In shock

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  • jenlee
    jenlee Member Posts: 504
    edited August 2012

    stepmic, SO glad you mentioned this!  I started seeing a therapist right after diagnosis too.  Her bio stated that one of her specialties was helping people cope with medical issues.  Turns out she has a masters in nursing and doctorate in psychology.  Amazing woman helped me ride the rollercoaster of making decisions, going through treatment, and personal issues that happened along the way.  I too highly recomment getting help.  

    After my diagnosis, I received a letter from a social worker at the hospital offering free counseling.  In the meantime I'd started with someone and decided to stay with her because it seemed like a good fit.   I found my therapist on this site, you can specify location and specific concern (there is one called chronic pain and illness that seemed to be the closest, also anxiety).  I contacted several therapists via email, briefly explained my situation and asked if they accepted my insurance and hours of avalability.  Reading the responses was a good screening tool and I ended up choosing someone out of network, but it's all worked out.  http://therapists.psychologytoday.com/rms/prof_search.php

  • cookiegal
    cookiegal Member Posts: 3,296
    edited August 2012

    Bennymuffins, finding out you are node positive does suck.

    But the positive aspect is that hopefully the nodes did their job and caught the cancer.

    At the end of the day the biology of your tumor is a big part of this, and you still need to find this out.

    There are plenty of women on this board who had stage three with lots of nodes and are doing great.

    I do agree with Bessie, that they are leaning away from taking all the nodes if you will be getting chemo anyway.

    Good luck, this is scary and awful, but once most of us have a treatment plan, we actually move into calmer waters. 

  • liefie
    liefie Member Posts: 2,440
    edited August 2012

    Dear Mindy and Bennymuffins,

    This is so hard to digest, and the ladies on the forum have all been there in the beginning. We all went through this. This truly is the worst phase of them all. Once you now what you're dealing with, and once there is a treatment plan in place, you will feel more in charge of the situation. Listen to the drs, ask questions, and make informed decisions. Get second opinions if you are not comfortable.

    I was diagnosed just before Christmas last year with breast cancer as well as endometrial cancer. Had two major surgeries, chemotherapy and radiation. My treatment ended on July 6, and I was pronounced 'cured' by the oncologists. Still have to get DIEP flap reconstruction surgery next year. As I sit here, I feel healthy, energetic and back to my old self. Started my exercise regimen again this week with joga classes and training in the gim, and life couldn't be better. Just hang in there, and be very good to yourself. Nobody asks for this, but it comes knocking on our doors anyway. Stay calm, and take it one step at a time. It's a marathon, not a race. 

  • bennymuffins
    bennymuffins Member Posts: 412
    edited August 2012

    Oh, I'm freaking out again. What a roller coaster of emotions! I met with the surgeon who made me feel a bit better. But then today I spoke with the receptionist who is booking my surgery and she told me that the cancer in the breast is Invasive Duct Carcinoma in situ MBR grade 3. Doesn't that mean aggressive cancer?? WTH? What did I do to cause this?

    Then in the axilla it's 'mets duct carcinoma'

     OMG, how do I cope with this? I feel like giving up already. Why go through all of this misery with surgery, chemo, radiation, and that awful needle localization thing, if I'm just gonna die anyway?

    Crying again.....

  • proudtospin
    proudtospin Member Posts: 5,972
    edited August 2012

    benny, betting you are a long way from dieing although, look both ways when you cross the street.  sorry, that is a joke told to my brother when he was diagnosed years ago.

    Try not to jump ahead as the treatment is what will, well, keep you alive for your family and pals

    stay busy this weekend, what do you have planned? Picnic or yard party,any thing to keep moving and not stressing, also, not sure the receptionist is the person to listen to~ wait for the docs so maybe you want to think on questions for him next week

  • bennymuffins
    bennymuffins Member Posts: 412
    edited August 2012

    Thank you proudtospin, that joke did make me laugh a bit. The receptionist suggested I go online if I wanted more information about my type of cancer. veryone else has said to stay away from the 'net (with the exception of this support forum of course). Dr. Austen made everything sound so, well, almost normal. I didn't know about the invasive grade 3 part tho'. I asked him 3 times if he thinks it's spread and he said he didn't think so, and yet he's ordered a full body bone scan and a CAT scan of my head, chest and abdomen. So he DOES think it's spread then, right? 

