with–and did so when I wanted…having some very ‘interesting’ experiences and learned not to do some things alone after I almost perished on the slopes of Mt. Blanc after being enveloped in a fog and subsequent torrential rain–after I decided to separate from the group–to picnic on cheese, bread, and chocolate and write postcards and in my diary after the weather had cleared.  Big mistake.  Fortunately, I had seen where I had to hike down to and made myself keep on–even after losing the path.  I was a bit uneasy–so made myself sing–and that was enough I am sure for someone to want me out of that environment ;-)  I had many other wonderful adventures on that trip…

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J: While I find your research skills excellent and often quite helpful, I’m appalled at your comments to Kaye. Until you’ve actually gone through the cancer experience yourself (not as a bystander),  you’ve no right to judge. And even THEN you have no right to judge another human being. To equate your (understandably sickened) impressions from a depression group to a breast cancer survivor meeting, or the benefits one can (or cannot) receive from same, is ludicrous. There’s NO comparison.  IMO, Kaye didn’t "wimp out" — she found the group unsuitable for her needs. Big difference. Does it MATTER how she did or didn’t see herself? What mattered was, she was trying to follow guidelines that said a survivor’s group might help her — and it didn’t. So she WISELY got out. HER decision.  She discovered that wasn’t an answer for HER. — Nothing wrong with that! And yeah, finding those who agree with us IS ’safe’ and comforting and feeling supported — at a time when everything we’ve known as ’safe’ or supportive has disappeared and we’re floundering around in a psychological and medical abyss, trying to find order, stability, and a sense of self again. — What the hell is wrong with seeking a sense of safety? (Trust me, finding that sense of safety definitely qualifies as a ‘learning experience’. ) A cancer dx is terrifying; the learning curve is both treacherous and steep. How it’s handled is an individual thing. — We each have our own capacity to "learn" and we have to do it in our own time. You obviously have no comprehension of the fear; so please don’t claim you ‘know’ — You can’t possibly know until you’ve walked the path. You can only "imagine". Kaye is right where she needs to be for HER journey. And believe me, it IS a learning experience of MAJOR magnitude. To discover what has real meaning can change one’s life. She appears to be going through that now. And while poignant and apprently not to your liking, it represents HER learning curve. I suggest you respect her process as much as you  respect your own. I’m sure she’ll find some way to turn your comments around into something more "positive", because that’s "Kaye" — but from here you sound smug, judgmental, and obviously, without a clue. What a shame your own learning experience didn’t help you See better. Adrienne

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  Despite all that I have gone through I haven’t gotten depressed yet.  Angry–YES/Depressed–NO!

Anger is an energy.. J

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 Despite all that I have gone through I haven’t gotten depressed yet.  Angry–YES/Depressed–NO!

Denial… Anger can come from depression, depression can come from anger.. So what do you do? You do physical things instead of "letting it all out". I’ve snipped it all, but you wimped out. Admit it, Kaye. Go back to the group and tell them what you’ve learned about yourself. That whole post was full of excuses, "I’m different", "I don’t belong here". Self-sabotage. You are different, each is different, but human emotions (except for the few who cannot feel them) are commonalities to all, including those "in the field". I’m betting you either keep it all inside or only talk to "safe" persons. People who won’t disagree with you. Family, friends who don’t want to hurt a "cancer survivor". Well, I got news for you. Lots of people do that. It’s safe. It’s not a learning experience though. Let’s argue  ….<smile

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hi Catherine, I appreciate your concern.  Despite all that I have gone through I haven’t gotten depressed yet.  Angry–YES/Depressed–NO!  As far as counseling I have had some wonderful resources to share some of what has been going on.  I did try a support group early on and oh, I take the above back–THAT made me depressed–and I talked to someone about that.  The group was not run that well.

I thought the same thing in a group I was in. I regret now that I missed an opportunity. Here’s the story, it was years ago, and it was supposed to be for persons with "chronic low grade depression" (or whatever they call that). Well, one of the members was a male. He ticked me off ! I was ticked for them allowing him in the session. All he wanted to talk about was that he was a teacher in secondary high school and was physically attracted to female students. I wanted to rip his eyes out and beat him up. I wanted to yell at him. I wanted him to quit his job. I wanted somebody in the group to tell the police. I wanted him fired. I wanted him put in jail – so the kids would be safe from  him. Everybody was being "safe" and "understanding". I’m betting many were feeling the same as me. I wimped out and quit the group. Now (reading your post) I’m wishing I’d stayed and "had my say". Maybe I’d had gotten yelled at, or spurned, whatever. It didn’t help me to keep the feelings in. I’m still angry about it (otherwise, if I’d said my "piece", it still woulnd’t be on my mind today). So I shot myself in the foot..(by leaving the group) J

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morbid thoughts before your diagnosis…I guess not but perhaps I’m wrong.. Not at all–do welcome the feedback and not at all about being intrusive and not at all about ‘morbid’ thoughts–that is why they are taking me by surprise–so unexpected and out-of-character.  However, they were triggered by a series of tragedies–we had several close family and friends die within a short period of time about 8 months after my diagnosis–which was hardest on our youngest–since she had to deal with 10 deaths in a relatively short time–with 5 of those being school friends–all from different causes–4 in 3 separate car accidents, once accidental overdose–of mixing alcohol and Tylenol, and once cancer–plus an elderly uncle, and two very close family friends close to my age–one a massive coronary while mountain biking and the other lost her battle to ovarian cancer.  Except for one of the car accidents–8 other occurred within a two-month period.  Normally, however, I do try to look at it all from  an existential perspective.  The first ‘morbid’ thought hit me during the time between a cousin’s 21 year old son died from accidental Tylenol alcohol mix–the thought of what I should wear to be buried in popped into my mind.  I told myself not to even go there but did find the idea that it occurred to me—of unwanted, but ‘interest’–not in what I would wear but in the fact that this thought came from ‘nowhere.’ Perhaps they are occurring to me because I am in a state of denial.  I write about it here.  I don’t discuss it and try not to allow myself to think it.  I have always been known, pretty much, for having a more positive outlook–at least in most circles.  You know if ‘life gives you lemons, make lemonade.’

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 I have always been known, pretty much, for having a more positive outlook–at least in most circles.

That’s a "mask" we put on for the world. J

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hi Catherine, I appreciate your concern.  Despite all that I have gone through I haven’t gotten depressed yet.  Angry–YES/Depressed–NO!  As far as counseling I have had some wonderful resources to share some of what has been going on.  I did try a support group early on and oh, I take the above back–THAT made me depressed–and I talked to someone about that.  The group was not run that well.  Basically each person shared what was going on with them.  I was the 3rd to go (my first time there), so I briefly summarized what was going on with me like the two others had.  Several people later we got to another newbie.  The rest of the meeting dealt with her story.  I later found out that the meeting is supposed to focus on the newbies but that had not been mentioned.  Now, there is nothing wrong with that–but the other newbie was devastate by her b.c. diagnosis and quite afraid.  She had an excisional biopsy which removed the entire tumor–which was said to be at stage "0"  Yep–stage zero.  She then broke down, hysterically crying.   My heart goes out to anyone who has been given a cancer dx.  However, it was hard for me to relate–with all that I had going on.  I just wanted to run from there–but was polite and didn’t.  Then, after listening to everyone else’s stories–there were at least 12 if not 14 or 15–reality sit in.  I was by far the most extreme and had the highest of almost all other risks compared to the others.  When I left the session I felt probably just about the worse  I had at any time since my diagnosis. I am not at all against counseling.  I am involved in a related field myself. I do take out alot of my wistful thoughts and fears online–seeking no feedback in particular but always welcome most all that I do receive and try to digest it from differing perspectives.  Ah–life would be so booorrring if we were all the same ;-)

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God bless you Kaye. Lady8

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Hi Kaye, I know exactly how you are feeling. Since my recurrence I feel like that every day at the moment. I hope it gets better! for both of us., and for all the other people out there in similar situations. I am so up and down at the moment. Everyone says how wonderful I am doing and what an inspiration I am, but inside I am a mess. I do not see the oncologist until next week, the 13th and I know there will not be any answers then. I will have to wait for all the scans and tests to see if there is any spread. Had a great weekend with my grandchildren, Ben, 4 and Emily 11 months. My daughter and son-in-law went to a wedding and we babysat. Hope there are going to be many many more like that. My thoughts and prayers and a big hug go out to you, Liz.

