How do you ignore statistics in order to stay positive?
Ladies, this is a literal question! It seems lately although I've tried to ignore the stats for my stage and type, I'm seeing breast cancer survival rates everywhere and it is scaring the you-know-what out of me. I haven't even started tx yet since my biopsy site has a drain in it because it got really swollen. Once that comes out I'll get a port placement, then start chemo.
I'm having a hard time this week trying to tell myself positive things. I'm stage II grade 1 6/ll nodes ER/PR+. Last night I saw in some breast cancer husband book my hubby has (was scanning to see what the book was advising him to do!) stats that frightened me to death. The book was released in 2004. I'm trying to tell myself that the author probably used older stats. I get the feeling that if you have positive lymph nodes it seems that you're destined for...you know. I know that can't possibly be true, but I heard the stats game offered to me before: 80% of all lumps are negative...etc. etc.
How do you talk yourself out of your fear after seeing quantitative stats?
Thank you!
Comments
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I tell myself that most published statistics are based on older data. Plus you have to understand exactly what statistics are reporting -- if it's overall survival, it includes death from other causes. And since lots of BC patients are older (in their 60s and 70s and 80s) they are going to die of something soonish, anyway. We are all going to die of something eventually.
But, in terms of BC, treatment improves our "odds" dramatically, and I did everything I could.
Even when the odds are scary, they tend to be favorable (I think I've seen that Stage 3 patients have 75 percent survival.)
Finally, I look at the most recent stats provided by the government and see that in the U.S. only about 20 percent of women ever diagnosed with BC actually die from it. And this number includes people who had metastatic cases at diagnosis; who refused all treatment; etc.
My approach is to get the best treatment available, make any lifestyle changes that help lower recurrence risk, and hope for the best!
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Always remember Mark Twain's quote: there are lies, damned lies and then there are statistics. Statistics is taught in university courses and are not what they seem to the average person. That being said, 2004 is older and newer treatments have made a difference as well. Remember too, that research hasn't hit the wall and this is all we'll have; stem cell and genome research in cancer is well along and who knows what will be found?
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Claire, don't let the stats get to you. There's a great little book called "How to Lie with Statistics" - I think it's about 100 pages. If you like to read and you want to get a handle on the stats - get that one. It explains how numbers can be manipulated. PLUS, whomever is doing the report or study gets to set it up their way - they come up with the questions to be answered, and they get to come up with the population to study, so they can somewhat direct the outcome of the study. PLUS, and this one is huge, when you're reading a study find out who did it, how long it's taken from start to finish, and most importantly who paid for the study. Most likely, for a book that was published in 2004, the data used was at least 12 months old if not even older and a lot has changed since that time.
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Stats can scare the heck out of you! Many are out of date, and I found that sometimes I really wasn't knowledgeable enought to understand the stats I was looking at.
I remember after I found a lump in my breast, they kept telling me "don't worry, 80% of all biopsies come back negative". Well, those stats didn't work out so well for me so since then, I just don't even listen or look at them. I'm just focusing on taking care of myself the best that I can - doing the recommended treatments and moving forward. Like Beeb75 said - the odds tend to be favourable in most cases. Any one of us can walk outside and get hit by a truck at any time...we should look up stats for that! LOL!
When I was first diagnosed, another stat that was thrown at me was that 1 in 8 women would be diagnosed with breast cancer. I had a morbid little game I played where I would be counting random women (at the mall, or out walking...wherever) and every 8th one I would say to myself "BAM - you got breast cancer". Isn't that awful?? I don't do that anymore by the way - don't really know why I did it in the first place, but it got me through....maybe it was helping me to see that I wasn't alone in this.
I think that no matter what your odds - the best thing is to be positive and take care of yourself.
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Old, old, old statistics. A book released in 2004 would be measuring women who were treated prior to either taxanes or even hormonal therapy being the standard of care. So much better now.
MD Anderson has a page that shows dramatic increases in survival among patients with regional breast cancer. These are improving all the time.
Reminder that 10 year survival measures the effectiveness of treatment ten years ago.
I took a different approach in looking at my chances. I am in a treatment study which is based on earlier work. Survival stats among both groups in the earlier study were about 10 points higher than for the high risk population as a whole.
