THEY HAVE NO IDEA!!
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Hi all,
Several of you mentioned followup visits with the breast surgeon. Is that just if you have a mastectomy, or also if you have a lumpectomy? I was a bit surprised the surgeon wanted to see me again, after clearing me for radiation (I figured he and I were finished with one another!). I assumed it was just to be sure all was healing well post-radiation, and figured that would be my last visit. Why would I need to keep seeing him? I do not want to have to visit the surgeon, the medical oncologist, and the radiation oncologist one after another, once radiation is done. I would like to finally move forward with my life, but don't see that happening if I keep having medical appointments that remind me of the cancer. I accept the need to see the medical oncologist, but don't want to keep seeing the radiation onc and the surgeon. Oh, well, if I have to, I have to.
Karen
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I saw my BS once after my Mast. He explained my biopsy report and checked my incisions. He told me I never had to go back unless I wanted to see him. Haven't felt the need and I haven't been back. I don't know why you would have to go back to your BS once you are healed. If someone has their appendix out, they don't keep going back to see the surgeon. We have other docs to check us for cancer.
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karenlen, I think it is common practice to see your breast surgeon every 6 months...He/She will be in charge of your mammos/us for the next five years...I had my 6 month (after surgery) mammo/us (lump breast only) in April, will have my 1 yr scans for both breasts in Oct....There is usually no need to keep the rad doc, but your onc will be checking your blood work and such...With my lumpectomy over 9 months ago, I am still sore..Moving forward for me has been at a snails pace.......but I am moving along in this post bc life.......
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karenlen...I'm just the opposite. I adore my BS and will do whatever he says for as long as he wants to take charge. I don't have the same faith in my med onc (MO) and haven't met the radiation onc (RO) yet, but both were recommended by the BS so I'm working with them. Am due for follow-up with BS on September 30 when I'll be done with chemo and will have begun radiation. My BS just does breast surgery and I trust that he'll see, feel, scan all over time and keep watch on any possible recurrence in that area. It's the other body parts I worry about with my hormone negative receptor status. Plus after the radiation is over I have to have my ovaries yanked. Am planning to have uterus taken too because it will be one less thing to worry about. But that's yet another doc to deal with...another surgeon to add to the mix. I think that this is just my year of living dangerously with cancer and seeing physicians galore. Like Julia Roberts 'no carb left behind' diet in Eat,Pray,Love, this will be my 'no medical professional left behind' phase. Bring 'em on! If this cancer saga lasts more than the year (have to finish the Herceptin) then I'll have to add a psychiatrist to the list. I want my life back, too! Would love to enter a 'NO MD Zone' for awhile. Except I'll keep my BS forever. He's that good. (And in answer to your question, I had a partial mastectomy, ended up with 'widely' clear margins and no nodes involved. Just an aggressive and invasive tumor that is prone to mets without aggressive chemo and radiation).
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raeinnz- Thanks for the information about mets. You educated me about a lot of things I didn't know.
somanywomen- You asked how I found out what had happened to me in recovery. I originally thought I had a drug reaction so I called my PS the next day to find out what they gave me. I wanted to make sure I was never given it enough. She told me it wasn't a drug allergy but that they had given me too much. I found out that they had lied to both my DH and I after he and I compared notes the next day on what we had each been told. I think the fact they lied to us made me angrier than overdosing me!
stanzie- My surgery was my 4th in 6 months and I was always allowed to have one family member in recovery as soon as I woke up. Since this had been allowed in the past, and this surgery was supposed to be fairly short, my DH couldn't understand why they kept refusing to let him see me.
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I guess because I didn't have a BS, I had a thoracic surgeon who happens to do many, many mx surgeries in conjunction with the PS, he just turns it all over to the PS.
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My follow-ups are only with the med onc (and this was also before the mets dx). I saw the BS for the last time after I was completely healed from the post-op infection, and I saw the rad onc on my last day of tx, when he specifically said that the med onc would do all follow-up. Med onc does a very thorough physical exam each time I see him, orders all bloodwork and also my mammos and u/s. The only thing that has changed with that since the mets dx is the frequency of the visits and that he will order all kinds of scans (what fun - can't wait).
