Regret

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I have experienced much emotional pain as a result of my decisions regarding my treatment. I am just wondering if I am alone in my regret, so I have a question to post:

What, if anything, would you change if you could do a "redo". (Sorry but "not getting cancer in the first place" is not an answer.)

Would you try some other avenues before you went to surgery, chemo or rads? Do you feel (in hindsight) that you made the correct choice? Do you feel that you were pushed (scared) into your treatment by the docs and nurses? Do you wish you would have done something different? And if so, what?

If you wish that you had gone a different path, how do you cope with your regret? Do you ever feel that you are losing your mind?

Thanks in advance for your replies.

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Comments

  • spar
    spar Member Posts: 36
    edited September 2009

    I regret that I didn't have both breast removed since I have found out invasive lobular often comes back in the other breast and it is hard to diagnose because it doesn't show up on mammograms. I probably would have had reconstruction a couple of years sooner if I had known how much better it made me feel about myself.

  • Abbey11
    Abbey11 Member Posts: 335
    edited September 2009

    I often regret choosing not to do chemo.  I had oncotype scores of 14 and 19, and my nodes were negative, so all the oncologists said that they couldn't recommend it, but would give it to me if I wanted it.  Well, who wants chemo??  I said no thanks, but since have met many survivors and they have ALL done chemo.  Now I'm scared that I made the wrong choice.  I just hope the tamoxifen does it's job.

    I used to counsel students applying to college.  Whenever they had to make a difficult decision about what college to attend, I always told them, "Anytime you make a decision you have regrets.  Make the decision you'll regret the least."  I'm not sure I followed my own advice in this case....hope the decision doesn't kill me. 

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

    I regret not going to UCLA (the major hospital in our area that many people raved about and told me to go to) sooner, because I might have avoided a second surgery and not had my tx so dragged out.  On the other hand, I like to believe that things happen the way they're supposed to, so I try to find the good in situations where, ideally, I wish I'd done something differently.  

    Looking back and re-evaluating past decisions based on information or insight gained after that decision was made is unreasonable and setting yourself up for unhappiness.  You need to realize that you did the best you could at the time with the information you had.  We would all go crazy if we constantly second guessed our past decisions based on our current knowledge and emotions.   I guess I would also ask, depending on what you regret, if maybe those feelings can be channeled into a postive action now?       Deanna

  • Dawnbelle
    Dawnbelle Member Posts: 696
    edited September 2009

    I regret not getting a second opinion before I had a Mx. I also regret being so emotional, instead of doing another biopsy when the MRI showed another "area of suspect"....I just had them do a Mx. It was a false positive, but there was DCIS undetected by mammo, ultrasound & MRI in my nipple, so Mx was a good choice. I regret not getting a second opinion because he did the Mx without a plastics consult & now I am straight to implant B cup Mx side & DD on the right.

    IT is a HUGE difference, I have a pic on TimTam's site if you doubt me!

    I did get 3 opinions on reconstuction, so I learn ;)

  • Dejaboo
    Dejaboo Member Posts: 2,916
    edited September 2009

    I would change a few things.

    But I dont really regret anything I did.

    I thinal ALL of us made the best decisions at the time...With the info we were given.

    I think the Medical Community is at fault for not helping newly DX patients  & giving them ALL of their options...Not just the option that that Dr Thinks is best.

    ( I had a Lumpectomy Even when I knew I wanted a BLM- My BS didnt believe me...And thought I would change my Mind...I did not change my mind....Instead I have an extra- Keloid Lump Scar...He was Against MX)

    Try not to be too hard on yourself.  And forgive yourself...Really At an Emotional Scary time when one is 1st DX...We do the best that we can.

    Pam

  • Isabella4
    Isabella4 Member Posts: 2,166
    edited September 2009

    I regret very much not doing chemo.

    My pathology stated 'extensive vascular invasion'

    My Onc knew exactly what that meant, at the time it was double dutch to me. I was told chemo was 'hard' and as I was stage 1 I 'didn't need it'. My breast care nurse told me 'it's never going to come back' .....and I looked at them with big eyes, and believed them...after all they were the professionals.

