Haven't felt this fear in quite some time
Hi all, it's been quite a long time since I've been here. Out living my life and have put the Big C behind me....but perhaps I've put it behind me a little too much.
Survivor of stage 1 since 2002, then in 2008, I had a Ct scan of my chest due to an ongoing cough. A small (4 mm) lung nodule was seen. And as some of you know, with that, they watch it (i.e. re-scan) every few months for 2 years, to watch for change. Well, I did that...but not for 2 years, only for 1. Why? Not sure, but right now, that's not important.
Three weeks ago, I had picked up the cold the rest of my famiy had, it turned into bronchitis with a mucosy cough (my husbands' turned into pneumonia), and it was finally getting better until 3 days ago, I developed severe pain on the right side of my chest, around the side, and in my upper back. Crippling pain when I cough or sneeze.
My primary dr wasn't available, so i remembered I had seen this pulmonologist a few years back, so I called the office, described the pain, and they saw me right away.
First thing the doctor said to me: "You never followed up on that nodule for the required 2 years, you need to do that!".
So, he said I had "noisy lungs" and gave me pain meds and an antibiotic.
The chest pain is pleurisy, and the cause, well I'm hoping it's just from the bronchitis. But, you KNOW where my head just went, especially after the doctor seemed concerned because the nodule is in the right lung, same side as the pleurisy.
So, as I'm coming up on my 10 year cancerversary this year, I'm now in fear, and wondering......
Comments
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So sorry this fear has resurfaced again for you. It's been my biggest challenge during this entire journey, some days it seems like I'm making progress in putting it behind me and other days it's right there! Pleurisy is soooo painful, so hopefully the antibiotics do their job and you feel better soon. Wish I had some words of wisdom, but just wanted you to know I'm thinking of you and hoping for some peace of mind for you and all of us who struggle. You've done so great, almost 10 years! So keep on keeping on (and do the follow-up) and put this mess behind you!!
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Thank you for your reply jacksnana, and the encouragement. The pain has improved slightly and I have my appt for the CT scan on Tuesday morning...then the wait begins.
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I am sorry you are having this fear. But there is also a perfectly logical reason for this issue you are having. Your husbands illness resulted in pnemonia, so it makes sense that you would end up as sick...remind yourself frequently that the rest of the family had this cold. It didn't just show up out of the blue only in your lungs. I hope clinging to this FACT helps you get through the waiting. I would say that a lung nodule that didn't grow after a year,even if you didn't go for that second year, is just a harmless lung nodule.
Hey, I had paget's disease too! Not many of us!
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Thanks Kathleen, for your response - and you're right, not many of us with paget's.
Not as much worried about the pain in my chest (still there, but it's defintely improving), than I am about the nodule, being it's been over 3 years since it's been checked. Although, if I'm fortunate enough that it hasn't changed in all that time, then it should really be a clear indication it's nothing of concern.
I'm at least hoping I get an answer very soon after my test Tuesday, the waiting is just sucky and leaves me to start imagining the "what ifs".
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Sandy,
Having gone through recent testing anxiety myself, my heart goes out to you and I'm sending all positive vibes that this will prove to be of no consequence. Hang in there, we will all hold your hand during the wait for results. Wishing for the best for you on Tuesday.
Linda
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SandyInNJ,,
I'm new to positing here, but have lurked on the site since my diagnosis in 2005. BC.org has been a Godsend. I totally get what you're going thru, especially the part about feeling a bit guilty over forgeting the BC. I will be a 7 year Stage 1 triple neg survivor this August (knock wood) and constantly go back and forth between forgetting about it and extreme anxiety over every symptom.
For instance, in 2010 I had back pain for over 9 months. Yes, 9 months. My onc wanted me to get an MRI, but I couldn't bear the anxiety of "knowing" so put it off until March '11. I braced for the worst, but learned all along all I had was a slipped disc. My symptoms went away almost immediatly with the help of a little PT. Phew, cancer on the back burner!
Ironically, this past Monday I had my bi annual onc check up and found myself feeling like I didn't belong at the cancer center, like I was too healthy to be taking up my onc's time when there are really sick people. My onc agreed that I was in great shape, "see you in August and then you'll graduate to annual exams". But then, my blood work came back, on a Friday of course and I had to peek (at my center they just started posting results to your account online which means you can often see results before your doctor). My CEA levels are elevated outside of normal range and beyond what they've been for me. My onc emailed to tell me I I have two options - get a whole set of scans or retest in another month. What I really wanted her to say was "it's nothing, fluctuations happen all the time", but as a scientist she clearly can't do that, so I get it.
