Calling all TNs

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  • khs113
    khs113 Member Posts: 105
    edited January 2012

    Hi,I've got some questions for those of you TNs who are 2 -3 + years out from diagnosis. I'm six months out from diagnosis. Finished with chemo and rads. Today I saw my onc and she says other than seeing me in September and a mammo and my surgeon in June, that's it for now. I asked her about TI-67 and she indicated that the grade number they give us pretty much reflects the same thing. Does it? Also, asked her about Metformin. She didn't like the side effects and suggested recurrence is less likely to happen to people who lose the fat and exercise at least an hour, six days a week. She doesn't seem to think MRIs, PET scans or CTs are the way to go at this point. Doesn't want to subject me to more radiation. When I asked what I should be looking for she said any prolonged pain that seemed unusual.

    I've already switched to a low fat diet, eat mostly organic everything, no aluminum deodorant, exercising half hour daily. I have a yearly check up with my internist on Wednesday and will ask her to check for diabetes with a blood test.

    Is my onc being too relaxed about all of this? Should I find someone that's a little more aggressive when it comes to preventing a recurrence? Are there more questions/concerns I should be raising at this point? Or am I over reacting? Is it really good news that I'm not being seen or tested by the specialists for 6 months? Thanks.

  • Hope60
    Hope60 Member Posts: 223
    edited January 2012
    mccrimmon - laughed when I read your description of getting yourself onto the couch.  Reminded me of myself, trying to hoist my fat a** off the floor.  ksmatthews - forgot to mention that even though I've improved, I still have problems if I've been sitting in the same position too long, like after a long car ride or when I get up from my desk at work.  Inmate - best of luck with your PET.... sending positive thoughts your way!
  • LRM216
    LRM216 Member Posts: 2,115
    edited January 2012

    Inmate:

    I am wishing you all the best on your scan and hope it will all be nothing.  I was always under the impression that that liver levels are all out of whack during chemo and for a while thereafter.  I'm hoping that is all it will be.  Will be thinking of you and sending positive thoughts your way.

    Hugs,

    Linda

  • TifJ
    TifJ Member Posts: 1,568
    edited January 2012

    Lovelyface- Please be careful going off the lorazepam cold turkey. I took it for a year and told my onc I was going to stop. he said you must wean yourself off of it slowly. Every week decrease your dose by cutting the pill in half, then thirds, fourths and then take only one fourth for a week before you stop completely. Stopping abrubtly can cause seizures. You can google stopping lorazepam (Ativan) and it will give you steps to stop.

  • ksmatthews
    ksmatthews Member Posts: 812
    edited January 2012

    I too dont let it stop me, and yes if I sit in the floor I have to roll over on my knees and push myself up.  But the pain I am having today is so bad I can barely get up off the couch. Could be I just overdone it yesterday.  I have taken ibuprophen, mobic, used icy hot and epsom salt bath.  Onc is going to call in the morning.

  • LuvRVing
    LuvRVing Member Posts: 4,516
    edited January 2012

    Khs - I think your MO is giving you the standard of care for your stage of breast cancer.  Really, there is nothing (s)he can do to prevent a recurrence.  The trick is to detect one quickly if it happens.  And for you to be alert to anything unusual that might indicate trouble.  You're on the right track with your diet and exercise.  As for the metformin, your internist can prescribe it if you have a fasting glucose over 100 or an HbA1c that indicates you are above the normal range.  That would be an "on-label" use. 

    To be honest, after 20 months of doctors, scans, labs, surgeries, treatment, etc.  I will be thrilled to not see a specialist for six months!

  • mitymuffin
    mitymuffin Member Posts: 337
    edited January 2012

    Khs, I think your oncologist's follow-up program is pretty common. Some Onc's do scans, but both the Onc's I've worked with only do them if there are symptoms that have been on-going for several weeks. My Onc wanted to see my every 6 months, and I requested every 4 months, but all he does is blood work, and asks me how I'm feeling.

