Do you research or not?
Sometimes I want to research things relating to bc but I get scared. Fear creeps in and I have to stop. I'm afraid that I'm going to come across something that tells me something negative and I choose to log off before even starting. Then there are times I feel strong enough to look up anything. When I feel really, really good and I'm in a positive mood I'll look up anything relating to bc (particularly my stage) and it totally doesn't affect me, even if what I'm reading isn't really all that positive. Am I the only one who does this? How do you get out of that negative mode so that you can look up something that may actually help?
Comments
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Whoa! I could have written your post. I figure I will take in what I can when I can. Unfortunately, sometimes I find things when I am in my positive research mode that haunt me. I hate when that happens. I guess this all a growth process.
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I have always done research with Dr. Google. i still do; whenever i have a question about something i google. i have bursitis on my left elbow; (same side as breast cancer) and i googled to find out if there were any cases of mets to elbow. i think i did it a lot more in the beginning and early stages post treatment...etc. but i still look stuff up. i think now for me it is more about being really educated about my disease and also to find out any new research...etc. i guess also, i feel more in control when i do research so when i go and talk with my oncologist i can ask intelligent questions.
my experience is that gaining information can sometimes stimulate anxiety and at other times decrease it. but, i know i will still search with dr google,
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I research religiously - for good and for bad. I have learned so much and have changed my treatment plan because of what I have learned
Tamox metabolizing test, Zometa, hysterectomy
But yes, sometimes it hurts.
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I also research. I don't always like what I read, either, but I'd rather have facts. Like you have said, my mood seems to dictate how objective and rational I will be about what I read. I've made some decisions based on my own research. I've also found that I am able to go to doctor's visits and feel informed. I take my list of most pressing questions and can interpret the answers I get right away. That way the time I'm with the doctor can be well spent. I know there are times I research too much, though, and that's not good.
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I let other people do it, listen when they talk about it here, then copy them!! LOL!
Well, actually, I have always researched at whatever stage I am at - Chemo, Rads, Hormonals, etc, but I don't do "cold Googling", as I get myself places I don't like.
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Kerry - I jump ahead, always like to know what is coming next. Am doing some research now on Zometa - looking more and more promising but do I want to fight to get it more than every 6 months? hmmmm.
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Well, let me know what you find out, and I will copy you!
So, how often are they recommending it - every 3 months?? Man, I am so glad I am getting it at all. (thanks to you, by the way)
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YES.
I did not do research while going through treatment. It was when the chemo haze lifted that I started. After treatment, my onc being aggressive, put me on Lupron with Tamox and Zometa.
I read up on all of it, and realized my onc was recommending the right treatments for me.
I keep track every year the findings that come out of San Antonio because even though I love my onc and trust him with my treatment.....I can not expect him to remember little ol me when it comes to treatment issues. If I dont keep up...who will? I have to be my own advocate.
Good example, I ordered the CYP2D6 / Tamox Metabolizing test 18 months after being on Tamox. My onc isnt bought on the test yet, and told me to save my money. Well....after doing research MYSELF, I found out that this test IS important and I SHOULD do it. So, I ordered it. Told my onc, he said ok....lets see what it says.
Results: POOR METABOLIZER. I see my onc on Wednesday to go over my options. Likely staying on Lupron and an AI.
That means my treatment will change. I have potentially saved my own butt from a local/distant recurrence of BC.
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Kerry - there are several trials going with Zometa and each has a different dosing schedule and they are saying more may not be better since it has such a long half life but.....I feel like I want it more. I will bring it up to onc again :-)
Lexis - You do have to be your own advocate - for sure. I wanted tamox metabolizing test, my onc did order it but was like blah about it. Well when the results came in she was very excited (extensive) and said she is rethinking things.
I have friends that do what the doc says and dont question or research anything - sorry, not I. I have kids to raise and am fully aware that there is no cure for cancer so I want everything I can get not just what the textbook suggests for someone like me! I am me!
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You know, if not for information I have picked up here on these boards, my treatment would be different that what it has been too - and who knows which thing may be the thing that saves you - maybe Zometa, maybe the ooph, maybe exercise, who knows. Maybe none of these things would have made a difference. But I feel like I have done everything that is possible to do. I wish there was more I could do actually.
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Like several of the women here, I've gotten most of my information from postings on this site...and lots of it. Unless you're into reading the obtuse medical journals and papers, the health news is sadly behind reality. And we all know how "behind" the ACS protocols are.
I'm past active treatment (only on Arimidex), except I'm hoping my recent bone scan shows a slight degeneration in my bones so I can get Zometa without a problem (isn't that crazy?). Other than that, I don't go googling all my aches and pains. At 58 (almost 59), and with known arthritic spots, I think it's a waste of my personal time.
I'm not going to let bc turn me into a hypochondriac. I'm trying to ignore as much of it now as I can.
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You know, when I visited my onc on Dec 16th, he did kind of changed his tune regarding the CYP2D6 test. He did admitt that he was "hearing more about it. But waiting to receive some more evidence."
Im hoping that my result will push him in the direction of mentioning the test to his patients. Since in Canada, it isnt approved yet, a patient can choose whether they feel its important to them or not and pay out of pocket.
Seems like I was the one to set the example at being diagnosed at 30....and not being able to metabolize Tamox. Go figure.