– Hide quoted text — Show quoted text – Long for anyone who isn’t interested in this…Today was a busy day.  I spent the later morning to early afternoon ‘cleaning’ or trying to go through ‘papers’ etc. from work.  We–my husband and I then went to a barbeque at a good friend’s.  We’ve been friends since high school although have known each other since elementary school.  She, her husband and family celebrate New Year’s at our house–we started doing getting together for New Year’s when we–I was 17…This was um many years ago. Her parents were there.  Amazing–they don’t look any older than I remember them looking 25 years ago.  They must be in their late 70’s/mid 80’s but my impression of them is in their um 60’s.  However, her inlaws whom I met in my teens are even younger but are dealing with health issues and seem 30 years older… I am not sure what I am trying to say other than share a perpective I had and how it has changed since my dx but even more this year. My husband and I got home just in time to see the city fireworks–from our backyard–something of a tradition while listening to simulcast radio station playing patriotic music–including Ray Charles’ "America  the Beautiful." My husband held me in his arms.  I asked for his handkerchief–quite nostalgic and of course wondered if how many more 4th of July’s I’d see.  I try not to think like that but as I mentioned before these things just pop into my mind–like the thought I had several days ago–when browsing through our local paper and coming upon the obit’s–something that is done almost daily–not that I read them all the time–but my husband checks to see if any of his elderly patients’ names are there.  Well, when I did it–the thought of whether or not there were any decent pics of me to be used should it be needed occurred.  I was a bit freaked although mostly existential about the thought and quickly dismissed it from my mind.  I then went on the treadmill for 30 min as I watched some of the "Twilight Zone" marathon.  Then I went online and read Jennifer, Catharine’s sister’s post, which saddened me–not fair–and made me feel powerless in the face of all this.  I so wish I could do something to change what has happened and help…sigh… So, now, I sit here typing, feeling somewhat tired.  I am a bit scared that I might have something spinal-related.  I should go downstairs and check to see how many are there.  At last count there were 13–before the doorbell rang and one of my daughter’s friends said that someone else needed directions. Yep, it’s 11:45 and they are just arriving.  I asked if any food was needed. I was told not for tonight.  My daughter asked if she could have the cast of the play she’s in over for a slumber party.  Of course I agreed.  (I know I gotta be nuts to be having this many teens–coed–between 15 and 19 for the night, but they are great kids–in the local teen musical that kids come from all over the L.A. area to audition for.  80 girls auditioned for 13 female roles.  Oh, forgot to mention they are doing "The Pirates of Penzance" in a few weeks. I guess we (husband and I) should stay up most of the night because there are a good number under 18.  We probably won’t but will stay up a few more hours and of course make sure we have breakfast for all.   There are 15 here so far. Some are in the living room playing one of my favorite songs from "Rent." Some are in the family room and others are in the adjacent dance room where we have a mini pool table and Fiser-Price pinball machine.  Then there are a bunch in the kitchen.  They brought lots of food.  I am guessing that it was from where they gathered for dinner before they went off to see the fireworks. I can’t even begin to explain how much this means to me–to share in this vibrant life experience–which takes on a life of its own.  Knowing that our youngest, too, who will be a sophmore in college next year is in the throes of a very happy and exciting time in her life. Of  course, I would love it if our whole family were here.  Our middle daughter, who graduated from college this year with honors, is in the midwest for the summer and next year. Our eldest, who visited a couple of weeks ago, is back in Boston after spending a week in Texas (where she spent a year dancing professionally before starting medschool) staying with good friends (who I met online)–astronomy professors from Texas (Sandy L–I think you know of them/him). What does this all have to do with cancer–breast cancer?  A lot.  The ups and downs I am dealing with emotionally take on a life of their own but periodically they can be put aside–during times like this and usually when I am at work… I have done alot of travelling in my life and would love to do more. HOwever, if I knew for sure that my time left here was not that long, I would love to be home with my family and friends or visiting my children in their homes and catching a glimpse of their lives and becoming a small part of that wherever they are…

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It’s 10:15 and the house is very quiet.  7 kids are sound asleep.  One is sprawled on the living room floor with a jacket over her head.  The others are downstairs in the family room on the couches and/or floor.  I am upstairs (we have tri-level).  I was sure that they would all be up after the one parent rang the bell, setting off our dog who went into a length round of deep barking.  Several stirred but and some seemed as if they were about to get up but it looks as  if all went right back to sleep.   Having the kids here fulfills me with a different sense of life that is hard to explain.  It is a kind of connectedness–not sure how else to describe.   Yet, they are different–black, Asian, white, varying ethnicities, I am sure.  We live in one of, if not, ‘the’ safest city in the country.  I wish I felt that same sense of closeness and connectedness in regard to safety of my own health.  As I sit here feeling content in some ways I am filled with fear–fear that my body is riddled with cancer.  The difficulty I’ve developed with my eyesight–the two black spots that always seem to be there make me wonder if cancer cells are pepper throughout my brain.  I read that as a description re. such.  I worry that the discomfort in the back of my neck and pressure on my head–feels like something is squishing it down somewhat is related to possible spinal mets.  Past scans have alluded to such.  The discomfort in my spinal column reinforces those fears.  Then there is again the increased lower abdominal, pelvic discomfort and sudden change in bowel function.  It feels as if there is a strange pressure in the rectal area.  Several days ago there was a narowing of stools.  Then it changed to something else and then sudden constipation despite a diet burdened with the ‘right’ fresh fruits for that not to happen. Yes, I am very much afraid.  I am not even sure why I am writing this here. Originally I only wanted to post online to get info and offer support.   Well, that is not what I am currently doing.  Do I need support?  Or do I need to know what is really going on?  And can one separate those needs?  I think so.  I know I must sound to some overly paranoid–that is how my writing comes across and other to my husband and have not expressed these concerns to others.  I know there is a truth to the reality of my fears based on what I have come to understand about the type of b.c. I have.  As I type there is pain in my left collarbone.  Would that be mets?  I took the sleeve off my right arm.   My hand (back of palm) is beginning to look like an inflated balloon.  My forearms look like they belong to 2 different people–might right is a   about 25% bigger than the left.  (Good thing I am left-handed).  My left shoulder hurts–it has been hurting for almost a year now.  The back of my neck is also tingling.   I mentioned my eyes.  If I look at the white wall to one side, those two dots faithfully reappear with a thin vertical line adjacent to one. They travel horizontally across my field of vison in a somewhat curved path., with the one on the left (with adjacent vertical line) dropping  off vertically as if it had been tossed into a waste recepticle (sp?) or should say trash can.  What does this all mean.  I am not quite sure…back to the ‘real’ world where I will assume my natural role of "Pollyanna"… Perhaps this is not where I should be sharing these thoughts of fear or ‘gloom and doom.’  After all that may not be helpful to others and certainly is NOT the reality of most breast cancers caught today–especially if caught early. Am I bitter?  I would have to say so.  Hey, I did all the ‘right’ stuff so anything that might occur would be caught early.  I lost, though, having  the one that is ‘different’ and having dr’s who dissed what I hesitatingly showed them, and me, not knowing enough at the time to know any better. So, does that make what I am writing any use to anyone else here or does it do more harm than good.  Is my expressing this a selfish, petty thing to do.  Are my thoughts purely narcissistic and also frightening to others who have just come aboard for their first journey into the world of b.c.? I better get back to reality.  I have got reports to finish up for work…