    Ksmathews,  I know that Advil, Aleve etc. don't touch my muscle related pains, but the Zipsor does seem to help. I think it is like a prescription strength Aleve. (?)

  • Titan
    Titan Member Posts: 2,956
    edited January 2012

    hmm..KHS...you saw your onc this month and not again until Sept?  that's 9 months (duh..I know you can count)...

    I dunno  everyone is different..but I see my onc every 3 months..my BS every 6 months...I have the same diagnosis as you...no scans though...a mammo once per year..My onc said that the BS wants me to have a breast exam every 3 months...if my mammo is ok in May..I may get to see the onc every 6 months..I will be 3 years out in March...

    Suze..hope you are home from the hospital soon...

    Karen..you must have really over done it somehow...and yeah aches and pains are perfectly normal...I think for some time...my onc said that breast pain is perfectly normal too..even though any pain in my breast totally freaks me out.

  • mtnbiker
    mtnbiker Member Posts: 41
    edited January 2012

    inmate,

    I had a spot of my liver before starting chemo did ct was a fatty cyst, my liver funtions have been going up every week since chemo X5  in the 200's finally came down this week. try not to worry, I will be thinking  positive thoughts..

  • Sugar77
    Sugar77 Member Posts: 2,138
    edited January 2012

    I see my medical onc every six months alternating every six months with my GP.  Essentially I get seen/examined every three months and get one annual mammogram. I go on Wednesday to see the MO. Sounds like everyone gets different follow up care.

  • tracie23
    tracie23 Member Posts: 598
    edited January 2012

    I had my last chemo in Feb 2011 and I go on the 26th of Jan for my 1st appointment since than... They told me they don't like to do scans if unnecessary and they said the same thing if you think something is wrong call... So I guess I will have blood work done and that is it...

  • Titan
    Titan Member Posts: 2,956
    edited January 2012

    tracie..they let you go a full year...wow...I don't know if I would like that or not...in one way..once I was done with treatment I wanted to walk out that door and never go back...and then on the other hand...I like the every 3 months exam...I really want to be "set free"...but reading on here..on some of the other threads...I don't think that is ever going to happen.

  • TryingToSaveMom
    TryingToSaveMom Member Posts: 16
    edited January 2012

    Thanks for the encouraging words Babs37. I've passed them on to my mother.

  • TryingToSaveMom
    TryingToSaveMom Member Posts: 16
    edited January 2012

    Thanks Luah. The oncology cardiologist thinks mom's heart should do fine, although to be honest it was a bit weird that the Dr. hadn't even heard of the very common medication ( tryptophan?) mom takes for her tachycardia. The woman didn't seem the least bit caring or interested in mom at all. She seemed to regard mom as just another name on a chart and was quite dismissive of her concerns. Didn't really want to discuss much or answer any questions - just wanted to get her out the door and get on to the next person / chart. At one point the cardiologist claimed only 10 to 20% of patients get heart side effects and yet when mom commented that 20% was a lot, the cardiologist huffed and said oh forget I said 20% - just believe it's only 10%. Huh ? Why is it that so many specialists don't seem to see the human patient and just treat you as a 'case' and talk condescendingly to you. Ironically when mom asked another question, the cardiologist told her to ask the oncologist and yet a few weeks earlier the oncologist told mom to ask the cardiologist the same question.

     Sometimes you want to grab them by their lab coat collar, back them up against the wall and say "look us in the eyes, genuinely listen to us when we speak and think before you speak to us". We are not just a disease and we are not just a bunch of symptoms. We are real live people so don't treat us like we're imposing on your time and straining your patience by asking questions that will affect our well being and our very lives.

     Arrg! Rant done for now. Thanks for understanding.

  • nans
    nans Member Posts: 45
    edited January 2012

    Suzette5956-After my MS my oncologist didn't want to see me for 3 weeks since she didn't want me starting chem until 5 weeks after surgery.  If I'm counting right you won't see your MO until 6 weeks after for surgery for you.  You might want to talk to your surgeon about the timeline or perhaps your MO's staff.

