Long story but I would like your opinions please
Comments
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KJ - you are an inspiration! I'm sorry to hear about your MRI results, but you are absolutely correct that it can't hide from the chemo. You are absolutely correct, too, about Team Simpson. Your kids want and need to help. When my mom was ill, me and (most) of my sibs couldn't do enough for her. We lost our mom in February 2012 and the time we spent caring for her is a treasured memory and, while I have a ton of wonderful memories of Mom, these last ones are truly unique and beautiful. We are also the closest now than weve been in our adult lives. Not to say, of course, that you are going anywhere - b/c you're not! Just saying from my own experience that involving your children to the best of their ability is good for all of you...but you already know that!
So, I promised my results when I got them, so here goes... Doesn't look like IBC! Yay! Who wants a virtual beer? I'm buying! The flip side is that there is a "nodular clumped enhancement without definite mass formation", which may need additional investigation, likely by excising it. So, I'm not completely out of the woods, but I think I can see grandma's house from here, so I'm gonna go ahead and line up the ball pit. I was also thinking about those sumo suits, as they look like a lot of fun and we can put KJ in one like a little cocoon before she goes into the ball pit (sounds like we're not going to be able to keep her out!).
So one weird thing on the report is that I have "INNUMERABLE sub centimeter cysts in both breasts". Innumerable??? It sounds like my size D would go down to an A if they aspirated all of them! Have any of you ever heard of this? I haven't yet spoken with my bs, only her PA, so I just don't know what to make of this. I had a hysterectomy in 2009 and I thought that should reduce the chance of getting cysts. I was even a bit surprised when I got the path report saying "inflamed cysts". Now, to get the MRI findings that say I'm pretty much full of cysts ....I've been told I'm full of other stuff, but it didn't SOUND like "cysts"... Anyway, not really sure what that means in the grand scheme of things. I have an appt with the doc on the 10th. Guess I'll find out then.
Meanwhile, I'm waiting with you Cls1 and hoping for some happy news ... And happy news from you, too, KJ from your PET/CT!
Thank you all for waiting this out with me. You are all truly awesome and have made me smile everyday. Thank you! -
kjsimpson, I'm glad you're posting updates. I've been thinking about you. I know you don't like the news about activity in your other breast, but yes, systemic treatment: onward! Your kids are wonderful - I love the sounds of them driving you around. It sounds right that this would be an important part of them understanding/coping with what you're going through, but also when you're on the other side of it and you're celebrating NED this time next year, they'll have truly understood what that means and how they've been a part of it. Big hugs.
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Diddley, okay. OKAY! So, yes, it sounds like excision is up next. For me, too, as my MRI reported the exact same thing, "nodular clumped enhancement without definite mass formation." I see the breast specialist on Tuesday to talk about excision. I've got the big Ds, too, and a couple of cysts. I've also had a ruptured ovarian cyst (not fun). ((hugs))
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Cls, 1.5 hours in the MRI? Without valium? Wow! That is an eternity! Waiting it out with you...
((hugs))
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Great to hear your good news, Diddley! And Chickenshee... thanks for the good thoughts!
I got some good news too. The PET/CT show that the cancer hasn't metastisized outside the two breasts and close by lymp nodes. Big win for Team Simpson!!
Here is my latest blog about it:
http://teamsimpsonblog.blogspot.com/Headed to meet with the doc about chemo plan today.
Say it with me now... It is going to be a GREAT DAY!!
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Thanks for posting your results girls. I feel like I have to keep up with you gals to see how you are all doing. Diddley Doo, glad you got some good news and good luck with your appt. on the 10th. Chickensheet, good luck to you too with your appt. kjsimpson, glad to hear it has not spread. {{{HUGS TO ALL}}}
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Pllllffffffttttt .... Just got a call ... doc wants another u/s and u/s-guided biopsy (scheduled for 9/6). I did assume that, like you Chickie, there'd be an excision in my future, but maybe the plan is to excise this thing one 'core' at a time - lol!
Anyway - it's all good. Best to know what we have going on here. I'd love to know what all these cysts are about! I had the hysterectomy back in 2009 b/c I had a really large bizarre mass on one of my ovaries that turned out to be a bizarre mass of cysts. It was large and weighed about 2 pounds! How crazy is that? Guess I'm just prone to getting cysts - must make a lot of estrogen! Chickie, did your cysts contain proteinaceous material or was there any mention that they are inflamed? KJ - that is a super fantastic win for Team Simpson!!! I'm so happy there are no mets - it IS a great day! Love your blog!

