Need some encouragement....

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skmarm
skmarm Member Posts: 36
edited June 2014 in Lymphedema

First of all, I want to thank all of you who so graciously and courageously post your questions, your answers and your words of wisdom.  I rarely post, but I read profusely and your words comfort, inform and inspire and I am so grateful.

 It is in this spirit that I come to you today for some direction/inspiration/kick in the butt perhaps?

 I am grateful to be alive.  I am grateful to have the opportunity for surgery, for chemo that I hated but may have given me more years to watch my sons grow, for herceptin to help me along the way.  Truly, I am grateful.

But I am also very bitter.  I've had loss and hardship in my (as many people have) and this is "one more thing".  I am tired of doctors who leave out or gloss over small details like possible heart problems from chemo, or a rock hard breast from radiation.  I am very modest and never liked breast exams, so I was livid when I was made to lie naked in a freezing cold room for 2 hours of marking on my chest while 10 people walked in and out of the adjacent staff room overlooking the radiation oncologist exam room and one staff member actually walked in and asked me if I was the "my name" who was her son's principal in high school four years ago?  

I'm tired of my surgeon blaming the radiation for my truncal lymphedema, my oncologist blaming the surgery (rather than the radiation) for the truncal lymphedema and my radiation oncology looking at me innocently and suggesting "well you can always have plastic surgery to make them match again" as her answer to having one breat 3 cup sizes bigger than the other - again, due to lymphedema.  Are you kidding me?  A year of nothing but doctors' visits, pain, nausea, heartache and tears and she is suggesting that another trip to the operating room is the answer?  And her FIRST answer at that?

In the next two weeks, I have scheduled a chemo treatment (herceptin, which makes me nauseous and has me walking around like a 90 year old woman), a MUGA test (which isn't that hard, but why did I have to pay for this port for chemo and the same hospital can't use the port for the MUGA test because they don't have butterfly needles in that department and can't be bothered to get some - therefore, a painful arm puncture), a chest x-ray (because the cough that I have had for 3 months just might be from the radiation), a breast MRI (because its time and yet again, we have to have an IV because no one knows where "they"keep the butterfly needles) and a lymphedema consult (because when I take off my bra, my breast has enough lines on it to qualify for a roadmap).  

I am fortunate not to have much lymphedema in my right arm, which is good, because I am also a violinist and that would be devastating.  I feel some swelling at times in my fingers, but not much to speak of.  And I'm not in pain, I just have a huge, hard breast...to do along with my port that sticks out like sore thumb.

 I'm tired of looking and feeling like a freak.  I'm tired of spending $17,000 last year for medical bills when my insurance claims a $1500 maximum yearly out of pocket (beware the fine print, and if one more doctor's office employee tells me "at least you have medical insurance" I'm going to scream.  I have paid for medical insurance for 30 years - paid a lot of money and rarely used it - so in the grand scheme of things, yes, I am grateful to have insurance, but it is, afterall, a commodity in this country and I DID pay for it, so I would like for it to work like it says it is going to work.)  I now weigh whether I want to go for treatment because quite honestly it is just more dollars out the door, over and over and over.

So here I am...ranting like a baby...but I just can't stand the thought of getting naked one more time, having someone look at me clinically one more time, having someone touch me or massage me (I'm just modest that way, I can't help it), one more time, running into someone I know at the hospital/clinic/doctor's office - one more time, finding out that someone I met and spoke with in the chemo room has now died/relapsed/entered hospice - one more time, being told that I have to buy a sleeve/compression garment/camisole/something that reminds me yet again that I am a freak and I should be GRATEFUL for the opportunity to be different instead of being dead - one more time.

I am so sorry if I have offended anyone.  I wish I were stronger/better person to take all of this with dignity and graciousness.  For the record, I do handle things well on the outside - for my colleagues, for my children, for my friends and relatives.  And I'm on Effexor.  But I just don't know how much longer I can do this, or why I'm doing this.  And with the way I look without clothes, I wonder if a man will ever look at me with desire in his eyes again.

 Please, I could use some help.