I'm opting for the CEA retest in a month as scans freak me out (and there are A LOT of false positives). In the meantime, I am back in the worry waiting room. Jumping to the worst conclusions, worried that my luck has run out and that I haven't appreciated my "second change" enough.
Long story short, I personally never realized how emotionally difficult cancer "survivorship" really is. Just know that you're not alone in what you're feeling. What gets me thru is some Xanax and the knowledge that as human beings, even though we like to think we have control over our life span, all we really have control over is the present and trying to live fully in the moment.
Love Sunny
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Soo wonderfully put Sunny! The worry will never go away...
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Well, I think if your nodule was watched for an entire year and it didn't change, that that should free you from worry. Cancer doesn't usually sit around for an entire year doing nothing. If it was cancer, than I guess you have the slowest growing cancer in history.
All of us have nodules and stuff inside us that only those of us with cancer get to see them.
. I have a nodule in my lung too, which is only scarring from pneumonia. We have as many weird lumps and bumps inside as well as outside and most are just meaningless.
Anyway, here's hoping it's nothing - I'm sure you'll get news it is all okay. And, I hope you get over pleurisy soon because that is painful!
Big hugs. Sorry after ten years you still have to worry.
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Sunny, a few things you said really hit home for me:
"My onc wanted me to get an MRI, but I couldn't bear the anxiety of "knowing" so put it off until March '11." I think that's where I've been the past few years where cancer is concerned. My feelings are that if it has metastasized, it's incurable anyway, so why would I want to know if 2008 if I can be ignorant and happy in meantime before symptoms surface (in this case 2012).
And this: "worried that my luck has run out and that I haven't appreciated my "second chance" enough." <-- Yup, I think this ALOT.
Also, Coolbreeze: "Well, I think if your nodule was watched for an entire year and it didn't change, that that should free you from worry. Cancer doesn't usually sit around for an entire year doing nothing." This is why I didn't feel the second year of scanning necessary, but my doctor surely saw that differently.
You know where my anxiety is really coming from? I'm worried about my family...my husband, who has undiagnosed cardiac problems himself; my mom who's elderly and also has health problems and is also having a hard time accepting my brothers health issues, so I'd hate to put more on her plate; and my daughter, who's an adult (26) but who is emotionally fragile and I know she couldn't handle me having bad news.
I feel I've prepared myself the best I can that bad news could eventually come someday for me, but I'm not sure my family has.
It's really great to have all of you to say this out loud to.
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Hi Sandy, I can so relate to your fears. At my initial dx, my surgical ONC said there were lesions on my skull and rib cage and needed to do a PET scan before any surgery to rule out cancer. He really thought it was mets, could hear it in his voice. In the end, he said, "well I guess that's just how your bones are". And a few months later my ONC did another bone scan to see if there was any change, and there were no changes. So no cancer.
Recently, as I said in the thread "The Waiting Room", I waited 2 months to get a followup CT scan and there was no change in the nodule on my liver so I consider myself cancer free right now. Another big scare.
I know there is another nodule (well more than just a nodule), and don't want to minimize your fears. I just wish there was something I could say to help YOU to lessen your fears. I am hoping for the best for you. Please know you are in my thoughts. Let us know what your surgeon says!!
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Got the report (reluctantly given to me by my husband who picked up my studies for me) and here's the scoop based on the report:
1. In the right middle lobe, there is a new 1.9 x 1.3 cm poorly marginated nodular density. PET/CT is recommended for further evaluation.
(I'm assuming "poorly marginated" isn't a good thing. Nothing written about calcifications on the report, which I know could be an indicator).
2. Stable subcentimeter nodular opacity in the right middle lobe
(in '08 it was 4 mm; in '09 in was 6 mm; and now it 7 mm, but I supposed it's considered "stable" because there's been such little growth over this long a time).
Mentally, I'm a bit stunned. But my thinking is, and always have been, "it is what it is, and all the worrying and crying can't change it"....so, I must find my way through this. Like I said in an earlier post, my biggest fear is telling the rest of my family. But my husband and I both agree to wait until at least I see the doctor tomorrow before I even mention anything to my daughter, who has NO clue that anything is wrong whatsoever. My mom, on the other hand, is waiting on pins and needles for the results of my Ct scan....I haven't told her I've gotten them already.
