Having difficulty making decision

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  • amberyba
    amberyba Member Posts: 608
    edited January 2009

    Carol, you are a dear...i believe it is bidy mind and spirit to...I will try to look into Dr. david's book. thsat is a very amazing testimony.

    God bless all!

    Amber

  • carol1949
    carol1949 Member Posts: 562
    edited January 2009

    Anticancer: A New Way of Life (Hardcover)
    by David Servan-Schreiber (Author)

    I copied this from Amazon.com.  I noticed also there are a couple of utube videos of him, though I didn't view them.

    Thanks, AmberLaughing  I try to be as inspirational to others as my friend has been to me!  Since you found her testimony uplifting.. I will share a little more.  It is on some other subjects.. but I don't remember which ones!

    I have known my friend since kindergarten and I am 59!  We had lost contact, but reunited at our 40th class reunion, Sept of 07.  I was dx w/ bc in April of 08 and when I told her.. she said, I had cancer 10 years ago and if you would like me to share my story, I will!  She had lost her sister to bc 20 years ago, and also her dad to cancer.  She witnessed their tx, though we all know it has improved... she said if it ever happened to her she would "find another way"  When she was dx, she had a very bad experience in our small upstate NY town and said they spoke to her as though she didn't have long for this earth!  She said she prayed just that thought...to find another way.... went upstairs and saw an ad for Cancer Treatment Centers of America.She called them the next morning and made arrangements to go there.  They did a 2nd surgery, and still suggested chemo and rads, but when she went for her first chemo tx, one thing led to another and she was there a long time when she said, never mind... I am not going to do it!  They directed her to their spiritual counselor who immediately gave her a copy of The Artist's Way by Julie Cameron and then to the nutritionist who armed her with much knowledge that she did!  Over the years, she said she did see counselors and medical intuitives, went to sweat camps etc. but the rest is history.  Currently she takes a blue green algae supplement from some place in Oregon  I think it is called Simplexity Health...and also bone up from Life Extension.  I'll tell you  what!  People can say what they want... but 11 years cancer free sure speaks to MY heart!  

    Peace and Health to all

  • peeps1111
    peeps1111 Member Posts: 262
    edited January 2009

    Spring:

    Hope the walking works for you.  I've been walking almost every day for years and swimming every other day for 11 yrs. and I still got bc.  Had early menopause, breastfed both kids, no real risk factors except slightly overweight.  I am so up in the air over taking tamoxifen or arimidex, I popped in here. 

    Peeps

  • runner4life
    runner4life Member Posts: 54
    edited January 2009

    I just spent the last two evenings reading through the "I Quit" thread here on this site where I found a wealth of information and links about the many alternatives to Tomox and AI's plus a great reading list of books that deal with this very topic. 

    I was supposed to start Tomox a few weeks ago but everything in me is telling me I need to understand this more fully.  Five years is a long time to be on a drug... I think I need to take a few weeks (or even a few months) to learn a lot more about ALL the options.

  • anondenet
    anondenet Member Posts: 715
    edited January 2009

    My dear Runner,

    I am so impressed! You actually are going to spend months to find out what you can about a traetment than can have life-altering effects. That is so refreshing. Most people just "go along," thinking their onc must know what he/she is doing. Or they brag that they took "weeks" and that was that.

    It takes months just to learn the terms in the studies like relative risk (NEVER pay attention to relative risk) vs absolute risk and survival value.

    They don't understand you can learn more than your onc about Tamox because your doc just recommends the official guidelines. Those guidelines are consensus-based (they voted) as opposed to evidence-based. Be prepared to get a lot of blank stares from your docs when you tell them there is not enough convincing evidence if you look at the studies.

    You, go, Runner!

    Anom

  • runner4life
    runner4life Member Posts: 54
    edited January 2009

    Thanks Anom! and to everyone who has opened my eyes on this site.

    While I admit I did go along with my Onc up until this point (mostly because I was too sick, tired, and just too scared), for several reasons, I am not feeling good about this hormone therapy.  I am not saying that I am not going to try some form of hormone therapy.   I am just realizing that I am just one of many patients and that my doctor is human and I need to learn a lot more than my doctor can tell me in a 30 minute visit.

    One of the things I learned this week is that Tamox can cause uterine cancer.  I take that VERY seriously.  It is anti-estrogenic to the breast while at the same time, acting as an estrogen to the uterus.  That means while it counters breast cancer recurrence, it promotes uterine cancer and the growth of fibroids. While this won't happen to all women it will happen to some.  Before BC, I spent the last 15 years dealing with this very issue.  I want to live and  I do not want another round of BC but having said this, I am not looking to trade one cancer for another. 