    When I saw the light, and realised the implications of 'extensive vascular invasion' I was straight back at the Onc, but I was out of time to have chemo. I can't forgive them for letting me believe all was safe.

    Isabella.

  • mrsb45
    mrsb45 Member Posts: 122
    edited September 2009

    I regret not getting chemo  and MRI with first dx.. Had 2 lumpectomy's with 7 weeks of radiation and tamoxifen. Was stage 1 grade 2 and told only 1% chance of recurrance with this treatment plan. Well 10 months later mammo showed a density in area of lumpectomy's so had a MRI which showed 3 new area's , had wire bx. with ultrasound and same cancer again. So had BMX with diep reconstruction on L and implant on R. Oncotype came back with a score of 39 so currently having AC x4 and Taxol X 12. I wonder if these 3 area's were there 1st time around but not seen because only showed up on MRI. But as stated above we can only make our decisions on the information we have. After getting onco score though very glad I decided on Bilat Mx, even though on MRI right breast showed nothing. (path report on R did show ductal hyperplasia ) so I have no doubt this would have progressed to Dcis/ Idc.

  • Renata
    Renata Member Posts: 172
    edited September 2009

    I terribly regret having had my mastectomy. I wanted to have neoadjuvant chemotherapy to try and shrink the tumor and then a lumpectomy. I feel I was pushed to have the mastectomy and I regret it everyday. Mostly I blame myself for being scared out of my mind. I should have insisted in getting the treatment I wanted. I don't think it is the place of doctors to scare a patient so she/he complies with their opinions.

    As for coping....I just cry when I'm alone if the sadness is overwhelming.

  • TammyMarie
    TammyMarie Member Posts: 37
    edited September 2009

    Renata,

     I was diagnosed last month with DCIS (5mm) and IDC (4mm) in the left breast, and two areas of LCIS in the right breast 1.5 and 1.3.  The doctors recommended a double mastectomy.  I wanted to save my breasts and insisted on a lumpectomy to remove the four cancerous areas.  The lumpectomies on the right side went well. They found DCIS and there is only 1 mm margin.  Still waiting to see if I need to go back for additional surgery.  The lumpectomy on my left left side was done through a wide excision. The surgeon removed about 1/3 of the breast tissue. All they found was 1 mm of DCIS.  When the radiologist placed the wires, he convinced me that I would have to return if I opted for two separate incisions on the left breast. He told me he was certain there was DCIS  and would not give the surgeon clean margins.  I believed him and now I regret it.  I am so disfigured on the left side.  Although, I still have something left, I am depressed all the time and can't stop crying.  After radiation treatments, I plan on seeing a plastic surgeon to see if the can make me whole again.  Doctors only practice medicine. I wonder if their guess is often as good as your own instincts and intuition.  I remember when I said ok go with the wide exicsion, my inner voice told me not to. But I felt I had to trust him. I wish you all the luck in finding peace with your situation.

  • auorarz
    auorarz Member Posts: 14
    edited September 2009

      I, too, have  a few regrets. I was operating from a place of fear  and not listening to that inner voice. I am trying now to forgive myself and move on hopefully I will be more in touch with that "intuition". I had a large lump in my right axilla that I chose to ignore last November  instead of listening to that alarm being set off in my body because of the fear of what it could be ( and I am a health care professional for 29 yrs + who intellectually knew better)  I once again stifled that voice when I just "knew" I should get the BRCA test but my onc  and breast surgeon thought my risk was low...( so I ended up with both a lumpectomy and then bilat mx)  I  am proud of myself for finally listening to that voice regarding the discomfort I have always felt with my oncologist and making an appointment to interview another ( why was I more concerned with hurting his feelings,ridiculous I know, than respecting my own feelings of dissatisfaction with his care?)

    I guess regrets can be learning lessons , I won't dwell on them, I do like that phase TammyMarie

    used regarding finding peace with your situation.

      

  • Calif-Sherry
    Calif-Sherry Member Posts: 124
    edited September 2009

    Wow, this is a very interesting discussion.  I want to reply to AuroraZ.  I am in the place you are.  No chemo (upon advice of three separate opinions).  Now, with the news regarding Isolated Tumor Cells, I live in fear.  Sigh.....