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Lexislove--------
I am in Montreal..I had the CYP2D6 Test, paid 650.00$, and the lab that did the test made a deal with me to bill me twice so I can get back $$$$$ from my insurance from 2009 AND second bill for 2010.
I actually had only one blood test, but I will have most of the $$$ back. My onc said that he will give me what I want, ladies like me are not fun to argue. If I am a poor metab, I will have my overies out YESTERDAY, unstead of this summer anf go on Arimidex.
Anyhow, I went to a convention here in Montreal, and TAMOXOFIN will be soon replaced by a more effective pill. Its coming soon......
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mamita,
This is the first Ive heard of a pill OTHER than Tamoxifen. Is it for pre menopasul woman? I must admitt, it would be kinda nice to have another choice besides Tamoxifen for us girls who dont metabolize it effectivly!
I paid $300.00 for the test. Had my results....POOR. Ill be switching to an AI after my surgery.
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Daisy -
I don't know if there is a way to get out of the negative mode to research. I know I hit those walls sometimes and I just assume that it's my mind's way of saying "not now". But then again, I'm in the middle of chemo (OK - the last third of chemo, stay positive) so research isn't going to change what is in front of me now. But I don't have any problem with the stats. To me they are just numbers in studies and there for consideration but do not reflect anything definitive. My worse problem with research is not having access to the good stuff. And my other problem is I need a serious lesson in organizing what I do find so I can find it again.
And I just have to add my pet peeve. I hate these news articles that give stats or refer to studies and provide no cross referencing to their sources. If it doesn't have a footnote reference or the study name spelled out then I ignore it.
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I'm a weenie when it comes to research, probably because I'm at the "head of the class" when it comes to Stage 3. I'm probably really 3c but have studiously avoided my path report since first reading it. I have learned an immense amount from these boards and my younger sister who had bc 4 years before me.
So here's a potentially stupid question. I was in perimenopause prior to dx and will go for surgery after radiation to remove ovaries. Where does that put me for Tamoxifen? Will I be considered post menopausal? My sister had a gene test and she is a poor metabolizer of Tamxifen so I suppose I may be as well.
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I know that I havent really looked into BC maybe because I havent truely accepted that I have it, I know I do but it helps me get through it my way. Research can be a scary thing I believe not to delve to deeply and only do it on a good day, otherwise it can be demoralising....
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clarice...once your ovaries are removed, you will likely go directly to an AI. There's no reason to do Tamoxifen once they are out of commission.
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Clarice - I was premenopausal before Chemo, then had the Ovaries out after Rads. My Onc started me on Tamoxifen during Rads, then switched me to Arimidex about 2 weeks after my Surgery.
If you have doubts about your metabolising ability, you may as well just start on the AI after surgery too.
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Thanks Kerry and Nancy.
That's interesting that your onc started you on Tamoxifen during rads. Mine hasn't mentioned it. I'll have to check up on that before I start rads in March. -
My oncologist is keeping an open mind about how long to keep women on tamoxifen and AI. Being on tamoxifen may keep options open as I don't think they like to keep you on arimidex for more than 5 years. He is finding more evidence and studies about extending the treatment period.
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i don't research.. it's too scary for me. I do read what other people find out and do research the best way to eat.
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First off, I had an oophorectomy last year, and my onc decided to keep me on Tamoxifen until October 2010. I'm tolerating it well, and I've read (as has she) that the 2/3 regimen is as good as five years on an AI.
I work in the library of a large university, and my computer patches directly into more medical journal databases than you can shake a stick at. This allowed me to both educate myself thoroughly and scare myself silly. I had to stop researching during chemo because I was working myself up too much. I also learned to look for a publication date on anything I read. I'm able to read full-text articles in oncology journals, and overall this has been very positive as only a fraction of the good news about treatments, etc., is reported on by the popular press.
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I know my husband has a Google alert on Breast Cancer research, and he says he is amazed at how much comes. There is a lot going on. Hopefully someone can keep finding stuff that will keep us around for a lot longer!
Also regarding 5 to 10 years on the AI's, there is currently a study going on to see if 10 years of Arimidex (or maybe just any AI I am not sure) is better than 5 years. I don't know what it is called, but my Onc said by the time my 5 years is up, we will know whether or not I should continue, switch, whatever. I think something just came out (correct me if I am wrong, I just remember I came across it recently) that said 10 years Tamox was better than 5 - in fact if I remember, for node negative BC, the DFS after 10 years on Tamox was 100%. Impressive!
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I will ask my Onc what the study is called.....
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When I was initially diagnosed as Triple Negative I did a lot of reasearch, but not so much anymore. Every now and then when I see an article or something worth researching I'll look it up. I do stay away from statistics and anything that doesn't seem to be from a legitimate organization. From what I've found in my research my onc is on the same path as what the "experts" and new findings say as far as treatment goes.
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Celtic - I'm sooo jealous! To be able to access the goldmine! I know it would be overwhelming but if I could just get my research "fix". Maybe I could hit my saturation point and then be able to let it go. My DH still works for the university where she got her masters (Chinese University of Hong Kong) and she has access to a lot of information I don't. But her "job" in this is to research our BRCA gene mutation. She's a real research junkie. I'm just a wantabe.
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