    Relative risk vs. absolute risk and survival value just got added to my list of terms I need to understand better!  Thanks!

  • runner4life
    runner4life Member Posts: 54
    edited January 2009

    Sorry.  There are lots of different perspectives on this and  I was just shocked when I read about this.  I don't want to offend anyone.

  • amberyba
    amberyba Member Posts: 608
    edited January 2009

    Carol, that is an inspiring story....I  met a lady who runs the bread store here, who shared a similar story...she had surgery...couldn't afford chemo or tolerate the effects, put it in the lords hands and has been cancer free for quite a while.

    Runner, iam with you on the adverse effects, the uterine cancer though rare is a concern...and the liver effects had me even more concerned. My BC diagnosis is similar to yours, did you have the oncotype dx done. I scored a "7". which meant if I took tamoxifen, I had a 7% chance of recurrence....I have a 25% chance of recurrence if I don't take it based on adjuvant....It is something I think about...and this coming Friday I will have my first mammogram post diagnosis.

    I read alot on "I Quit" too.

    Anom, you always make me smile!

    hugs and happy thought in Jesus,

    Amber

  • Springtime
    Springtime Member Posts: 5,355
    edited January 2009

    Carol,I am in the middle of David Servin Schreiber's book. When you read "Beating Cancer With Nutrition" by Dr. Patrick Quillin, did you find there to be synergy with the diet and food recommendations with Schreiber's book? Just curious.

    Holly and Peeps, I was active too, and not overweight, didn't smoke, etc etc., and I also got cancer. I've heard recently with 1 in 8 women getting breast cancer, there are many with "no risk factors" because it is so prevelent now. (I didn't have a family history either, I am the first in my family to ever get any type of cancer!!!!)

    I am gong to try these complementary procedures, I figure, what do I have to loose? Or maybe, I don't like thinking there is nothing I can do, that it is all beyond my control. ha!  Carol is right, the Doctor's don't seem to emphasize the Body Mind Spirit angle, but I think there is something there - I always have, especially since starting Yoga!  Laughing  I figure, it can't hurt to eat better (less sugar, more plants less animals), exercise, and strive for serenity as well as any medical stuff we may or may not do. I have found since hearing about this exercise angle, I am much more diligent and committed to my exercise, even in the cold weather!

    Carol, I will look up the other book ask well. Thx!

    Runner, I too have to decide about Tamoxifin or the AIs. Can you share what you've learned?

    God Bless, yes. 

    Spring...

  • karen1956
    karen1956 Member Posts: 6,503
    edited January 2009

    HollyAnn - Like you, I did everything "right" - breast fed my 3 kids (over 1 year each), active, ate healthy, not over weight etc, etc and I still got BC.  Its not that if you do all the things you won't get BC, it just lessons the "risk" so to speak. But walking (exercise), eating healthy, good weight are all things that minimize odds of re-occurance, but don't guarantee...but then again, remember these are all things that are healthy and good for you.  Exercise provides many benefits - helps with stress, helps with my sore joints from AI's.  My goals is to feel good (physically and mentally), be healthy and hopefully reduce my risk of mets.

  • Yazmin
    Yazmin Member Posts: 840
    edited January 2009

    LJ13 wrote:

    Cathie, good luck. It seems you only wanted validation of your choice, not information.

    By the way, there is no side effect worse than recurrence. Personally, if Tamoxifen or an AI would help me, I'd take it. These drugs have been proven in large, multi-center, randomized clinical trials. That's proof that it works.

    Yes, LJ13: there is, indeed, proof that Tamoxifen works ----------- for about 1 percent of the patients. See: Pharmaceutical companies always give their recurrence reduction figures in RELATIVE statistics, never in ABSOLUTE STATISTICS. For good reasons, so: a 43 percent risk reduction in relative statistics translates into a 1 or 2 percent absolute (or real) benefit. I know, I know, this is really sad. That's why I feel we need to lobby our representatives for statistics to be given in absolute terms in the future. Here is more on relative versus absolute:

     http://www.annieappleseedproject.org/relrisverabr.html

    You can also take a look at these interesting threads:

     http://community.breastcancer.org/forum/78/topic/700666?page=1#post_833118

    http://community.breastcancer.org/forum/16/topic/697372?page=2#post_825582

    More on absolute/relative:

    http://www.drweil.com/drw/u/id/QAA400113 (Dr. Weil is discussing relative statistics on another disease, here, but it applies to BC as well)

    http://jco.ascopubs.org/cgi/content/full/21/23/4263

    http://www.newswithviews.com/Ellison/shane17.htm

  • runner4life
    runner4life Member Posts: 54
    edited January 2009

    Yazmin-  Thanks for this info.  So that means most people are hearing that 43% risk reduction and believe that the medication lowers their chance by that amount because there is no clarification;  I am getting it right?  That is so misleading.  So when I go in to my onc on Thursday and ask her to clarify whether the statistic is relative or absolute is this when I get the blank stares that anomdenet was referring to?!?

