Not sure where I fit in...
I posted a few weeks back that I was dx with DCIS. I had so many wonderful comments from people here that helped me find my way through this process so far.
I had a double mastectomy 2+ weeks ago & the final path report was all good news....no invasion, lymph node was negative - final dx was strictly DCIS. I am now in the process of reconstruction (with TE) - which will be about a 6 month process.
These last few weeks have been such a whirlwind. I'm still reeling emotionally & physically. And as my mind tries to put it all into perspective - I don't know how to talk to my friends about it. Yes, I had DCIS....but it was caught early & I am lucky that I do not have to go through chemo, radiation, Tamoxifin. And yet - I still am suffering emotionally. Do I explain that I had breast cancer? Do I explain that I had a pre-cancerous state? Some of my friends say I am a breast cancer survivor...and yet I feel that I wasn't even close to that because there are so many women who have gone through SO much more than I. I feel as if I try classify myself in that league - I'm cheating the women who have suffered through so much more. And yet - I'm still feeling the effects of having gone through something.
Does anyone else have these thoughts/feelings? (I hope I'm not offending anyone - I know how lucky I am) - but I cry so many times about just having to deal with all of it - even though I know I have escaped the worst.
Comments
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Decemberbear. It's a whirlwind when you learn that you have dcis and before you know it, you are in surgery, and you have to deal with all sorts of senario's. After surgery you are told that you are lucky, you have stage 0 dcis. I was relieved, but it takes time to come down from the whole experience. But, if I have had my breast removed, I would forever be reminded of what breast cancer cost me.
I chose not to have rads or tamoxifin. I can't relate to those who have. I don't feel like I had real cancer....cause I didn't suffer like all my other bc sisters. I didn't have a mx, just 2 simple lumpectomies.
I don't talk much about my dcis experience with my friends...they don't quite understand stage 0 or why I didn't have treatment. I found this forum a great place to discuss my struggles, feelings, questions and fears of a recurrance. The women here are mostly supportive. I don't feel a need to come here much, but at times, I do...not sure why...just to know that someone out there cares and you're aren't alone.
What's tough for me now is I feel silly seeing my bc surgeon. It will be 2 yrs this fall since my last dx in late Oct/Nov. One year ago, I asked for a mri and the surgeon didn't call to tell me my results were clear. I had to ask my naturalpathic doctor to get the results...so I figured my bc surgeon feels that my dcis dx wasn't serious enough for follow up... so I feel a little stupid asking for continual followup for something thats not there any more. I asked my primary doctor for a mammogram in May. I suppose right now I'm on my own.
Am I a cancer survivor...yes and no. I dodged 2 dcis bullets, and that's a 100% survivable...so I don't count my self in with those who had to survive a huge ordeal...like yourself who lost breast.
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Decemberbear,
what I hear is you have been through a very real double mastectomy, and you are grieving. so normal! your feelings are legitimate, and there are many emotions that come with having a mastectomy...more so a double, as there is such a finality about it (no longer have a normal breast to reference, if that makes sense.) I had a double mastectomy myself, and there are days...you bet.
I say don't question yourself as far as belonging, or having had cancer. Not too many insurance companies pay for surgeries that are not without a clear diagnosis (just to put it in basic terms)
it sounds like you need support, and that is what this site is all about. please keep sharing.
traci
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Oh ladies, just because it was caught at Stage 0 does not mean it isn't BC. Had it been caught later, it would still be BC. I have two friends right now who have been tagged at Stage 0 and are classified as BC by their oncs. Labels are just labels. The fact is - you have gone thru profound treatments that any stage BC survivor would have had to have at some point. I have Stage II in the left breast (had), and a lumpectomy. But now the docs want to do a double mastectomy as a preventive measure to stop further cancer in me bec of the type of cancer that I have. And they want to take a healthy breast that has had no cancer. I still have cancer-period or I wouldn't be on this merry-go-round. I agree with Traci, if they have to take your breasts to save you and/or spare you, there is no need to get your head wrapped around details and labels. We want to put things in a nice box with a bow but often, those are not the cards dealt us. Fact is, you have had a tremendously profound loss: The most firghtening diagnosis and treatment intervention that a woman can get; and it al happens so fast that there is no time to process any of it. i am just starting to come out of the fog and beginning to grieve. Give yourself time to process the feelings (like with a therapist) or a support group. Your loss and your surgeries are just as profound as anyone of us who may have had a more advanced stage of cancer. Give yourself time to absorb what has happened to you before worrying about labeling it-very honestly, labels are the least of our worries-especially when we (you) have gone thru such aggressive treatments. We all want to try and judge ourselves by comparison and cancer is very different for each of us as is treatment and followup. Often, there is no standard course. I am allergic to chemo and cannot have it or rads or Tamoxifen, so my recovery path and followup is very different from that of other gals here. The treatment defines the disease, as do the feelings. That may sound odd, but give yourself time to get thru the shock and absorb all of this. Blessings and prayers to you all, SV
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DecemberBear, I feel just like you.