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Thanks petitegal - you're a sweetie for checking in on us. All of this support is really amazing! {{{{group hug!!!}}}}
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KJ-congrats!! Good news.
Diddley- congrats to you too!!
Chickie- best of luck!!
Still no news. Wait till Monday. That is great news! I'm sure I will get to join the party soon.
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Thank you, DiddleyDo and Cls1.
The blog helps my friends stay informed without me having to call everyone or relay the story for the sixtieth time. I call the kids first, then a couple of really close personal friends, then blog it. It also helps me sort through what is going on in my own head as I try to put the words together in the blog. Highly encourage it.
They backed off a little of the good news today. Apparently there are two rogue lymph nodes that they want to biopsy to see if they are involved. They think not, because there are uninvolved lymphs between them. Could just be seasonal allergies or a minor infection that would normally just run their course without my even being aware.
Hope everyone is enjoying the Labor Day weekend.
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Chickenshee, you doing ok?
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Good morning ladies! kj - I'm sure you are correct that the lymph nodes are uninvolved, but it's always good to check these things out. Your body is going through a lot right now and your immune system is always involved in everything (good, bad or indifferent), so it's difficult to know without biopsy. I'm glad that you have such a concientious doc! I'll be praying for more "no mets" news from you!
Cls1 - I sure hope you can get some good news soon! Are you still having pain or has that improved?
Chickie - Please post after you doc appt on Tuesday. I'll be thinking of you!
I hope you all have a very pleasant and safe Labor Day weekend.

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Not to be vain about this, but if the neck lymph biopsy leaves as big a bruise as the axillary breast node biopsy, that is not going to be pretty!!
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Is this a clavicular LN biopsy? That does not sound pleasant ... not that an axillary LN biopsy sounds like a day at the beach either! I hope they have good anesthetics! When is your biopsy scheduled?
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It is supposed to be as soon as they can get it on Tuesday or Wednesday. It is what is holding up Chemo at this point. I don't think it is Clavicular. It is between my jaw and my clavicle on my neck. I hope they have good anesthetics too. Kinda intimidated by this one.
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Understandable - but I'm sure they'll have some good meds for ya! I hope they can get this done soon for you so you can start your chemo. Fingers crossed for no mets!
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Ended up having the biopsies on Tuesday. Results next week.
So, chemotherapy starts tomorrow (Thursday). It will be every three weeks for six cycles. The last treatment will be right before Christmas. The slow-drip-KCA-cocktail will include Herceptin, Taxotere, and Carboplatin. I'll also get an immune system booster shot the next day. It will have something called "Neulasta" in it.
Chemo school was today. My goal is to Ace the exam.

