February 2012 MX

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  • Nel138281
    Nel138281 Member Posts: 2,124
    edited March 2012

    Hi All,

    Well better late than never.  I finally looked at myself straight on in the mirror this AM.  I didn't fall down or pass out.  I made it. it wasn't even minutes but I got a few seconds in.  One step at a time. Acceptance is the name of the game.  I see my counselr thi afternoon, so grist for the therapeutic mill so to speak.  

    I think I was up to it today cuz I feel great.  I was anxious about the round of chemo that I began on Friday and then not feeling quite up to snuff the last few days. And much of the discomfort from the surgery has lessened as well.  This was all consuming much of my energy. SE's appear to have lessened, so just did it as NIKE says.   

    Thanks fo all the support.  Where would be all be without this board

    Gentle day

    Nel

  • DebbieOS
    DebbieOS Member Posts: 140
    edited March 2012

    Oh, bless your heart, Nel.  Boy, do we all understand.  And, I sure feel the same way about this board.

    By the way, earlier on this board, I mentioned having a "hybrid implant."  I finally asked my PS about it this morning...she said that it's a "mentor spectrum implant" that has a port that enables the PS to insert more saline into it.  It never has to be replaced, like a TE.  (Of course, it's like a regular saline implant in that it will wear out after 10-15 years.)  Anyhow, the reason I was a candidate for this type of implant was because I had a skin sparing MX.  If one has a regular MX, they can't have this; they need a TE in order to expand the skin, whereas I didn't need any additional skin so they could put this in.  It is the same comfort level as an implant, according to my doc, as opposed to the harder TE.

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Bless your heart Nel, you've made that so very important first step!  I wouldn't look for several days after getting home.  Even when getting in and out of the shower, I made my friend helping me move so I couldn't possibly seen in the mirror. That'll teach me!

  • Dixiemine30
    Dixiemine30 Member Posts: 163
    edited March 2012

    Nel...so proud for you...looking for the first time was so hard for me!!  I cried and cried.  Then the other day I didn't even notice.  I guess we can get used to anything, huh?  One step at a time :-)

  • Nel138281
    Nel138281 Member Posts: 2,124
    edited March 2012

    Thanks to all for your support.  Took the first step,now I feel like I can move on a bit. I was able to laugh this afternoon when I realized the foob had shifted to the left, not the look I was going for. 

    It is all part of the journey

    Be well

    Nel

  • november
    november Member Posts: 103
    edited March 2012

    mcm24-sorry to say that I know what you mean about the BO; it is only under 1 arm though I had lymph nodes removed on both sides. I would wash so many times a day and no matter what kind of deodorant I used it wouldn't make a difference. I was so self concious that I talk to my PCP about it. she gave me a prescription for HYPERCARE 20% which is an aid in the management of increased perspiration. I am yet to use it because this week has been ok with my regular deodorant. GO FIGURE. Thank you for bringing the issue up

  • Deborah2012
    Deborah2012 Member Posts: 234
    edited March 2012

    Good evening to the Fab Feb. Females of 2012!

    Nel and Diximine- What is with you two and the wanderlust foobs????? Dearest Nel, relieved you took a look.   

    Now for my bad news.  I got my oncotype DX results today at 5 p.m.  I'll meet with my onc tomorrow. I got a lousy 21.  I couldn't believe it.  I wasn't supposed to get over 18.  I had three nodes taken- two level one nodes and one secondary node- all clear; 7mm tumor size- stage 1 and DCIS that hadn't broken through. My ER score was 8.7 (cut-off score for ER+ is 6.5) Scale is <3.7 to 12.5.  PR score 8.5 (cut-off of 5.5 on scale of <3.2 to 10).  So, I'm definitely ER+PR+. 

    Wonder if Grade 3 correlates to a higher Oncotype DX score?

    The 18-30 range is intermediate risk.  All my health care providers thought I would be in the low risk. This is the second "surprise" of my cancer journey.  

    I'm guessing my onc will say to do hormone blockers only.  If she thinks chemo is for me- I'll be crushed. I'll be able to move forward on a second opinion soon.  

    It's not an insurmountable result.  It's just that it's so unanticipated and I'm pretty deflated by it.  I'll see what the onc. has to say tomorrow.

    Deborah2012

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Deborah, that kind of news kicks you in the backside doesn't it.   Why didn't BC have the playbook to follow the rules!   You've not seen Onc but have the results?  I can't get that, they protect that info as much as the test that led to to dx.

    Looks like we'll both learn today what is in our future in terms of tx. I'll be thinking of you Deborah.