What I realized was that patients in both treatment groups could only be measured IF THEY HAD COMPLETED ALL THERAPY. Otherwise, they weren't counted.
If you look at Cancer Math, I think you will get a very different picture than from the book that was written almost ten years ago.
As for what your husband can do, I would advise sex and lots of cuddling. Both work just great with mood. Plus keeping you in flowers and doing little things that count.
Anyway, please don't get discouraged. Treatment isn't any fun, but well worth it. You do recover, and life continues. In many ways, mine is better than ever!!!
Good luck, and for heaven's sake, work with current information. - Claire
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When I freak out, and I still do (does it ever stop?), I try to remind myself that we know so much more about the composition of the tumor. Breast cancer used to be lumped into one disease. Now we know how different each of our cancers is. Statistics don't speak to that in detail yet...too costly to do probably.
I also tell myself that there are newer and better drugs out there. Vaccines are in trials, newer chemos are available, things like bone density drugs that reduce risk in some, 3 new aromatase inhibitors.....so I tell myself, my odds are better than anything I may have read.
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Claire - I liked Cancer Math,,,thank you
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Try to limit what you read. When I was first diagnosed, my doctor told me not comb the internet for stuff as it would scare me. I think that's true, so I limit myself to what I read. This website is the only one I really turn to. Even then, I don't read everything on here.
Also, if you read the Anti-Cancer book, the author explains very nicely about statistics and how they are misinterpreted. The book is excellent, and worth reading for many reasons. What he states is that the statistics are made up of all people. Many have other health problems, may not take care of their health, may not carry thru with treatmement. They may be overweight, povertry-stricken, live stressful lives, smoke, drink, do drugs, they could be many different ages. None of this info is provided when they give you statistics. They lump all these cases together and then give you the "median" number. The one that's in the middle. Some people do much better. Anyway, not sure if I explained it clearly, but I am one who never looks at statistics if I can help it.
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Oh and I would not even look at 2004 statistics, they would be very outdated!
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Thank you all (so far--I'd love to hear from more of you) for grounding me.
I am going whole hog for tx - the trilogy - chemo/rad/bi-lat mx. I've never been a gambler and certainly wouldn't choose to, now.
My lifestyle for the past ten years has been vegetarian hypocrite (I eat fish at times), little to no carbs (I don't really like them, truthfully)--and no refined carbs or sugar for sure. Lower normal BMI. Hike/walk 8-10 miles a week. Strenuous bikram yoga 3x a week. Strength training 2x a week. Not bragging, just sharing that I thought that would protect me from cancer. Well, maybe it has. I'm afraid that I won't be able to keep up that lifestyle, which I enjoy, once tx starts. I know I'll be tired. So I'm afraid b/c I won't be living that lifestyle, I'll decrease my survival chances. You know how the mind works (or doesn't when it's still in shock: I was dx 3 weeks ago).
I'm spinning my wheels b/c I have a drain in my biopsy site (from last week) and it's still draining. Until that comes out a port can't be put in and I can't start chemo. So I'm waiting, waiting, waiting...
Trying to avoid stats during BC Awareness Month is difficult. There's even a bb in the building where I work. They seem to be everywhere. I don't go looking for them, but scanning for other information has brought them to my attention. Hard to look away, like a car crash.
Marjie, you made me laugh! That would be exactly what I would do, and have in a similar way :>)
You are all so right in your postings. I feel better. I'm still a newbie at all this, and operating on pure emotion at present.
Hugs to you all.
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clairinaz - don't turn away from that lifestyle! I was very active and continued to the best of my abilities throughout treatment. Ofcourse there were times when I was just too sick or weak to keep going, but it comes back. I compete on in women's dragon boating at a national level (port and all!) - being diagnosed with BC just meant that I switched teams....these ladies are even more hard core! I am about 8 mths PFC, and still receiving Herceptin every 21 days.
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Claireinaz.....I exercised every single day through chemo. I didn't have a BMX though, just a lumpectomy. So a minimum of my weights/crunches routine plus one mile of walking. I cycled on the weekends. There were days I dragged, but thought I might as well be exercised and dragging as opposed to just dragging.
So while you will most likely need to cut back on exercise, you may not need to forego. I kept my core fitness.
