Ladies who are monitored every 6 months..How do you deal?...

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shabby6485
shabby6485 Member Posts: 679

Hi everyone,

I am high risk due to ADH, calcifications, and my mother having had BC in her 30s.

I currently am on 6 month monitoring due to this and just had a B9 biopsy last Nov. for micocalcs. (3rd B9 biopsy in three years)

Am going for my F/U mammo on the 18th and the anxiety is starting to build slowly but surely.

I also suffer from generalized anxiety which really doesn't bode well with this constant monitoring.

Just wondering what your coping mechanisms are.....

Also, any experiences from people on the 6 mos. schedule would be helpful..... 

UUGGHH...I hate this feeling :(

Thanks in advance! 

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Comments

  • YramAL
    YramAL Member Posts: 1,651
    edited June 2010

    I have just been put on the 6 month schedule, following my lumpectomy in December, and the resulting radiation treatment. Just had my 6 month mammogram-all clear. I did not think I was that nervous, but I guess I was because I kind of fell apart when I got the good results.

    One of the ways I am coping with this is to make my next 6 month appointment right now, so I have no time to procrastinate. 

    Mary 

  • Jenniferz
    Jenniferz Member Posts: 541
    edited June 2010

    I've been having 6 months checkups for the past 4 years now, and I wish I could say it gets easier, but that's not the case with me. It does get better, however. I just suck it up and go.I keep in mind that I was ok the last visit, and I will be ok this visit. Sort of a "pollyanna" way of looking at thing.I get my mammo once a year, see a surgeon once a year, my onc. every 6 monhs,and get tumor markers at that time. I see my pcp every three- four months. So, I can see how it bothers you if you are an anxious person to begin with!!  Like Yram, I make my appointments on the spot...no procrastinating. Then, after all is done, I do something I enjoy afterwards. Like an award. Laughing

     If you are one that suffers with anxiety to a very large degree, then perhaps you can speak to your pcp and he/she will prescribe something to get you through your rough time.  Alot of ladies do.

    Here's to your continued good health.

    Jennifer

  • JustJean
    JustJean Member Posts: 327
    edited June 2010

    I don't know that my experience will necessarily help you with any anxiety but you did ask for anyone who had experiences on the six month schedule so here's what happened to me. 

    I had LCIS in the left breast early in 2005 and late in 2005 it was found in the right breast. I had a lumpectomy with the first one and a quadrantectomy with the second. No lymph node involvement. Because I had other health issues that needed to be dealt with,  the BS I had seen for a second opinion advised me to do the 6-month monitoring until those issues were dealt with and I was stronger/in better health before going through a bilateral mastectomy which was what I had wanted to talk to him about getting. I thought that was sound advice and did exactly what he said. I ended up having 5 surgeries in 15 months (including the two LCIS incidents). It was a lot for my body to deal with and recovery was very slow. Every six months I would go and get an exam, a mammo, and an MRI. For the first few I was quite anxious but then it got to be sort of a routine sort of thing, just like any sort of maintenance doctor visit. I adore my breast specialist and trust her very much.

    I went in March for my usual appointments, this time a few months later than normal because of scheduling conflicts. Exam was normal, mammogram showed normal, but the MRI showed my left breast lit up like the proverbial Christmas tree with six areas of concern.

    Mastectomy on that left breast was a no-brainer, given my history. I chose to have a bilateral mastectomy (which the BS thought was a sound decision given my history) and am glad that I followed my gut feeling in this matter because the right breast also had cancerous changes in it that soon would have had me in the same position again.

    I am so thankful that I had insurance which never balked at paying for these highly expensive extra tests. And I am thankful that because I could get checked every six months that the cancer was found well before it might have been by normal means. It is my firm belief that those of us who are able to get monitored that frequently are very fortunate and I am glad that you are able to do it.

    I guess just thinking of it as any normal appointment was my biggest coping strategy. I got to the point where I was so comfortable with thinking this way that when they called to say that the MRI was abnormal that I felt almost blindsided because I had become so complacent in thinking that all would be well.

    JJ

  • shabby6485
    shabby6485 Member Posts: 679
    edited June 2010

    Thank you for your insight, JJ.  Hoping that all goes well with you...