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Hi KJ - best wishes on your first day of chemo. I hope all goes well. It looks like your cancer is Her2+, which is a positive b/c then you can get a more targeted therapy. The Taxotere and Carboplatin both effect rapidly dividing cells, which unfortunately includes gut epithelium (cells that line the gut). Did they prescribe something for nausea? I HATE nausea! This will also effect cells of the immune system and hair for the same reason. The Neulasta is a cytokine that we normally make (cytokines are small proteins that are largely involved in immune cell maturation, differentiation, proliferation and activation ... a lot of "...ations"!). The cytokine is called granulocyte colony stimulating factor (G-CSF) and it will help you to make neutrophils. These are important for your innate immunity. I took neupogen in the past without any problems. Neupogen is the same thing as Neulasta, with the exception that Neulasta is "pegylated". Essentially, it has additional molecules attached that will provide a more sustained release of the G-CSF (that's a good thing!)
. Thought I would just provide a little information to help you ace that exam! I know you'll do great. I'll be thinking of you today and wishing you the best as you dive into therapy!
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Thank you! That was great information! Yesterday was pretty overwhelming and I didn't listen as attentively as I should have.
Yesterday was probably the second toughest day emotionally. Today I am back and ready for some KCA!!
Hope you are doing well.

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Hi KJ - I'm glad that was helpful. Please let me know if you have questions or if you just need some clarification with tests, results, meds, etc. through this whole process. I know all of this can be very overwhelming and I may not be able to help with everything but I am very happy to help the best I can. As it would happen, I am a scientist and professor of neuoscience at a medical school. My research focus is largely on the immune system and I've studied a fair bit about various cancers in my graduate work. So I'm pretty familiar with a lot of these things already and understand the language, should I need to investigate things further. I'm a strong believer in "knowledge is power" and that patients should be informed as much as possible. So, yep - as you state in you blog - life has gotten really real, really fast for you! Please let me help any way I can!
All is well here. I have my 2nd biopsy tomorrow at the breast cancer center. I hope these guys do a better job with the local anesthesia than the folks I went to for the 1st biopsy. One core 'bout sent me through the roof! I still feel like I'm in that limbo stage of not being completely certain of my dx. This whole thing has now been over 2 months, which just feels like a long time not to know what is going on for sure. Not meaning to sound whiney, at least there is still the strong possibility that I'm not dealing with cancer, but I'd really like to be done with this not knowing business!
OK - that's enough of that! I hope you do well today with your first treatment! Each day/treatment is a step closer ...

Chickie & Cls1 ... Any news?
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Stay Strong, Diddleydoo! Two months is a long time to wait.
Our local breast cancer center (in Tacoma) is fantastic. That is where I had the initial biopsies. Had to have two more on Tuesday and since one was in the neck, the Milgard Center couldn't do it. So had them done somewhere else. Nice folks, but it was a lot more stressful and painful. I'm sure it had a lot to do with the location of the lymphs they were trying to get to, but the doc just wasn't as patient as as the Milgard Center. He acted like this was routine and I shouldn't be worried... well, he does that stuff every day and I don't! It isn't routine to me!
Feel free to friend request (link is on my blog), if you like. Will keep you in my good thoughts and prayers for tomorrow and for quick answers.
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Thanks, KJ - will do. Hey, if you can, I certainly should be able to!
Sounds like the biopsies on Tuesday were a real pain in the neck - Ugh! Yeah, I know - really bad but I couldn't resist!
Some people just don't have a good bedside manner but at least you have a good group at the Milgard Center.Thank you for the thoughts & prayers. I'll send a friend request. It'll be from Ollie Manders, who is one of my cats. He keeps my account so my students don't find me! That can get a little messy.

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Exhausted from the first day of Chemo. Bolted from the room twice before we got started, but it all worked out well.
Looking forward to the friend request. I'll keep an eye out for it. I'm a school board member, so I understand about the facebook/student issues.
Will update the blog later tonight or tomorrow.
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I'm sorry to hear about your ordeal and hope that it will get better for you. I can only imagine how frightening it all must be. My heart really goes out to you. I don't think what you are dealing with will ever be "easy", but hopefully, it can get a bit easier when many of the unknowns become knowns. How are you feeling today?
I'm off to get my biopsy. Will post later today and send request!