Here in Israel we have socialized med so I see all docs in a clinic setting - they don't get paid per patient. Of course, that has nothing to do with it.
Leah
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I see my oncologist and I see the radiologist who reads my mammograms. The radiologist usually calls me into the room to see the scans if he has any concerns. This same radiologist does my sonograms and if necessary, the biopsies. I love my radiologist.
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I'm allergic to almost every antibiotic except Levaquin. It has been a lifesaver for me.
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somanywomen: Thank you so much for starting this thread. In vino veritas.
And to everyone: yes, yes, and yes.
This website has provided me with information, humor, consolation, and solace.
Thank you very much, BC.org sisters.
For me, this experience began with hiding out, sparked into speaking up, grew into helping others. It's a physical, emotional, mental, and spiritual roller coaster. BC reveals a lot. You learn about yourself. You learn about others.
It changes everything.
I have friends who've told me to stay off the internet. To just trust the team and leave it at that. I can't. I need to learn about the disease; I need to learn how to deal with it from the experiences of others.,,.
This month, I've had the great healing opportunity of being able to help two women just starting down this path. My advice in a nutshell: trust your own intuition (the voice in your head), ask questions, demand answers, learn from breastcancer.org, and everything you feel is normal.
Those around us love us but are limited by experience, fear, and denial. Unless they're cruel or outright dismissive, let it go. They have no idea and I hope they never have.
Thank you all. And God bless us all.
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stanzie and kate - you're welcome.
somanywomen - I didn't choose chemo either 1% benefit and 2-3% negative benefit - didn't stack up for me. Re the Fjords - yes I have been down that way several times and the area is spectacularly beautiful - actually the whole of the South Island has spectacular scenery in different ways - but in the lower half there are glaciers, beech forests, rock formations, historical gold mining areas and all sorts of interesting small NZ towns along the West coast and inland there are beautiful lakes like Te Anau and Wanaka and Manapouri (you can visit the underground hydroelectric power station there) and then there is the tourist capital Queenstown which is set on a beautiful lake and is central to many interesting day trip places . Milford Sound and the other fjords are in situated in the Fiordland National park. Milford Sound is accessible by cars and buses and is beautiful from land but short boat trips are available at a reasonable price. Doubtful Sound and others can only be visited by boat. There is a hiking track that goes from lake Te Anau through the national park and ends at Milford Sound called the Milford Track (Google it) and another popular one is the Routeburn Track which goes from Queenstown to the tip of lake Wakatipu which is the lake Queenstown is on and there are miriads of other smaller tracks that are equally beautiful but not so well organised as far as huts, transport to and from, etc. In winter (May - Nov) the West coast and the lower South Island are pretty cold and wet and in the summer it can be wet but is usually warm enough to be in summer clothes. If you were thinking of walking the tracks I would advise you visit summer through autumn (Jan - April) as weather can be pretty unpredictable down there until even Dec and come May it is not very nice down that way usually. I have only been to the fjord area in summer and the sandflies are voracious then - insect repellent or long sleeves and pants are a must there and the sandflies are pretty bad. Come to think of it they can be pretty bad in bush or country areas too and mosquitos at night are a nuisance but they don't carry any nasty bugs here. The North Island has just as much beauty and interesting things to see and lots of walks too. I live in the central East of the North Island and our climate is much more moderate than down South. Woops sorry ladies, I have got a little carried away talking about our beautiful country. PM me if you would like anymore info somanywomen.
Haven't heard of Levaquin as an antibiotic here yet. I will ask my dr about it next time I go and see if it is being used here.
Rae
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mbtlcsw01 and raeinnz: My father in law has been using a cane and has a lot of pain since a 2006 tendon injury and neuropathy caused by a short course of levaquin. Cipro is another drug associated with these types of serious, long lasting, and, for many,irreversible side effects and others. If you google levaquin and tendonitis, you'll find lots of information and reports from many who've been injured by "flouroquinolones"--especially levaquin and cipro.
In July 2008, the FDA issued a "black box warning" for these two drugs and others in the class "flouroquinolones." Here's the address: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm126085.htm
Definitely worth reading. Take care.