  • mad411
    mad411 Member Posts: 12
    edited June 2010

    I was on a three month check up and I was just grateful, so I looked forward to the appointments because I knew that I was being taken seriously and being checked out.

    My first nurse practioner told me not to worry about the lump, that it was just fatty tissue and leave it go.  I went for a second opinion at a breast center and they said no, they weren't real comfortable with it and instead of 6 months they wanted to check it every three months.  So I was happy I went for the second opinion.

    I just went in for my check and the lump changed and now she is sending me for an mri. 

    I would look at the appointments as a good thing.  Getting it checked out as often as possible to catch any changes will ease your mind.

    Good luck!

  • shabby6485
    shabby6485 Member Posts: 679
    edited June 2010

    Thank you, mad411.  Good luck with your mri...

  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2010

    What choice do we have?  Just have to suck it up and do it.  I hate it.  Going for my 3rd "3 month" with onc next week, and had my last "6 month" mammo and US last month. Mammo was clear, but US showed "something on the internal scar line."  Needed an MRI, and thank God, it was a small seroma from my rads, no new cancer.   Next mammo and US in Sept. and am not liking it.  Fear will set in a week or so prior to the next one.  Ugh!  If this is the "new normal" it stinks.

    Linda 

  • MistyJ
    MistyJ Member Posts: 113
    edited June 2010

    I was on a 6 month schedule for several years.  From probably about 2002-2003.  I had early mammos due to my sister passing away from BC at 18, but was referred to a BS after the 1st abnormal that I had.  So that started the 6 month mammo, then 6 months later an MRI with physical exams by the BS following each one.  I do consider myself very very lucky that I had help from insurance.  To be honest, I got nervous the day of each exam and then had lots of those times when they had to take more views of specific areas which really made my blood pressure rise.  But until the diagnosis of LCIS this last Feb , I really just told myself that these tests were a good thing.  I tried to look at them as a safeguard in that if I did develop BC, it would most likely be caught early.  So maybe try to get into the line of thinking that they are protecting you rather than waiting for them to be a diagnosis.  Easier said than done.....I know...... but worth a try maybe.  I have decided to have prophy BMX with recon this month.  For me it was not so much the stress at each test......it was more the decision that I did not want to wish I had later if I ever did develop BC.  BUT that  being said....I totally understand that it is not the right decision for some people.  Just know you are not alone in that fear. 

  • shabby6485
    shabby6485 Member Posts: 679
    edited June 2010

    Thank you, Linda.  Wishing you all the best!

  • mawhinney
    mawhinney Member Posts: 1,377
    edited June 2010

    My cancer was found 7 months after a clear mammogram so I happily go for checkups. I think of the tests as an extra protection policy. Sort of extra eyes looking out for my welfare.  I alternate every 6 months between a mammo & an mri.  An ultrasound  is done if something is spotted.  I prepare for each appointment by reading up on the various procedures &  composing a list of questions for each doctor I see.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2010

    I've been having the  frequent checks for so long (almost 7 years since diagnosis of LCIS) that it really has become routine. Like someone else said, it gives a certain sense of security to be watched so closely.  Fortunately, I haven't had to have any more biopsies since my lumpectomy. I took tamoxifen for 5 years, now take evista for further preventative measures, continue with alternating mammos and MRIs every 6 months with breast exams on the opposite 6 months. So the meds kinda give a little extra added comfort,knowing I'm doing something actively to try and prevent an invasive bc. Prayer helps me get thru the testing and the waiting for results.

