MIDDLE-AGED WOMEN 40-60ish
Comments
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Janis, So glad you are finally going for the LE evaluation. It is best the let the experts decide if you need therapy or not. What do ROs know anyway??? Keep us posted.
Welcome Essa - You have found a great group of ladies. Sorry we have to meet this way - so much good information and support here.
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I met with the new bs today. I really liked her. She treated me like a person and not a file. She anwered all my questions and never looked at the time. She called the mammography in the next building and got me right in to see if they thought they could do the biopsy for the calcifications. It took a long time, but they were able to magnify it so that biopsy is scheduled for Thursday morning. She went over my patholgy report on the first biopsy with me. It says tumor is present in 3 core fragments-size range from 0.3-0.5. Invasive carcinoma. ER+90% PR+90%HER2-. She basically said if the calcifications are b9 then I bought myself a lumpectomy and I know the other if it is not B9. I did get an email back from the doctor in NY who does all his surgeries with laser. His site is www.laserbreastcancersurgery.com. My daughter is an RN in NC and said I should call tomorrow. Now I am confused again.
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Happy that you have a better rapport with your new BS Dianarose. Sorry your still confused with the new info.
In defense of my RO -she is very proactive with regards to LE. I didn't have any nodes removed but she is radiating them on my right side. Because of that she did some general baseline measurements and sent me to a LE therapist before I started rads to get some basic LE info, get a more precise baseline measurement and get fitted for a sleeve. I wore it for a week before rads started (supposed to be two but started faster than that) all through treatment and am supposed to continue for three weeks after. Then I'm supposed to see the LE therapist again for follow up.
Reading what everyone else goes through on here really makes me appreciate my team. -
Welcome Essa. So sorry you have to be here, but the gals are great around here. If you ever need anything, just post away. Someone will be able to help.
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Essa welcome to the group
Reese so glad your RO is proactive. I never even heard of LE until on got on this site. Good thing I have had no problems. Even though I realize I could later on. At least I am aware of it now.
Janis so glad you feel better and are going for the Eval
Dianarose-confused????????????? I just hate that feeling
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Janis, I don't know what your vein issue is, but I had cording and inflamed veins during and after chemo. This was no problem in relation to LE therapy.
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Reesie, it sounds like you have a great team.
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Essa a big welcome! I hope you find this place as wonderful and helpful and supportive as I do!
Momine.....I cannot for the life of me remember the long name of this alleged condition. He actually initially diagnosed it OVER THE PHONE as he got a descroption of the redness and tenderness from his nurse. He saw me a couple weeks later, and based on the other symptoms he also said I have neuropthy. He did acknowlege that I did have some LE, but disagreed that massage therapy would even help "my type" of LE. Just two weeks earlier my BS saw me for my 6 month check up, told me upon exam I had LE and needed therapy right away. When I mentioned this to my RO, he still insisted that I needed to postpone any LE therapy for the time being. Talk about confusing! This is why I decided to go in for the evaluation Friday. For my peace of mind.
Reesie so glad you are almost there, so close! I am happy for you. Enjoy NOT going!
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SO glad you are getting assessed finally Janis!!!
30% of breast cancer patients who had surgery involving lymph nodes get LE. It can present up to 20 years later. Remember, lymph nodes are taken out with breast tissue during a lumpectomy and/or mastecomy. That breaks the lymph chain. This is serious shit people!!!! An RO is NOT the member of our team that should be deciding what we do!! My surgeon doesn't "believe" in LE. Yet I got truncal LE. That's another point. My arm measurements haven't changed, yet I have LE in my torso. So there! Another thing to worry about! I should wear a torso compression but I get SO hot now I cannot imagine having something holding in my chest!!!
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Janis, if it was something like "flevitis" it is simply inflammation of the veins, very common in connection with both chemo and rads. LE is also caused by inflammation, so as far as I can judge, the presence of any other kind of inflammation would make an LE therapist a good idea, not the opposite. I am glad you are getting an eval. Many docs do not believe in LE and are less than helpful where this problem is concerned.
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I imagine "vasculitis" was part of his long word, too....
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Just curious, would an LE thrapist be knowledgable enough to tell you if you shouldn't have therapy?