    Springtime- I was referring to the information about uterine cancer but my search started on the "I Quit!" thread where there was a lot of other really great information (indole 3 carbinal, grapeseed extract, the idea of cutting the pills in half as a way to get acclimated [with docs approval], diet and suppliment info... too much to go through here), links, articals and a reading list about the risks and alternatives to hormone therapy.  I am sure I could have found a lot of this on my own if I kept digging long enough but since I am still at the beginning of my quest for knowlege, it was nice to find so much in one place. 

    Karen1956- You are right.  I too was doing the "right" things so getting BC has been a bitter pill to swallow.  However, now, excercise and diet mean more to me than ever.  When I hit my lowest point last year during treatment, my doctor wanted me to go on antidepressants, I decided instead to turn to diet and excercise and used it to pull myself back out of the black hole.  For me it worked.  It is pretty hard to feel sad when those pounds melt away, and your skin starts glowing, and you know you are in the best shape of your life.  This is one of the many reasons I lay awake worrying about hormone therapy- joint pain- hopefully I will be one of the lucky ones this time.

  • carol1949
    carol1949 Member Posts: 562
    edited January 2009

    Ladies, It is certainly "more" of a journey than any of us would have asked for.  However  I also know that we all  are guaranteed nothing more than this moment of this day in time.

    I understand the inclination to worry, yet then I realize "for what".  We can do what our hearts lead us to and research our hearts out... and of couse, ultimately have faith and hope!

    May God's peace, love and health flow to us in avalanches of abundance.

    Yazmin mentioned some very good resources.

    Springtime, there is much similarity in Dr, Quillin and Schreiber, however, I feel Quillin's is more precise and directive.  He also prioritizes which supplements one should take when $ is a concern.  For the most part... almost every resource I have been led to indicates cutting out most red meat and eating more fresh and organic type foods. I am not a fanatic, so I try to do the best I can.. and just not over indulge.

  • Yazmin
    Yazmin Member Posts: 840
    edited January 2009

    runner4life: to answer your question: yes, that could very well be the reason for those blank stares in your doctor's office. Wink

    Also: please check out the attached report from the highly reputable International weekly journal of Science. This article is being circulated within my support group by the group leader (who, I shall point out, is a Registered Nurse and not at all a fan of Alternative Medicine). Our group facilitator felt compelled to provide us with this information because this research seems to show that Tamoxifen may not only be ineffective on HER+ tumors, but might actually be ACCELERATING those tumors. As a result of this article being circulated, one of my fellow support group members discussed it with her oncologist who appeared immensely embarrassed during their face-to-face and took her off Tamoxifen (she is HER+). That doctor was aware of the report, but had her on Tamoxifen because.................that's what the protocol still says.

    http://www.nature.com/nature/journal/v456/n7222/full/nature07483.html

    Choices are difficult, indeed.

  • runner4life
    runner4life Member Posts: 54
    edited January 2009

    Yazmin-  Your timing with this could not have been more perfect as I am going in tomorrow for my appointment about the hormone therapy.   I have been a wreck all day and this article makes me feel like I am going to throw up... but I am GRATEFUL that you put it out there and it is sitting on the top of my packet of questions that I will be bringing with me tomorrow.   

  • Yazmin
    Yazmin Member Posts: 840
    edited January 2009
    runner4life: You go, girl. You make your own decisions. Good luck with your appointment.Smile
  • thomcat
    thomcat Member Posts: 356
    edited January 2009

    I was dx'd with IDC back in 8/06......along the whole journey it's been "having difficulty making decision" the entire way.  Surgery, chemo, tamoxifen, hysterectomy, AI's.....on and on.  I think it's the nature of the beast. 