PS Can anyone help me learn how to properly post a link? Thanks.
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mbt....That's great that Levaquin works for you, I just saw first hand what my mom's se's were with this drug so as long as Doc's/hospitals realize some dramatic negative effects on some people and stop the use immediately, as with any other drug..The problem was, they continued to administer this drug and ignored the fact that it was causing the horrendous pain in my mom's upper arms (a known se of Levaquin) during her hospital stay...
I have had a problem with soreness since my surgery over nine months ago, when I saw my 6 mo mammo film, there is a clump of (about 8) titanium surgical clips all clumped together in lump area..I have complained to my bs and he has told my that it would be rare to have a allergy to these, but I am extremely allergic to nickel and these do have a bit of nickel in them so I wonder if that area will ever heal....
redsoxfan...great quotes!!!!.."In vino veritas"...."My advice in a nutshell: trust your own intuition".
raeinnz...WoW!!...Thanks for info, makes me want to pack my bags and come to NZ today!!....What a beautiful country, my son has done a lot of research and has shown me such beautiful areas on the web..He has the travel bug and wants to see the world..He just finished his first year of college and I am surprised that he would still consider doing a trip with mom .....I am hoping that we can get this trip planned before he changes his mind..I'm going to print the info you gave me....When the trip gets closer to actuality you will definately be pm'd by me to get as much first-hand info that I can get...In the mean time, I better save every penny, there is just too much I want to see...the lakes, little towns, waterfalls, we really need to put thought into weather conditions to be able to make the most of the trip....I want to see it all!!!
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I work in healthcare with many of my friends being docs. They always are willing to allow me to ask questions and I'm religious about knowing about side effects before I take anything. I'm very allergic to many drugs--including taxotere which almost killed me twice. There is another drug very similar to levaquin called avelox, I break out in hives with it and my throat closed up. I've learned that medicine is an art, not a science. Each of our bodies is a different chemistry set and what may work for one will not work for another. I've added vitamin d for the last 3 months and have NO pain any longer anywhere. It is amazing.
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Just a word of caution about Vitamin D.. nearly 3 years ago I presented with an array of symptoms that baffled all the docs. They did all sorts of tests and scans and came up empty. Then one day I looked at the labels of all the drugs I was taking at the time and found that so many of them, prescribed and OTC, contained Vitamin D. Even though the docs had a list of all the drugs, no one looked at the labels except me. When I brought this to their attention they almost flipped...I was suffering from Vitamin D toxicity! A few weeks after stopping all of it I got remarkably better.
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somanywomen - you're welcome! Maybe we will meet if you make it over here. I think it is wonderful that your son wants to travel with you. I have twin girls in their second year of university and another daughter in her last year of high school. I find they are more interested in going places with me and having a relationship with me in general now than when they were 14 - 17 y/o when the friends were SO important.
redsoxfan - thanks for the link about fluroquinolenes - interesting indeed. I will be very cautious if my dr suggests those drugs.
Mary - I agree with you about everyone's body reacting differently to drugs. Although I haven't had life threatening reactions to any drugs yet, fingers crossed I won't, I have found several drugs I do not tolerate at all and all of them are ones that are generally 'well tolerated'. The first BP medication I was given - Inhibase - gave me horrendous heart burn the first time I took it and I had never had heartburn before even when I was pregnant with twins! I mentioned it to my pharmacist and doctor and they both said it was 'well tolerated by 99.9% of people' and that maybe I was drinking too much coffee or eating too much citrus or both - what?
The dr gave me another drug Losec to settle it but it didn't work. I stopped taking it after two weeks of agony and in 2 days the heartburn had gone. From that experience I learned I have to listen to my body and trust what it is saying to me. I now research medications before I swallow them and quickly stop taking them if I notice any reaction at all.
bon - yes, vitamins are necessary but too much can be dangerous. I had a friend who got Vitamin A poisoning from eating too many carrots (she was on a diet and was munching through lots of carrots everyday) - her skin went yellowy and flakey and she started having terrible headaches. Drs thought she had some sort of liver damage but eventually worked out what it was. She came right after a couple of weeks too.