    Freaking out still. I will likely spend the weekend with my friend's horses, which is where I can be found most days. Love the horses. I will be getting a new (to me) horse around mid September and she will help keep me grounded.

    Oh, what a miserable experience this is.

  • Denise-G
    Denise-G Member Posts: 1,777
    edited August 2012

    Benny, we have all been there.  It is such an emotional rollercoaster.   It is so challenging.

    And I don't know about you, but when I would see the doctors, my brain would just shut off or short circuit.

    I then started writing things down and taking my notebook with me.   My Oncologist would sometimes write on my

    notebook which helped!

    If you feel like giving up - it is just a feeling.  But the truth is, the strength comes.   It comes when you need it the most.  And it comes from the most unusual places.

    Prayers and encouragement to you...Denise

  • KSteve
    KSteve Member Posts: 486
    edited August 2012

    Benny - I remember well how overwhelming the beginning was.  At this point, just keep putting one foot in front of the other.  As others have said, once you get a plan in place, it helps a lot.  Then you focus on the fight.  I hear you loud and clear about the hair.  I was very freaked out about that too, but if you need chemo, you will do what you need to do.  When I look back on my treatments, losing the hair really went better than I expected.  Feel free to PM me if you want more info on how I dealt with that.  I'll be thinking of you as your plan comes together.  I was diagnosed two years ago and I can tell you that my life is awesome, and has been for a long time now.  I know that seems like a long time down the road for you, but trust me, it will go fast.  Remember, this is a safe place to rant and rave, ask questions, or whatever you need.  No topic is off limits here.

     Mindy - I'm thinking of you too.  Unfortunately, you're in the same boat as Benny.  Waiting for the details, the treatment plan, etc.  Just know we're all here for you!  Please keep us posted, and ask anything you can think of.  We all understand and have been where you are right now.

    Hugs to you both!

    Kathy

  • liefie
    liefie Member Posts: 2,440
    edited August 2012

    Benny, your dr ordered all these scans because he is obviously a very good, thorough dr, and he wants to make sure exactly what is going on. It does not mean that he thinks there is cancer there - how can he possibly know if it's spread? That's exactly why he ordered these scans. We are so privileged these days to have these tools for diagnosing, because then the drs know how to approach this, and what treatments will be necessary for you. Worrying won't change the outcome, and you are not being good to yourself. Try to distract your attention way from this. You will not die from this. There are many Stage 4 cancer patients who live for a long time after diagnosis. Once you know what's going on and there is a treatment plan in place, you will begin to feel more in charge. Big hugs to you and Mindy too!

  • bennymuffins
    bennymuffins Member Posts: 412
    edited August 2012

    Denise, Ksteve and Liefie, thank you for the replies. I honestly think some of this hasn't sunk in yet. It still seems surreal to me. Last week I was enjoying life, had goals for the future, happy, healthy (or so i thought) and now I'm wondering if I'm going to be planning my funeral soon.

    I don't understand something. How can the breast cancer be in situ, meaning non-invasive, if the cancer in the lymph nodes is invasive? Doesn't the in situ part mean it didn't spread to the lymph nodes? Also, at the risk of sounding like a fatalist, I have had weird symptoms at the base of my skull for about 6 months now, horrible tinnitus, and coughing up green phlegm from lungs, so am completely convinced the cancer has spread and my number is up. It's hard to stay emotionally neutral. I'm sure there are people every day who find out they have 3 months to live and that is it. I have this sinking feeling I will be one of those people.

    And can someone give me a rough idea how many radiation and chemo treatments to expect?

  • Infobabe
    Infobabe Member Posts: 1,083
    edited August 2012

    bennymuffins

    Muffins, you are right, the lesion cannot be In Situ and Invasive all at the same time unless you have two separate lesions.  