 Schoolmarm

Comments

  • BoobsinaBox
    BoobsinaBox Member Posts: 550
    edited January 2011

    Schoolmarm,

    You are certainly among sisters here, and you are not being a baby or whining.  You are faced with really awful results of treatment, as are many of us, and very few of our doctors want to take responsibility for helping us, now that they have hurt us...in the name of saving our lives, but not making them worth living again.  I do hope you will go to a well-qualified LE therapist, even though you don't want to be massaged again, because once you learn to do it yourself, you will experience some relief, and that will begin making your life worth living again.  I'm holding you in my thoughts for comfort and new hope.

    Dawn 

  • kira66715
    kira66715 Member Posts: 4,681
    edited January 2011

    Schoolmarm, Your post is so powerful that I'm concerned I couldn't possibly answer it sufficiently.

    You've described so well the suffering, humiliation, the collateral damage, the lack of support from physicians (quit blaming the next guy, and just help) and the exhaustion that comes with this treatment.

    I think right now, it's overwhelming--and the only advice I would offer it to try and break it down into managable steps: 1) The lymphedema--it hurts, requires daily care, and threatens your violin playing and everyone is playing the blame game--of no value to you, 2) the physical effects of the herceptin--will it be over soon?, 3) the absurdities and humiliation of the medical system--being exposed and cold, all these institutions that can't use your port (not okay--get a supply of butterfly needles and bring them with you), 4) the loss of privacy--in all aspects, 5) the fear that you'll never be attractive again, 6) the fact that co-pays don't count toward out of pocket expenses--big loop hole, right?--be sure and deduct those expenses.

    It's TOO MUCH.

    I think as treatment starts to wane, and testing frequency drops off, some of this emotional fallout will get better.

    You're both in warrior/treatment mode and survivor mode and it's just plain exhausting.

    You have every right to want your personal modesty respected, and all of your concerns are very, very valid.

    I'd love to break the situation down into small, managable bits and tackle each one--and the whole time saying "You don't have to be a good patient. You don't have to just be grateful--you can be upset and angry and grieving."

    I hope some of that helps, and the women on this board are amazing, and I'm sure they'll come along with wisdom and support.

    For me, lymphedema involves grief, and I don't feel very positive toward my surgeon or rad onc, as neither helped me or acted in a way to prevent it--when they had the opportunity. I'm grateful to be here and have gotten live saving treatment, but that doesn't negate the fact that I incurred a chronic disease along the way, and the treatment impacts the quality of my life. 

    @##, but I miss feeling "healthy".

    Kira

  • Binney4
    Binney4 Member Posts: 8,609
    edited January 2011

    Ah, Marm, we hear you. Like you, I hate massage, hate "strangers" touching me. The lymphedema therapy was so hard to contemplate. My therapist, though, is great -- calm, peaceful, granting me dignity and privacy and even comfort. I'm truly hoping your experience will be the same. The first part is routine -- filling out the paperwork, medical historyTongue out, goals of treatment. But grit your teeth and get through that, and the rest is actually helpful, not painful, gentle (for a change!), slow -- sorta peaceful, even. You will not lie exposed on a table -- you will be treated with respect and care. And what's even better, your breast will soon be better.

    Just as an aside, I'm  several years out of cancer treatment now, but I got so sick of doctors and the paper clothes I had to wear to see them that I made my own exam gown, out of a lovely, soft, flowing fabric -- small thing, maybe, but it made me feel so much better, just a tad more in control. Maybe that would help.

    Hugs, prayers, and please tell us how we can help,
    Binney

  • Parentof1
    Parentof1 Member Posts: 43
    edited January 2011

      Hi Schoolmarm.   You have come to the right place here.  I have found such support with my sister's here.  Things I have been through, most of the time other's also have been or are going through.  Sometimes not 100% of everything I have gone through another has, or vice versa.  But what a source of suppot and encouragement folks on here have been. And you are not a baby or whining...we all have our days-at least I surely have, and still do.

       I did not have Chemo or reconstruction, as I was ER+, PR+ and HER-, my Oncotype score was low ect.  I chose to have a Mastectomy-both removed without reconstruction.  This is a very personal choice for each woman, but for me it was the decision I was comfortable with.  My decision was based on:  I know myself and, to be quite honest I was terrified of Rads.  Maybe because I heard way too many horror stories.  Though I now know there are those that come through Rads okay and either don't have many SE's or, they are not real bothersome to them possibly.