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Bon,
What was your blood score for the V-d? Did it show above normal or was it not tested. I've been prescribed 3,000 units per day. It seems like a lot to take but my score was only 35 and they want to get me to 50.
raeinnz - I was fortunate to visit NZ and loved it. I'm not used to the mountains so it was a bit scarry since there wasn't shoulders. Visited both N & S Is. Traveled from Christ Church to W coast across mountains - some with one way bridges!
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samsue - Glad you enjoyed our beautiful country - I hope you were made welcome. Yes, there are some 'interesting' roads in NZ especially in the mountainous areas. When we toured the SI when I was young my Mum refused to go come back over the Arthurs Pass road (very edgy, winding and steep and metal road in those days) and waited for a train to come through later in the day. I can still see my Dad's face when she wouldn't get in the car - he was purple with rage and my brother and I (who had no choice but to get in the car with him) had the trip from hell over that road because he was so furious!
I have not been tested for Vitamin D levels - we have high sunshine hours in general so I guess it is a rare thing for someone to be low on vitamin D. Maybe it would be done if my bone density scan had shown a problem though.
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Bon and Samsue. My vitamin d level was 34 when it was tested. It needs to be up to about 60 per my docs. Taking 1000 iu's a day, I now have it up to 50. It has made a world of difference for me. I have high calcuium number without taking any calcium and went thru menopause 8 years ago before diagnosis. I've been on femara for 1 1/2 years and for the first time in a real long time, I don't hurt anymore. Being in the sun may help some Rae, but I live in Florida and was still not getting enough. Many, many of us are finding we have and probably for a long time, have had a low vitamin d level.
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Mary - interesting. Do you think modern day lifestyle choices have an effect ie not actually going out in the sun much despite living in a sunny place, or covering up or using sunscreen all the time or not eating fish or that some people just have a natural deficiency? Here in NZ we are all (from age 1 yr) advised to 'Slip on a shirt, slop on sunscreen and Slap on a hat' before going out in the sun so maybe we will become increasingly deficient as well. Sunshine is a Catch 22 for us as our sun is so fierce - if we get too much we are at risk of melanoma and if we get too little we could be at risk of brittle bones.
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It only takes about 15 minutes a day with no sunscreen and lots of skin showing (shorts and a tank top) to get the Vit. D that you need. Unless you have very sensitive skin, you should be ok with that amount of sun without burning. I agree, we protect our skin from the sun to the point of compromising our health in general by becoming defiant in Vit. D.
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firni - As part of our weather forecast in summer, there is a UV index which tells us the expected intensity of the ultraviolet radiaton. It goes from 1 - 10+ and at 9 we are advised that we will burn in less than 15 minutes and to wear a hat and sunscreen if we are outside and to stay inside between 10am and 4pm. At 10 we are advised to stay inside all day. The index is more often than not 10 or over in summer and regularly goes to 12 so we could burn in about 10 mins. We we really do need to take care not to get burnt down here but do we all do it - no! - heaps of people still get burnt. If any of you are coming to NZ for a summer holiday remember to Slip, slop and slap!
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redsoxfan- Loved your post and the quote- In vino (and BCO) veritas! You're right- BC changes everything. Thank god for this site and these women.
Bon- Good advice about the D. Your body will flush the excess of certain vitamins but D is not one of them. Like you, I wouldn't have even thought to check. Glad you figured it out! A lot of people are jumping on the D bandwagon without first getting their levels checked and overdosing on D can cause serious organ damage. That said, even if any of you live where it's sunny don't assume your levels are ok. If you're having symptoms of d deficiency I would definitely ask for a blood test. I live in Arizona and my level was 12.
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raeinnz
Yes it was Arthur's pass! And, I don't blame you mum because although beautiful, it was also quite a trip.... especially driving on the "wrong side of the road" LOL
I also live in FL and have most of my life. You would have thought my D levels would have been higher. I had been taking Cal w/D in it when the bt was taken so even with that it was low. My DD had hers checked since I found out it was really important and hers was low like mine. She's lived all her life here, so there isn't a guarantee the sun will give you enough.