    Do you have it in writing or was is just the receptionist telling you this.  I really don't think she should say anything if she knows so little. 

  • bennymuffins
    bennymuffins Member Posts: 412
    edited August 2012

    The receptionist told me this but she read it off the report.. It is grade 3 so it is aggressive but I don't get the part about the breast cancer being in situ and the lymph node cancer being metastatic? Sorry, all new terminology to me.

  • Infobabe
    Infobabe Member Posts: 1,083
    edited August 2012

     bennymuffins

    If you don't have a copy of your pathology report, get it.  You may not understand all of it now, but you will soon know it by heart.  It is hard to understand anything without somethingto refer to. 

  • proudtospin
    proudtospin Member Posts: 5,972
    edited August 2012

    benny,

    start to write things down, your questions and concerns so when you see the doc, you will have your questions.

    this is a holiday weekend do go have some fun!  really relax and have some fun!

    Tues will be here and you will then be able to be in touch with the docs, nasty thing about holidays is they get in the middleof stuff~!

    then again, my surgeon wanted plan on my lumpectomy but I had vacation planned so delayed it 2 weeks till I came back

    life goes on, now go get a beer!

  • Infobabe
    Infobabe Member Posts: 1,083
    edited August 2012

    proudtospin

    I don't think Labor Day is a holiday in Canada.  Maybe they have a corresponding holiday? 

  • bennymuffins
    bennymuffins Member Posts: 412
    edited August 2012

    Yes, we have do have Labour Day. I will try to relax but I cannot imagine how. I've got horrible tests coming up, surgery coming up, and I just read the stats for survival rates for stage IIb...... 41%. The past 3 days have truly been the worst of my life. 

  • Lesleyanne67
    Lesleyanne67 Member Posts: 225
    edited September 2012

    Bennymuffin



    I was 3a and I did very aggressive treatment, chemotherapy, double mastectomy, full node removal on the right (my cancer side) radiation and because I was BRCA positive (breast cancer gene) I had my ovaries removed too. All at the ripe old age of 41. I had JUST done a pretty rigorous 10+ mile snowshoe in the Sierras, I did not feel the least bit sick and things in my life just seemed to be falling in place after leaving a 12 year loveless marriage then BAM my life changes drastically. I did all of that treatment had 2 attempts at reconstruction infect and fail and just tried a third time not even 3 weeks ago. I was so worried because clearly my odds are worse than 2b.



    I started recently, as I approached my 3 yr anniversary, of worrying what if I spent the last 3 years of my possible 5 I have left attempting reconstruction and going from surgery to surgery....I mean if you are constantly having surgery, 8 in the last 3 years, it is hard to ever get back to "normal" life. One of the "gifts" of all this surgery is I got a CT scan so I know I am clear there.



    I also volunteered for a clinical trial and had to have A bone scan TODAY and chewed my nails all day worried about bone mets but I JUST found out I am clear. ALL clear. No cancer anywhere.



    So PLEASE, I know it is hard and the unknown really IS the worst. Take a deep breath, get a puppy, and focus on living, this is NOT a death sentence. It does get easier when you know what you are dealing with and what your action plan is. Typically chemotherapy is anywhere from 2-4 months depending on what type. There will be a decision at some point to do neo-adjuvant chemotherapy (chemotherapy before surgery) or surgery/mastectomy then chemotherapy. They usually give you 3-4 weeks in between so you have strength to tackle each step. Radiation can be 4-6 weeks but actually radiation IF you need it takes it out of you because it is 5 days a week where chemotherapy is once every 2 or 3 weeks depending on your regimen.



    I am here if you want to chat at all. Still recovering from my surgery so pretty much layg around reading books and watching movies so if you want to chat on the phone just send me a message!