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Of course Meece!!! My PT only saw me three times and then told me I was on my own. She taught me to do the treatment myself, but if I didn't even need the treatment, then she would have assessed me and told me I was okay. They are far too booked to waste their time with someone who doesn't need them. They work with measurements so if nothing changes, they haven't done their work!! Are you thinking of getting assessed?
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I have considered it. I don't go back to my onc until August and right now, I feel OK. I had a real weird symptom for two days last week. Now, I am fine.
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Thanks Barbe, I was working from the Greek. Never know if English uses the Greek or the Latin for a given medical term. Inflamed veins really suck, btw. Mine flared up again today and I wonder if they will ever get themselves healed again. The docs are supremely uninterested in this, to them, minor problem.
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barbe....see, the Truncal LE is less common than the more common arm LE. I have what you have, in the breast, chest wall. Also my underarm but not my arm. No hand or finger swelling. I was told by numerous "experts" here that I should at least go for an evaluation.
Meece, barbe is correct. A trained LE therapist can diagnose and recommended what treatment may be required. I think they can also recommend the compression bras or garments. Barbe do you know if they are the ones who recommend the garments? I guess I will find out. I just know that this has been bothering me for weeks. I am basically going against my RO's orders, but the gal I talked to yesterday said that my BS gave me a referral, so I am fine to come. GOOD!
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Janis Im glad to see you are listening to the LE therapist. I was lucky and my BS (just like yours) believes it to be something we need to be on the look out for. All the stuff I have read about it says (just as barb put it) can come many years later. Your RO sounds like my PS in the fact that they think that if it hasnt happened by now, that it wasnt gonna happen. That I wasnt crazy about so if it did rear its ugly head, I would seek a different option as well. Good Luck!
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Janis, any redness is something to keep a very close eye on. If there is any sign of infection then LE therapy would not be advisable at the moment. There are some wonderful, knowledgeable women on the LE threads. You might try posting there. I'm glad to see you are being evaluated soon.
Gentle hugs.
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Sharon...thanks. The redness is not bad, and I was already treated with antibiotics for what my RO originally thought was cellulitis. Actually again his Nurse Practicioner diagnosed that. She rechecked a week later, no difference, hence the new meds for the vascular problem. My sister is an RN in another state. She has said that redness is one of the symptoms of LE. I am sure the therapist I see Friday will know for sure. She is a licensed LE therapist so that is good.
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Do you know the name of the med for the vascular problem?
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Welcome to all the newbies! I've been awol....the anastrozole is killing me. About week 6 the side effects really starting kicking in and by last Saturday (week 7) I was absolutely miserable. I had at least 25 hot flashes that day and ached all over (every joint and the muscles in my legs and arms). My right hand was so weak and sore that I couldn't open the cap on the orange juice or turn on the faucet. I kept moving since that's what everyone says you should do but I was absolutely exhausted by the end of the day and my husband had to help me up from the couch in the evening and I had to take the stairs one at a time. I'm just wondering how bad it could get.
I've given myself a few days break from it and I'm feeling much better today. I keep wondering if I actually need to do this to myself. I looked at the cancermath site (which I know is out of date) but it says that if I had the ooph (which I did in December), with my pathology, there would be no benefit to taking the tamoxifen so I'm wondering if it's the same with the anastrozole. Guess I need to have another talk with my MO....
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Momine...You bet. He has me on Trental 400mg 3x a day. I have to take this with 400IU of Vitamin E, just once daily. He also just recently doubled the amount of Gabapentin I was taking. I now take 600mg of that 3x a day. The Gabapentin is for the neupoathy.
LovesChristmas...I am so sorry you are having such bad reactions to the Anastrazole. I take it too, went off it once then back on it starting last month. I get some whopper headaches at times and some days the fatigue is rough. It is not real severe but I do notice it. I hope your body can begin to tolerate it better. if not discuss what your options are with your doctor. Ask him if you really need it and make sure he explains all the benefits vs. the risks in your case. I hope you can find some peace soon. HUGS!