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Good luck at the biopsy! Will send prayers your way too. I think Heavenly Father recognizes your pseudonym "Diddley Doo". ;-)
It was just overwhelming. I'm over it today. The hard part was that first port entry. It is a no-brainer that this is terrifying to newbies. Some medical people forget that what is normal to them is a first time experience during a very stressful period to the customer/patient.
Looking forward to hearing from you.
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Hi KJ - Just got done reading your blog. Sounds like such a rough time. I'm so glad you have such wonderful children! I love the message Tom sent you - it's perfect! How can you lose with such strong positivity and support? It looks like you are being well cared for!
How are you handling the chemo so far?My biopsy didn't happen on Friday. It was a long day but in the end, they couldn't find by u/s what was concerning the doc from the MRI, so I have to have an MRI-guided biopsy. It is scheduled for the 19th. I only told a couple of people about this because the first go-round ended with an "all clear, just cysts and an abscess", so I didn't want to raise any alarms unless necessary. I was speaking (whining, may be a more accurate description) with one of the people who knows about this second go-round and I must be wearing him out, as his response was "you're not going to be happy until they find cancer". Very hurtful, to say the least - and he certainly couldn't be more wrong. I just want an answer and I want to feel that everyone is confident in that answer. I would expect that anyone would want the same. Cancer or not, I would really just like for all of this testing to be done. It really wears on a person. Anyway, all of this put me in a bit of a foul mood, hence the "radio silence", but I'm back. It was silly to let myself get upset but I'm over it! Sent request

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Hello,
Can I join your thread DiddlyDo?
From what I have been reading, you re also looking for answers and have been doing so for 2 months like me!
I think I need Dr house !?!
2 neg MRIs, 5 ultrasounds (the last one showing a non suspicious lymph node of 15mm probably due to biopsy, biopsy results that have come back with no cancer but some inflammatory disorder which has given rise to 4 different diagnosis! - will re-do biopsy.
Stabbing pains and any pain in breast stopped nearly 20
Days ago, swelling too but has left slight breast enlargement and funny looking skin.
I live in Switzerland so here they won't give antibiotics unless its a last resort! (Yes, not kidding!) they prefer to check us for everything first then give antibiotics!
Anyway, good luck finding out answers, keep advocating for yourself! My radiologist has on paper formally excluded IBC, but I want pathological exclusion too.
Not taking any chances!
Good luck to everyone and I ll keep you in my prayers.
Alicki -
Diddly Doo.
I have had the same reactions from
Some people and one doc(who I like) actually suggested removing breast to be sure, he was joking but all the same....
I don't want a C diagnosis either but I want to be sure that I'm not going to drop this and wake up one morning in a few months or weeks with a BIG problem.
Keep advocating, it's your body and trust yourself only. I went bananas with a breast surgeon who said that I should have faith in my docs. I have faith in myself and what my body is telling me!
My naturopath says that we should talk to parts of our body to help the healing, always worth a try!!
Anyways, its your right to find out what's wrong with you and dot let anyone ever tell you otherwise.
Cheers,
Alicki -
Sorry it has been so frustrating for you, Diddley. And that was a very insensitive comment by your friend. Hang in there. But don't stop until you get the right answer! If it is an 'all clear' then wonderful. If it isn't, then you keep after it!
The first day after chemo was good. Very good. Lulled me into a false sense of security, though. The second day hit me like a mack truck and today isn't any better. But, it will be worth it. I am so very fortunate to have such a great family and such great friends. It is so weird to go from 110mph life to about a 25mph zone. Life is good.
Did get 4 laps in at the track yesterday. We'd done 13 on Friday with ease. That gives an indicator of how tough yesterday was.
Anyway, no complaints... just a little whining. ;-)
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Hang in there, Alicki! The waiting seems so hard!
Funny you should mention talking to our bodies. Now that chemo has started, I wake up every morning giving my KCA (Kick Cancer's Arsk) chemo warriors a pep talk and also letting the abnormal cells know that they are being hunted down! Maybe a little childish, but I like being the General!! ;-)
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