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the other people out there in similar situations. I am so up and down at the moment. It can be so hard.  I have not yet been dx’d with recurrence but the symptoms I have had based on my initial pathology would make them more likely that than anything else. << Everyone says how wonderful I am doing and what an inspiration I am, but inside I am a mess I understand.  One of my colleagues who has stage IV lymphoma and is very active in his church confessed to me that he was so tired of people telling him that and that his attitude would be what would ‘heal’ him.  That places an undue burden on the patient.  One does not alway beat cancer.  It isn’t possible, and the answers as to who will or won’t aren’t in yet.  One does not want to "fail" cancer, but the media  hype about positive attitude–although it may help improve the quality of one’s life–may not do anything to help cure cancer.   <<  I will have to wait for all the scans and tests to see if there is any spread. Waiting can be so hard! << My daughter and son-in-law went to a wedding and we babysat. Hope there are going to be many many more like that.   How special!  I do understand and hope that someday I will be able to attend the weddings of our daughters and be the grandma they never had a chance to have.  Right now there are about 8 teens left downstairs sleeping.  I awoke to about 12 or 13 left.  They were having such a good time  last night–playing games  together.  At one point 16 of them were playing charades.  Two others were playing chess with our Simpsons’ chest set.  There was alot of genuine, wholesome laughter.  My husband didn’t get a lot of sleep though–was woken by burts of it every now and then.  I was lucky–took my hearing aids out ;-)

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Long for anyone who isn’t interested in this…Today was a busy day.  I spent the later morning to early afternoon ‘cleaning’ or trying to go through ‘papers’ etc. from work.  We–my husband and I then went to a barbeque at a good friend’s.  We’ve been friends since high school although have known each other since elementary school.  She, her husband and family celebrate New Year’s at our house–we started doing getting together for New Year’s when we–I was 17…This was um many years ago.   Her parents were there.  Amazing–they don’t look any older than I remember them looking 25 years ago.  They must be in their late 70’s/mid 80’s but my impression of them is in their um 60’s.  However, her inlaws whom I met in my teens are even younger but are dealing with health issues and seem 30 years older… I am not sure what I am trying to say other than share a perpective I had and how it has changed since my dx but even more this year.   My husband and I got home just in time to see the city fireworks–from our backyard–something of a tradition while listening to simulcast radio station playing patriotic music–including Ray Charles’ "America  the Beautiful."  My husband held me in his arms.  I asked for his handkerchief–quite nostalgic and of course wondered if how many more 4th of July’s I’d see.  I try not to think like that but as I mentioned before these things just pop into my mind–like the thought I had several days ago–when browsing through our local paper and coming upon the obit’s–something that is done almost daily–not that I read them all the time–but my husband checks to see if any of his elderly patients’ names are there.  Well, when I did it–the thought of whether or not there were any decent pics of me to be used should it be needed occurred.  I was a bit freaked although mostly existential about the thought and quickly dismissed it from my mind.  I then went on the treadmill for 30 min as I watched some of the "Twilight Zone" marathon.  Then I went online and read Jennifer, Catharine’s sister’s post, which saddened me–not fair–and made me feel powerless in the face of all this.  I so wish I could do something to change what has happened and help…sigh… So, now, I sit here typing, feeling somewhat tired.  I am a bit scared that I might have something spinal-related.  I should go downstairs and check to see how many are there.  At last count there were 13–before the doorbell rang and one of my daughter’s friends said that someone else needed directions.  Yep, it’s 11:45 and they are just arriving.  I asked if any food was needed. I was told not for tonight.  My daughter asked if she could have the cast of the play she’s in over for a slumber party.  Of course I agreed.  (I know I gotta be nuts to be having this many teens–coed–between 15 and 19 for the night, but they are great kids–in the local teen musical that kids come from all over the L.A. area to audition for.  80 girls auditioned for 13 female roles.  Oh, forgot to mention they are doing "The Pirates of Penzance" in a few weeks. I guess we (husband and I) should stay up most of the night because there are a good number under 18.  We probably won’t but will stay up a few more hours and of course make sure we have breakfast for all.   There are 15 here so far. Some are in the living room playing one of my favorite songs from "Rent."  Some are in the family room and others are in the adjacent dance room where we have a mini pool table and Fiser-Price pinball machine.  Then there are a bunch in the kitchen.  They brought lots of food.  I am guessing that it was from where they gathered for dinner before they went off to see the fireworks. I can’t even begin to explain how much this means to me–to share in this vibrant life experience–which takes on a life of its own.  Knowing that our youngest, too, who will be a sophmore in college next year is in the throes of a very happy and exciting time in her life. Of  course, I would love it if our whole family were here.  Our middle daughter, who graduated from college this year with honors, is in the midwest for the summer and next year. Our eldest, who visited a couple of weeks ago, is back in Boston after spending a week in Texas (where she spent a year dancing professionally before starting medschool) staying with good friends (who I met online)–astronomy professors from Texas (Sandy L–I think you know of them/him). What does this all have to do with cancer–breast cancer?  A lot.  The ups and downs I am dealing with emotionally take on a life of their own but periodically they can be put aside–during times like this and usually when I am at work… I have done alot of travelling in my life and would love to do more.  HOwever, if I knew for sure that my time left here was not that long, I would love to be home with my family and friends or visiting my children in their homes and catching a glimpse of their lives and becoming a small part of that wherever they are…

Response:

New Here

Question:

Thanks for the input.  My friend knows she can ask for what she needs, which is good.  Her husband (and this really concerns her) is still insisting he "doesn’t need a thing because she’s going to be alright".   That adds to my friend’s distress and causes some confusion for the kids. Nana snipped

– Hide quoted text — Show quoted text – Hello Nana, Just wanted to say that I’m glad you found this group because we are here to listen, if you’d like to come back to talk as your travel this path with your dear friend.  Sometimes being able to express whatever is inside relieves the stress a bit.  Do you and your friend have the kind of relationship where she (or her husband) would let you know what they need? You are a good friend to be interested enough to write.  God bless you and your friend and her family. Barb

Response:

Hello Nana, Others have given you good suggestions, and I can’t really add to these. Just wanted to say that I’m glad you found this group because we are here to listen, if you’d like to come back to talk as your travel this path with your dear friend.  Sometimes being able to express whatever is inside relieves the stress a bit.  Do you and your friend have the kind of relationship where she (or her husband) would let you know what they need? I’ve been both the patient and the supporting friend, and I know it works best if you know what to offer or if they will just tell you how you can help. It’s the practical stuff  I’d suggest offering….things like errands, laundry, meals, writing thank you notes,  trips to the Dr. or for treatment and just being present to listen or to chat. You are a good friend to be interested enough to write.  God bless you and your friend and her family. Barb

Response:

Thank you Tim for being considerate enough to write back.  I appreciate the information. Nana

