2011 Sisters
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Hi ladies!
Thanks for the feedback on the testing. Seems like I am hardly alone going through this long wait. Thanks Tina...I did have a bone scan today and got to talk to my navigator. Nanette assured me she is going to follow up with this and told me not to worry! I am not worried as much as anxious to know.
Blondelawyer...so glad you are done with chemo. Celebrate that small victory!
Welcome Jenn to our little group. Sadly it grows every day. I hope you are able to relax and enjoy what sounds like a fantastic vacation.
Nanette put me in touch with a local group here called "Angel Care". They are a small group of survivors who mentor new patients. She asked me to call and I talked to a real sweet woman, Gail. She is coming to my house Saturday to bring me one of their special totes, and take me to lunch. What a nice treat that will be! Nanette told me the totes change, but are filled with lots of goodies. Funded by Susan G. Koman Foundation.
I hope you are all well, whatever part of treatment you are in. Stay strong!
Hugs to all,
Janis
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jenn333: Nope, not giving it to you until you return from Hawaii - ask me then
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Gandtwoboysmama: Hi, my score was 18, right smack on the fence between low and intermediate. There is a very active thread called something like "Who else had an intermediate Oncotype DX score". If you use the search function it should be easy to find.
Best wishes!
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Jenn333
Enjoy your vacation and you will find a wealth of knowledge through this group. I also had the same experience with the delays in getting my onc test completed. Insurance approvals tend to delay it at least a week or two. The doctor had to change my appt because they told her that the results were not ready. I had my lumpectomy in June and am just starting rad next week. gandtwoboysmama-
If they gave you the report itself there should be graph and it should also give you the average rate of recurrence for your score. The report is very interesting so you should get a copy. My dr went over each section with me. Good luck on thursday.
thinking of you Rjbaby69 Hope all went well today. -
rjbaby69, Hope your lumpectomy went well today. Get LOTS or rest and go easy on yourself for the next 2 weeks. You will be glad you did and you will come back with lots of energy for the next step. ((Hugs)) Kitty
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Hi Kitty! Hello Ladies! I am glad to report that the lumpectomy went really well. It was a long exhausting day but everyone there was so kind and helpful and seemed concerned for my well being. One of the nurses even went and got me a Dr. Pepper! I had told them that was the first thing I was gonna get when I got home. After I said that and my last test was done, here she come down the hall with my drink. That was so cool!
I am not in very much pain right now. I haven't taken any of my pain meds and probably won't if they are not necessary. I might take one tonight just so I can get some good sleep. My daughters have already drained my drain once for me today and the youngest is fixing to drain it again. They have been super!
The doctor told my family after surgery today that everything went well and that he did not see any evidence of node involvement but he would not be sure until the path report came back. He had told me that he should receive all the reports tomorrow and that he would be calling me with the results. My whole family likes this doctor very much and so do I. I have a follow-up appointment with him on the 16th of August and will go over my treatment plan at that time.
The scans weren't too bad. The hardest part was the waiting when all I wanted to do was go home and get in the easy chair. LOL! I fell asleep in the bone scan. That was 23 minutes of good rest. The CAT scan was a little difficult because I had to put my arms above my head and I found that a little painful. At least that one didn't take long. But they are all done and now all I have to do is take it easy. My step sister had brought over a lot of food yesterday so all the girls have to do is warm it up. That's been a life saver.
Thank you all for thinking of me. I hope everyone here that has surgery coming up does extremely well and we all get the results we are looking for. I will let everyone know my results as soon as I can.
Hugs!
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Awesome RJ! Now grab yourself a good book tomorrow and REST. Kitty
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I'm still puzzled why some of us get a workup with bone scans, CTs, PET scans, etc. and others don't. I asked my onc about that this week and she said there was no indication for a PET or CT scan so better not to expose me to the radiation. They haven't even wanted a chest X-ray prior to my surgeries. I did have a DEXA study as a baseline for taking Arimidex and lots of bloodwork.
Different parts of the country? Different health systems? Different diagnoses? Different stages? Any thoughts?
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RJ so glad to hear it all went well. Just relax and rest, take it easy for the next few days.
