IDC Nerves need calming
Hello Everyone: I was recently diagnosed with IDC, Grade 3, no LVI and was scheduled to meet and see a surgeon on Monday to discuss treatment options. They called today and rescheduled my visit to April 8. Needless to say, this has created a nervousness in me unlike anything I have ever experienced. Sinced there is no LVI, I didn't want to risk cancer spreading and now I'm upset about the delay. Please explain if this is reasonable and should I be overly concerned or pursue another doctor.
Comments
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That is longer than I'd be willing to wait. In fact, my initial appointment was scheduled about that far out at first, and I had a doctor friend pull some strings to get me in sooner. I'd call back & tell them you want to be seen sooner, or see if any other doctors in your area could get you in more quickly.
At the same time, two things I've read on this site... One, the cancer has likely been there for years, so a few more weeks or a month or two really isn't likely to make a big difference. The other is that "breast cancer is not a medical emergency" -- which is some comfort, but I personally feel it IS a psychological emergency, or at least it was in my case! I was about to lose my mind!
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Hi Liamsgrand - welcome but so sorry you have to join us. I also had IDC, Grade 3 tumor, but I had a positive node. I also had a few weeks wait to see a surgeon because I wanted a consult an an NCI-designated cancer center. It was well worth the wait.
No one seemed really concerned about the few weeks' delay. From what they told me, chances are you've had the cancer for months, so a few weeks of waiting isn't going to change anything. However, if you're in the US you may want to start scheduling now for a second opinion at an NCI-designated cancer center , especially one that has a designated Breast Center. You don't have to get your treatment there, but it never hurts to get a consult with top people who work on breast cancer all day every day.
You don't say whether you're going to a general surgeon or not, but if you are I'd highly recommend a second consult at a Breast Center. They can review your case from top to bottom and give you all your surgical and recon options. Again, you don't have to get your surgery there, but unfortunately too many women who see local surgeons are not given full information about their surgical and recon options. They can discuss whether lumpectomy, mastectomy, bilateral mastectomy are right for you. They can also give you the full info on recon options, whether no recon to implants to DIEP or other flap surgery.
You'll find that second opinions can be invaluable as you figure out your game plan. This first part is the worst - once you have a game plan in place, it really does get much better.
By the way, I'm 5+ years out and going strong, so there really can be life after breast cancer. Hang in there - you can do this!
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I too received my diagnosis from biopsy, called the surgeon immediately and was told it would be 2-3 weeks before I could see. Called my doctor friend; he made some calls had me into an oncologist the next day and that oncologist had the surgeon come in that Friday (her day off!) to consult with me. My diagnosis was January 25. Given all that I didn't start my treatment for almost a month because I had to have 2 surgeries to remove all margins and wait for the ONCO/DX test to come back (the original test on the biopsy could not be done because not enough tissue to test). I had to wait for my surgery tissues to be sent off for testing which takes a week to get back.
However, once all results were back, I had my port put in within a fews days and started chemo 2 days after that. I am now 17 days past my first chemo treatment and by next week, I will be halfway done.
Know this, my surgeon told me that my cancer had been there for 4-5 years but was just now big enough to see. Scary thought! I DCIS was 2cm in length but still very small and my infiltration was only .6 cm. All numbers sound huge to me because let's face it, it's cancer people! But once I got the ruler out, I realized that it was in fact very small and caught very early.
When I got all my test results back, my onco told me that I could take time to think about what I wanted to do (I was borderline for whether or not to do chemo) and had plenty of time to get another opinion if that's what I wanted. What I wanted was to get this out of me and kick it's butt ASAP.
It is very common to have to wait because it's not as fast growing as those of us with this feel that it is. However, if you know ANYONE who can help expedite the process, I say go for it! The squeaky wheel ALWAYS gets the oil and this is your body. The waiting is the worst, but hang in there. Once a plan is in place, you will feel much better.
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Oh, I'm so sorry you are going through this! BC is overwhelming and scary. Especially, before you have a treatment plan.
You may have a breast care navigator at your hospital who can pull some strings. I asked my friends, and one of them knew a PA at a breast surgeons practice. She helped me get in sooner.
If you have to wait, maybe there is cancer support in your area. I forced myself to go to an Art for BC Patients class and a BC support group. These turned out to be invaluable--and they gave me something to do.
Be gentle with yourself. It's normal to be a bit of a mess.
I wish you all the best. -
Sorry you had to meet us here but glad you found us. The initial part right after diagnosis is the worse. It's like no mans land. You want to move quickly yet it seems like none of the doctor schedules or folks have any sense of urgency. It is a "hurry up and wait" situation.
My story was that I chose to meet with two surgeons, the first was only available 1+ weeks out and the second surgeon was over two weeks before I could see them. I was glad that I didn't rush and get the second opinion because I really liked the second surgeon. I am not part of any breast cancer center, but the surgeon built a team for me like if i was, and that really helped. After the series of tests, meetings with surgeons, oncologists, etc., it was two months before I ended up with surgery. In between that time I was an emotional mess and SWORE my tumor was bigger, while none of these doctors seemed concerned about the length of time it was taking. It got to a point that my breast surgeon did another ultrasound to reassure me at in fact things hadn't changed.
Bottom line is that things will seem to move at a snail's pace but it is not uncommon to have to wait for everything. Also consider lining up second opinions as well. If you can pull some strings, that's great. Best wishes. -
Hello everyone:
I deeply appreciate the "unfortunate" welcome and glad to know that I can count on others who have been on this journey. The female doctor I saw who gave the official diagnosis is a breast specialist and the surgeon I'm scheduled to see is also a breast surgeon who has great recommendations. I guess I didn't take into account this week was Holy week.
However, I did see the patient navigator today who reassured me that the doctors are aware of my concerns and indicated that I would be given great care and my appointment date was nothing to be concerned about. I explained to her that I'm the mother of a daughter who has lost one parent to cancer and I didn't want her to loose another parent just yet.
Therefore, I will try to enjoy this blessed week knowing that my fate is in the hands of the Almighty. -
Liamsgrand,
It sounds like you are assembling an excellent team. A two week wait isn't bad for a breast cancer surgeon. You and your daughter are in my prayers that your treatment will resolve everything as quickly as possible. Bless both of you.
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