      I also have been married 27 year's.  And my husband said to me, "I didn't marry you for your upstairs equipment, with or without the upstairs is not going to change my love for you." 

       I don't mean this as discounting how you are feeling but, you know what there is sooo much more to all of us than " our breasts!'  Really there is.   We have personalities, have been through more than many other's that are healthy for the most part, we have compassion, we are sensitive,caring,warm,intelligent. You are BEAUTIFUL just as you are!!   

       I also am very modest.  I do occassionally go for messages due to other medical issues, with my cervical area but, I see a woman who is also a BC survivor herself.  So she was not floored when she saw my chest/breast area.  Could you ask them to cover you at exams and other procedures they do?  I realize when you see your Oncologist at your appointments, this would be hard to do but for other procedures would this be an optiuon maybe?  Here when I have had various procedures done-X-rays, CT Scans, Bone Marrow Biopsy ect I didn't have to ask-this was automatic but, at my family practioner I have asked for a blanket/covering if I needed to.  Just an idea. 

       I am thinking about you, hoping for comfort for you.  Remember you are beautiful!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2011

    (((((Schoolmarm)))))

    You certainly haven't offended anyone here, that's for sure!! This is the place to lay it all out and know you will receive the love and support you need. Right now I will echo what Dawn has so concisely and thoughtfully expressed. 

    I have to leave for a PT appt or I'd write more . . 

    I will be thinking of you,too. 

    Tina 

  • Suzybelle
    Suzybelle Member Posts: 920
    edited January 2011

    Schoolmarm, your post touched me so much.  I can so relate to what you feel.

     I went through all of the cancer/le stuff last year - beginning in February.  I had a horrible time dealing with it.  After a bmx, I felt like I had been knocked down hard, but I was on my way back up.  Then LE came in April and I felt like I had been run over.  For six months I toughed out the pain, mental and physical.  Then in Oct. I called my onco. and talked to a lovely, lovely nurse about pain meds and counseling.  I started taking something that wouldn't turn me into a 'dope fiend', as my grandmother would have said, and I started talking to a wonderful counselor about all of the crap that I was dealing with.  Kira said it so well....all of it is just too much.  And when you throw in being in constant pain, it just begins to wear you down. 

     The good news is that I am in a much better place now.  I'm happy, and enjoying life for the first time in a long time.  I don't feel like a freak, even with my scars and my big, puffy arm.  I think I'm pretty darn cute.  The bad news is that I have lost all modesty and would probably show my dentist my chest scars if he really wanted to see them.  Tongue out 

    It gets better.  It's such a biotch, but it does eventually get better.   Please hang in there and know that as miserable as you are right now, it won't be this way forever.  The women on this forum have been such a huge help to me...I am praying for you and sending good thoughts to you.

    Edited to add:  I got okay with my physical self when I realized that the SOBS who think I'm unattractive now wouldn't have liked me when I still had breasts.  And if my having boobs is the difference between someone thinking I'm attractive or not, then screw them.  I am sorry to be so hateful, but that's just how I feel. 

    I have no idea what you look like physically, Schoolmarm, but I read your post, and I know that you are a beautiful, sensitive soul that any man with any damn sense should be thrilled to get to spend time with.

    Also, I'm very sorry for the swearing.  Blame tamoxifen.  I'm nuts this week.Yell

  • o2bhealthy
    o2bhealthy Member Posts: 2,101
    edited January 2011

    Schoolmarm - your post expressed so beautifully, the pain, embarrassment, degradation we are just expected to accept all in the name of 'saving our lives' without any concern or consideration of the after affect of that treatment.  Of course we are grateful to be alive, but we should also be allowed to mourn for what we have lost without feeling guilty.  

    I was a perfectly healthy 38 year old who felt like I could do anything, I was confident in my body and my abilities.  Now 18 months later I am overweight, dealing with CRPS (chronic pain), LE, a new cancer dx of the thyroid and all that comes with the new dx.   I have limitations I have never had before and, on those few rare occasions that I forget able those limitations, I pay dearly with pain and discomfort.  I see my  doctors only because I have to but most of the time I feel like I am wasting my money and time since no one really wants to figure out what is best for ME they just want to throw more drugs at me and send me on my merry little way...

    I just wanted to thank you for expressing so clearly what I have felt and to let you know you are not alone.  