    Oh, and I sometimes regret having the prophalatic mastectomy (right breast).  But, I can reason that one better than the chemo. 

  • LRM216
    LRM216 Member Posts: 2,115
    edited October 2009

    I regret not having my breasts removed.  My BS was a staunch advocate of lumpectomy and breast conserving surgery.  If I had had time for the shock of the diagnose to settle in, and wasn't just shuffled right off to the BS from the radiologist that did my biopsy, I think I would have been more assertive in what i wanted done.  Hindsight is 20/20.  So now I have one perky breast that healed well, and one that hangs down 2 inches lower.  Oh well......

    Linda

  • swimangel72
    swimangel72 Member Posts: 1,989
    edited October 2009
    I regret having a mastectomy when a lump with rads would have been just as effective for my early stage of BC. I allowed my own fear to overcome logic.........also, my breast surgeon gave me incorrect statistics. I also regret not asking the PS how MANY "Diep" surgeries he performed.........I ended up with a muscle-sparing free tram and a foob that didn't look much like a breast - as well as a mrsa staph infection and abdominal hernia.............over a year and a half later, I am still dealing with lumps and bumps in my stomach (I may now have developed a seroma after the hernia repair surgery) and a Stage 3 surgery on my foob (hopefully the last) - thank God I found a much more artistic PS who agreed to do the revisions. I also regret gaining so much weight after menopause, never knowing that this kind of weight-gain really increases a woman's risk for BC (by 50%)...........I especially regret that not ONE doctor ever told me about this fact - and finally I regret that my old ob/gyn never ONCE told me that for years I had calcifications in the breast which later developed IDC! Yell
  • Leah_S
    Leah_S Member Posts: 8,458
    edited October 2009

    I think I'm more fortunate than most of you - no regrets except for one minor one: I didn't have a port for chemo, and now the veins in my arm are messed up. And it's the only arm I can use now for blood draws etc.

    No decision is right for everyone. What I find interesting is that some women have lumpectomy and regret it and some women have mastectomy and regret it. BC sure isn't one size fits all treatment.

    I wish you all the best.

    Leah

  • auorarz
    auorarz Member Posts: 14
    edited October 2009

           Leah,

            I did have a port but it required me to twist my body into yoga-like postions each treatment

    to get the chemo to flow ( remember that game Twister ?) It could not be relied upon for blood sticks so I had to use my one good arm also, which now is not soo good. ( 2 weeks ago pre-op

    IV sticks for my bilat oopherectomy took 6 sticks  :(   )

                                       Deb 

  • AuroraL
    AuroraL Member Posts: 33
    edited October 2009

    I regret not asking for a mammogram or an MRI in the time that elapsed between my lumpectomies.  I had my mammogram that first detected calicifications in August 08.  I had my first surgery in November, and my last one in January.  Then I had radiation for 7 weeks.  I had my first follow-up mammogram last month, and it showed some faint calcifications that we are watching for 6 months.  I'm curious when those calcifications developed, and if we might not have been able to catch them before my second lumpectomy.  Maybe they are nothing, maybe they are something, I have to wait what feels like a long time to find out.

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

    I have no regrets about the onc we chose, treatment/therapy we went with. I would do it all again.

    I was most fortunate that I had a lot of info, my dh was able to help me "hear" what was said and translated things into real people language after each visit (we'd find the hospital cafe and grab a soda and go over the appointment), dh, family and co workers took a lot off my plate so I was able to think about what I wanted and listen to my inner voices. I trusted my gut.

    Early on, after a not so good visit with the first onc (when we learned that I was already stage 4), I decided I had to feel good and comfortable with decisions about docs and treatment/therapy.  I was entering into what I hope is a very long term relationship with the onc & team. I am very lucky to live in an area where I have lots of options when it comes to oncs and hospitals/facilities and we looked at all the options. My dh was/is very helpful and supportive.

    No regrets.

  • lisa-e
    lisa-e Member Posts: 819
    edited October 2009

    If I had a do over, I would have pushed for an MRI when my med onc told me he didn't think it was necessary.  My radiation onc asked me to have one before starting radiation after a lumpectomy.  I did and a second IDC was found.  Having the MRI before my first surgery would have saved me from having a second surgery.   