    Sally

  • Nel138281
    Nel138281 Member Posts: 2,124
    edited March 2012

    Deborah2012  UGH.  I have not had oncotype testing, I ahve to ask about that when I next see ONC.   Hate these twists and turns.  Gentle thoughts.

    Need a plan for foobs with a mind of their own.  Going to begin scaring small children and animals.  I think when I can get the weighted one, it may stop moving.   I have a neighbor that will sew in the foobs for very little, and that will be good for some items that I may wear alot and then the "real foob" for all else.  Again a journey.

    Genlte day to all.

    Nel 

  • Bern25
    Bern25 Member Posts: 125
    edited March 2012

    Deborah2012...so sorry to hear about your score. Grade 3 is a more aggressive type so maybe that is what tipped the scales to a higher number of concern. As hard as it is to get this news, it is still better to kick this in the butt at this stage instead of another surprise later down the road. I don't know you personally but from your posts you always seem so positive, forward thinking and a "go getter". Keep that spirit.

    Bern

  • cajmi
    cajmi Member Posts: 80
    edited March 2012

    Deborah,

    I'm so sorry your results were less than favorable.  I hope both you and Galsal get better news today at your appts.

    I didn't have the oncodx since my DCIS was non invasive.  They did just start offering it in late November for the DCIS crowd.  In regular pathology, mine was 100% estrogen positive and 70% progesterone postive.  Since there is only 1-2% breast tissue left after BMX, the benefit of tamoxifen therapy was very minimal.  Maybe it will be the same for you.

    You're both in my prayers today!!!

    Carolyn

  • Layla2525
    Layla2525 Member Posts: 827
    edited March 2012

    mcm,I have discovered the same problem that with Arimidex I suddenly wreck no matter what,shower,put on deo then goldbond powder and get home from work where I sit in a desk all day and I smell like a drunken sailor,so I was determined to stop that from happening so I marched myself out and got clinical strength dove deo. However I only had 2 lymphnodes tested and they were negative. I smell better now. The sweats have lifted a little but still horrid hot flashes followed by shivering cold. My body thermostat is off with those pills. Most other side effects gone except migraines which I  never had before.  The TE are easing off but I got a fill coming up so guess i will be back in super complaint mode then!

    Anyone have any ideas for a swimsuit with TE? Do we need a card to fly? What happens when you go thru airport security with TE? What happens if we wear "chicken cutlets" til our fills make us look less flat? How do we negotiate traveling and going to the pool etc? I had surg 4 wks ago so I am dumb on what to do. I am doing hot and cold therapy in the shower for TE and some extremely gentle stretches for mastectomy patients I found online. I only do 5 reps and go really slow however I am sure my PS would not approve cause she said I can not sweep or vacumn. Does she realize that parellell parking is a worse workout?

  • Bern25
    Bern25 Member Posts: 125
    edited March 2012

    Galsal...I am hoping the best for you today also. Seems a lot of us are at that point of "The Score". Hopefully I will know something tomorrow but I doubt it, I was only told to check back with them to see if they received them.

    Hoping the best to all,

    Bern

  • DebbieOS
    DebbieOS Member Posts: 140
    edited March 2012

    Ah Deborah.....I am soooo sorry about your score.  I do know that 18 is not really a magic number...neither is 21....just where the docs put their "low" or "intermediate" score.  Gosh, however, I know you were hoping for 18 or under.  Damn!

  • Deborah2012
    Deborah2012 Member Posts: 234
    edited March 2012

    Galsal,

     What I didn't make clear is that my onc was kind enough to fax it to me at my request.  I did NOT procure it from Genomic Health directly. 

    I am to see onc today, She knows that I  wasn't going to freak out.  Might be irritated and disappointed but would be okay.  More importantly, she knows I enjoy the science aspects of the reports and feel much better when I can be prepared prior to an appt.  rather than learning of the technical results at the same time of our appt. 

    Another concern I have is interpreting my post-menopausal blood test from a month ago.  When I read it, I may not be fully postmenopausal.  That stinks at my soon to be 56 yrs. old age because it may alter the HTdrugs they have in mind for me. We'll see.

    This morning I have to make a list of all paths, etc, the second opinion teaching university needs, schedule an appointment at said university and likely overnight ship the stuf.  Doesn't a fax machine retain all the details of reports etc?  I no longer have a fax machine.  I can scan but they only accept hard copies or faxes.  Can't recall if SS# or other private info. might be on any of the reports that I wouldn't want to have retrievable by strangers using a public or work fax machine. I have a very busy morning, the Dr. appt. and then off to work.