    I remember being where you are, but attitude is everything. I faced my possible mortality, I had to, but I also refused to accept the fact that cancer was going to be the way I was going to leave this earth. You have to feel what you have to feel but remember for e ery statistic that takes a life there are many statistics of survivors and you have JUST as much chance of being that statistic as the other. : )



    Lesley

  • dgcote
    dgcote Member Posts: 28
    edited September 2012

    bunny

    Invasive ductal carcenoma insitu means it has not spread outside the duct, as for the other without your report from the pathologist there is no way of telling if a second cancer is there,

    Try not to get yourself in a bad place wait till you have all the info. remember to take care of yourself and try to relax a little. hugs,debbie

  • Beesie
    Beesie Member Posts: 12,240
    edited September 2012

    Benny, you asked the right question. The answer is that there is no such thing as invasive ductal carcinoma in situ.  

    There is Invasive (or Infiltrating) Ductal Carcinoma (IDC) and Ductal Carcinoma in Situ (DCIS).  However IDC usually forms from DCIS so in the majority of cases of IDC, there is also some DCIS present. Often patients aren't even told about the DCIS because it's pretty much irrelevant to the diagnosis (except that it has to be removed). Usually though it's written in the pathology report, since the pathology report mentions everything that's been found in the breast tissue. And often there is a lot of different stuff found in the breast tissue. My pathology report read like a primer on everything that can be in a pathology report. I had a microinvasion of IDC, about 5 different subtypes (comedonecrosis, solid, papillary, micropapillary, cribiform) of DCIS which was mostly grade 3 but with some grade 2 mixed in, ADH and about a 1/2 dozen different fibrocystic conditions.  Lots of different conditions all mixed together, but only a couple that were really important and relevant to my diagnosis.

    Benny, in your case, since the receptionist was just reading off the pathology report over the phone, it sounds as though she may have read both "invasive ductal carcinoma" and "ductal carcinoma in situ" and they blended together. Your pathology probably includes both types of cancer, but it's the IDC that counts. Your staging and your treatment will all be based on the IDC. The only thing you need to worry about with the DCIS is that it's removed, which will happen when you have your surgery. After that, any treatments you have to address the IDC will be more than adequate to address the DCIS so you don't need to think about the DCIS again. 

    I hope that all makes sense.  And I hope that you are able to relax over the Labour Day long weekend. There is nothing you can do this weekend to change your situation or to move things on. So instead I hope you can use the weekend to relax, absorb what's happened, and figure out how you will deal with what's ahead.  It's a weekend of calm before some of the craziness begins. So it's a good time to think and plan and start to take control of what's happening to you, as much as is possible.  A diagnosis of BC changes your world and completely disrupts your life. You can't change that, but you can manage it and you can learn to fit it into your life. There is nothing like a diagnosis of breast cancer to teach us coping skills and stress management.  And there is nothing like a diagnosis of breast cancer to show us how much we are able to handle. You're at the worst point right now - the news is completely fresh and shocking.  Once the news settles in, you'll find that as much as you don't want to be going through all this, you can do it and you will get through the surgery and treatment, one step and one day at a time. (((Hugs)))

  • edithesther
    edithesther Member Posts: 183
    edited September 2012

    Hi, I was diagnosed with stage 2 ductal bc three days ago. I am 64 years old and like you in shock. I have suffered from lumpiness in my breast for many years and to be told this time it was cancer really knocked me sideways.I go from being sad and afraid to being positive and strong. My husband is being very supportive but I don't know how to break the news to my son and daughters. This fills all my waking moments but I will do it tomorrow. Just remember we are all here for you and we DO know how you are feeling. I too did the thinking about death thing, I planned my funeral for sometime in the future, then put that to one side. You like me" ain't going anywhere." That is now my catch phrase. Take a deep breath and like me start on our journey to good health and happiness, I have four dear friends who have walked this path and they are all still here !!

    I

  • Infobabe
    Infobabe Member Posts: 1,083
    edited September 2012

    edithesther 

    I too, had that feeling of dread.  I am not going to die sometime in the future, I am going to die now.  I got over it.