Tina...I am thinking different insurance and what they allow or consider standard? Just a thought, but I have not had PET scans or CT scans, However, I did have a bone density scan yesterday. I had to be put on emergency Medicaid for breast cancer only. I still have not had my Oncotype test run because they haven't approved it. I thought I would know by today and not even started! Of course it could just be as simple as the protocol of each individual doctor. It will be interesting to hear what others here think about this...good question!
I hope everyone is feeling good this morning. Take special care, one and all! Hugs............
Janis
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I had all of those scans done and didn't know that, for my pathology, it wasn't standard. When I went to my RO the first time, she looked at my chart and asked me why I had a bone scan and petscan. I said my MO had ordered them and she said that my MO must be very aggressive. She was also amazed that our insurance company had paid for them. She said that you usually don't get them done with stage 1 with no lymph node involvement unless you are having pain or symptoms elsewhere and that wasn't the case with me.
I'm not thrilled about the added radiation exposure, but it is nice knowing that they didn't find anything anywhere else at this point.
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Barb I am assuming you did not have to have chemo? I am Stage II, but Grade I. I have to have the Oncotype tst and that is what we are waiting on....Medicaid to approve. I assumed that with my low grade I won't need chemo. I was surprised when my MO ordered the test and explained why I might need it. I assumed I would need radiation only.
I had a bone density scan yesterday, but that is because my MO told me the hormone blocking meds can cause osteoporosis. So they needed to get a starting point. There was no delay getting that test, so I am wondering if the Oncotype test is really expensive?
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I didn't need chemo. My Onco score was 10. My insurance company was billed $4075 for the test.
I was told by my BS that I would only need radiation. When I went to see my MO, she was thinking about chemo and that's when I asked about getting the Oncotype. I was really glad I did because even with a score of 10, she was pushing for me to have chemo (not really sure why) and I felt comfortable saying no.
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Hi All,
Insurance issues are a real pain in the back side! So far all tests (xrays, US, MRI, CT, Bone scan) have been paid for but the Oncotype is one that they are holding up on now. Needs pre-approval. It is approved by Medicare and that is the "standard of care" that most insurance companies use. Differences also happen because of individual policies. My ONC said they have never had anyone turned down so I'm not worried. It just bites that I still have to play this awful waiting game. Really plays havoc with the emotions but insurance companies don't care about that. They only care about money, very sad! Kitty
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RJ so pleased your lumpectomy went well. Were you in and out the same day? That's pretty amazing. So glad you have your daughters to help out - that must be a blessing.
If I end up with a lumpectomy I will be having oncoplastic surgery at the same time - in my case will probably be a reduction and a lift since my right breast is a full cup size larger than the left. Kind of glad to get that taken care of, actually. Does anyone know whether adding oncoplastic surgery to the lumpectomy would require a night in hospital? I'd love to be in and out the same day because I may be able to avoid having to explain all of this to my 7 yo daughter. -
Janis, you mentioned you needed a bone density scan before they would put you on the hormone meds. What meds are you referring to - tamoxifen or AI? I know AI can adversely affect bone density but haven't heard that about Tamox.
I had both hips resurfaced last year - I now have two shiny metal hips, in other words. Bone density is crucial to the long-term success of my implants. Are there alternative hormone meds that don't affect bone density does anyone know? -
Jenn when I talked to my oncologist, he said he would not be putting me on Tamoxifen but rather a different med that he said has less side effects. Hmmm.....did brain dead me think to ask which drug? No, and since I didn't ask, just based on my reading I am assuming he meant Arimidex. I will find out for sure soon. I did have the bone density scan yesterday.
Kitty, I am EXACTLY where you are in regards to the Oncotype testing. On hold! Like you I had assumed I would receive my score this week. So clearly it was upsetting to discover the test has not even been approved yet. I too am waiting for approval, so not sure when I will finally get the test results. So frustrating! We can wait together and grind our teeth! LOL.
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Thanks Janis, we'll hold cyber hands and hope it comes back soon! The RO is going ahead with the brachytherapy on Aug 22-26 so if I my score indicates I need chemo the ONC said that is alright because the rads are only for one week. Keep strong. Kitty
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Kitty, I am hoping that we both dodge the chemo bullet but if not, we can definitely hold hands! Right now radiation is on hold pending the result of this test. So as of now, I have no clue what my actual treatment will be, much less when.