     Thank you everyone for your regards about my surprising oncotype DX results.  That made me feel extra supported! :) I just adore your women.  You're the best!

    Deborah2012

  • Nel138281
    Nel138281 Member Posts: 2,124
    edited March 2012

    Layla2525

    Flew with my puffy pillow last week, No problems or questions. I didn't bring it up and neither did TSA, tho I was wondering what they see in the machine.  I was more worried about the portacath.  I couldn't remeber the protocol for that either, did ask and not a problem. 

    I am going to have a something sewn into my bathing suit.  I wll not have any floating boobs at the beach (lol) .  Lady Grace here in Mass will do that.  I also have a neighbor that will sew in whatever we figure out for itemsI wear a bit more frequently.  And sometimes I just go flat on that side.

    And and you said there aren't words to describe the hot/cold flashes.  Can't stand myself

    Be well

    Nel

  • Wren44
    Wren44 Member Posts: 8,585
    edited March 2012

    The skin on my chest above the mx is still really sensitive to touch. I'm supposed to be able to wear a bra next week, but the bra top is going to hit that area. First the nurse said to wear a sports bra, then to wear a wifebeater undershirt. I don't think she heard or understood that I can't have anything touching that area. Then she said it was nerves regenerating and to massage the area to get it used to being touched. I'm returning to my volunteer job next Wed and really want to wear a foob. I'm doing the massage with lotion. Has anyone else had this problem? What did you do? It's been sensitive for 2 weeks now.

  • Dixiemine30
    Dixiemine30 Member Posts: 163
    edited March 2012

    Deborah...I am so bummed about your score, that really stinks!!  Please keep us posted, you have your very own cheering section here.  Dang cancer sucks and is super sneaky!!!

    Sally -- Let us know what the docs say today.

    Nel -- I have found that a medium impact sports bra keeps the faux-girls where I want them. :-)  ....and thanks for the flying tips.  I was wondering the same thing as Layla.  Now if I decided to run away for a little while I won't have to worry about TSA...haha

  • mma59
    mma59 Member Posts: 43
    edited March 2012

    Deborah2012, sorry about your score!  I won't get mine till next Wednesday.  I know how you feel.  I'm hoping for a low number also.  I guess it is what it is and we have to deal with it like everything else but at least we have each other to vent to!  Let us know what your onc says about your treatment plan. 

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Drum roll please.....

    The score on the Oncotype was a 12!!! Onc even pulled up the other program they use, Adjuvant, to show she'd compared them too. While it showed a 20+ score, it did show a breakdown that brought it back down to a 5-8. I do NOT need Chemo, although will be on Tamoxifen! Without the Chemo my risk is 8% of getting Breast Cancer again. With it, the risk would be 3%. Oh yeah...doing the HAPPY DANCE over here!

    This lady was on her game, had already read my file and knew quite a fewspecifics.  She'd gotten her hands on the test score the day before when it hadn't yet been received by her yet.

    She asked the questions needed.  However, a shocked look showed on her face when said Mom had to stop Tamoxifen due to blood clots in her lungs.  I explained that I'd had the blood tests to see if I had inheirited the factors about the blood clotting and they'd been negative.  See, out of Five that are important, Mom had THREE which is quite unusual.  She wants me to find that information to show her at the next appt, to see which ones were the problem for her.  Her concern is that if Mom's were positive and mine were negative, that some thing is off the mark and not right.  Also, she has recommended to the Breast Clinic that I have Brca 1 and 2 testing because of Mine and Mom's BC, her Sister's Colon Cancer, and their Father's Prostate Cancer.  I didn't realize there is a connection through the Brca2 gene about Prostate and Uterine Cancer.

    Sally

  • Bern25
    Bern25 Member Posts: 125
    edited March 2012
    Galsal....glad to hear you are doing the "Happy Dance" Maybe that will be the tend of the day.Smile
  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Good idea...let the dancing commence!

  • Dixiemine30
    Dixiemine30 Member Posts: 163
    edited March 2012

    Galsal -- Super Duper Happy Dance for YOU!!!  Great news, Chicka :-)

  • DebbieOS
    DebbieOS Member Posts: 140
    edited March 2012

    I'm dancing too!  I found out that my oncotest is 14!  Yay!  Although I don't see the onc until tomorrow, I'm hoping and assuming that I won't have to have chemo either.  Later in the day today, my onc's secretary left a voice mail when I was gone to say that the results of my BRCA 1 and 2 tests are "good."  I'm assuming that means negative, however, with a sister, mother, aunts, cousin, and great aunts who have or have had breast cancer, what does it really mean?  Lol.  Geesh.

