My 1st Post Here- Mom dx w/ Stage 4 in May

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Anonymous
Anonymous Member Posts: 1,376

Hi Everyone,

I wanted to introduce myself, since I've been reading here night & day since I found this site. Although I haven't posted before, the wonderful advice and loving support here comforted me and gave me hope for my mom.

Mom is 66 and has always been healthy and full of energy. I'm an only child- she raised me by herself and we've always been very close. She has been a huge part of my kids lives (they are 14 (daughter) and 18 (son- just left for college). She took the kids every wknd when they were younger and made sure that those times were full of laughter and fun. Basically, she's an amazing person that has worked incredibly hard all her life and done everything for others. And now that she was getting close to retirement after working 60+ hours weekly for over 30 years, the cancer dx hit.

She had been losing weight for several months and I was concerned about that, but she said she felt fine. I just had this awful feeling that something was wrong- however I'm a worrier and I had always obsessed over my mom getting sick, in part because she never went to the doctor for any checkups or health screenings, and also because I love her so so much. Just thinking about her aging used to give me a panicky feeling. Anyway, she was getting dentures and after she got them, she really couldn't eat much and became quite emaciated. Then she was having SOB, and feeling weak. Finally she went to the walk-in doctor and he said her vitals were fine and she was dehydrated. Two days later I got a call from my aunt at 1 AM that mom was at the ER. Turned out she had large bilateral malignant pleural effusions, although we weren't told about the malignancy until a week later. She stayed in the hospital for 9 days, and although the nurses and CNA's were AWESOME, the way it was handled was a mess. There were too many dr's saying too many things and we were never sure what was happening next. I have some medical knowledge so I was able to understand most of it. After a couple days, I discovered that they had found a large mass in mom's right breast. She didn't want me to know about it, but I told her I wanted to be there every step of the way. The 1st night in the hospital she said to my aunt,"I hope Dee's not mad at me if it's something serious." (I'm Dee). That breaks my heart and also tears me apart thinking that she must have noticed the breast lump and perhaps not sought medical care out of fear or not wanting to "turn my world upside down", as she put it to my aunt. I wish she had gone for health screenings, of course, but that's no gaurantee either, as unfortunately many women on here have found out. Doctors miss things. Oh yeah- on top of all this, my mom had had a heart attack! They had to do a cardio cath and all kinds of tests for her heart to see what happened, but we were relieved to find that her heart fully recovered. A NP said sometimes when ppl are under tremendous strain/stress they have heart attacks spontaneously. Mom worked at both jobs until the day before was went into the hospital although she could barely breathe, so that made sense to me.

  After a week in the hospital, this little turd of a doctor who looked about 15 came in and, without preamble, announced that the cancer (never mentioned to us before as a definite) had spread throughtout my mom's body and bones and the prognosis was very bad. I said,"But there are treatments..." And he said he "didn't want to be negative" but at this point, he doubted any would work. Then he added that was why they wanted to send my mom home ASAP- to die obviously. I was heartbroken and can't imagine how my mom felt. It was just impossible to comprehend. About an hour later, the turd came back and annouced that he had "run into" the onc from Dana Farber and things "weren't quite so grim as originally thought". Thank God, Dana Farber was across the street. We got a great onc and 2 weeks later we met with him, he told mom same thing I read- it's treatable but not curable- and started her on Femara and Zometa. If I have any advice for anyone new, it is to NOT let any dr who isn't a specialist in the field give you or your loved one a prognosis.

  Mom kept having SOB for a couple weeks after the hospital (she had thoracentisis while there, over 2 liters each lung). The dr's were amazed that the fluid wasn't building up quickly- they were kinda in limbo cuz there wasn't enough fluid to do the Pluerx catheter but enough to cause SOB). They sent her for another thoracentisis, since the others gave her so much relief, and afterward she got worse over the next week. Went for followup- she had a phneumothorax (collapsed lung) AND trapped lung on the right side. So they finally put the Pluerx cath in to get the air and fluid out. Disconnected "the box" and sent her home the day after- she's been great ever since. Not quite the same lung capacity due to trapped lung, but plenty of energy and no pain (she never had any pain). She has mets in the spine, femur, a few other bones I can't think of, pleura, lungs and several lymph nodes. But on the 3 month scan, the fluid in the lungs was minimal, bone mets were stable or regressing (hard to tell) and there were several lymph nodes and a small nodeule on the adrenal gland that the onc could no longer find on the scan! The breast mass has gotten smaller and an enlarged lymph node in her underarm is no longer palpable. I'm so grateful.