  • KittyDog
    KittyDog Member Posts: 1,079
    edited January 2011

    ((((((((((HUGS)))))))))

    We have all felt the same way at one time.  I am so tired of my arms hurting and doing the MLD just makes them hurt worse.  I have frozen shoulders, torn rotator cuff on the LE side, and the other side they think I have torn something too.  

  • skmarm
    skmarm Member Posts: 36
    edited January 2011

    Ladies, thank you for your kind words and support - truly, I am at a breaking point and when I reached out with this post, I could not imagine receiving such a warm and supportive response.  Because I am particularly weak right now, I am clinging to the strength of your words...and already I slept a bit more peaceably last night.  You have made a difference for me!

    Dawn, I have set a goal for myself that I will at least go to the first appointment with the LE therapist - and listen.  I can still "opt out" if it is all too much for me, but I owe myself - and her - a chance to help and be helped.  Kira, I just love what you said about breaking things into steps.  Normally, I process things that way and I don't know why I couldn't seem to do it this time...I think it was all just too overwhelming, or maybe I'm overthinking...heck, I don't know, I've never been overwhelmed like this before and so I just could not see my way out of it.  Based on your advice, I'm not going to try to see my way out of it - I'm just going to see my way through today and try to take it one day at a time for a while.  That's probabaly my best plan of attack.

    Binney, can I really count on this being gentle?  Because there has been nothing about breast cancer that has been gentle.  I'm trusting you on this one, because I do need something gentle and respectful to come out of this...to redeem this whole experience in some way.  Peg, you are so fortunate to have a loving husband who "get's it".  He is a keeper (as you well know).  Suzybelle, I loved what you said about guys who wouldn't have liked you before breast cancer if they don't like the way you are now.  You are so right!  Unfortunately, my tolerance for BS (pardon the language) has never been very high - particularly from men - and now that I've had poison in my veins, my tolerance is at a whole new low.  If I ever hope to attract a man again, I've got to "rein in" my mouth - its not that I'm mean spirited - but cancer just has a way of making you call it as you see it and let's face it, there is a certain amount of delicate maneuvering that goes on in the "romance dance"!  Thank you, Suzybelle for thinking that there is something beautiful about me...I don't feel very beautiful when I look in the mirror these days, but I'm going to choose to believe you more than the mirror...at least for now.

    Michelle, you used the best word that just sums up so much of what I feel - "degradation".  I can take the pain, the nausea, the uncertainty - that comes with a lot of life's challenges and I will have to learn to deal with them as all of us do - it is the degradation that has come with this cancer that has brought me to my knees.  I wonder - do all cancer patients (of any type?) go through this same degradation?  Does the pink ribbons and cotton candy rhetoric that envelopes the entire breast cancer scene somehow cover up how truly degrading most of this treatment is?  I would actually like to be a consumer consultant specialist for about a week and tell every institution involved in my care just what needs to be changed to make this a more respectful and less traumatizing experience for us breast cancer patients.  Not that there haven't been some wonderful health care professionals in my path - truly some angels of mercy - but boy have there been some doozies.  I'm going to work with that word "degradation" and find a way within myself to not allow myself to feel that way if at all possible.  I know the enemy, it has a name, and now I can fight it.  Thank you.

    Kitty dog, I hope you start feeling better soon.  I am so grateful not to have pain associated with my LE, just disfigurement at this point.  I hope they get your pain under control and get you some strength back.

    You ladies are wonderful.  Thank you, thank you, thank you.

    Kelly

  • BoobsinaBox
    BoobsinaBox Member Posts: 550
    edited January 2011

    Dear Kelly,

    Please let me reassure you that Binney is so right about the gentleness of LE massage.  The expression I have read here is "like petting a kitten", and though my therapist was a little more firm than I would be with a kitten, there is nothing painful in doing MLD except the arthritis in my hands, and that helps me remember not to press too hard!  

    One day at a time is really all we have anyhow, and that is an excellent approach.  Please know that many of us are here every day and many of us several times a day, so know that we are here for you when you need us.  We all need each other, and this board is a lifeline to us, including you.

    My LE therapist had me keep my clothes on and learn to massage through them, though I find it easier to do my own MLD on bare arms and abdomen.  It was a very respectful process.   