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Keep the faith Debbie!  I've decided to embrace the thought that the treatment plan could change at any time and to just accept what it is for now.  Tongue out

  • Deborah2012
    Deborah2012 Member Posts: 234
    edited March 2012

    Hi everyone,

     I'm happy!  My onc said when all was said and done, if I were to undergo chemo with my HT, I'd only decrease my recurrence score by 4%. She said she was not recommending it.  I said I wouldn't do it for 4% personally.  She shared some more details about the state of things that may be useful for others that I'll post later.  It has to do with the San Antonio BC convention about 4 months (?) ago. And.. her office is going to request the second opinion on my behalf at the teaching university.  I'm telling you- she is awesome!

    Wow, it's so interesting to read about everyone's family histories and cancer. I'm the only BC person in my family, but my dad did get prostrate cancer a ta fairly young age.  I think it's practically an epidemic with men when they reach age 70 or sometihing.

     I just loved reading Layla's travel trips and glad to hear that Dixiemine is strapping down her errant foobs.  It sounds like as the world spins inside her bras. 

    Loving DebbieOs and Galsal's oncotype scores!  xoxo! mma59 make sure and post next Weds.  I'm the example of chemo is NOT recommended even though I am in the low side of the intermediate risk range. Woo hoo- makes me super happySmile.  (Uh oh- I just found the happy face insert.  I'll have to control myself-  another item I've added to my functioning techie  illiteracy).  Looks like a fair number of us will be on hormone blockers but no rads or chemo. My onc wants me on Arimidex.  

    My action plan is. Second opinion at the teaching university, then onc wants me to start HT, then change out the foob at end of April.  Onc did not want me to wait until I recovered from change out surgery before beginning HT.  I'm a bit disappointed by that. However, I ended up losing 5 weeks due to the oncotype botched sample.  She also thought that my one indicator of my blood test that was questionable regarding truly post menopausal could be residual estrogen from the ERPR patch I stoped taking in Jan. (blood test was in Feb).  The other indicators pointed to post menopausal without a doubt.

    Oh ladies, March 21st was a good news day for so many of us.  Let's hope we have many more as today!!

     Broad smiles and happy dances all around.

    Deborah2012, 

     

  • Bern25
    Bern25 Member Posts: 125
    edited March 2012

    Deborah2012..sooooo happy about your results and everyone else with low scores....this really is a happy dance night for many...hopefully more to come for the Fab Feb Ladies!!!

    Smile

  • Galsal
    Galsal Member Posts: 1,886
    edited March 2012

    Fab Feb Ladies....love it!  Congrats to you Deborah!

  • DebbieOS
    DebbieOS Member Posts: 140
    edited March 2012

    YEAH, Deborah!!!!!!!!!!  Yea!!!!!!!!!!  It IS a GOOD day!!!!!

  • janiceg415
    janiceg415 Member Posts: 144
    edited March 2012

    So glad to hear the good news for Deborah2012  Galsal  DebbieOS     HOORAY!!!!

    Deborah2012       I am so glad that things are looking up for you with no chemo, just the HT.  Is the oncotype test protocol for all of  us or only some based on DX?  I know that mine is ER+PR+.  I don't see my MO until early April.  Would this be something I should ask about if she doesn't?  I know they said she will want some blood tests done prior to my visit but wasn't quite sure what she will be testing for. 

    When I had my first lumpectomy with the guided wire where they would take the first lymph nodes that the dye goes to - I was surprised after surgery that she said I am wired differently then most, my lymph nodes on the BC side are not under my arm, but instead are in my chest wall.  Therefore she didn't take any, and since that time she has never indicated any concern about them.  So I haven't any incision under the arm for lymph nodes, lucky me.  I hope - but down the road should I still be concerned about the lymph nodes in my chest wall.  My doctor has not shown any concern regarding it, has anyone ever heard of this? 

    I had my 2nd fill on Tues of 70ccs without pain just a little discomfort later in the day.  Will this get better or worse as it fills in the weeks to come? 

    Yesterday was my first day back, worked 6 hrs at an office job.  It went pretty smoothly, not really tired, just a bit fatigued.  I got so busy that I didn't take a bathroom break until I got home.  Now that is dedication or loss of mind?  I need to drink more water and stay hydrated, it is really warm here in WI as it is in much of the country this Spring.  It is so nice to hear the birds early in the morning.  We need a nice thunderstorm to clean up the joint.  So I will go back to work today & tomorrow for about 6 hrs and back full time next week.

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