– Hide quoted text — Show quoted text – Hello Nana, welcome to the group.  I’m sure you are in the right place, at least we’ll do our best to help. What you can do rather depends on what she needs, how badly she is affected by the disease. It sounds like you are helping pretty well already. Tim Jackson Hello – and I hope I’m in the right place. I have a dear friend of many years and she’s not doing very well.  She was diagnosed with breast cancer four years ago, had a mastectomy and then re-constructive surgery.  Last Fall she had a recurrence in the bone and, as of this week, found out it has continued to spread even with her having had on-going chemo and radiation.  She’s in a lot of pain both physically and emotionally.  Her husband is terribly upset as are her young children. We talk about things only as she wishes to bring them up and I’m letting her "call the shots" so to speak.  We laugh over some things and we’ve cried over others.  And, since I also have health issues, we’ve planned "how we want things done" along with next year’s dream vacations. My question is this, I’m trying hard to be supportive and "be there" for her. Is there anything more I can do?  Is there anything that was offered to others here that have been sick that made you feel better – even if for only five minutes?   Many people have said that I’m doing more than enough but it really doesn’t feel that way.  I’ve also been "warned" that being upset will affect my health in the long run.  I personally feel that’s a lot of garbage because it’s not like if I don’t see her or talk to her I can forget the situation.  I just really want to take a horrible situation and make it just a tiny bit better for my friend in any way I can knowing I can’t change what I’d most like to change. So, I would appreciate any suggestions you might have to offer.  If this is the "wrong" place to ask the question, I’d appreciate it if you could steer me in the right direction. Thanks Nana

Response:

Hello Nana.  I was in a similar situation some years ago.  My next door neighbour was dx with lung cancer, never having smoked.  She desperately needed someone to cling to.  I had had breast cancer and been through chemo and rads so naturally I was the one that she ran to for help.  I found it difficult because it made me think that one day I might be in the same situation and yes, I was worried that the stress may affect me.  However, she died 3 1/2 years ago now and I am still fine.  Just be there for her.  I made her special meals, just for herself that would tempt her taste buds. Mainly soupy sort of things.  Her husband knew that he could ring up and me run over to check on her if he was at work at worried.  This happened many times.  She would look forward to my daily sometimes twice daily visits. Its very important that she talks about dying.  That was a problem with Carole, she never actually thought she would, even when it was mentioned and tried to be discussed.  With the result that she never really said goodbye to her four children and husband.  So my advise is what you are basically doing.  Being her friend

– Hide quoted text — Show quoted text – Hello – and I hope I’m in the right place. I have a dear friend of many years and she’s not doing very well.  She was diagnosed with breast cancer four years ago, had a mastectomy and then re-constructive surgery.  Last Fall she had a recurrence in the bone and, as of this week, found out it has continued to spread even with her having had on-going chemo and radiation.  She’s in a lot of pain both physically and emotionally.  Her husband is terribly upset as are her young children. We talk about things only as she wishes to bring them up and I’m letting her "call the shots" so to speak.  We laugh over some things and we’ve cried over others.  And, since I also have health issues, we’ve planned "how we want things done" along with next year’s dream vacations. My question is this, I’m trying hard to be supportive and "be there" for her. Is there anything more I can do?  Is there anything that was offered to others here that have been sick that made you feel better – even if for only five minutes?   Many people have said that I’m doing more than enough but it really doesn’t feel that way.  I’ve also been "warned" that being upset will affect my health in the long run.  I personally feel that’s a lot of garbage because it’s not like if I don’t see her or talk to her I can forget the situation.  I just really want to take a horrible situation and make it just a tiny bit better for my friend in any way I can knowing I can’t change what I’d most like to change. So, I would appreciate any suggestions you might have to offer.  If this is the "wrong" place to ask the question, I’d appreciate it if you could steer me in the right direction. Thanks Nana

Response:

Hello Nana, welcome to the group.  I’m sure you are in the right place, at least we’ll do our best to help. What you can do rather depends on what she needs, how badly she is affected by the disease.  I think what my wife benefited from the most when she was stuck in bed was distraction, someone to talk to now and again. Try to make sure that you are doing things that she appreciates, and not things that may seem helpful but are actually impositions on her. You might also be able to help her husband.  As she becomes less capable he is going to have an awful lot of responsibilities with young children and caring for a sick wife, and presumably working too.  He will probably appreciate the occasional respite from some of his duties. (I know, I’ve been there.) It sounds like you are helping pretty well already. Tim Jackson

– Hide quoted text — Show quoted text – Hello – and I hope I’m in the right place. I have a dear friend of many years and she’s not doing very well.  She was diagnosed with breast cancer four years ago, had a mastectomy and then re-constructive surgery.  Last Fall she had a recurrence in the bone and, as of this week, found out it has continued to spread even with her having had on-going chemo and radiation.  She’s in a lot of pain both physically and emotionally.  Her husband is terribly upset as are her young children. We talk about things only as she wishes to bring them up and I’m letting her "call the shots" so to speak.  We laugh over some things and we’ve cried over others.  And, since I also have health issues, we’ve planned "how we want things done" along with next year’s dream vacations. My question is this, I’m trying hard to be supportive and "be there" for her. Is there anything more I can do?  Is there anything that was offered to others here that have been sick that made you feel better – even if for only five minutes?   Many people have said that I’m doing more than enough but it really doesn’t feel that way.  I’ve also been "warned" that being upset will affect my health in the long run.  I personally feel that’s a lot of garbage because it’s not like if I don’t see her or talk to her I can forget the situation.  I just really want to take a horrible situation and make it just a tiny bit better for my friend in any way I can knowing I can’t change what I’d most like to change. So, I would appreciate any suggestions you might have to offer.  If this is the "wrong" place to ask the question, I’d appreciate it if you could steer me in the right direction. Thanks Nana

Response:

Hello – and I hope I’m in the right place. I have a dear friend of many years and she’s not doing very well.  She was diagnosed with breast cancer four years ago, had a mastectomy and then re-constructive surgery.  Last Fall she had a recurrence in the bone and, as of this week, found out it has continued to spread even with her having had on-going chemo and radiation.  She’s in a lot of pain both physically and emotionally.  Her husband is terribly upset as are her young children. We talk about things only as she wishes to bring them up and I’m letting her "call the shots" so to speak.  We laugh over some things and we’ve cried over others.  And, since I also have health issues, we’ve planned "how we want things done" along with next year’s dream vacations. My question is this, I’m trying hard to be supportive and "be there" for her. Is there anything more I can do?  Is there anything that was offered to others here that have been sick that made you feel better – even if for only five minutes?   Many people have said that I’m doing more than enough but it really doesn’t feel that way.  I’ve also been "warned" that being upset will affect my health in the long run.  I personally feel that’s a lot of garbage because it’s not like if I don’t see her or talk to her I can forget the situation.  I just really want to take a horrible situation and make it just a tiny bit better for my friend in any way I can knowing I can’t change what I’d most like to change. So, I would appreciate any suggestions you might have to offer.  If this is the "wrong" place to ask the question, I’d appreciate it if you could steer me in the right direction. Thanks Nana

Response:

Deidre, I’m sorry to read about your mother.  I went through the bc biz with my mother over 14 years ago — we’re lucky so far, no recurrance (unless you want to count in her daughter — me). I’m afraid that I cannot help at all with any information but I wanted to say hi and welcome you.  This is a great group and I’m sure someone will pipe up with some personal experience. My thoughts and prayers are with your mother and your family. Take care. …lisa

Response:

My mom was diagnosed with breast cancer in 1989.  She underwent a masectomy followed by 6 months of Chemo.  Then in 1995, a lumb appeared on her neck just above her collarbone and another under her arm.  They chose tho use radiation, followed by tamoxifan.  Her neck, underarm and entire chest cavity were radiated.  Then in 1999, another lump appeared on the neck. They took her off the tamoxifan and put her on another hormonal drug(???). Well around Thanksgiving of 2000, she caught a cold and it never seemed to go away.  She was feeling awful and in alot of pain in her arm.  A ct scan was done a showed numourous nodules in both lungs. At this time her hormone was changed to another(???)  A few weeks later a rash appeared on her arm and the biopsy determined it to also be breast cancer. She is on week 5 of a course of Taxotere.  She is not HER2+ and not eligible for Herceptin. My mom is in great spirits, although the fatigue and breathlessness make it impossible for her to do anything besides go to the doctor.  They will finish with a total of 8 weeks chemo and scan her during her 2 weeks off.  After this I believe she goes through 8 more weeks of chemo.  She said is seems as if the lumps on her arm are getting smaller.  I try to stay positive for her, and for my dad.  It is hard as we are very close and I see her every day. Does anyone know what to expect after the 2nd round of chemo?   We do not have a prognosis, but from what I have seen it is grim. Deidre

