To tell or not to tell...
Met with the oncologist today and she has recommended a short course of radiation (just 16 treatments) as follow-up to my wire guided excisional biopsy which found a tiny 3mm area of DCIS with 2mm clear margins.
Up to this point I hadn't told anyone at work except my boss, but I will be letting my co-workers know what's happening now that I will have to miss work every day for three weeks. I'd rather tell them exactly what's going on than have the gossip mill working and everybody wondering.
But when it comes to family members, I can't decide what to do for the best. Right now only my husband knows and one good friend. Husband thinks there's no need to tell our daughters (or my sister or my mom) as 'they will just worry'. I kind of agree, but part of me says, what happens if they find out anyway? Will the fact that we kept it from them be upsetting?
Just wondering how others have handled this. Has anybody else NOT told immediate family of their diagnosis and treatment? Our daughters are adults, 25 and 27.
This board has been a wonderful support for me but somehow I feel like I want somebody to talk to in person, other than my husband. But maybe it's selfish to tell people just so that I will have more shoulders to cry on (metaphorically speaking).
Why is it so much easier to make the 'physical' decisions than the 'emotional' ones!!!
Comments
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I didn't tell my immediate family until I was diagnosed and had surgery booked, and mainly because it didn't feel right to NOT say anything. If anything though, I have downplayed it, especially to my mom. I have a sister who had breast cancer, but interestingly I don't talk to her at all. I do talk to my other sister and that helps.
I think I wanted my daughter (who is 21 and doesn't live at home) to be aware mainly so she can be vigilant for herself, although I tend to downplay things with her as well.
At work, most people know at a high level, and I've given permission for our HR person (who's also a friend) and my boss to tell anyone who asks. (Actually at first I said "Tell them I have an upper body injury" -- hockey reference!) In my experience, the rumours at work start only when people have to fill in the blanks themselves. I still try to keep things completely professional, and most people are sensitive enough to ask how I'm feeling, but not ask for any details.
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I didn't tell anyone about the biopsies, but once I was diagnosed with DCIS, I put an email out to everyone I knew sharing "the good news/bad news." This brought tons of support as well as friends offering healing sessions, nutritional counseling, etc...and ultimately it changed the course of my treatment as I was introduced to new ways of thinking about my condition. We all have to do what we feel comfortable with though. I'm happy I shared about DCIS and how it changed my life. Another friend was so inspired, he suggested starting a facebook group called "Donna's Choice: Global Healing From The Inside Out." There are over 230 members now and I post a lot of info on the controversy around DCIS, screening and health-promoting/prevention articles. I also recently created a website to share my journey of two years and all the resources I had learned about. The emotional part of DCIS is very challenging. I also think it is good to make people aware of DCIS and all that we go through -- despite it being stage zero. Thanks for sharing. Sending blessings of peace and health. ~ Donna
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Speaking as an adult child who had something kept from me so I wouldn't worry, I think that is a bad idea to keep secrets. Things have a way of coming out sooner or later. I was very hurt when I found out what had been kept from me. Afterword, I found it hard to trust that other things weren't kept from me. It was just a bad decision to not be truthful from the beginning.
I have two sons in college. I received my diagnosis a week before their final exams. I decided it would be best to wait to tell them after they came home at the end of the semester. That way, the information didn't distract them from their studies. I was also able to tell them face to face so that I could be sure they understood exactly what was going on and knew that they didn't need to worry.
I wish I had told my mother face to face. I told her on the phone and she broke down. It took me a long time to calm her down and convince her not to worry. Though I wish I had done it a little differently, I do not regret telling her. Once she knew, the rest of the family knew.
At work, I just told three people (my boss included) and told them I didn't want to keep any secrets. Word easily spread. People were very supportive. There were no rumors and I openly discussed it with those that asked questions. I feel very good about how that worked out.
Among my friends, I told people I knew would be supportive. Again, no regrets.
I don't think it is selfish to want support from those around you. You deserve that, and they deserve to know you need that support.
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I told my kids and sisters since there was no way to hide treatments, and they really need to know for their own family health history. I told close friends and immediate coworkers as well.
We also told my mother in law and my parents, thinking that they would know something was up anyway, but in retrospect I wish we had not. They worry needlessly (still, 6 months after treatments) and really do not comprehend the difference between DCIS and invasive breast cancer.
The support from those who know is helpful in a way, but for the most part people really make too big of a deal out of it. Hard to find a balance.
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My family and friends were there to hold my hand through all the worry and tests, so they were aware. Work I told my boss as soon as my mammogram came back worriesome. I had to have a surgical consult and then schedule surgery right away for the biopsy, so my boss had to know. Her boss questioned her on why I was missing so many days, so she told him...which I was fine with. I'm very close with my boss so she was one of the first I called when we heard it was cancer, and she asked if she could tell a few people I was close with at work....by that time it was common knowledge, and I said yes.