    I would't tell my children until you have a lot more information such as a treatment plan.  No use putting them through the torture of waiting.  You anxiety will calm down too.  I think you will see the wisdom of this when you do have to tell them. 

  • edithesther
    edithesther Member Posts: 183
    edited September 2012

    hi infobabe, I have all the information now to show them, my first operation is on the 21st September with removal of lump and some lymph glands, if they are clear radiotherapy next. I am calm and positive but the fear of them finding out is holding me back.Therefore tomorrow I will give them the news and what to expect. If I could go through this without them knowing I would.

  • FilterLady
    FilterLady Member Posts: 407
    edited September 2012

    Hi Edith:

    My DH and I told our sons (ages 32 & 35) as soon as the diagnosis came in and then I've kept them up to date on what's happening.

    They were scared for me at first since Momma died from lung cancer but now they understand that my bc is different and my prognosis is excellent.  From time to time they still have questions and I answer them as best I can.  

    They know the days I have appts and I'm sure to call them after I get out so they stay "in the know".  My youngest son attended this years Relay for Life so he could watch me walk my first survivor's lap.  My brother and niece also came up as well.

    Good luck with telling your son and daughters tomorrow.  I'm sure they will have a lot of questions for you and they will realize that this is not a death sentence but a journey that you will be making and that you will need their support now more than ever.

    God bless y'all,

    LaDonna

  • bennymuffins
    bennymuffins Member Posts: 412
    edited September 2012

    Lesleyanne, dgcote, beesie and edith, thank you for the replies. I read that NCCN online book and have determined that my stage must be at least IIIb. So, stage IIIb and grade 3 is not good. I feel like I am going to vomit and don't know if it's from cancer or nerves. Everyone keeps saying stay positive. Huh? I have an aggressive cancer at the late stages and it's spread to my lymph nodes. And I'm supposed to stay positive?

    I still can't believe this is happening Cry

  • LeahLeah
    LeahLeah Member Posts: 176
    edited September 2012

    Oh bennymuffin...sending you hugs and prayers and even just a little relief from the anxiety you are feeling.  

    It is hard to stay positive, try to find some distraction if you can, I know much easier said than done.  

    Don't be afraid to ask your dr for something for your nerves, they should understand the need.

    Peace 

  • Beesie
    Beesie Member Posts: 12,240
    edited September 2012

    Benny, when we are diagnosed, our minds automatically go to all those dark places.  It's normal and I'd bet that it happens to pretty much all of us.  So I understand the fear.  But why are you assuming that your diagnosis is Stage IIIB?  Stage IIIB means that the tumor has a direct extension to the chest wall and/or to the skin (ulceration or skin nodules).  Since you haven't had surgery yet, you can't know about the chest wall; do you have ulceration or skin nodules that are visible?  

    I know that you are very concerned about the number of positive nodes that you have but at this point, based on what you've said, you only know that you have one positive node.  I realize that 4 or 5 samples were taken and all were positive, but you mentioned that your GP "said something about one palpable one was cancerous but we don't know about underlying ones?"  So it could very well be that all the samples were taken from one node, or maybe just two.  Removing more nodes during your upcoming surgery does not mean that they will be found to be positive.   

    Similarly, the body scan and CAT scan that you are having are standard practice for anyone with positive nodes. Having the tests does not mean that the results will show cancer - the hope, and according to what your doctor said, the expectation - is that the results will not show cancer.

    Of course, you may be right that your diagnosis is Stage IIIB.  Certainly if you have skin ulcerations, that would be the case.  But if you don't, and if you don't have any more information about your diagnosis than what you've told us here, then your diagnosis could be Stage II, which is considered early-stage breast cancer.

    Please don't jump to conclusions before you have the facts because right now, with the diagnosis being so new and the fear being so fresh, you are only going to jump to the absolutely worst conclusions.  And those might not be true at all.   