Response:

Hi Everyone: I have a question, and am alittle confused. I have had checkup every 6 mos. for the past two years.  It starts out with a mammo, then an ultrasound. Today I saw my doc and she wants me to have both done, as well as seeing a breast surgeon.  She thinks I may want to have both lumps (found  a second one today) removed, just to be safe, and not worry.  But, she said that is up to the surgeon. Has anyone gone through this procedure? My thought is if my surgeon recommends removing them, then go for it. Does anyone know what type of surgery this may entail, and if I will be laid up awhile? I am concerned as my older parents are moving on the 17th, and really need my help. Thanks so much. Corinne

Response:

– Hide quoted text — Show quoted text – Hi Everyone: I have a question, and am alittle confused. I have had checkup every 6 mos. for the past two years.  It starts out with a mammo, then an ultrasound. Today I saw my doc and she wants me to have both done, as well as seeing a breast surgeon.  She thinks I may want to have both lumps (found  a second one today) removed, just to be safe, and not worry.  But, she said that is up to the surgeon. Has anyone gone through this procedure? My thought is if my surgeon recommends removing them, then go for it. Does anyone know what type of surgery this may entail, and if I will be laid up awhile? I am concerned as my older parents are moving on the 17th, and really need my help. Thanks so much. Corinne

What type of surgery depends on the size and location of the lumps. It would be usual to do a biopsy first to find out what the lumps are made of, whether they are in fact cancerous.  This involves poking something into the breast (under local anaesthetic)to get a small sample of the lump that can be examined under the microscope. If it is cancer, then surgery is essential.  It may also be decided to remove non-cancerous lumps surgically, but in the following I am only talking about cancer. If the lumps are large, or the breast is small, then the surgeon may recommend a full mastectomy, otherwise the lumps will be removed by ‘lumpectomy’.  After lumpectomy one normally has radiation therapy to the surrounding area.  After mastectomy this may not be necessary. The surgeon will probably remove lymph nodes from under the armpit.  This is the first place that cancer may spread to: if there are signs of cancer in the lymph nodes this is a good indication that it has started to spread to the rest of the body, and that more aggressive treatment is needed. If the cancer is at all advanced, not in its earliest stages, then chemotherapy will probably be recommended too. You can find some more information, and links to major information resources, at our FAQ site www.cancersupporters.com Tim Jackson

Response:

New Primary or Recurrence?

Question:

Hi all…9 years ago my mother was diagnosed w/ BC and had a mastectomy and had chemo.  This week she had a biopsy on a lump in her neck, on the same side, and it was cancerous. She doesn’t meet with her oncologist for a week, so I don’t really have the details I need, but how is it determined if something is a new primary or a regional recurrence? I’ve done a google search and looked at NIC but can’t seem to find the answer to this…. Thanks in advance!

Response:

By microscopic examination of the biopsy. If the cells are well differentiated then the source tissue can be probably identified by the form of the cells.  If they are poorly differentiated then it may not be able to identify the source, although lesser changes in surrounding tissue might point to the tumour being a primary. Another indication of a discovered tumour being secondary is the presence of tumours elsewhere, shown by a scan or by strongly elevated bloodstream marker chemicals. Tim Jackson

– Hide quoted text — Show quoted text – Hi all…9 years ago my mother was diagnosed w/ BC and had a mastectomy and had chemo.  This week she had a biopsy on a lump in her neck, on the same side, and it was cancerous. She doesn’t meet with her oncologist for a week, so I don’t really have the details I need, but how is it determined if something is a new primary or a regional recurrence? I’ve done a google search and looked at NIC but can’t seem to find the answer to this…. Thanks in advance!

Response:

You  need to get a copy of the path report. Cancer is a wide range….it could be another type of cancer such as lymphoma. If it is listed as breast cancer, you need to to compare it to the first path report….if it has all the same characteristics ( ER/PR, ductal vs lobular)…..it is probably a recurrence. A question I would ask the doc if it is a recurrence….is this a local recurrence ( which has a favorable outcome) ? Alex

– Hide quoted text — Show quoted text – Hi all…9 years ago my mother was diagnosed w/ BC and had a mastectomy and had chemo.  This week she had a biopsy on a lump in her neck, on the same side, and it was cancerous. She doesn’t meet with her oncologist for a week, so I don’t really have the details I need, but how is it determined if something is a new primary or a regional recurrence? I’ve done a google search and looked at NIC but can’t seem to find the answer to this…. Thanks in advance!

Response:

I have a few questions

Question:

I think all my lurking has me paranoid, because every time I start reading post I think that every ach and pain is cancer. I have been have some abdominal paid and strange twinges in my arm on the side I had my reconstruction. I also had a pain in my wrist months ago I had that checked out and discover that it was from lifting the baby. I’m also bruising allot, on my legs. I lead a very active life but every dam ach and pain is cancer…I keep reading about people that had had the cancer come back so now I’m terrified. How will I know if its back? When will I quite freaking out about my body. Are we not entitled to normal aches and pains that people with out caner have. Before my diagnosis I would not have thought twice about these things but now I feel like I’m walking on egg shells when it come to my body. I take tomaxifin and vitamins and eat good food, no pop no junk food. I drink wine with dinner some times but that’s all the alcohol that will agree with me. Pulse I don’t believe that wine causes cancer…Any words of wisdom would be great… Love Mateja

Response:

It is a constant battle not to think every ache and pain is the cancer returned. In reading posts, try to remember each person is different. I am 6 years out and continue with this fight not to over react. . In September I had horrible back pain . my first thought it was the cancer in my bones. It wasn’t until a rash appeared( it was the shingles) that I new it was a virus and not the cancer. It’s weird how one rejoices with the thought of shingles. Follow up with the doctor- it will give you piece of mind. You body has had tremendous stress and changes  ( childbirth and cancer).  You are doing great ! I will tell you it does get better as time goes on.  As yes, you are entitles to many normal aches and pains…and to enjoy life. Alex

– Hide quoted text — Show quoted text – I think all my lurking has me paranoid, because every time I start reading post I think that every ach and pain is cancer. I have been have some abdominal paid and strange twinges in my arm on the side I had my reconstruction. I also had a pain in my wrist months ago I had that checked out and discover that it was from lifting the baby. I’m also bruising allot, on my legs. I lead a very active life but every dam ach and pain is cancer…I keep reading about people that had had the cancer come back so now I’m terrified. How will I know if its back? When will I quite freaking out about my body. Are we not entitled to normal aches and pains that people with out caner have. Before my diagnosis I would not have thought twice about these things but now I feel like I’m walking on egg shells when it come to my body. I take tomaxifin and vitamins and eat good food, no pop no junk food. I drink wine with dinner some times but that’s all the alcohol that will agree with me. Pulse I don’t believe that wine causes cancer…Any words of wisdom would be great… Love Mateja

Response:

Hi Mateja, I so very much  understand what you are going through.  I was just thinking of that today–wondering if and when I will ever have a chance not to think of the "pink elephant" (breast cancer). It sounds as if you are doing what you can and that is good.  I, too, am trying to do all that I can to prevent a recurrence.  However, as one of the oncologists I saw said–when people talk of cancer coming back–where does it ‘come back’ from–the pathology lab?  Unless it is a new cancer, a recurrence isn’t new–it’s from cells that were already there but not knocked out originally by the chemo. Some of the things that I have done and am still doing include drinking a glass of organic grape juice daily–although if not home or we run out I don’t worry about it.  I am also taking Celebrex and Doxycycline–both said to have anti-tumor properties.  I also go to our local health foods store and have them whip me up a natural juice–once to twice/week.  I try to minimize the amount of meat I eat that is not organic.  Since my b.c. was er+, I don’t want to take any chances with meat from hormone fed animals.  I do eat it on occasion–when we go out, but I don’t buy it any more.  I also buy eggs from free range chickens. I did decide to give up wine and/or other alcohol.  I don’t know if that will help, but since my b.c. was Her2+ there is a good chance that the EGF (epithelial growth factor) was elevated along with the IGF (insuline growth factor) and that alcoholic beverages may further stimulate, I decided to give it up.  I do take a taste every now and then.  I also reduced my sugar intake and lost weight–but needed to do that.   Another good thing I read was that drinking lots of tea  can be helpful, particulraly for your bones.  I basically gave up coffee and switched to tea–drink about 4 cups daily, including organic green tea.  Then, I am also thinking about taking CoQ10–but haven’t yet started.  I have read good things about that. Anyway, I do hope that you will soon be able to relax.  Wishing you all the best (from one who also needs to let go, I think–and hope)…

Response:

<<  But I always question this stuff. I don’t drink pop, on week ends I may have a cup of coffee if I’m out to breakfast. I think I do all the bad things in moderation. One doesn’t really know, but studies I’ve read suggest that alcohol may be related to increased risk of proliferation, but I am assuming that would be of greatest risk only if there are already cancer cells still there. I had been drinking excessive amounts of coffee at the time of my dx.  I had also been pigging out on cheese.  I gave both up immediately, only to help change MY personal body chemistry.  I have switched to drinking tea and try to drink about 4 cups/day, preferrably green but also mix in others.   Once in awhile I will now have a coffee or latte.’  I also try and have at least one glass of red grape juice/day.  I don’t know if it will help but at least it gives me the feeling of having some ‘control’ and as if I am doing something in the ‘right’ direction. Best of luck with whatever you decide to do.  Hopefully, there may be some more answers about this in the near future.  Each of us is different, though, and what contributes to allowing a malignant reaction taking  place in one, may not result in the same for someone else.

Response:

I’m not Tim, but what I have read…during chemo is a huge NO NO since chemo stresses the liver the same place where alcohol is processed. I have seen where oncologists have given  patient’s a nod for special occaisons such as a wedding. If you have completed chemo- excessive alcohol is never a good thing ( cancer or no cancer). I have never read any study that links alcohol to cancer ( other than liver cancer). There are some studies that have linked a very small link between breast cancer and women who drink on a daily basis. I guess now it is how much rish are you willing to assume for the glass of wine each night. But beware, whatever you substitute the wine with will also have a study showing it causes cancer too ( Coffee, soft drinks, milk, etc etc etc). Alex PS addresssing a point back about worrying about recurrence, some concerns you be addressed – one via phone or email with doctor, or if you can find another professional in the doctor’s office such as a Nurse Practioner or Physician Assisitant they can also assist you in dealing with questions.

Response:

Thanks Alex, I finished chemo Last Aug. My onc new that I had a glass of wine every now and then, she did not say not to. But I always question this stuff. I don’t drink pop, on week ends I may have a cup of coffee if I’m out to breakfast. I think I do all the bad things in moderation. But I hear what your saying..Thanks for you input. Mateja

– Hide quoted text — Show quoted text – I’m not Tim, but what I have read…during chemo is a huge NO NO since chemo stresses the liver the same place where alcohol is processed. I have seen where oncologists have given  patient’s a nod for special occaisons such as a wedding. If you have completed chemo- excessive alcohol is never a good thing ( cancer or no cancer). I have never read any study that links alcohol to cancer ( other than liver cancer). There are some studies that have linked a very small link between breast cancer and women who drink on a daily basis. I guess now it is how much rish are you willing to assume for the glass of wine each night. But beware, whatever you substitute the wine with will also have a study showing it causes cancer too ( Coffee, soft drinks, milk, etc etc etc). Alex PS addresssing a point back about worrying about recurrence, some concerns you be addressed – one via phone or email with doctor, or if you can find another professional in the doctor’s office such as a Nurse Practioner or Physician Assisitant they can also assist you in dealing with questions.

Response:

Tim what do you know about a drink every now and then. I don’t drink and hard alcohol but I sure enjoy my glass of wine at dinner in the evening. Also a good beer at a sporting event. Mateja

– Hide quoted text — Show quoted text – Mateja Some of your aches and pains are normal post-surgery things as damaged nerves slowly track down their severed ends and reconnect.  Some are post-childbirth.  Some may be due to Tamoxifen.  Maybe you even get junk food withdrawal symptoms, I don’t know, it certainly happens with coffee. Some are (not to put too fine a point on it) plain ageing.  We tend to forget that the aging process is not on hold while these momentous events are happening in our lives. How do you know if cancer has resurfaced? (To avoid the words "come back" which someone was criticising as inaccurate).  Well the oncologist will tell you that in the first instance you don’t know.  Its symptoms are rarely unique to cancer and because the prognosis for distant metastases is so poor, they always treat for whatever else it might be first in the hope that it will go away and prove not to be cancer.  As in most cases the only effective treatment for a recurrence is to take a nice holiday and run your credit cards to the limit, you don’t really want to know anyway. If you must know, right.  Metastatic cancer tends to appear in lungs or major bones.  Either can be asymptomatic for quite a long time, lung may appear as shortness of breath or as a dry persistent cough.  Bone will usually be an arthritis-like ache, but usually in major bones like spine or hip, not in extremities like fingers where arthritis often occurs. Sometimes it can be an unexpected fracture.  The main characteristic feature of cancer is that the problem is resistant to treatments, persists for a long time and slowly gets worse over months. If you do have a worrying symptom, the first place to take it is your general practitioner, not your oncologist.  Most likely it is not cancer related, and the wider range of experience of GPs is much more likely to be useful in diagnosing and treating the problem.  In my experience oncologists tend not to be very good at diagnosing basic symptoms anyway, they specialise in fixing what has already been found. Tim Jackson I think all my lurking has me paranoid, because every time I start reading post I think that every ach and pain is cancer. I have been have some abdominal paid and strange twinges in my arm on the side I had my reconstruction. I also had a pain in my wrist months ago I had that checked out and discover that it was from lifting the baby. I’m also bruising allot, on my legs. I lead a very active life but every dam ach and pain is cancer…I keep reading about people that had had the cancer come back so now I’m terrified. How will I know if its back? When will I quite freaking out about my body. Are we not entitled to normal aches and pains that people with out caner have. Before my diagnosis I would not have thought twice about these things but now I feel like I’m walking on egg shells when it come to my body. I take tomaxifin and vitamins and eat good food, no pop no junk food. I drink wine with dinner some times but that’s all the alcohol that will agree with me. Pulse I don’t believe that wine causes cancer…Any words of wisdom would be great… Love Mateja

Response:

listen Mateja, YOU ARE NOT  ALONE  in these thoughts ! every day there’s ‘a new pain’ or ‘an unusual ache’ and I’m  as angst as you , as I image many of us are! sometimes in those dark moments I believe I’m riddles with cancer,(they) the doc’s just don’t know about it yet ! I am having to restrain myself from running to the doc’s,but  I’m coming to realize I am overall healthy, its the chemo that is causing a lot of this.but my mind does wiz out of control sometimes. hey, this is my ‘good’ week out of three bad ones, so I’m off to enjoy myself, (just doing very simple things.) Kathleen