I also had a BMX for State 0 DCIS. I don't feel worthy of the BC survivor title because there are so many women that battle this beast every day, while I was able to dodge the bullet with surgery, although serious life altering surgery. I struggle with emotions every day, I have a hard time explaining what I have, why I did what I did, every day...I have taken the approach that I had a precancerous, Stage 0 condition and chose the most aggressive, radical treatment possible. I read the Dr. Susan Love book, her description of DCIS as precancer sits well with me so this is how I have internalized it. The BMX was my solution, and my control of the diagnosis and I will learn to live with it happily for the rest of my life, as I do feel like I was blessed with this early diagnosis and that my angels are with me.
I am sorry you feel as you do, however know that you aren't alone. I am only one month out, but share your sentiments.
God Bless,
Mags
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Cancer is cancer is cancer. Stop beating yourself up. It doesn't matter what stage, it's still cancer. Yes, you're right, it was caught early but that doesn't make it any less, just luckier.
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decemberbear, I could have written that! I know exactly what you're saying.
But flash is absolutely right: cancer is cancer is cancer. I think surviving hearing the diagnosis of "cancer," with all the kettledrums and crashing cymbals that go along with it, is worthy of a "Survivor" label.
Just 'cause we're lucky doesn't mean we haven't been through the mill.
Don't feel guilty. Feel grateful!
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I know we all have different points of view and different perspectives, but I have never had any problem with accepting that I am a cancer survivor. I am grateful that my cancer was found early, but I am as much of a survivor as any one else diagnosed with any stage or type of cancer. It has been five years since diagnosis for me, and my life is pretty darn good, but you never completely get back that same comfort zone in regards to medical procedures and testing that you had before cancer. I know women that are 20 years past their diagnosis that still get on edge when they go for their screenings. We have post treatment issues that people who have never been diagnosed have no comprehension about, is that back and hip pain because I twisted and picked up my grandchild, or is it mets? I don' t worry overly much about this and appreciate every day I have, but I am just trying to tell you that you are every bit as much part of the breast cancer survivor's club as anyone else here, and that may not completely sink in until you have been a little further down the road. I am very open about my cancer experience as advocacy is important to me. My face is not the face that so many people think of when they think of breast cancer, that of an older woman, so I wear my pink Komen shirt and talk to as many people about it as I can. If one woman goes to get her mammogram based on my experience, that is a good thing. I cry every year at the Race for the Cure, maybe not as much as the first year, but each year it becomes a little more bittersweet, as every year there is yet another one of my friends, my sisters in the fight, who are not there to celebrate being a survivor. There are no guarantees, but I am grateful for each and every day, and I am proud yet humbled to be a survivor. Some are not granted the privilege.
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Were they crazy or me???
decemberbear---I WILL ALWAYS CONSIDER MYSELF A BREAST CANCER SURVIVOR!!!
I went thru the same emotions in 2003....early DCIS "CANCER" stage 0, no lymph nodes, three surgeries but no clear margins, required single mastectomy but choose double, no chemo/rads...everyone kept saying this as early as possible can be detected, are you sure it was "real cancer"....WELL, what the HELL did I do a double MX for no reason...were they crazy or me??? Yes, there were times when I almost felt guilty for having early cancer or true cancer, however you want to look at it.
WELL, now in 2007 found lump, long list of testing, surgeries, and YES cancer is back (docs not sure if recurrence or new) Stage 1 (almost stage 2 which was growing extremely quickly), no lymph nodes but lymphatic invasion...now doing chemo/rads/tamoxifen
Back to the orginal question...were they crazy or me??? The answer is they were crazy.
DO NOT LET ANYONE TELL YOU THAT YOU DO NOT HAVE SOME FORM OF CANCER!! CANCER IS CANCER!!! People that try to trivilize this are usually trying to make themselves feel better about YOUR situation. This is not about them! It actually makes me sad that I probably trivilized my own situation in 2003 at the time.....no more!! I no longer care what people think to a certain point about me...if they do not like it then they are not my true friend anyway.
I will be honest with you and sorry to tell you this...but yes you haved cancer and you are a survivor and will make it thru this tough time!!!
FYI--back in 2003 on the chats on these boards which I have been unable to get back on this year...there were actually heated discussions on the DCIS discussion if it is cancer!!
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Thank you all for your comments & input. I know I'll find my way through all of this. It's great to have the opportunity to hear so many different points of views. It helps to hear all perspectives to see which ones resonate with me and which ones don't. It really helps me to get more in touch with what I truly feel inside. Thanks again everyone!