Most of us that are more fit going in tolerate treatment better.
I will mention the need to eat a lot of protein. You don't have energy reserves, and that really helped me.
Finally, in observational studies excercising after treatment is associated with a 50% reduced risk of recurrence. This is major. - Claire
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You bet I will keep up the fitness as best as I can. I have recovered remarkably from surgeries in the past although I've never walked this particular road before. Thanks for the tips, hermanas. You are remarkable yourselves. From one Claire to another--I hope to follow in your footsteps.Marjie--dragon boating... Sounds really great! I was, at one time, a rafting guide--but now just take students on field experiences. And to everyone else--thank you and I just ordered the Anti-Cancer book.
Hugs.
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claire
big hugs....ditto what everyone said..
The best thing you can do now is keep living your life. You have a plan, you know what to do.
Once I had a plan, I stopped reading. things change almost every day in breast cancer and generallly for the good.
I was in good health going in to chemo-I did stop exercising during my 8 weeks of chemo, mostly because I decided to give myself a break. But once radiation started, I started the elliptical trainer, walking, etc and it really helped me with the fatigue. I worked full time through treatment and definitely felt the benefits of exercise.
I can tell you, almost 3 years out, that I rarely worry about recurrence.....I know it is possible, but I have just decided that it won't happen to me.... arrogant, I know, but it works for me. And, if it ever does, I console myself with the fact that I now have an army of doctors to rely on to get through it.
What you are feeling is normal right now because you are right in the middle of it... it is hard to escape it since it is on your mind every minute. I promise you, there will come a day when that is not true.
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Claire, I know how hard this is. Two things that might help you:
I too am a long time health nut, organic everything, green shakes for bfast, swim 2k or walk 5k most days, how the hell did this happen to me? Everyone else is smoking and drinking diet soda while I'm sipping my green tea and eating raw spelt! My DH who happens to also be a surgeon quietly said that who knows if it all would not have been worse were it not for my lifestyle. That made me feel better and kept me exercising. I swam a 3.5k race across the sea of gallilee 9 mo
s post dx. I think I finished almost last but I did it. Your good habits will stand you in good stead. Additionally, this is the little that's within your control! Grab it. It feels good to take charge of something when everything feels so out of control. At the very least you aren't doing further harm and exercise will keep your spirits up. When im feeling weak or blue there's nothing like a long walk with a good audible book playing on my iPod.
Second thing is the story of my dad. Twenty yrs ago he was dx out of the blue with a rare kind of leukemia with an awful prognosis. My mother stopped all the talk of stats and said to the dr, "I want to ask you a question. One question. Have you ever cured one person of this disease?" the dr replied, "one person, of course!" to which my mom replied, "that's all we need to know. No more numbers." we celebrated my dads 75th bday this summer which was really a twenty year post dx party. My dad always said, statistics won't apply to me, I am my own person.
Claire, prayer has helped me the most. Then faith that I'm doing all that I can, medically, personally. You'll still have rough moments, but write yourself a manifesto (that's what I did) of things you'll say to yourself to pep you up when you're down. Nice bunch of ladies here. Good place to come for support. Also check out some of the inspirational stories on this site.
Hang in, best wishes, shari -
I have a jaded view of it all....When I stopped the AI's after 3 1/2 years, I threw the statistics in the garbage....to me its 100%....kind of like being pregnant..either you are or you aren't....as long as I am NED, its 100% that its not back....I figure it will or it won't progress.....and right now as much as BC has changed my life, I'm cancer free...not the person who I was before BC, but not in Tx and cancer free.....
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Wow, this is a great thread! I don't know how I came upon it, but wanted to comment to bump it up!
So many comments here that could be helpful for scared sisters new to "the game" of bc.
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Claire, Welcome to the club that none of us whats to be a part of! You are in the early stages when you are learning so much and everything is scaring you to death. It will get easier as time goes by. You will have your good days and bad. Like you, I eat right and exercise. One of the healthiest people that I know. I got it 10 months ago at the age of 40. 9 months later I ran my first half marathon and kicked cancers ass:). I time was great too! I did have a BMX with reconstruction and it was hard. I worked out as much as I could before surgery. Then I took time off to recover. As soon as I was up to it I started walking. Then walking turned into running. I was able to start yoga 4 months after my surgery, but was able to walk with-in 4 weeks. I started strength training at 6 months out. Now I am almost back to doing everything from before. You can do this.