    Anne

  • alligans
    alligans Member Posts: 175
    edited June 2010

    Hi Shabby,

     I saw your post and had to respond.  Unlike many on here I am a benign case of breast disease and am hoping that it stays that way.  I browse the boards to see if there is someone else like me and to see what their outcome is.  I was diagnosed with a fibroadenoma in May 09.  I also suffer from health anxiety.  Finding out I had a breast tumor nearly made me collapse.  My anxiety has gotten better with time but I still suffer from it, especially around the time of my 6 month check-ups.  I usually don't sleep well, get nauseous or loose my appetite, and can feel my heart fluttering away a few days before my check-up appointments.  Whenever I see a doctor they always comment on my pulse.  My primary, before he knew of my issues with health anxiety, nearly freaked out when he clocked my pulse at 109.  He did an EKG.  Later that I I rechecked it with my dad's blood pressure gadget and it was at a normal rate.  A few visits later a new nurse clocked my pulse at the same rate and said I was tacky.  I told her this is white coat syndrome.  It happens every time I step into a doctor's office.  I guess part of my healthy anxiety is me just being here.  I always have it in the back of my head that what if's...what if they missed the bad cells, what if the pathology is wrong, what if, what if, what if.  I guess in a way, excluding the anxiety, I'm sort of lucky that even with a benign tumor I get a really good clinical breast exam every 6 months.  I was getting ultrasounds at 6 month intervals, but the tumor hasn't changed since it was initially biopsied so I think I'm on the 1 year program now.  Try to think of it as an advantage...a really experienced doctor is checking out your breast and lymph nodes to make sure that nothing bad is going on.  Sort of like an insurance policy.  Considering how prevalent BC is in our society, making sure that the "ladies" are healthy every 6 months is a good thing.  However, if they ever want to core biopsy me again, I'll refuse.  I'd take a lumpectomy so I don't have to deal with the "what ifs".

  • shabby6485
    shabby6485 Member Posts: 679
    edited June 2010
    Thank you all for taking the time out to share your thoughts with me.  I actually feel better now.  I truly hope and pray that all goes well for you. Smile
  • LRM216
    LRM216 Member Posts: 2,115
    edited June 2010

    Thanks, Shabby and I hope your journey is always uneventful.  I know it's got to be very hard on you and I can well empathize with the anxiety.  See if you can get some Ativan - at least to take a couple of days prior to your checkups.  It can help with the anxiety, and of course, so will we!  Even though most of us have gone down that other road, we are more than willing to always hold your hand whenever you need us.  Best of luck - always.

    Linda

  • MandieD
    MandieD Member Posts: 6
    edited June 2010

    In Germany, most physicians have an ultrasound machine in the office (which they, and not a technician, run), so getting that monitoring is not quite as big a deal. My gyno's a great gal, and has taken all my concerns seriously - and pushed me along when I was la-de-da-ing at points - like the mammogram. Fortunately, the lumps were the harmless fibroadenomas she thought they were (I was under 30), but we couldn't have been sure of that without the biopsies, and she wasn't going to take the chance that there might be something else lurking that a mammogram might pick up on.

    So, between the fibroadenomas and my family history, I get checked every 6 months. It's so routine for me now that it really doesn't get to me. I feel like I'm exerting control over the situation (the doctor I see, when the appointment is, etc).

  • judyqueen20
    judyqueen20 Member Posts: 5
    edited June 2010

    hi shabby6485         I have 6monthly appointments and absolutely dread them, every time. What i really hate is having to go into the same rooms that i was told that terrible news in. It just brings back those awful feelings of terror, because at that time, you think you're going to die. My next appointment is in july and with my oncologist. He's really nice. Its 4 years since my diagnosis, so i'm just hoping everything is alright still. I always feel my scar and check my other breast and my armpits at least weekly, cos its always on my mind. Anyway, fingers crossed. Good luck to you. judyqueen20 x.                                                                          

  • lilith
    lilith Member Posts: 543
    edited June 2010

    bah. better than every 3 months, less time consuming. 

    I push it out of my mind. Think about it occasionally... in the week before. Next month it will be 3 yrs... and counting!

    mandy: where in DE? my gyno there back a gazillion years did my pregnancy dx by ultrasounds... I loved it - no blood, no wait - just a mini-fish visible on the screen!!! 

  • moogie
    moogie Member Posts: 499
    edited June 2010

    I monitored for 13 years, and here is what helped me:

    - know when you are too nervous. I was fine for 11 years. Would just get my tests and meet friends for mojitos. At around year 11, I saw a counsellor to help me cope. I recommend this now if you are aware you an anxious gal in general: don't suffer needlessly.

    - I set aside worry time. Sounds goofy, but I would give myself 45 minutes to get really worked up playing out all the scenarios, then I would go take a brisk walk and do something that required my entire brain by learning something new. It only works if you use your entire brain!!! I PLAYED THE BLUES HARMONICA!!! Not easy my friends, and not pretty to watch, but it did the job. I got a Marine Band in C, an instructional book, and blew like nobody's business for about 25 minutes. generates positive exhaustion and you form new pathways in your brain every time you acquire a new task. Anxiety can create a cycle inside, so breaking the cycle with an immersive activity is very helpful. If you can sing or play any instrument it has been studied to help deal with anxiety by turning on an area of the brain that will help you reach balance.