I really appreciated the love and support that everyone gave me. There was a lot of laughter and some tears but it was great. Well as great as it can be when you are going through this. It is very personal. Not everyone is as open about things like this as I am. For some people it is a very deeply personal thing that they don't want or don't need to share. For some of us, it is helpful. -
At work, I told my boss right away, as soon as I needed more testing. Told other close co-workers after all testing was done, and I knew I was going to be out for surgery. Some of my coworkers had thought I had been taking personal days during a very busy time to work on my house or something, and were understanding when they realized I was out for biopsies.
I had a VERY difficult time telling my family, and waited until almost all the testing was done. Yes, your daughters and mother will probably worry. But I'm sure they would be more upset if they heard about it later, through third parties.
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Dealing with breast cancer is hard enough without hiding it from those close to you. I told my family right away. At work I told those close to me and as I got past the denial I eventually sent a mass email informing everyone. The love and support you get from people is very overwhelming in a good way.
I had a core biopsy yesterday and have told just a few people, including my 26-year-old daughter who is one of my main confidants and is in the medical profession. I decided not to worry my parents and siblings. Once I get the results I will let them know...hopefully that it turned out to be nothing.
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I didn't tell my family until after the diagnosis. Did not want them to worry while I was undergoing doctor visits, mammogram, ultrasound, MRI, and biopsy.
I even got my neighbor to drive me to the hospital for the surgery and then had another neighbor drive me home.
I just wanted everyone as calm as possible for as long as possible--for my sake as well as theirs
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You might want to think of it this way. If it were your mother, sister, or daughters with the cancer, would you be upset if they didn't tell you? I think you should tell them.
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Of course the end decision is yours, but in my opinion U should tell all that's close to u--u don't know how u'll feel and u might need some more support than u think. And if they found out somehow or seeing u maybe tired if that happens they might worry too, And they will be more vigilant in testing. I did tell my dgts. It doesn't matter what u'r stage is u have cancer--don't fear it for others fight it for others.
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You ladies are the best! I appreciate your thoughtful and caring responses more than I can say.
I would most certainly want to know if my mom or daughter were experiencing a serious health issue. My husband is a very private person; if this was his challenge, I'm not sure how he'd handle it. But he's not me. I'm sure he will support me whatever I decide to do.
Thanks for helping me put this into perspective.
And you're right, Camillegal - I can take this opportunity to remind people about the importance of screening mammograms.
Love to all of you xoxoxo
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I didn't tell my immediate family about my LCIS for years. My father and sister had serious conditions and ended up dying. LCIS was nothing compared to that.
I also was diagnosed with a different, potentially more serious, condition when it was apparent my father and sister were not going to survive more than a very few years. I still haven't told my immediate family, nor most of my more distant family. Why? I have a very mild case so far (progression is highly variable.) Also, a family friend (who I never met) had this same stuff that I have and died of it. At that time, my brother said that he couldn't imagine a worse death than this. I have told some co-workers, and a trusted middle manager at work.
I only tell certain people at work about my LCIS diagnosis because I've had confidentiality breaches at work (I work at the hospital where I get some of my care.) The night before my surgical excision, I had a co-worker tell me that the radiology clerk (who essentially was a male stranger) recommended that I have bilateral mastectomies because he knew a co-worker who had LCIS and that's what she chose. That was not helpful to me.
I know this is illegal, but someone posted here that when she had a mastectomy, her breast surgeon told her boss that she was suicidal. (This would obviously be a HIPPA violation, even if her surgeon had the skills to diagnose this.) She had invasive breast cancer, and her boss did not hire her back after her recovery from surgery. She was single, and her sole source of support. I don't know how she handled the rest of her cancer care. Since I am single, I would not want that to happen to me.
I've had a fairly 'dysfunctional' family, and they've been pretty judgemental about many things I've done.
So I think every situation is different. Everyone has different relationships with their family members and co-workers/bosses.
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Good observation, Leaf - different people certainly have different kinds of relationships with family members and co-workers.
It's so sad to read about situations like the one you mentioned, where information was shared inappropriately (to say the least). What a terrible impact on that woman's life.
Thank you for sharing your own experience.
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Secrecy has never been a family value for us. My adult daughters would have been beyond upset if they had not been involved. They have supported me in every way, cried when I cried and celebrated my victories. My whole family, parents, siblings, etc. have been there 100 %.
Caryn -
akmom,
I had a difficult time sharing my diagnosis with friends and family. Being very private and independant, it has been really hard for me to tell everyone. I did tell my immediate family and a few close friends and then they began asking me some very difficult questions that I didn't want to share. I feel that I need to come to terms with my own illness and thoughts before I can talk to everyone about it. Just my own thought!!
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Two new posts, at opposite ends of the spectrum! And I can relate and find comfort in both - they are valid and honest opinions, and I am grateful to those who shared them.
xoxo
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