Hugs,
Eula
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When I was first diagnosed I delved into every scary thing I could possibly read. Even though it really upset me I think this was an important part of my own process. I'm pretty well informed about the dark side of this disease. Today I rarely worry about recurrence but I have a greater acceptance that it could happen. Other things that have helped: Lexapro- seriously, like magic for stopping obsessing about mets. Exercise and taking the best care of myself that I can helps. I keep up with the research on lifestyle factors associated with better outcomes and then try to put them into practice so as to "pimp my stats." Having work that I love, adventures I want to pursue, and 2 young grandchildren I care for regularly doesn't hurt either

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Hi Claireinaz,
I don't read stats. Never had, never will. The way I figure it: if I beat them, I'll be too busy celebrating. If I don't: well, we all know what that movie looks like.
J
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I think it is hard to take the studies as gospel, because so many of them have been funded by the very companies that stand to make a profit from the drugs that are being used. It's madness. On the other hand, there are really no studies on the impact that lifestyle and diet have on keeping cancer in its place...just people who are still alive to give their testimonies.
elmcity69...I agree...it is what it is. Someone put this quote on my facebook page the other day...
"Follow your heart, but take your brain along with you" I think that says it all when it comes to making decisions about our health.
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I agree with what everyone has said about stats. It is just like pollsters they phrase questions so that the answers suit their desired results. I've learned lots of things since being DX'ed. This is scary. The unknown and unpredictable is hard for me. I want to be in control and I'm not.
However, the lastest percentage I heard from an oncologist was around 17%.
I refuse to even consider that a possibility for me.
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Wally Cat...that may be the wisest thing I've ever read about statistics. I ignore them also, because my docs do too. They look at the individual. But the fact that there are no stats that break "us" down by category of cancer, initial stage of diagnosis, type of metastatis (I've learned this is really important), general health during and after treatment...there are so many factors to consider. No doctor I have met will give odds or time left. Not that I want to know...!
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Here's another way to lessen your stress about the cancer stats: remember that heart attacks kill more women than all cancers combined -- or something like that. in other words, worry more about your heart health before consuming yourself in fret about cancer. After age 50, we are much more likely to keel over from heart failure than to have more cancer problems. Hey, isn't that a comfort?
I had stage III ILC with multiple nodes +. Came through treatment (chemo TAC 6x and Radiation 30+), and am holding AOK after 3 years. The pain that was in my chest for years that all my docs said was not cancer (WRONG!) was, in fact cancer, and is still there, increasing in pain level after I thought it would be gone post mastectomy. Hoping it is just a result of the radiation and scar tissue. Every day I wonder if my life is going to be a short one from here (is the pain an indication of more cancer?), or whether the low grade pain will just be present for the next 40 or so years (I am 55). Bottom line is that life is a crapshoot at any age; no guarantees one way or the other. I live my life with one foot on the short side of the stick, and the other one on the other side....and plan for both. A car crash or heart attack could take any of our lives later tonight.... or, God may grant us decades more to outlive all our friends and family. Just do what you can do today, as if every day is your last day.... and be prepared to outlive everyone you know. I bought a set of notecards recently that say it all perfectly: Tomorrow is the future; Yesterday is the past; Today is a Gift; That is why it is called the PRESENT. Cancer brings that so close to home!!! Lose the stress; just try to live a healthy life and forget cancer as much as possible. Every day I can get up, take my shower, put on my clothes, and head out the door to do daily errands, etc. is a day I give thanks for. There may be a day out there I will be confined to bed, or can't get up, .... but until that day comes, my life is MINE. Own it! Count every single day as a huge gift, and use each day to its fullest. There WILL come a day when our lives will be taken from us --- from cancer or from something else. So if you are going to stress, don't just stress about cancer ---- stress about ALL forms of potential disease and maladies and accidents. Cancer is just one of the potentials...don't give it more power than that. That's my two cents at this ten o'clock hour. Must go get my sleep now so I can have a GREAT day tomorrow. Best to you!!
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