    - Denial is good: embrace it when you can.

    - Promise yourself a prize every time you get imaged. A GOOD PRIZE. For every crappy thing in life you must endure balance it with something really cool.

    PM me if you want! I get that sometimes this is a game of the mind when anxiety is an issue.

    Moogie

  • shabby6485
    shabby6485 Member Posts: 679
    edited June 2010

    I am so grateful to all of you who took the time to respond to me.  I really admire you all.  Thanks again and you will all be in my prayers.

  • KarenT17
    KarenT17 Member Posts: 46
    edited June 2010

    Shabby,

    It was hard at first being diagnosed with ADH as I have other problems as well such as calcifications and very dense breasts.  I too am being monitored every 6 months since my last surgery (I've had two and a biopsy from HELL) and just had my mamo/sono a few weeks ago.  The calcifications they saw 6 months ago are stable so I will probably to an MRI at the end of the year.  I will absolutely dread that as the time draws near but mostly I am okay.  I do tend to have my moments when I break down and get upset but as my husband keeps reminding me "You don't have cancer"! Easy for him to say, I know I don't have cancer but I do feel like I am a ticking time bomb waiting to expode.  I mean will my time every be up or will the fuse go out and I'll escape the big "C".  Who's to know but just yesterday my daughter got rubber bands put on her braces at the front of her mouth and she had a melt down.  As I tried to calm her down, I started to get angry and thought that's the least of your worries.  I mean I'd trade places with her in a minute, she will get those damm braces off in 6 months but what about me, I could get cancer!  I told her there were more important things to worry about and those rubber bands in her mouth will be gone before she knows it.  I guess I should have been a little more supportive being that she's 13 and very concerned about her appearance but at that time I just felt sorry for myself!  And that's the bad thing about this diagnosis, I feel like I take out my feelings on my husband and daughter and they don't deserve it.  They can't understand how I feel so it can be difficult for me at times.  That's why I turn to you ladies to vent and hopefully offer someone else some comfort as they begin their journey.  So I say to you, take time to enjoy everything, do something crazy and enjoy yourself because your deserve to be happy and not let this get you down.  Do your research, be onto of your health, get second and third opinions and make the right choices for you and your family.  I'm sure in time that you will be able to handle things better and hopefully live a full life becuase no one knows what's going to happen to us.

    KarenT17

  • AuroraL
    AuroraL Member Posts: 33
    edited June 2010

    Moogie--that's beautiful.

     I'm glad I'm on the 6 month schedule.  I feel like if they find anything, it'll be in early stages and we'll be able to whip it.

  • MMP
    MMP Member Posts: 39
    edited June 2010

    I'm also high risk and monitored.  I know it's for my own good, but I work myself into such a state of anxiety when my six month mark comes around.  It completely preoccupies my mind. I"m a little bit of a hypochondriac when it comes to health issues.

    I am considering taking tamoxifen as a preventative.

    Right now I drink a lot of Brassica tea, take curcumin, Vitamin D3, and CoQ10. I'm hoping it is tilting the odds in my favor. I have DIM but get nervous reading the pros and cons of it.

    Great thread.  Thanks for starting it!

  • MandieD
    MandieD Member Posts: 6
    edited June 2010

    Lilith: I'm in central Bavaria, between Regensburg and Nuremberg. Despite having a shaky grasp of German, and my gyno having even a weaker command of English, we were able to deal with the fibroadenomas in a satisfactory manner.

     My sister-in-law's pregnancy was dx'ed the same way this year - via the "dildocam"; a fact that was slightly off-putting to my otherwise non-prudish German husband. He knew his sister's pregnancy was being monitored by ultrasound - he didn't realize where the ultrasound probe has to go early on until she and I were joking about it. This is related to another thing I like about how ob/gyn is done here: my uterus and ovaries get ultrasounded at my annual by the doc herself, and it's no big deal cost-wise or time-wise.

  • lilith
    lilith Member Posts: 543
    edited June 2010

    DILDOCAM!!! wow that is the first time ever I find the right term!!! Mandie, I like you. you are a doll with a sense of humour to kill!!!