    I will say that I was relieved when my med onc told me he didn't think an MRI was necessary.  I really wanted to start radation and be done with bc.  Also, the NCCN guidelines (2008) stated that an MRI may be considered to check for the extent of disease, not that MRI were the standard of care.  

  • Hattie
    Hattie Member Posts: 414
    edited October 2009

    I took the next best step I could, each step of the way.

    No regrets.  Moving forward.  Living well. 

    I refuse to let breast cancer rob me of any more living, and my own thoughts about my decisions? No way.  (It wasn't easy getting to this place, but I made it and hope you all do too).

    Take care,

    Hattie 

  • cakeisgreat
    cakeisgreat Member Posts: 660
    edited October 2009

    I have one regret...that i didnt get a double mx.  did the lump/rad.  so...i'm going back and getting one (hopefully) after i'm healed from rads.

     it's so hard for all of us at the beginning i think because we're all surprised with it.  when you have a baby, you can read books for 9 months about it while you're waiting, but when you find a lump all of the sudden or go for a general mammo and then its BAM cancer, I think we're little people just going "uh, hu, ok, whatever you say."  not that that's always bad either.

  • hollyann
    hollyann Member Posts: 2,992
    edited October 2009

    I totally regret not listening to my inner voice that said "You need chemo!".......My OncotypeDX score was 11 but with my family history and high risk of bc to start with I feel I cheated myself out of more years by going along with my dr's who said no to chemo.........It is something I really need to either learn to live with or just let it go entirely........

  • Brendatrue
    Brendatrue Member Posts: 1,830
    edited October 2009

    I read this thread the other night, and it made me think about my care choices, lessons learned, and how I agree that we should try to avoid guilt about past decisions or judgment about our decisions since most of us do the best that we can when we are diagnosed, with the information that we had at the time. I do believe that I might have made some decisions differently if I had the information I now possess, but that's really reflective of life in general. Of course, with breast cancer, decision making has some far-reaching consequences, which affect both quality and quantity of life.

    I actually think of regrets in another way. Although I appreciate how I have been rather in tune with my body, which has led to early diagnosis of stage 1 breast ca two times as well as early detection of advanced breast cancer, I regret that I was not kinder, gentler, and more loving toward my body over the last 14 years (the time that has elapsed since my first diagnosis). I have expected my body to meet demands that were probably excessive, and I have not done enough to nurture it properly. Although I have not had the "typical" bad habits (those with the potential for harm, like smoking--and I am not trying to cause guilt for anyone here), I have not worked hard enough to develop my strength and endurance in positive ways AND to allow myself sufficient rest and ease with myself when not active in some way. Perhaps it is cancer time #3 that will help me to find more balance. (Here I am writing about balance again--oh well, I read somewhere that we just learn the same lessons over and over in our lives, sometimes in the same ways and sometimes in slightly different ways, until we get those lessons learned. I am glad to have that opportunity!)

  • Pat634
    Pat634 Member Posts: 271
    edited October 2010

    I had one of those surgeons who is very good in the OR but never listened to me during my aftercare  I have lifelong complications because of it so...since its illegal to hold a gun to a doctors head and say "you're going to drain this thing or I'll kill you" I probably would have gotten a different surgeon and hoped for the best.

  • chumfry
    chumfry Member Posts: 642
    edited October 2009

    When I developed a new primary in my other breast 18 months after mastectomy, one of the plastic surgeon's nurses quipped: "Don't you wish you'd had a bilateral in the first place?" I got very stern with her and said I'd made the right decision at the time, based on the info I had.

    No regrets. (At least not yet!) :D

    --CindyMN

  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited October 2009

    OK I am almost nine years out now...