  Mom prefers not to research her cancer or ask too many questions at the doctor re prognosis, grade of tumour, etc. I would like to know more- all I know is that it is Stage 4, ER/PR+, HER-, and was found in BOTH breasts- small mass in left tested + also. I would like to know more, but would never ask ?'s at her appts (I go to all of them) becauise she might get answers that scare her/ruin her positive attitude. She has always been able to put bad things out of her head- before the dx that might not have been always good, but now it's great. I just try to take it one day at a time and learn as much as I can. I pray that she will stay healthy for a long, long time... most of all I can't stand to think of her suffering. The hospital was terrifying for her- she has always been afraid of doctors (although her dad was a dr) and ambulances make her sick if she even sees one. So landing in the hospital was her worst nightmare come true, but she still managed to be very brave. I love her so much. Sorry for the looong post, just wanted to share. Thanks for "listening" and I'm sending prayers & good wishes to everyone here.

Dee 

Comments

  • Jomama2
    Jomama2 Member Posts: 96
    edited August 2012

    Bump.  Wishing the best for you and your mother

  • FilterLady
    FilterLady Member Posts: 407
    edited August 2012

    Dee,

    What a wonderful relationship you have with your sweet Momma.  It makes me really miss mine, we were also very close...she was my best friend.  Now she's my special angel.  Momma died from lung cancer after a 9 year battle.  And boy did she battle...from day one she had that positive attitude, much like your Momma.

    Breast cancer is no longer an automatic death sentence.  There are many treatments and clinical trials.  I'm sure some of the stage IV ladies on these boards can give you great advice.

    I'm praying for both of you as your Momma begins her journey.  The best advice I can give you is to listen, listen, listen whenever she wants to talk and ask questions when you accompany her to her doctors and treatments.

    God bless y'all,

    LaDonna

  • learnin
    learnin Member Posts: 205
    edited August 2012

    Since your mom had breast cancer in both sides, is testing for BRCA an option? Might make a difference for you, or other relatives.

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

    Thank you all for your replies!

    Jomama, I really appreciate your kind words and your bumping up the post for me :) .

    LaDonna, I'm so sorry about your mom. It's an awful thing, cancer, but you must have been such a blessing to your mom throughout it all. Thank you for your advice too. She has always been the listener in our relationship, but I have reminded her that I want her to feel free to share any feelings or news with me, that she doesn't always have to be positive cuz it's normal to have bad times. It's always been like, me-"Hi Mom, how are you?" Mom-"Fine. How're you?" Me-"WELL you won't believe what happened today, blah blah, bitch bitch...." I don;t want to be selfish and make her feel that she must always be the strong one. I'm grateful that I'm able to be there for her. That's excellent advice to attend all her appts- takes the pressure to relay news off of her and I can translate confusing medical info for her.

    Hi Learnin- I actually asked my mom's onc about the BRCA testing- he said he didn't think it was neccessary since my mom is 66- so not an early dx even though the cancer is in both breasts. I really trust him, he's highly reccomended and at Dana Farber, but still I wonder... I'm confused as to whether the smaller tumor is a new primary or a secondary. I think that the cancer has been growing for many years- my mom never had a mammogram before so who knows, it could have been there for a decade, really. But I still don't know if I'm comfortable dropping the BRCA issue, esp since I have a 14 year old daughter. I understand it's very expensive, though, and I'm quite broke. Any advice on resources for info or genetic counseling are def welcome :)

    Thanks again- sending prayers & hugs to all!

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

    Edited cuz I can't post on my SmartPhone.

  • learnin
    learnin Member Posts: 205
    edited August 2012

    Dawn - my understanding is that breast cancer doesn't normally metastasize to the other breast. So if it is both breasts, it is likely 2 primaries. You can check with her onc.



    As for the BRCA - any other relatives with breast or ovarian Ca? Do you have any Jewish heritage?

    Cost is around $3000. Does your mom have insurance that might cover it? Ideally she would be tested first. If she is negative, you and your daughter don't need testing. 66 is not young, but two separate breast cancers is a red flag.



    Hope you are having some quality times together. Warm wishes.

  • FilterLady
    FilterLady Member Posts: 407
    edited September 2012

    Dee,

    I went with my Momma to her appts since it's easy to not hear everything when you are the patient.  Plus she would think of things she wanted to ask in the days leading up to her appts and she'd call me or I call her and she'd say "I want to try to remember to ask Dr. Hull this that or the other".

    I would write her questions down so neither of us would have to trust our memories, lol.  And then I'd ask the questions and write down his answers so that we could give our family and friends the complete "scoop" on what was going on.