  • Lee27
    Lee27 Member Posts: 69
    edited June 2010

    I get a bit anxious too on my 6months visits to see  3 different Doctors this month. My mamo is tomorrow with a 4th Doctor.Undecided The more eyes on this the better for me.Embarassed I'm just glad they all agree.

    Interesting reads how everyone copes. I'm glad I found this thread. Thanks for sharing everyone. It's nice to know there are other things to pull out of the hat when old ways don't work to calm the nerves.

    I surround myself with chat from other survivors in the gym in an exercise program for survivors only at the hospital...They are those that truely know this new roller coaster life.

    Sleep? What's that? Wink

    Lee27

  • Raj20
    Raj20 Member Posts: 1,112
    edited June 2010

    Dear Jenifer, I also survived for more thatn 5 yrs. since my lumpectomy. I had almost gone bald after my Chemo. After my Chemo, I took tamoxifen follwed by anastrozole -1mg till date, I have to report every 3 months for almost 3 years, but since 2 years  I have to report every six months  to my doctor with  mammography report as a routine follow up. Initially,  I was unable to digest myself  that, if  the mammography  reports are clear everytime and there is no symtoms of  recurrence why my doctor never say that I am out of danger. But now I have decided to enjoy my life to forget about the pains  while struggling to fight for surviving. So I go for shopping to buy whatever I like and no more deep thinking about the past , I dont think for  future too, I am concern  only for present. So enjoy life.

  • kreativek
    kreativek Member Posts: 58
    edited June 2010

    You have received some excellent advice so far.

    I chose a different path which one of the other posters also chose.  It is not for everyone, but it was the right answer for me.

    I have a strong history of breast cancer in my family although we don't appear to carry the BRCA gene.  I had very dense breasts.  I had several biopsies and was diagnosed with ADH.  I was just "done" with monitoring and biopsies and mammograms and worry.

    I had a bilateral preventive mastectomy with implant reconstruction.  My breast cancer risk went down to under 3%.  People say "you are so brave".  Even the doctor said that to me.  I disagree.  It's the women doing the surveillance that are brave!  Your stories and ways of coping amaze me.  I couldnt do it, I just get too much anxiety.

    I am happy and so relieved now.  From the time I woke up from surgery I felt total peace. This is not for everyone, but it is what I chose.  It was the right answer for me.  The anxiety and worry toke too much from my life. 

  • KarenT17
    KarenT17 Member Posts: 46
    edited June 2010

    Kreativek,

    I too have dense breasts and have had two surgeries and one biopsy.  I have calcifications that prompted the surgery and diagnosed of ADH.  I too dread each check up as the anxiety of "what if's" start to enter my brain as the time draws closer to my appoinment.  I was seriously going to go for the removal of both breasts with reconstructive surgery all at once.  I have since pulled back from that for the time being but would not rule it out in the future if more problems arise.  What most concerns me with the surgery is keeping my nipples, if I can be so brutely honest.  I've heard some surgeons will do a nipple sparring procedure but it doesn't always work.  If you are okay with me asking, can you provide me some info on this.  I really want to keep them at all costs.  If you could please provide me some details on your surgery I would really appreciate it coming from someone who's had it.  If you want you can e-mail me a private message.

    Thanks,

    Karen in Commack New York

  • Momcat1962
    Momcat1962 Member Posts: 665
    edited June 2010

    I'm not "monitored" every 6 months, I (or my GYN) just FIND lumps every 6 months. It's unnerving. IS it cancer? It is NOT cancer? I have gotten to where I don't even mention it to my family anymore.

  • kreativek
    kreativek Member Posts: 58
    edited June 2010

    Karen:

    Are you really in New York?  You could not be in a better location to get the best nipple sparing, one step (meaning only 1 surgery) preventive mastectomy with reconstruction.

    I'm  familiar with Dr. C. Andrew Salzberg our of Dobb's Ferry as I know two women that traveled from Southern California to have surgery with him.  I've personally seen the results and they are incredible.  He has a very high rate of success and he may have the most experience of anyone with this type of procedure.  Perhaps you can look him up on the internet.

    Only you know if and when you are ready to proceed.  Perhaps going to some consultations would answer any questions and let you know what you want to do.  You can email me at 1ocforce.kris@sbcglobal.net if you like.

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