I read something on this forum (cannot recall where) that chemo is usually recommended if the tumor is greater than 3cm. Has anyone else heard this? I was just curious. Mine was 3.2 cm so maybe that puts me in a grey area. My MO didn't say anything about the size. He just said he was ordering the Onco test.
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I'd say read the the treatments section "Who gets chemo" on this site. Much depends on other factors and not just size. Good to hold off until the onco test results. This will give your doc the best information about your specific tumor. Good luck! Kitty
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Thanks Kitty I will check it out. I am sure it will be interesting reading.
No plans here but to wait for my score. Then we can make an informed decision!
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Justmejanis-you should get a copy of the onco test when it is completed, very interesting. My mass was 2.7 cm and they told me because of the size I may need chemotherapy. The report indicated that there would be no benefit from the chemotherapy and based on my score of 13, the reoccurrence rate was less than 8 percent. The report will have a series of graphs which you can see where the scores rise and what level chemotherapy will benefit. I hope you get the results soon, the waiting is frustrating because you want to get treatment going. They have requested that I get the bone density test for a baseline for after Radiation when I start the hormone therapy. My rads start on a Monday. At least now I have a schedule. Hang in there everyone! I am happy to hear that things went well for You RJ, that is great news concerning no nodes!
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Jenn:
I was in and out the same day. I went in at 6:00 a.m. Had surgery then went on over to the hospital and had a bone scan and a ct scan. Pretty much an all day ordeal. Other than that, things have been going really smooth around here since I got home. Girls have been great to help out. Friends been bringing food so I don't have to cook. Yeah! I llike that idea. I don't know anything about the other question you asked. I have DD's so I didn't have to do any plastic surgery. As far as I can tell, I still look the same in both breasts.
Hugs.!
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Ladies I have heard from the Doctor tonight concerning all my tests. He called and told me that my bone scan, ct scan and blood work was all clear! Praise the Lord!!! He removed 4 lymph nodes and 2 contained cancer. Bummer. Pretty sure I will be doing chemo now. He was able to get clear margins and all of the tumor! Praise God! I think I can breathe a little easier now.
I still don't know the stage even though I'm thinking Stage II or IIa. Will know Tuesday on my follow-up appointment. We will discuss my treatment plan at that time and set up appointments with Onc and Radiologist. Feeling very positive at this point, but I'm still worried about the nodes. Sure was surprised to find 2 had cancer. What could this mean? Do I have a better chance of cancer coming back because it was in my nodes? Lots of things to think about.
Will keep you updated after I see the doctor on Tuesday.
As always, thanks for your support. It is truly a blessing to be a part of this group. Each of you has helped me understand the beast and I am grateful for that.
Hugs!
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Hello all, newly diagnosed within the last, almost, month. Gearing up for lumpectomy/sentinel node biopsy next week. Just had breast surgery class tonight. I'm totally freaked out by surgery given that I've never had it before. Can't say enough about the surgeon and his staff. Just need to connect and hear other stories. Being 32 with a 2 year old at home is going to be no fun for recovery. I feel great but am worried about the road to recovery.
Thanks for letting me vent!
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KRomanoFight: Welcome to the club no one wants to join. You will find lots of support and very knowledgeable ladies here. I'm still a relative newbie to the club but I have learned so much by posting and asking questions. These ladies are remarkable.
As far as your lumpectomy/sentinel node procedure, I just had mine yesterday and I am doing very well. Little sore but that is to be expected. My surgeon and his staff were wonderful and made me feel right at home. They took very good care of me. The biggest thing I hate is the drain. With a 2 year old at home, you will have to be careful that she doesn't roll around on you and mess that thing up. I know it will be hard because I have a 4 year old grandson and 1 year old granddaughter. I know how they want to get in your lap and snuggle with you. Just be very careful. As far as pain goes, I haven't had to take the first pain pill. I don't do pills very well anyway and prefer not to if I don't have to. I have them in case, but so far I have not needed any. I have been taking tylenol, but that's all.
When is your surgery scheduled? Will you have help at home when you get home? Take your friends up on any offers of help. I have and they have truly been a Godsend.
Keep in touch and let us know how things go.
Hugs!
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Thanks RJ and congrats on the all clear on your scans. You will surely sleep well tonight. Enjoy. Sending peaceful dreams your way ...