    I, too, am "having difficulty making decision" on AI's.  I took Tamoxifen for 11 months but discontinued it based upon recommendation from my oncologist because it was causing my white blood count to go down (developed pneumonia, as a result).  The next decision was to have an ooph which resulted in a hysterectomy.....wasn't all that bad....but then I thought that I would take an AI and all my problems would be solved.  Well, Arimidex SUCKED because it caused lots of bone/joint pain, edema in my feet/ankles, face and mastectomy site, in addition, to making me extremely fatigued.   How in the world could I possibly exercise to prevent recurrence when I felt really crappy and was gaining weight while taking the drug?  Next, I was prescribed Aromasin.  The se's are less severe (as of now) than with Arimidex but I do feel like an eighty something woman because I have discomfort in my joints and heels plus my hair is thinning (a known se from Aromasin).  I have an appt next week with my oncologist to discuss all this.,........I'd love to do the alternative route but it requires strict discipline and I do try with green smoothies, exercise, eliminating stress, etc but it's a challenge. 

    I'm rambling but my point is that this whole journey is a personal one whereby each of us have to make our own treatment decisions once we're given all the options.  The next step is to feel comfortable with the decision and never look back......,therefore, I completely understand that ALL of us are "having difficulty making decision".  It's not so black/white.....extremely gray, in my opinion.

    Good luck to us ALL!

    Cathy

  • Yazmin
    Yazmin Member Posts: 840
    edited January 2009
    •  
      •  
        •  
          • thomcat wrote:
          • How in the world could I possibly exercise to prevent recurrence when I felt really crappy and was gaining weight while taking the drug?  Next, I was prescribed Aromasin. 

    And I am saying: AMEN. Faced with the dreadfully low ABSOLUTE statistics benefits from both the SERMs and the AIs, I decided to do none. I am faithfully doing very high-impact aerobic exercise plus weight lifting every two days,..... and no slacking. I am practicing what I consider "dietary excellence" (sorry, I realize that this sounds kind of hugeCool and lofty, maybe pompous, but I don't mean it that way). Anyway, I am feeling BETTER than I did when I was 24 years old (could not care less about diet, back then). I have lost a lot of weight and am able to dress in cute, tight-fitting, color-coordinated business suits and skinny "little black" dresses. Of course, I spend hours and hours on the net researching any supplement or new food that I am planning to incorporate in my diet. I am feeling upbeat and happy. I sleep really, really, well and wake up totally refreshed and very happy (Oh, what a beautiful dreary day...). But that's not the good  news.

    The good news is that my GYN, my General Practitioner, and my Onc all agree that "whatever I am doing," I am doing great. So just keep going. I am 3 years out. In another 2 years, God willing and fingers crossed, I am not setting foot in an Onc's office anymore........if I keep doing this fantastic. Fingers crossed and lots of prayers.

    I wish everybody on this Board who is not feeling so great to start feeling the same way I do. And thomcat, you are right: making decisions is so personal that there is no right or wrong way to do it. There is certainly not a single way to do it.

    So: to our pinkiest of health. All of us here.

  • thomcat
    thomcat Member Posts: 356
    edited January 2009

    Yazmin:

    It's great to hear how well you are doing!!!!   Keep on doing what you're doing!

    Cathy

  • anondenet
    anondenet Member Posts: 715
    edited January 2009

    Thomcat,

    Your story breaks my heart. We are learning Tamox and AIs can be disablingly toxic. If you are looking and feeling haggard on the inside/outside, what is it doing to your vital organs such as heart liver, lungs?

    I still haven't found the overall survival advantage statistics on AIs. I do know the drug company cooked the books when revealing the report to the National Cancer Institute a few years ago. So the company had to revise the report.

    And as we know, many breast cancer patients have died taking AIs and Tamox til their final day.

    And you, go Yazmin! You are an inspiration.

    Anom

  • EWB
    EWB Member Posts: 2,927
    edited January 2009

    I don't know if I could not take AIs since it is helping me a lot, but I am very careful w/diet and I believe it makes a HUGE difference.  I find I am able to help support body and organs and there by tolerate the drugs a bit better.  I also do a lot w/relaxation, meditation etc, again to help support my body.

    Be well all...Elaine

  • Yazmin
    Yazmin Member Posts: 840
    edited January 2009

    Dear EWB:

    I am happy that AIs are helping you so much. And there is no doubt in my mind that your diet/relaxation/meditation are at least some of the reasons why the drugs are working out for you.

    Please be well, too.