  • bennymuffins
    bennymuffins Member Posts: 412
    edited September 2012
    Oh Beesie, I guess I just needed to hear a bit of hope, and you just provided it. THANK YOU! I do not have any ulcerations at all. My breast on the affected side looks just like it always has, big, pasty pink and perky! You'd never know by looking at it that it's cancerous. I do not have any more information than what I have shared here. The receptionist scared me by telling me that it's grade 3 tho. Nevertheless, I will try to stay away from the dark places. It's the word 'mets' on the lymph node part that scares me the most, but I will try to be optimistic. Thank you so much for the response tonight. I feel a bit better.
  • Beesie
    Beesie Member Posts: 12,240
    edited September 2012

    I'm glad that I've been able to help.  And when I was posting earlier I meant to mention something about the word "mets" as it related to the lymph nodes.

    "Mets" to the lymph node is simply a positive lymph node. The definition of the word "metastasis" (or "mets") is when cancer cells move from the originating site to a second location. So if cancer cells move from the breast (the originating site) into the lymph nodes (the second location), officially that's called "metastasis to the nodes".  Mets. Of course that's not what anyone thinks of when they hear the word "mets".  We think about cancer cells that have moved into the body, into other organs. Totally different.  Mets to the lymph nodes can lead to mets in the body, but lots and lots of women who have breast cancer and positive nodes never develop mets in the body.

    The thing about breast cancer is that until you have the final pathology reports and until all the tests are done, you don't know the diagnosis. Mammos and ultrasounds and MRIs and biospies provide important information and a partial diagnosis but they don't provide the whole story. Sometimes the amount of cancer that's found is less than what anyone expected from looking at the films; other times it's more. Sometimes doctors are quite certain that there will be many positive nodes and they remove lots of nodes - and there aren't any that are positive (there are a few women on this site who've had that happen). But other times someone with a small area of seemingly non-aggressive cancer is found to have positive nodes. Breast cancer is not very predictable, so it's better to not try to guess or speculate on what the final diagnosis will be.  And that, of course, is a lot easier said than done! 

  • Cindyl
    Cindyl Member Posts: 1,194
    edited September 2012
    It's way too bad the receptionist had to shoot off her mouth when it's too early for anyone to really know what's going on.  It's normal to be scared but it will get better, I promise.  Even the worst dx has many good treatments these days, and most likely you will find one that works really well for you.  About the grade 3 thing?  Yes it grows and spreads faster than 1 or 2, but my understanding is that it dies more easily once you start treatment. Chemo works better etc., and recent studies say that those of us with grade 1 have more to worry about as far as a late reoccurance than those with grades 2 or 3 but anyway... 6 months ago I had myself dead and buried by now Wink but I've made it this far and I'm much more at ease with life, I've found a team I trust and we take things day by day.
  • Cindi74
    Cindi74 Member Posts: 363
    edited September 2012

    Hi Bennymuffins, So sorry to meet you this way. You do need a support
    network, and while we can't hold your hand, we can send you notes and
    brainwaves. When I got the message from my GP who had gotten the pathology
    report from the mammogram, sonogram, and biopsy, that she needed to see me. I
    knew it was bad news. Had highest blood pressure ever.

     Within a week had seen breast surgeon, oncologist, and radiology oncologist, and breast cancer
    coordinator. A week later, lumpectomy, and then CAT and bone scans, oncologist again, and Tuesday
    port and Wed echocardiogram and appointment with chemo nurse.

     It has taken over  my life. this week I bought the items recommended to have ready for chemo, and
    then went out and splurged on a wig which looks better than my normal hair looks
    now. It is overwhelming. I'm not afraid of dying, but am very afraid of pain and
    suffering--and needles and hospitals. Previously I had three panic attacks in
    hospitals, and I was the patient only one of the three times.

    But now, I have medicine for anxiety and pain, and while I rarely take
    either, they are my security blankets. We didn't want it, but we are going on
    this journey together. I have lived on this website for the last month. The
    information sections are clear, comprehensive, and reviewed by numerous
    professionals.

     The discussion boards have given me the information and support I
    need. I'm still scared--first chemo coming up soon, but I find I am worrying
    less and sleeping better. Stay with us and we will do it together. Hugs.
    C

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