    My Daddy, bless his heart, was not much help at appts since he "downplayed" Momma's cancer.  He quit going when I would come down and go with her. Having a positive attitude is one thing but he would "bury his head in the sand" and I know it was because he was so scared for her.  Up until and including the day she died, he kept telling us that she would pull through.  He was upset when she chose to quit treatments since they would no longer be anything but "going thru the motions" for her.  I love my Momma dearly but when I got past being selfish (wanted her to continue the fight so I'd have her with me physically), I accepted the fact that she needed to do what was best for her.

    I wouldn't take a milliion dollars for being able to go to her appts with her.  That may sound odd, but even going to the oncologist drew us closer.  And looking back now, I believe it helped me prepare for my battle with breast cancer. My Momma has been there with me at every appt, every surgery, every test and I know that she is so proud of how I've handled this journey.

    You Momma is lucky to have you and I am keeping y'all in my thoughts and prayers.

    God bless y'all,

    LaDonna

  • Copper333
    Copper333 Member Posts: 11
    edited September 2012

    My thoughts and prayers are with your mom and you as well. God bless

  • footprintsangel
    footprintsangel Member Posts: 43,890
    edited September 2012

    When my father was fighting stage 4 and it was

    hard, I started writing a journal and went back on

    hard days and saw how I handle it. And after I wrote

    down what I wanted. I close it and left it with God.

    God be with You.  

  • Travelingpants2
    Travelingpants2 Member Posts: 545
    edited September 2012

    So sorry to hear this..its never easy always difficult...your doing the right thing..

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

    Thank you all for your advice and support.

    Learnin, I'm going to look into BRCA testing even though mom's onc said it's not necessary. It's too important not to be necessary IMO. Another factor for me is that I don't know my dad's family hx at all. I know that some organizations offer counseling- I'll check those out. Thank you for the info, and sending you warm wishes as well.

    LaDonna, I relate to reminding each other of questions for the Drs. Writing them down is a great idea- it's easy to forget esp during stressful appts. I agree with not trading being there for a million $$- my mom was only dxed in May, but when she was in the hospital I stayed overnight and we actually managed to laugh and have some good times. Ordered Chinese food when she could eat and just hung out talking about everything. I think that the strength that you summoned for your mom's journey with cancer is helping you through your own. And I'm sure that she is smiling down at you with pride and love at this very moment. Sending you hugs & prayers.

    Copper, thank you for your kind words and prayers- God bless you too.

    Footprints, I'm sorry that your dad had to go through that, and you too. You must have been a wonderful help to him, and I hope that you treasure the knowledge that you were there for him. I love the idea of a journal- I always enjoyed writing, but have stopped in recent years due to lack of time/ambition. Time to pick up that pen again. It really is helpful, and gives us something to look back on. God be with you as well.

    TravelingPants, thank you so much for your encouragment. I can't imagine not being there for my mom, I just hope I know what to do to help her as much as possible. Hugs & best wishes.

    To update everyone, my mom is doing well. She feels great, her appetite is back to normal and she's going back to work this month. The hour long drive to her job concerns me a bit, but I know that it's important for her to do what she wants and for me not to "baby" her and be overprotective, so I'm keeping my huge mouth shut for once. I plan to make dinners that can be frozen when she returns to work and would like to do a couple hours of housecleaning for her each week (I used to clean houses for a living). I'll ask what else I could do, but I know she prefers to do for others rather than ask us for anything. There is the Pleurx catheter still in place although it has not needed to be drained AT ALL, which I'm wondering about- I might make a post on another thread about that. But I'm feeling very optimistic in general- sometimes the reality just hits me and I'm shocked all over again, but I try to just stay in the moment. Right now, these are relatively easy days- my mo feels fine and tx is working well, so I try to rejoice in that and not allow myself to go down darker paths of thought too often. Reading here helps tremendously- there's so much good information and I get a more realistic view of what life is like with MBC, although I know it's different for everyone.

    Sending prayers and good thoughts to everyone.

    Dee

  • FilterLady
    FilterLady Member Posts: 407
    edited September 2012

    Dee,

    Thank you for your kind words.  Your Momma has raised quite a daughter.

    You might consider getting a binder for path reports, scan reports, insurance EOB's, medical bills, for all thing related to your Mom.  If you ever need a second opinion, it's nice to have all the right "stuff" together in one place.  I also have found it so helpful to have my insurance EOB's since sometimes I get that before the doctor, hospital, etc gets the check from my insurance.  I want to make sure I pay what I'm supposed to but not a penny more.

    Things like that can make both your Mom and you feel more "in control" over each step that is taken.  We also had a "medicine log" at home so we could make sure that whenever Momma needed her meds, she got them on time.  Especially since me, my sister, my brother and my Dad took care of Momma at various times.  It kept us sane to have a plan for everything and it kept us from having to "remember" stuff, lol.  

    I continue to pray for your both.  Remember it's one step at a time!

    Take care,

    LaDonna

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