  • Reality
    Reality Member Posts: 782
    edited January 2012

    TryingToSaveMom - Rant away! I definitely can relate to your post. I felt as those rads was a big factory - an assembly line. I would wait for at least an hour, one day a week, for 6 wks, to see my rad onc briefly - he would look at my skin and say "great". The only congenial conversation we ever had was him talking about how awful his teenage daughters made his Christmas. (He said he, "actually wanted to cry by Christmas evening". My rather insenstivie remark to him was, "My Christmas was great!"

    My rad onc alway started with, "How are you?" - I always responded with, "Great" - When asked if I was having pain in my radiated breast, I told him I was. He asked why I had not told him before - I told him because he had not asked and why did it matter? What was going to be done about it? He looked at me, smiled and told me "nothing".... 

  • Reality
    Reality Member Posts: 782
    edited January 2012

    Here's another one....When I saw my MO for post-op visit, he did not even give me the courtsey of reading my path report before entering the room. He sat in the room and thumbed through it - then apologized for not reading it previously. Then he asked me if I had any questions. How the hell could I have questions about my path report if I did not have a copy and he had no clue what was in it? I told him no and requested a copy. I had to read for myself that I had an "incomplete response to chemo" and possibly have metaPLASTIC BC. Possibly? WTH? He could have mentioned that. So, I googled my way through interpreting my path report myself. When I had questions, I researched on-line for answers - Mayo Clinic is one of my favoirite sources.

    I finished rads last week. I am supposed to go for a skin check on Thurs - oh yea - have him look at me and say "yep, looks good"....and then have him say, "I wish I had the secret for how to be so positive like you are." ummmmm.....whose the doctor in this situation.... Nope- no skin check for me next week - I am doing great and do not plan to see that guy ever again.

    As for the MO - I cannot bear to go through his crap now, either. I have, however, made my yearly exam appt. with my gyn - she listens, she cares, she gives me hug when I need it - She does not complain to me about how awful her life is!!!!

    Whew - sorry for that rant! It felt good to share - Thanks 

  • Reality
    Reality Member Posts: 782
    edited January 2012

    ...one more thing while I am on roll...the rad nurse told me that I would probably have a tough time now that rads was ending as I would miss the security blanket of the staff at the rad center - NOT - I practically ran out the door and never plan to return to that center, ever again. If I have a recurrence, I will drive 2 hours, instead of 1, to go to a rad center in VT!   Miss them? Miss what? I almost laughed when she told me.

  • TifJ
    TifJ Member Posts: 1,568
    edited January 2012

    My schedule is onc every 3 months and BS every 4 for first 3 years, then onc and BS every 6 months for 2 more years. Onc does blood work every visit. He gives me a breast exam as does my BS. My BS is a tiny soft spoken women, but boy after I leave her office I am sore for days. She really does a thorough exam! She also has me on a 6 month mammo schedule for my remaining breast.

  • mccrimmon324
    mccrimmon324 Member Posts: 1,076
    edited January 2012

    I see my Onc every 3 months, my BS told me not to come until I've had my yearly mammo which won't happen until April and I haven't seen him since August.  I don't like him anyway.  I have my first follow up appt tomorrow.  Think my nerves are starting up now. 

  • TifJ
    TifJ Member Posts: 1,568
    edited January 2012

    You'll have a great appt. Heather!! I only got nervous on my 3rd follow up because I was having back and rib pain. A bone scan showed no problems-turned out to be strain from physical therapy for my frozen shoulder.

    I will be thinking of you tomorrow! Think good thoughts!