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I've had similar feelings -- I had the bi-lateral masectomy w/immediate reconstruction - no drains and no expanders and have done quite well - but I feel strange - I only told my immediate family about the masectomy and a couple close friends and asked them not to talk to others about it - so I was in the hospital overnight, came home and have recuperated and found out after the masectomy was done I found out the "suspicious" areas were cancerous but contained - not spread to lymph nodes and since I had the procedures done I do not have to do any further treatment so I feel like I saved my life by doing this and I decided not to tell everyone else because I felt strange that I never felt sick or went through what other cancer survivors do. I guess I also didn't want people to react to me w/"pity" because I've been diagnosed w/cancer -- I am trying to deal psychologially with not having the same breasts as before - but keep reminding myself I am alive and healthy and that's what matters!
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Question? I go back to the doctor in a month and want to find out what kind of surveillance do I need to do now that I have had a double masectomy? Should I insist on still having a yearly MRI since that's what caught the suspicious area to begin with? One doctor said just breast exams would be okay and if they find a lump go from there -- but I don't want to wait until there is a lump because that would mean it's much more progressed than if an MRI would find a small cm size
area. Can MRIs be done w/implants present? Any other suggestions??
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KeukaMaid, if you have silicone implants, usually breast MRI's are done to detect any problems with the implants. I have saline implants and they said just monthly exams for me.
Sheila
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Oh I can relate! I have felt like I should not be feeling like I am feeling..(make sense?) I watched my mom die from BC in 1982 and I have no where gone through what she...or so many others have. But I still go through distress over knowing I had DCIS, going through rad Treatment now, Tamoxifin, and had to switch from Zoloft to Effexor. BC at any stage upturns your life!
Each day I feel different, stage of fatigue, and when I can do things (Sundays and Mondays I have more energy) I almost feel bad when someone comes over with a dinner. Then there are days I don't want to even fix a bowl of cereal. Mornings better then afternoons etc.
Thanks for not minding my venting.
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I have breast implants after a bi-lateral mastectomy and my bs said I should not have any imaging BUT MRI's and yes they do look for any problems with the implants but they are also used to detect any new, small potential cancers.. so everyone with implants should have MRI's - after having them once a year for 3 years then it's safe to go to once every 2 or 3 years (per the stats).. Good luck all!!! Best, Deirdre
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Thanks to you and the others' comments -- they were helpful. I know we have to be our own advocates and even though I feel so much better now that I have a significantly lower chance of getting breast cancer back by doing the double masectomy, I still want to be proactive and make sure I'm not in that 2-5% chance of getting it again. I'll ask for the yearly MRIs. Thanks, again.
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decemberbear- What a great thread you have started. And many wonderful replies, too. I think JennSmith summed it up best when she said you're a breast cancer survivor because you are never able to go back to your comfort zone. All of us have been irrevocably changed and that is what makes us a survivor. We wear the scars every day and not just on our bodies. For me the emotional issues didn't hit until I was completely done with treatment- MX and reconstruction. When there was no longer having left to "do" I finally allowed myself to process the whole thing and grieve. I think you've just gotten to that point sooner than I did.
There is a great thread on here,called Exchange City, for women that are between MX and their exchange where we talk about lots of things. Here's the link if interested-
http://community.breastcancer.org/forum/44/topic/728266?page=569#idx_17068
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This is a great topic. I just started a new topic in DCIS although I am stage 2 so I hope you don't mind. Here is a copy of the text I submitted under the new topic....
I just saw an interview on CNN about Martina Navritilova who spoke about her BC cancer diagnosis and her journey through DCIS. I must confess that I wasn't clear on a DCIS diagnosis because I am stage 2 ...so that has been the main focus on my journey. Navritilova refers to her diagnosis as her personal 9/11...it was devastating news for her. I just wanted to say that for all you ladies who are struggling with DCIS and are unsure where it all fits into the BC world...this woman has validated your fears, your emotional roller coaster, your concerns, worries etc. She is speaking out publicly in order to get other women to make sure they get their mammograms and checkups because early detection is so important but at the same time she also speaks publicly about her fears, her treatment etc. Ladies with DCIS...you are all brave warriors and are faced with big decsions like all of us who have a cancer diagnosis. Yes, certainly different stages have different things to deal with but this in no way should make your feelings any less worthy. The reason I am writing this is that I saw some posts from women whom have been diagnosed with DCIS and yet they are finding that people don't think of it as a BC diagnosis. I saw a topic titled "Not sure where I fit in?" You all fit in right here at BC.Org. You have BC and I don't think the emotional impact of it should be minimized. Your feelings, fears, worries are all valid. I just wanted you to know that there are many women of all stages that are in your corner...rooting for you.
Hugs to all
Beth P
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pickle- Thanks for the great post. You brought tears to my eyes (in a good way). Thanks for the support.
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Is this in two places?
anyway, I'll give it the bump it deserves. It reminds me that we need to keep the sisterhood strong, as well as our brothers who fight breast cancer. It presents in many sneaky ways, and has different protocols for treatment.
So many times I have been asked..so they got it all? Are you all better? And these questions are from very well meaning loving people. They want it to be gone, and I know they want me to be free of disease. But I have the fear, and I am shaky now. We all understand this feeling together.
Thanks pickle and the other ladies who have added such clarity to the questions of fitting in.
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