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After being on and off the phone today talking to schedulers and doctors and insurance company (how I remember THAT from 10 years ago), I'm set to go.....PET on Thursday, ct guided lung biopsy on Monday (never had either, so if anyone wants to share an experience or what to expect, I'd like to know).
Family has been told everything I know so far...and that went, and continues to go, as awful as I had anticipated.
Getting phones calls, well wishes, and hugs from my doctor ...
I'm composed and rational 90% of the time, thinking "it is what it is and I'll just have to deal", then I go from zero to crying in no time.
To top things off, I got sicker this past weekend, fever, sore throat, more coughing, and now, to just add more panic to the pile of crap, I'm getting shortness of breathe (something I've never experienced before), chest is tight (was given inhalers and prednisone from Dr. Hug today), I have a terrible pain in my upper back that still hasn't gone away.
and I'm feeling that this isn't going to go well...I can just feel it.
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I am so sorry you are feeling this panic. I had a recent scare, my sister just diagnosed with Ovarian cancer and I thought I still have all female organs I better have them checked. In for ultrasound and report said I need CT. I went into utter-fear. Had CT and said I have free fluid but that liver and other organs looked ok including Ovaries. I can tell you I went through pure hell! We are having some job changes where I work and had to talk to HR gal and I shook from head to toe, just like the lion on the wizard of Oz. I really think I have PSTD and may need to talk with primary doctor. Sorry about the rant. Wish all goes well to you...
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Sandy, so sorry you have to go through this. Maybe the fact that you're feeling sicker is pointing toward the fact that you're still battling all the lung stuff you've had recently. Oh, I can so relate to the overwhelming anxiety. I practically come unglued even just by the blood work my onco does every three months.
Seems like you're really keeping it together, but if you think it would help is it possible for you to take something to help you relax and destress until you go for your scans and biopsy? Just soak up all that love and caring from your family and friends. Sending you prayers, hugs, and good vibes for Thursday and Monday. Veda
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Thank you kodapants and Veda.
Got some of the gorey details of the procedure today from the radiology nurse who called to tell me everything I needed to know for THE day. Doesn't sound pretty. Higher chance of a collapsed lung because of where it is located.
The doctors' nurse called me too, scheduling me for my...um, results (or in other words, my fate) is all set for the following friday (the 16th).
Yeah, I'm getting really scared now. I know I wouldn't be human if I wasn't, but dammit, I really had put this all behind me. 10 years....you're just never, ever safe.
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Aw sandy i saw your post last week and have been watching for news. Hope the biopsy goes smoothly and that this crap is down to the pleurisy. Best wishes x
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I appreciate your honesty and sharing your fears here. I know with hormone positive BC the chance of recurrence doesn't necessarily go "down" as the years go by. Like you said, it sucks that we can never be "safe" and assume we are out of the woods.
I'm sending oodles of positive thoughts your way that the biopsy goes without incident and your results are benign!
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Just wanted to send you ((((((((hugs)))))))) and say that I have everything crossed for benign results for you. Good luck, Angelfalls xx
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I'm really needing this forum right now - gives me a place to say things out loud, instead of just listening to the noise in my brain. So thanks for those who have stopped by, even for those of you reading who don't post, I know you're there, I do the same often
And for those who are offering their good vibes and hugs, just know it is very much appreciated.
Writing has always been therapeutic for me. Not always so good at verbalizing my thoughts, but have always been able to put it in black and white quite easily.
I've also have never been silent about my cancer. I want people to know, because I am the face of younger breast cancer (having been first diagnosed at 39 y/o) and I believe we all have something to teach about this wretched disease, maybe even moreso now, should I recurr after a Stage 1 diagnosis, negative nodes, and being 10 years out.
This may not even be breast cancer, the thorasic surgeon said it could be lung cancer (I'm not a smoker either).
And, it may not be anything of significance, but I just told my husband last night just how small my hope has become that this is indeed, nothing. He said, "I know you're quickly losing hope, but I still have at least 50% hope left that you're going to be ok".
Filled my boss in, needed him to know why I'm scheduling off so much. He shared a story about his mother, who is now 87 and is a 24 year survivor of breast cancer, along with another cancer she had gotten 15 years ago. Always good hearing stuff like that.
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Had the PET/CT yesterday. Got the call from my thorasic surgeon about 30 minutes ago.