  • LuvRVing
    LuvRVing Member Posts: 4,516
    edited January 2012

    Wow, interesting experiences.  I must say I "love, love, love" my RO!  He is the warmest doctor I have ever encountered.  He literally hugs me at the end of every visit and his warmth is truly genuine.  At my last visit he asked me if I was in any pain and when I said it hurts, he asked the nurse to write a script for pain meds.  I had plenty left over from previous surgeries so I didn't need them.  He changed my radiation protocol and had the nurse give me a complete burn care kit.   And oh, when he sees one of my family members in the waiting area (my son or husband) he goes up to them, shakes their hand and exchanges pleasantries.  On the other hand, I've seen so many rad techs that I don't feel any connection with any of them, nor do I feel any obligation to do something for them when I finish on Thursday other than to give a very sincere "thank you."  Maybe I'll write a little note.    I've probably had at least 8 different people.  They are all very nice, friendly, etc.  But it's not the same as the relationship I developed with my chemo nurse, for example, who was the only nurse who took care of me throughout all my treatments.  I have my second followup with my MO later this month.  The first was three weeks after finishing chemo, now it's almost four months later.  I'm not sure what the ongoing schedule will be - I'm sure we'll talk about it at my visit. 

    When I was in the KC area, I went to the same breast surgery practice as TifJ ( I think) and she was very thorough.  I don't have a BS here, don't need one now that I have no breasts, and I am assuming my MO will be responsible for all future follow-up care.

  • TifJ
    TifJ Member Posts: 1,568
    edited January 2012

    Michelle- yes, we had the same BS practice. I have never met your Dr. though. Hope you are feeling well!

  • LuvRVing
    LuvRVing Member Posts: 4,516
    edited January 2012

    Tif - I never met Dr. Jew, either.  But I think both she and Balanoff must be the same size, quite tiny! 

    I'm doing OK, almost finished with rads (3 boosts left to scar line).  I've got some nasty open sores but they will heal.  They gave me a burn care kit, and it is helping.  Otherwise, I feel fine.

  • Reality
    Reality Member Posts: 782
    edited January 2012

    So glad you are almost done with boost, LuvRVing. I just cannot bear to go to a doctor this month. (Just finished rads last week). I am not going to see anyone until the 31st when I see my gyn. I just need a break from appointments, waiting rooms, etc. My car is currently not working, so I have a great excuse to stay home!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2012

    I liked my doctors but I HATED every second of every moment I was in a doctor's office being treated. So much so, that they thought I was depressed. I wasn't "depressed" but I sure as sh*t had places I'd rather be, and it showed through every inch of my body.

    In fact, I actually chastised my husband for being too jolly during visits. I told him, "This is *cancer*... not some f*cking social call". That shut him up.

    I have *never* gone back to the treatment center and get out of my onc's office like a cat with its tail on fire.

  • TifJ
    TifJ Member Posts: 1,568
    edited January 2012

    Glad to hear you are almost done! The sores though sound pretty painful- I hope the burn kit gives you some relief!

  • Suze35
    Suze35 Member Posts: 1,045
    edited January 2012

    Hi guys, "quick" update on me. I'm still in the hospital. Still tachycardic, but my shortness of breath is slowly improving. Had some edema in the lungs yesterday, so they gave me Lazix which I guess helped. Today I am having my left lung tapped to make me more comfortable, I'm pretty sure I know what the cytology report will show, so it really won't be a surprise. I have had two blood transfusions, so I'm not anemic any longer.



    My MO's goal is to get me home tomorrow on oral antibiotics, and we will work on a chemo schedule that will allow me to take my cruise. I love my MO.



    I had been getting a bit scared that I wasn't going to leave here, as I just don't seem to be going in ANY direction, good or bad. But my doctor swears she's getting me home, and better.



    Talk to you all later. Hugs.

  • ksmatthews
    ksmatthews Member Posts: 812
    edited January 2012

    Suze thanks for filling us in.  I sure hope she is right and gets you home soon and feeling well.

  • mccrimmon324
    mccrimmon324 Member Posts: 1,076
    edited January 2012

    Suze, hoping you recovery quickly, you can't miss that cruise. 

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