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Rea, thank you for that information. We don't have UV index where I live. We do usually have pretty good sun tho. (high altitude) However, on a typical day, I don't get even 15 minutes in the sun. I guess as in all things, common sense prevails and you have to take all factors into consideration before you lounge in the sun for any amount of time. Skin cancer is not a good trade off.
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Boy does this thread ever show that it is not a 'one size fits all' world in treatment. We started with family that doesn't know what to say and friends who just have no idea and now the medical community can't even understand us...hummm, I think every treatment package should include a trip to some island paradise for two weeks for a complete pampering staffed with people that get it - totally!
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raeinnz...That is so funny about your Mom choosing the train and not getting back in the car for another wild ride on Arthurs Pass Road....Sounds like something I would have done!..I'm a bit fearful of cliffs and roads like that...Are there as many near the Fjords?...My Dh and son will love it, but not me!!..OMG, I just read where samsue said "driving on wrong side of road"!!!.....But hey, I have been through worse than that, if I can handle the Fear-Factor of BC, what's a little jagged road!!!!!...Right!!!!!!!!
My D was also very low when someone finally checked, I think I had read about it on this site and had requested it checked...Funny, no one ever checked it before...I now take about 3000 iu's a day..Plus, I do about 3 walks on beach a week...I just had my bloodwork done on Monday and was suprised that D is not included in CBC, nor is cholesterol, guess I will have to ask my GP to check..I get results next Monday for test, includes CEA and Ca-15-3, a little nerving these tests every 3 months or so...
My Dh tries to give me my BC blogging time, but I know he is hoping I start spending less time on this site...It has been so beneficial to me, I don't see that happening....I feel as though nobody knows but us........hence.."They have no idea!"......
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I sit out in the sun once a week for about 30 minutes with no sunscreen. I don't burn easily. I know for the year or so after dx and during tx I never felt like being outside much, so I got little to no sun. I work inside all day, so I'm not out much during the direct heat. We too, in Tampa, have very high UV ratings.
Somanywomen, my DH is toleratant of me being on this site. He reflected to me recently that he does have some idea about how if feels. His father died of a heart attack @ 53 years old. My husband, due to a genetic factor, had one when he was 49. He is great now, but has had to be hospitalized several times over the years with angina. He said, every different twinge, etc, is a constant reminder that this is not over for him and he never knows when it might flare up again.
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mbt, It does make a difference with what he has been through, I am sure he has the same fears of return as anyone with illnesses that have such an impact on our lives.....My Dh is just the best as far as his support and understanding...It's just that I can tell, he wished the old me would appear a little more often (the fearless me)......
Just last night his mother called him to let him know that his 35 year old second cousin had driven herself to the hospital (in Mass) at 3AM thinking she was having a heart attack...Sure enough..she was!!....A piece of placque had broke loose and headed for her heart!!..They did a stent and hopefully she will recover well...I am sure she will never be the same also....She had just had a great results med exam.....
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somanywomen - Arthur's Pass is a mountain pass road so is challenging. When my Mum had her 'moment' (about 40 years ago) the road was metal and only really one lane wide so it was pretty hairy to travel it especially if you met another vehicle. It has been upgraded heaps since then though because tourist buses started to use it regularly to get to the West Coast. Altough it is still steep, windey and edgy in places it is a safe road now and carries lots of traffic. Big buses still have to go on the wrong side of the road sometimes though to get around sharp corners. There will be no 'Fear Factor' moments I'm sure.
I know what you mean about your DH wanting 'the old me to come back'. Mine has been so careful of me but I used to be upbeat, into everything and doing something all the time and now I do what I have to and would rather watch tv or be on the computer even when he suggests doing something and I think it worries him. I think a lot if it is the Femara fatigue with some PTSD mixed up in there and I am looking forward to April 2014 when I have done my 5 years.
I am lucky that I have a 'techno' loving DH so I have my own PC and we have a home wireless network so I can spend as much time as I want on the boards - I guess you might have noticed that!
Just spent the last hour picking up oranges and juicing most of them. They are pretty much ripe and have fallen off in the recent storm - nothing nicer than home squeezed orange juice. Orange chicken tonight for dinner too - yum!
Gotta go to work - Bye ladies
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