    Dawn 

  • Suzybelle
    Suzybelle Member Posts: 920
    edited January 2011

    I second that emotion about LE massage...and my therapist does it through my clothes, as well.  I just strip down to a tank top. 

    Kelly, please hang in there...you will get through this.  I am amazed some days how happy and okay with everything I am...it's strange because I went for almost the whole year last year being sad and grieving.  But I got to feeling better, and you will too.  And you are so right on about the wonderful ladies on here...I love them so much and they never cease to amaze with their kind, gentle spirits.

    BUT, girl, you don't need to rein in that mouth.  A smart man will like a fiesty, witty soul like yourself!!!! 

    Feel better and be kind to yourself.  You deserve a break.  Kiss

    Suzanne

  • Binney4
    Binney4 Member Posts: 8,609
    edited January 2011

    Ah, Kelly, you have come to the right place! We are ALL "consumer consultant specialists" about our care. HEAR US ROAR!Laughing We educate everybody in sight about our needs, and if they roll their eyes at us we bury them in pages of research studies to prove our points. NUTS to those who would heap on the degradation!Tongue out

    We've got your back!
    Binney

  • otter
    otter Member Posts: 6,099
    edited January 2011

    Seriously, the "massage" part of MLD is the softest, gentlest massage you will ever have.  It will not make those sore muscles feel better, and it will not increase the range-of-motion in your joints.  It will not relieve the tension you feel in your neck or shoulders. That's not what it's for.

    MLD is supposed to promote or improve "lymphatic drainage" (the "LD" part).  To do that, it has to be oh-so-soft and gentle, because the lymphatic vessels that need encouragement are the ones just beneath the surface of the skin.  Press too hard on them, or rub too vigorously, and they'll close down instead of relaxing.  Thus, some people refer to the touch of MLD as "kitty pats". 

    I mentioned that phrase to my PT/LE therapist once, and she tilted her head and looked at me like I was nuts.  Two minutes later, she was using that very same gentle touch on my LE arm etc.  She told me that, even with her many years of experience, she still has to go back for refresher training once in awhile.  She said that's important because she sometimes discovers that her soft, gentle MLD touch is actually more firm than she realizes, so she needs to "lighten up."  She said it feels (to her) like it's just barely a touch at all.  To me, it feels wonderful.

    My LE was early and mild -- Stage 0, she called it -- so I soon graduated to upper-body exercises.  I spent 2 sessions with my therapist, learning and practicing upper-body exercises that she said would help me regain strength and range-of-motion.  Even then, though, the message was "slow and gentle."  When you have LE, or are at risk of LE, the "burn" is not a goal.  There should be no pain or soreness associated with exercise of that area, at least during the active treatment phase.  (Binney, Judy, Jane, et al. -- am I right on that?)

    Finally, I never felt "exposed" or self-conscious while at my PT/LE therapist's clinic.  Although much of the regular PT therapy with other patients was done in a large exercise room (this was a huge rehab center), most of my appointments were held in a private room with just my therapist and me.  She gave me a half-sheet to keep certain upper body parts covered while she was doing MLD elsewhere.  (I don't know how MLD works through clothing, since it involves making very subtle movements of the skin with the fingers or finger pads.)  IIRC, my bra was left on except when she was doing MLD on my chest wall (I had a mast/SNB without recon). Compared with docs' exams etc., this felt totally safe.

    I hope you are feeling more encouraged!

    otter

  • kcshreve
    kcshreve Member Posts: 1,148
    edited January 2011

    Schoolmarm, When I feel as you have written, I am on overload.  And when I'm on overload, it's hard to make sense of things in any kind of orderly way. Since I like order, as you do, this is very uncomfortable.  I was very charged up about having LE and having to go in for massage initially. My LE therapist is soft spoken, very zen, and mentally flexible.  She put up with my tense rantings as I sorted through things while she gently worked on me.  LE's massage confused me, which made me feel even crazier for awhile.  It just would not sink into my brain initially. After awhile, the routine started to make sense, I read more about LE here, patient thread members gave me good answers and some order began to appear out of the chaos.  This takes time, and it takes patience, which is hard to come by when we have been through various stages of crisis with cancer and LE.  I am glad you are here and I hope you feel at home and comfortable with all of us on this journey.

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