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Yes, the LE PT experts are the ones that recommend the garments. My LE doesn't get red, but I get the mound of built up fluid and it hurts! Feels like I'm lying on a tennis ball. Then I know I have to do my GENTLE patting motions to get the fluid moving on. My DH does my back area, but I do the neck, chest and arms.
It wasn't recommended that I get a torso compression garment but she offered the sleeve one. I said wouldn't I need the hand covering too (gauntlet?) and she said yep. I said too much drama for what is right now only on my back. I'm lucky!! I felt if I compressed my arms prophylactically (sp?) that it might force more fluid into my torso. So I haven't used a gauntlet and have no intention of doing so. My arms do get heavy at times, and I find that I have to use 2 arms (one holding the other) to do things (think moving hangers on a rack), but it doesn't happen all the time.
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Thanks Barbe! I will see what they recommend and try to get what I need. I just feel this huge sense of relief knowing I am going to be evaluated by a qualified LE therapist. The swelling is so painful, on my breast itself but also in the underarm. Getting some of that trapped fluid moving will sure be a relief.
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OK, I am not a doc, but from the drugs he is giving you it seems that he thinks you have fibrotic lesions and/or that your veins are not working properly. Getting collapsed, fibrotic veins is common in connection with cancer treatment and contributes to LE problems. I would think, but ask, that the only thing that would counter-indicate LE therapy is if you have an actual blood clot somewhere, but it doesn't sound like it.
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Here I am a boomer 56 yrs old-Anyone like me has Sjogrens Disease and DCIS, lumpectomy, completed radiation therapy and on SERMs (Selective Estrogen Receptor Modulators- Tamoxifen I have had several flares
during and after radiation treatment.. With radiation treatments I experienced notable increased tiredness and gastrointestinal problems
. How have others coped and what did you do? Please share your experiences-symptom flares? -
My RO told me I had truncal LE from the rads but that there was no treatment. My Med Onc took one look, put me on gabapentin for the pain and sent me to the LE therapists who started massage, put me in a compression bra and measured me for a sleeve to wear when doeing heavy stuff so it wouldn't develop into arm LE. So my experience is that ROs are idiots and totally ignorant about truncal LE. The vascular problems that radiation causes cannot be cured or even well treated most of the time, so IMNSHO RO's delay sending women out for proper therapy for truncal LE to hide thier ignorance and so we won't find out that it's a known side effect of rads that they choose not to tell us about ahead of time. But then, that's just my opinion and I'm well known for being totally against rads after my experience.
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mkmware-I do no thave any experience with Sjogrens Disease but during rads I became very dehydtrated and drank like 10-12 glasses of water a day. I could not drink enough fluids. Had dry eyes, constipation, etc. It finally went away after rads.
Nativemainer I am with you-hate rads. No one could pay me enough money to but my body through that crap again.
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Welcome, mkmware! I have had the same surgery and treatment as you, and the icing on my cake is I have fibromyalgia. I get hand and foot neuropathy pain and some of my other joints ache at times. Hard to tell if it is the Tamox., or just the loss of estrogen (thru' natural menopause;) or the combination of the two. I did get tested for Sjogren's, as some of the vague symptoms are the same as fibromyalgia. My eyes and mouth get incredibly dry at times. I keep some liquid tears drops in my purse. I use Biotene or ACT mouthwash for dry mouth. A LOT of medications cause dry mouth, so if you take anything other than just Tamox., it could be contributing. During and right after rads, some people get heartburn and esophageal burning. The RO's want to tell you it is not caused by rads, but it is. Too many women have reported it. When the rads hits your ribs, it causes some "scatter" to nearby tissues. The reflux feeling from that usually resolves within a few weeks after finishing rads for most people. Anyway, everything you describe sounds about par for the course, more bothersome than worrisome EXCEPT the SOB, cough and chest pain. Rads gives a few women excessive inflammation & scarring in the lungs (pulmonitis or pneumonitis) and it can be a serious condition. This is something you should mention to the RO on follow-up, or really to the next doctor you happen to see. I believe a plain film x-ray can indicate if this is happening in your case.
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It comes to my attention that this is Fat Tuesday. We need some no calorie King Cake, ladies!

Happy Madri Gras!
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