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rjbaby: Thanks for the info. My little boy is such a boy, all over the place
I love it, but he always wants mommy. Surgery is scheduled for the 18th. Not sure what the receptor testing means or what to expect they are testing for other then the nodes. This has been quite daunting all I can think of is my little boy. My husband is supportive, my family has been great. My mother-in-law even had a get together a couple weeks ago to make meals for us after the surgery. I have 40 meals in my freezer that we can just pull out and use when we need it. My sister-in-law will watch my son for the weekend since her boy is only 3, they will have fun. I feel fine mentally most days but all of my family that has had cancer didn't have good outcomes. My father was only 60 when he died from colon cancer and it was hard for me. I know this isn't the same but all I can think of is his suffering with his chemo and radiation.
I'm glad to know you are doing so well after the surgery, it's comforting. I hope that you continue to do well. You've got those wonderful children and grandchildren to fight for and stay strong for. Thanks for the post.
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Knicastro....iIf I ever get the test results I plan on reading them very carefully. From what I understand your score of 13 was really a good low score and not an indicatior for Chemo. I am keeping fingers and paws crossed here for a nice low score. I will be thinking of you Monday when you start rads. I hope it is gentle for you.
RJ I am thrilled to hear that all your tests were clear. What a relief. I had negative nodes so I have no experience with the positive ones. I am sure you and your doctor will choose a course of treatment that smacks those little node intruders. I will be looking for your posts to see how your appointment goes next week.
KRomanoFight.....I hope we can help ease your mind regarding the surgery. I had mine July 11th and had a very easy and quick recovery. I was up and running the next day. You will find that everyone in the hospital is helpful and comforting. It was not a bad experience at all. It sounds like you have a wonderful and supportive family. That helps. I hope we can ease your fears. With your family history, I can certainly see why you would be so scared. Deep breaths...and talk all you want here. Vent, cry, laugh and share with us. We are in this together.
Hugs to all you brave women!
Janis
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KRomanoFight Welcome to the BC club and best place for info and support. I was like you just not so long ago. I found this website and just keep reading through all the information that was listed in the diagnois, treatments and side effects. I learned so much in such a short time and it made me feel more empowered and a part of the planning of my treatment. I knew what to expect with each step before my lumpectomy and teatments that are now planned. Then I found these wonderful sisters who are VERY supportive and gave me many tips to help ease my fears. You've come to the right place!
RJ, I'm really glad to hear your doing well and not needing those darn pain killers. I did not have drains so I guess I was lucky with that. Keep resting, and no lifting any more than 5 lbs until your next follow up with the doc. Take care everyone. Kitty
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Hi there. My name is Stacey, I'm 46 - married and the mother of two young children 4&7. This last month has been a whirlwind. A self diagnosed lump in my left breast has turned out to be IDC. Say what? I'm the daughter of OBGYN...do self exams and annual mammograms...this is crazy!
The initial vacuum biopsy on a 1cm mass has, after MRI, been shown to be multi centric 4+ cm. (no chest wall involvement and no axillary lymphadenopathy)
The pathology from vacuum biopsy shows ER+, >90%, 3+ positive /PR+, >90%, 3+ positive / Her2 - 1+ negative. I had a PET scan that shows the breast tumor, obviously, but it will not get in the way of surgery. They did find a tiny spot on my thyroid,analogous at this point, that we'll biopsy later. (just another loose end to tie up).
I am still awaiting results from Brca testing. I will be undergoing SNB and BMx with immediate reconstruction tissue expanders/implants on Aug. 20th. ( I feel this is a better option over DIEP at this time). I have a great team of surgeons at NYU (my OBGYN of 15 years helped to expedite my initial appointment with BS who, in turn, got me to PS). I feel I am in good hands. I know I will need chemotherapy but exact "cocktail" /regimen will be determined after complete pathology...need for radiation therapy will be determined after pathology as well.
I am nervous...and based on the time of this post, currently, suffering from a bout of insomnia. Trying to find the positive in all this however difficult at times. I feel good. I am exercising and getting in as much tennis as possible before surgery : ) we are off on a family vacation next week to Skytop a wonderful spot in the poconos...very excited! Thank you for listening/reading. God Bless.
Thank you for listening
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