– Hide quoted text — Show quoted text – I think all my lurking has me paranoid, because every time I start reading post I think that every ach and pain is cancer. I have been have some abdominal paid and strange twinges in my arm on the side I had my reconstruction. I also had a pain in my wrist months ago I had that checked out and discover that it was from lifting the baby. I’m also bruising allot, on my legs. I lead a very active life but every dam ach and pain is cancer…I keep reading about people that had had the cancer come back so now I’m terrified. How will I know if its back? When will I quite freaking out about my body. Are we not entitled to normal aches and pains that people with out caner have. Before my diagnosis I would not have thought twice about these things but now I feel like I’m walking on egg shells when it come to my body. I take tomaxifin and vitamins and eat good food, no pop no junk food. I drink wine with dinner some times but that’s all the alcohol that will agree with me. Pulse I don’t believe that wine causes cancer…Any words of wisdom would be great… Love Mateja

Response:

Mateja Some of your aches and pains are normal post-surgery things as damaged nerves slowly track down their severed ends and reconnect.  Some are post-childbirth.  Some may be due to Tamoxifen.  Maybe you even get junk food withdrawal symptoms, I don’t know, it certainly happens with coffee. Some are (not to put too fine a point on it) plain ageing.  We tend to forget that the aging process is not on hold while these momentous events are happening in our lives. How do you know if cancer has resurfaced? (To avoid the words "come back" which someone was criticising as inaccurate).  Well the oncologist will tell you that in the first instance you don’t know.  Its symptoms are rarely unique to cancer and because the prognosis for distant metastases is so poor, they always treat for whatever else it might be first in the hope that it will go away and prove not to be cancer.  As in most cases the only effective treatment for a recurrence is to take a nice holiday and run your credit cards to the limit, you don’t really want to know anyway. If you must know, right.  Metastatic cancer tends to appear in lungs or major bones.  Either can be asymptomatic for quite a long time, lung may appear as shortness of breath or as a dry persistent cough.  Bone will usually be an arthritis-like ache, but usually in major bones like spine or hip, not in extremities like fingers where arthritis often occurs. Sometimes it can be an unexpected fracture.  The main characteristic feature of cancer is that the problem is resistant to treatments, persists for a long time and slowly gets worse over months. If you do have a worrying symptom, the first place to take it is your general practitioner, not your oncologist.  Most likely it is not cancer related, and the wider range of experience of GPs is much more likely to be useful in diagnosing and treating the problem.  In my experience oncologists tend not to be very good at diagnosing basic symptoms anyway, they specialise in fixing what has already been found. Tim Jackson

– Hide quoted text — Show quoted text – I think all my lurking has me paranoid, because every time I start reading post I think that every ach and pain is cancer. I have been have some abdominal paid and strange twinges in my arm on the side I had my reconstruction. I also had a pain in my wrist months ago I had that checked out and discover that it was from lifting the baby. I’m also bruising allot, on my legs. I lead a very active life but every dam ach and pain is cancer…I keep reading about people that had had the cancer come back so now I’m terrified. How will I know if its back? When will I quite freaking out about my body. Are we not entitled to normal aches and pains that people with out caner have. Before my diagnosis I would not have thought twice about these things but now I feel like I’m walking on egg shells when it come to my body. I take tomaxifin and vitamins and eat good food, no pop no junk food. I drink wine with dinner some times but that’s all the alcohol that will agree with me. Pulse I don’t believe that wine causes cancer…Any words of wisdom would be great… Love Mateja

Response:

Thanks Alex, I just don’t want to run to the onc for every little thing but your right peace of mind is worth it. I have a friend that had shingles not fun at all.. I have a appointment with my OBGYN next month and I’m sure just having a pap and breast exam will help..Thanks for the words of wisdom, I’m coming up on my one year anniversary, it goes by pretty fast.. Mateja

– Hide quoted text — Show quoted text – It is a constant battle not to think every ache and pain is the cancer returned. In reading posts, try to remember each person is different. I am 6 years out and continue with this fight not to over react. . In September I had horrible back pain . my first thought it was the cancer in my bones. It wasn’t until a rash appeared( it was the shingles) that I new it was a virus and not the cancer. It’s weird how one rejoices with the thought of shingles. Follow up with the doctor- it will give you piece of mind. You body has had tremendous stress and changes  ( childbirth and cancer).  You are doing great ! I will tell you it does get better as time goes on.  As yes, you are entitles to many normal aches and pains…and to enjoy life. Alex I think all my lurking has me paranoid, because every time I start reading post I think that every ach and pain is cancer. I have been have some abdominal paid and strange twinges in my arm on the side I had my reconstruction. I also had a pain in my wrist months ago I had that checked out and discover that it was from lifting the baby. I’m also bruising allot, on my legs. I lead a very active life but every dam ach and pain is cancer…I keep reading about people that had had the cancer come back so now I’m terrified. How will I know if its back? When will I quite freaking out about my body. Are we not entitled to normal aches and pains that people with out caner have. Before my diagnosis I would not have thought twice about these things but now I feel like I’m walking on egg shells when it come to my body. I take tomaxifin and vitamins and eat good food, no pop no junk food. I drink wine with dinner some times but that’s all the alcohol that will agree with me. Pulse I don’t believe that wine causes cancer…Any words of wisdom would be great… Love Mateja

Response:

Mamogram question

Question:

Hello, my wife was diagnosed with B/C with mets to liver two years ago. She had chemo and has been taking Arimidex for the past year without any problems. All CT scans indicate the tumor in liver shrunk to a very small size. The doctor can not feel the tumor that was in her breast after chemo sessions and still can’t. Tumor markers are normal. Her one and only mamogram was when first diagnosed. Now her ONC has scheduled her for a momogram. We asked why and he said he just wanted to see if anything was there. I am wondering why? He did say the CT scans she has had of her chest would not pick up anything in the breast. Why would he wonder about the breast at this stage?

Response:

I think this is a positive sign, normally after the cancer Dx, one has mammongrams to dectect recurrence or a secondary  new breast cancer. It seemes now that the dust is settled and your wife is responding – the doc wants to check to see that there are no new surprises. But I would also ask why… Alex

Response:

<< Why would he wonder about the breast at this stage?   One can have a local recurrence to the breast, and it is important to monitor for such.  

Response:

<< Why would he wonder about the breast at this stage? One can have a local recurrence to the breast, and it is important to monitor for such.

Please don’t be worried. I think it’s a positive move. I have annual mammograms and shall be sorry when they’re not automatic. Not that I enjoy them of course :-) But if there’s anything there I want it to be seen so that something can be done about it. Mary

Response:

<< Please don’t be worried. I think it’s a positive move. I have annual mammograms and shall be sorry when they’re not automatic.   Mary, I wasn’t the one who questioned it (not sure if you thought that or not — or that was just the way the quote came out.  I concur with what was done.

Response:

<< Please don’t be worried. I think it’s a positive move. I have annual mammograms and shall be sorry when they’re not automatic. Mary, I wasn’t the one who questioned it (not sure if you thought that or not — or that was just the way the quote came out.  I concur with what was

done. I’ve no idea :-) It’s very easy to get confused but I was really replying to the poster who WAS worried. Mary

Response:

Implications of micrometasisis?