  • Cheryl60
    Cheryl60 Member Posts: 46
    edited January 2009

    I think i am suffering from Post Traumac Stress...this has been a really Hard week for me...I've only been on Fermera for 3 1/2 weeks, but am experiencing alot of the SE's...like hot flashes, night sweats, fatigue and bone and joint aches and according to my hubby, i'm turning into a cranky old woman!  Oh Lord!  Flash back 10 years ago when i entered menopause and now re-doig it!  Why? 

    I've been on this 'fast track' for the last 5 1/2 mos...diag. 8-13-08, 1st lumpectomy 8-30-08, 2nd surgery 9-10-08 for clearer margins..started rads 10-30-08 finished 12-16-08 and started Femera 1-1-09.  I feel sometimes like i've gotten the bums rush and i NEED to take a big deep breath!

    Have any of you stopped the drugs after the 1st month and stepped back and re-evaluated your situation?  Sometimes I feel that's what i need to do...I just dont know...Everything is soo darn confusing anymore.

    I seen my gyno yesterday and he, so far, has been most helpful with info..he's doing labs on Vit D levels, Thyroid levels, diabetes and cholestrol...maybe there's something else going on and i need to address them also along with the darn BC...Ugh...Help!!!! I'd appreciate any info for you guys...Thanks, Cheryl

  • EWB
    EWB Member Posts: 2,927
    edited January 2009

    Yazmin- I truly believe that the extra things I am doing make a big difference in how I feel and how treatment is working.  The less stress I place on my body, the more support I give myself ----- physically, emotionally, mentally ---- means more energy to fight and deal with the disease.  Since I am stage 4 (was at dx) I want to do everything possible to extend life AND improve QOL.

    Sweet dreams to all...Elaine

  • runner4life
    runner4life Member Posts: 54
    edited January 2009

    So I went to my appointment today with my onc to discuss hormone therapy/tamoxofin, all the reasearch I have been digging up- especially the artical that Yazman posted as well as looking at my suppliments and going over what is OK and what might counteract what the Tamox is trying to do. 

    My onocologist spent 4 hours with me and my husband.  She not only went over Yazmin's article about tamox resistance, but she also brought up another study that showed that some patients are not able to process tamox in a way that is useful and it therefore does not help them either.  There is currently no way to test for the erbb2 gene problem, however there is a test (cyp2d6 test) for this other study she mentioned.  This test is usually done on people who are showing no symptoms (hot flashes etc.) to the tamox as this would show they are not processing it correctly.

    For me, the tamox reduced my risk for recurrance by 8%...  Now I am thinking about trying it to see if I even have any of the s/e's... but I still have a lot more reading to do on all this. 

  • new_becca
    new_becca Member Posts: 5
    edited January 2009

    Hi, Cathie

    I've been through the same exprience a few years ago. At first I was so afraid to have all the medical treatments, I tried to find some alternative medicine. And I found some Chinese Healing Herbs for breast cancer. Herbs that may be helpful are black cohosh, chasteberry, dang gui, dong quai, wild yam and soy. These herbs are typically administered orally (in pill form). Your medical provider will determine the dosage based on your weight and tolerance.Try to get a second opinion that available in your area and I recommended this site that may help you with the information www.talkaboutcancer.cn

  • Yazmin
    Yazmin Member Posts: 840
    edited January 2009

    runner4life: Glad you are able to make your own decisions (that alone is empowering).

    new_becca: Thanks for the website

    Cheryl160: there is a lot of info available on this site and others that, I hope, will help you get past the stage that you are at....But perhaps what you really need is a live, regular support group?

  • dlb823
    dlb823 Member Posts: 9,430
    edited January 2009

    new-becca ~  I notice that you've mentioned that referral website in every one of your 5 postings to date, and I'm just curious if you are personally connected with it????  

  • Cheryl60
    Cheryl60 Member Posts: 46
    edited January 2009

    Thanks Yazmin for the good thoughts...I KNOW this is a long journey, and realively speaking, I'm a newbie...so I know there's alot in front of me.  My tendancy is to have things happen NOW or 3 minutes ago! hahaha...Patience is a definate tool i have to work on!  I am however, learning alot from reading the postings on this website.  Knowledge is definately power!

    Cheryl

  • Yazmin
    Yazmin Member Posts: 840
    edited January 2009
    Cheryl60: Indeed, we are all in this for the long haul. No wonder you are feeling that way: you are, as you put it yourself, a newbie. You are not yet used to being a cancer patient. I remember thinking: What? Me, cancer? But cancer is for others! This is not for me..... Then I realized that it is not a death sentence. Please keep on and keep on Cool And if you can find a local support group, I personally feel that makes a HUGE difference.

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