    I do regret doing the chemo...but we didn't have ONCO DX back then

    the chemo frie d my liver..so now I live with that fear too

  • Faith316
    Faith316 Member Posts: 2,431
    edited October 2009

    After six months of chemo and being in the middle of my 30 radiation treatments for stage IIB IDC, I started noticing a slight rash on my breast (end of January 2009).  I was so blistered and burned from the radiation that I assumed it was also from the radiation and didn't think too much about it.  A month later, time for my mammogram and it was fine.  Rash still there, not changing too much but still there.  The thought of inflammatory breast cancer crossed my mind (April) but I still assumed it was a result of the radiation.  A month later, showed it to chemo nurses and they  called the oncologist and he said to go see my surgeon.  I did and she said probably from radiation.  I then saw my oncologist (early May) and he said the rash is probably not from radiation, but the swelling which I also had could be.  But, let's not just brush it off.   We'll check it again in two months. I then went to see my radation oncologist about a week later.  I figured that if anyone knew if it was radiation related, it would be him.  NO, he said.  Not radiation related but it couldn't possibly be IBC because it started during chemo and radiaiton.  He took pictures and told me to come back in two weeks and if no better or worse, we would biopsy it.  So, we biopsied it and it was IBC -- even though all three of my doctors thought it couldn't possibly be because it couldn't have started while on chemo and radiation.

    My regret?? Wishing I had insisted on a biopsy when the thought of IBC first crossed my mind.  I believe that was in March and the biopsy wasn't until June.  As aggressive as IBC is, it spreads fast.  So far I am lucky.  All my PET/CTs, and MRIs show it has not spread.  Hope that continues to be the case.  But giving it several months to grow before starting new chemo could have been disastrous and I could have had mets going by that time.

    Moral of the story ---- trust your gut.  Be your own advocate and push when things don't seem right.  I'm glad I didn't wait the two additional months my oncologist wanted before seeing me.  If that had been the case, I wouldn't have had a biopsy until another month or two later.  And, who knows.  That could have been enough time that it might have spread.

    Sorry so long.

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited October 2009

    If I had to do it over again I would follow my gut and not my head.  Initially I wanted a mastectomy with immediate reconstruction, but it had taken 3 months to get in to see a surgeon, and then it would be months more before surgery could be coordinated with a PS.  I got scared and did the lumpectomy/rads route since that meant waiting only another month.  I wound up having a mastectomy anyway due to radiation damage, so here I am, having lost 2 summers to bc treatment, planning reconstruction next summer.  This time, the other breast is going, both being remade.  No skin/nipple sparing procedure for me,I want it ALL gone.  I don't care what the "current standard of care" is, I don't care that skin sparing means "almost invisible scars" compared to tranditional mastecomy.  Going to make these decisions based on my gut, not what is "reasonable" and "current standard."  The only choices I haven't regretted are the one's I made with my gut (the mastectomy, switching from tamoxifen to lupron/arimidex). 

  • rosemary-b
    rosemary-b Member Posts: 2,006
    edited October 2009

    I just found this at the perfect time. My regret is letting my onco give me more Herceptin when my LVEF went to 49. I was near the end of treatment, problems almost always happen early in treatment;A 49 and a 50 are close and the test is not 100% accurate; blah,blah,blah.

    I have had heart failure for a year and a half and nobody can tell me if my heart will get back to normal. I think the chances are 50/50. If it doesn't, the treatments that were supposed to improve my chances of 10 year survival from 70-90% have brought them down to 10%.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited October 2009

    Major huge regret....went for mammo at out of network clinic, because first mammo was so miserable. Didn't really think or worry about it, how much could a mammo cost?

    Since my dx was quick, I was so stunned and never asked about costs. I now have 6K lab bill.

    Big, huge, regret. Sloan was in network and 10 minutes from my house.

    Feel like an idiot every day, they took my insurance card, and never asked for any payment, I thought oh...when you get cancer, they pay for everything!

     Ha!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited October 2009

    Major huge regret....went for mammo at out of network clinic, because first mammo was so miserable. Didn't really think or worry about it, how much could a mammo cost?

    Since my dx was quick, I was so stunned and never asked about costs. I now have 6K lab bill. (mri pet pem ultra biopsy)

    Big, huge, regret. Sloan was in network and 10 minutes from my house.

    Feel like an idiot every day, they took my insurance card, and never asked for any payment, I thought oh...when you get cancer, they pay for everything!

     Ha!

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