Question:

The reassurances are greatly appreciated. Ken

Response:

- Hide quoted text — Show quoted text – Thanks for the replies, Raoul and Tim. I had the specialist go over the path report with me today, and his estimate was that a woman of my wife’s age (28) has an 80-85% chance of having no recurrence.  I can live with those odds, I guess, but what alarmed me was that if the cancer reoccurs somewhere else (my wife is having a bilateral mastectomy), then the treatability of that cancer is poor.  Meaning that if the cancer reoccurs, she will probably die.  His comment was that the futility of dealing with reoccurrence "is the real story of breast cancer." I asked about being vigilant so that any reoccurrence could be detected early, but the doctor said that detection is good, but again, breast cancer is very hard to treat. Disappointed, Ken

80-85% is still pretty good.  Considering that only a few decades ago breast cancer was effectively a death sentence, we’ve come long way. Also, we can be thankful that our wives’ cancers were detected in time to give them a fighting chance. As someone said to me once, you shouldn’t mourn for the living. — Please reply to raoul at xenon dot triode dot net dot au

Response:

Ken, 80-85% is fantastic. It is true, though, that most likely your doctor will say that a yearly chest x-ray and some bloodwork will be more than enough follow-up. Yes, it is true that if the cancer shows up somewhere else that it is not considered to be curable. However it can be controlled for a very long time, depending on where it is. And catching it early makes no difference in the treatment or outcome, which is why being extra-super-vigilant (having lots of expensive tests every year) to see if the cancer is anywhere else is something most doctors won’t do. Quite often, if there are going to be mets (cancer elsewhere) it is diagnosed because of symptoms the patient will have. Thus, the one thing you can do is familiarize yourself with those possible symptoms (see Dr. Susan Love’s Breast Book). If your wife has bone pain that is steady throughout the day and does not respond to pain relievers, or if she loses weight for no reason, these would be the sorts of symptoms that would warrant tests like bone scans and MRIs. These are hard facts to have to learn to live with. But it can be done. You will find over time that the vigilance, the constant worry, will ease, and you’ll find yourself slowly thinking about other things besides cancer. Just give it time. Just keep reminding yourself that 80-85% is wonderful. –Alice

Response:

Thanks for the replies, Raoul and Tim. I had the specialist go over the path report with me today, and his estimate was that a woman of my wife’s age (28) has an 80-85% chance of having no recurrence.  I can live with those odds, I guess, but what alarmed me was that if the cancer reoccurs somewhere else (my wife is having a bilateral mastectomy), then the treatability of that cancer is poor.  Meaning that if the cancer reoccurs, she will probably die.  His comment was that the futility of dealing with reoccurrence "is the real story of breast cancer." I asked about being vigilant so that any reoccurrence could be detected early, but the doctor said that detection is good, but again, breast cancer is very hard to treat. Disappointed, Ken

– Hide quoted text — Show quoted text – Hi all – My wife has just had a mastectomy to remove a malignant 1cm tumor from her right breast.  The inital examination of the lymph nodes during the procedure showed no cancer cells in the lymph nodes.  Upon further examination of the lymph nodes by the pathology lab, however, a 1.5mm micrometasisis was found in one node.  The surgeon says this pathology report is actually a good one.  His reasoning is that the lymph nodes are an imperfect indicator of metasisis, and such a small detection is statistically very close to "clean" nodes. I know that this report is not as good as a node-negative report, but how bad or how good is it?  I know that there are no guarantees, but what kind of likelihood of reoccurrence am I looking at?  I’m very concerned for my wife and I’d like to have a sense of how concerned and vigilant we should be in the future. Thank you, Ken

Response:

- Hide quoted text — Show quoted text – Hi all – My wife has just had a mastectomy to remove a malignant 1cm tumor from her right breast.  The inital examination of the lymph nodes during the procedure showed no cancer cells in the lymph nodes.  Upon further examination of the lymph nodes by the pathology lab, however, a 1.5mm micrometasisis was found in one node.  The surgeon says this pathology report is actually a good one.  His reasoning is that the lymph nodes are an imperfect indicator of metasisis, and such a small detection is statistically very close to "clean" nodes. I know that this report is not as good as a node-negative report, but how bad or how good is it?  I know that there are no guarantees, but what kind of likelihood of reoccurrence am I looking at?  I’m very concerned for my wife and I’d like to have a sense of how concerned and vigilant we should be in the future. Thank you, Ken

Look at it this way: it indicates that in the cancer hasn’t been in her body long enough to create a full blown met in her lymph nodes. This means that in all probability, the cancer hasn’t been in her body long enough to create a met elsewhere.  However, there is still a small chance that it may have done so.  Even people with clear nodes may have micro mets elsewhere, possibly carried by the bloodstream. As you say, there are no guarantees.  But life never gives you guarantees anyway. The likelihood of recurrence depends on her age, on the aggressiveness of the cancer, it’s responsiveness to oestrogen, on whether she chooses to have chemo and/or tamoxifen, so only your doctor can give you the exact odds. How concerned and vigilant should you be?  Well, you should be concerned and vigilant, but the important thing is also to be able to learn to live with that concern and vigilance without it ruining your life.  A small amount of vigilance will help you detect any recurrences early.  But too much worry will ruin your lives.  At this stage, it sounds like she has no known mets (aside from that micro met on that node), so always keep that in mind. I am in the same boat as you are, I have a wife who’s had cancer.  I know that all this is easier said than done, I too have to struggle with putting too much worry out of my mind.  But there are no quick fixes to our predicament, so the best we can do is just hope for the best, accept the risks, and live our lives as best as possible. — Please reply to raoul at xenon dot triode dot net dot au

Response:

The 50/50 level for lymph nodes indicating distant mets. is generally reckoned to be about four. I guess you could call hers one half, so as you say, not as good as none, but still well on the good side and not indicative of anything very much. Main tumour size, age, ER status etc. are probably more useful prognostic factors in this situation. Tim Jackson

– Hide quoted text — Show quoted text – Hi all – My wife has just had a mastectomy to remove a malignant 1cm tumor from her right breast.  The inital examination of the lymph nodes during the procedure showed no cancer cells in the lymph nodes.  Upon further examination of the lymph nodes by the pathology lab, however, a 1.5mm micrometasisis was found in one node.  The surgeon says this pathology report is actually a good one.  His reasoning is that the lymph nodes are an imperfect indicator of metasisis, and such a small detection is statistically very close to "clean" nodes. I know that this report is not as good as a node-negative report, but how bad or how good is it?  I know that there are no guarantees, but what kind of likelihood of reoccurrence am I looking at?  I’m very concerned for my wife and I’d like to have a sense of how concerned and vigilant we should be in the future. Thank you, Ken

Response:

Hi all – My wife has just had a mastectomy to remove a malignant 1cm tumor from her right breast.  The inital examination of the lymph nodes during the procedure showed no cancer cells in the lymph nodes.  Upon further examination of the lymph nodes by the pathology lab, however, a 1.5mm micrometasisis was found in one node.  The surgeon says this pathology report is actually a good one.  His reasoning is that the lymph nodes are an imperfect indicator of metasisis, and such a small detection is statistically very close to "clean" nodes. I know that this report is not as good as a node-negative report, but how bad or how good is it?  I know that there are no guarantees, but what kind of likelihood of reoccurrence am I looking at?  I’m very concerned for my wife and I’d like to have a sense of how concerned and vigilant we should be in the future. Thank you, Ken

Response:

general questions

Question:

mimi..hi dear… I wore the sport type stretchy ones [i.e exercise type bras/minus the exercise of course] the whole time I was going through radiation. I did get burns about 1/2 way through and just laid gauze pads inside over burned area with creme applied first. I was feeling the same way you were.."no bra for 6 weeks??? I dont’t think so people!!! We need a plan here!!" Hope this helps abit….they have some really comfortable ones that won’t bother you too much. take care annie   "….I will age ungracefully until I become an old woman in a small – - – - – - – - – - – - – - – - – - – - – - – When life seems unfair ~~ remember "Reach up as far as you can…and God will reach down the rest of the way"     ~annie~