NOTHING ELSE lit up on the scan except for the spot in my lung!!!! He believes we are dealing with an early stage lung cancer. And when I asked if there's still a chance of it still being metastatic breast cancer, he said yes, but he does not believe that's what it is. Who ever thought I'd be relieved to have only lung cancer. But because it's small and isn't seen anywhere else, they can remove the entire middle right lobe and I shouldn't need any other treatment.
However, we will not know anything for sure until after the biopsy. So stay tuned!
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I don't know if the location depends upon how they do the lung biopsy --- but mine was done through my back. I was wide awake and only local area numbed - - no pain during during needle aspiration. The stress is worse than the procedure. Hang in there!
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(((((((((Sandy)))))))))
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Wow. What a story! I hope the biopsy goes well and I will stay tuned. Hugs to you!
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You know the fear never goes away. Yes, you may not think about the cancer for a few weeks or even months and then something comes up and the fear is there again. The doctors are the worst actually - I had a bad headache and some weird memory loss one morning and the ER doc said "We better to a brain scan because of your cancer history." Luckily everything was fine. Then something else comes up and that doctor says "We better do a----because of your history.
So no, the fear is always there, lurking in the background.
Hoping you heal from the pleurisy soon!
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Hoping everything goes well for you. Sending positive thoughts your way--
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Sandy - I just saw this thread and had to open it because I often wonder if I am gonig to have a time when I don't have the fear! I am sorry that you have all this stress of waiting again. Here's hoping that the history of that pesky nodule leads to a Stage I lung cancer diagnosis that can be treated with surgery alone or better yet, some kind of active infection! I hope that biopsy went smoothly today. (((Hugs))) to help you to get through until Friday.
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Update on my ongoing saga:
Went in today for the CT guided lung biopsy. I was told ahead of time that this lesion is in a difficult area, near the diaphram and a fissure, and that it was going to be tricky. I wasn't to move even a millimeter. I did everything right, but once they punctured the lung, human response is to react, and even though I didn't move a muscle, apparently, my lung lost enough air and the needle no longer lined up.
The could not continue. I layed there in tears. Now my answer will be delayed even longer.
I was in the hospital from 7:30 a.m. until 3:30 p.m., with no biopsy to show for it, a minor collapse lung, which was improving when I was discharged, but more pain when I breathe, as if I didn't already have enough of that.
The only good thing I can say about today was the care I received was just remarkable. From the nurse who gave me an ativan and held my hand throughout, the CT doctor who explained everything in very clear terms, assuring me it wasn't my fault, the recovery nurses, and even my future son-in-law, who is the xray tech there who came into work early so he could take my films and see to it I was expedited throughout the day.
I also saw my thorasic surgeon, who reassured me that we WILL get to the bottom of this, and what he's suggesting now is to go for a wedge resection of that area of the lung (VATS) and he said they would then test the sample right then and there and get a diagnosis. IF it's lung cancer, they will go on to remove the rest of that lobe at that time (won't need another procedure). If it's something else, then we'll also know that then.
Both the thorasic surgeon and the CT doctor said to me (separately) in similar words, that they still can't say for sure that this is cancer. They said there's a 50% chance it is not a malignancy, but could be something of inflammatory nature. But because it's definately metabolically active, it cannot be ignored.
I also had the courage to take a glance at my PET results, and I'm glad i did, aside from the "hypermetabolic nodule", it says "NO FINDINGS TO SUGGEST METASTATIC DISEASE"....the best words in my world!
Something new it did pick up though, I had "symmetric thyroid uptake, which may be related to thyroiditis". But one thing at a time.
So, I meet with my surgeon this Friday and we'll get another surgery set up he said maybe late next week, or early the following week. Ugh, just want some answers!!!
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toomuch: just wanted to drop you a note and say that you WILL get to the point where you don't think about it like you have been, I promise you that. Admittedly, I was fearful for maybe the first 6 years or so, but with every clean test and every healthy year that passed, I almost forgot about cancer all-together. It's been less than 2 years for you, give it time
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What a roller coaster.
I'm so sorry you couldn't get any definitive answers today...though it sounds like you are receiving excellent care. I think 50% is pretty decent odds...and even then..sounds like it could possibly be surgically removed.
Sending loads of positive vibes your way.
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I'm so sorry they were unable to get a biospy sample. You brought back many memories and feelings for me when I went through this procedure. I had multiple nodules and they only were able to reach the largest one -- accessed below my shoulder blade. Certainly why they had no trouble talking me into chemo back then..... Please hang in there knowing you are in excellent care and this single nodule has been found and your doctors are pursuing it.
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