I wish someone could explain why I have to smile about this

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SusanSnowFlake
SusanSnowFlake Member Posts: 165
edited December 2014 in Lymphedema

I have lymphedema.  I'm really mad.... stage one, only one lymph node removed, a tumor the size of a pencil eraser.  I'm not sure I can live with this. 

So my cancer's gone, but my life is ruined.  My life was saved at the cost of living my life? Wonder how that works out statistically.

I know that I will get over my sadness, I'm a strong woman, but I need time.

Right now I'm angry that every time I go to the Doc or the therapist I'm expected to smile at every single person I encounter. 

I don't feel like smiling why don't they understand that?

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Comments

  • Luvmydobies
    Luvmydobies Member Posts: 766
    edited October 2014

    I hear ya!!! The whole thing sucks. It's amazing how strong we can be during treatment and then somehow the weird crap we have to deal with after it's supposed to be over is very hard for us!! You'll be able to live your life though. I was the exact same way you are and if I can learn to live with this then you can too. Trust me! I was pretty devastated at first... Hang in there!!! HUGS

  • Binney4
    Binney4 Member Posts: 8,609
    edited October 2014

    Susan, hello and welcome,

    I'm really sorry about the reason you're here, but glad you found us. Besides all of us here, who sure do "get it" and are here cheering for you, the "How you can cope" page at StepUp-SpeakOut might be of help as you move forward. It's here:

    http://www.stepup-speakout.org/How_You_Can_Cope_wi...

    One of the resources linked to on that page is the ethnodrama about lymphedema coping produced by a group of Canadian lymphers:

    http://www.breastcancersurvivors-ethnodrama.ca/wat…

    And many of the gals here have found Pat O'Connor's page about dealing with the very emotional aspects of this diagnosis  helpful:

    http://www.stepup-speakout.org/patoconnorcopng.htm

    I'm not sure who's telling you that you have to smile, but grief isn't like that--we all take our own time dealing with it, in our own way. Ignore 'em! We're all here for you--please tell us how we can help!
    Gentle hugs,
    Binney

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited October 2014

    Hi, Susan - thanks for raising that topic. I've not had surgery yet but since I have a positive node, I know that I'll be dealing with ARM sooner or later in an effort to avoid too much trauma to that area. 

    One of the side issues that's made all this even harder than it already is, has been the expectation of a lot of professionals in the breast center that I will 'grow through this journey, and come out of all this a better person' than I went in. The surgeons as well have had this attitude of, 'well, what's more important - lymphedema or your life?' 

    I don't buy all that garbage about this being a growth experience - I am a healthy, fit, previously happy, generous, fairly enlightened woman and I really don't need to 'learn the lessons your body is trying to teach you through cancer' (a direct quote). Furthermore, if treatment is going to turn me into an invalid or a deprive me of my abilities, I'm not entirely positive I want treatment. 

    I really resent the notion that we should all just accept whatever it takes - because I think that allows the medical establishment to shirk its need to find more humane ways of treating this disease. 

    It's too bad that Komen and the like aren't focusing on better treatments, since those seem a lot more likely to be found than a cure. 

    At any rate, I do hear your pain and frustration and want you to know that you're not alone. I think it's healthy to be angry about this. Oh, and for what it's worth - the LCSW who leads the support group nearest me is one of the worst offenders in terms of 'this is all happening for a reason. Embrace the journey, smile and accept it, blah blah blah.' No one would say that to people with melanoma or brain cancer.

  • glennie19
    glennie19 Member Posts: 6,398
    edited October 2014


    All that "it happens for a reason"  and "it's a growth experience"  is a bunch of crap to me.   Let them go thru it and see how they feel.

    And Susan, you don't have to smile. It's not against the law. Your feelings, good or bad, are perfectly valid.

  • SusanSnowFlake
    SusanSnowFlake Member Posts: 165
    edited November 2014

    Wow, you nailed exactly what I'm feeling. I was content with who I was and I feel somewhat disregarded and blindly judged when someone tells me I'll be a better person. I don't need to become a better person, I just need me back.

    Thank you for your response, it really helped me figure out what was really bothering me!

    I have progressed, I'm past the suicidal feelings but not with the help of my Doc or her staff. I really lucked out, My Lymphedema Physical Therapist also has lymphedema. I can't tell you how much that has helped me. Being able to ask questions and get real answers instead of overly optimistic platitudes is very calming. Everyone should have someone who has the condition to talk to, to look at, and to get honest answers from.

    I now know that if I do the things I'm told to do, the way I'm told to do them, I will eventually get some if not most of who I am back. Now, if I could just become one of those people that does what they are told, when they are told, I'll nail this.

    Thanks again

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited November 2014

    Thanks again for raising that, Susan. I really get (and share) your feelings about this.

    I'm glad you're doing better and hope that continues but do keep on venting. It's very helpful for those of us who aren't smiling about it to know that we're not alone. Take care.

  • sandcastle
    sandcastle Member Posts: 587
    edited November 2014

    what, I hate is how many times I, am asked about my arm!! Liz

  • iwannaseeyoubebrave
    iwannaseeyoubebrave Member Posts: 226
    edited November 2014

    I haven't been on BCO in a while....I needed a break and thought I was ready to move on.  Thank goodness for this site.  I was just diagnosed with lymphedema this morning.  This came as a huge surprise to me since I too only had one node remove, which was negative.  BCO was the first place I went to start gathering more information, and most importantly, support.  This was the first post I read which hit the nail on the head.  I left the hospital emotionally drained and confused.  I'm feeling guilty that I'm fussing over this when I just beat cancer.  Time to get my big girl panties on again and be brave.  My new, new normal.  sighSad

     

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited November 2014

    iwannaseeyoubebrave - Here's a link to a webinar that you might find helpful. I've not viewed it yet but it's produced by Johns Hopkins so should be fairly reliable. I've posted another one in the lymphedema section as well. I hope these help.

    LE is one of the SE that the rest of the world doesn't seem to know about. I was aware of it long before dx. because a long-time client has it and we'd discussed it quite a bit. It is the pits, frankly, and I'm sorry you're dealing with it.

    http://bit.ly/LymphedemaVideo

  • sandcastle
    sandcastle Member Posts: 587
    edited November 2014

    Hopeful....I just watched the Video from Johns Hopkins......which was very good and to the point........Liz

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited November 2014

    Thanks a lot for the input, Liz. I'm glad the video was worthwhile. I'm planning to watch it this weekend and am registered for the next one in the series on 12/3.

  • glennie19
    glennie19 Member Posts: 6,398
    edited November 2014


    iwannaseeyoubebrave:  it sucks. One more thing to deal with. lojo posted on another thread, that someone developed LE 30 years after BC, cuz that person broke her foot, needed crutches and that set it off. 30 years!! Un- freaking-believeable.  

    Sorry about your new diagnosis. We are here for you. Most everything I learned about LE, I learned on this forum.  Everyone has been a big help.

  • lyla92
    lyla92 Member Posts: 13
    edited November 2014

    SusanSnowFlake, I do know how you feel. Some days I am ready to throw in the towel and just hide under my covers, then other days I am almost euphoric at being able to enjoy a beautiful day. This disease makes me feel crazy, drains my energy, my checkbook and my resolve to lead the healthiest life I can. There are days I can't even imagine smiling. The only thing I can say is that after 3 years of living with lymphedema, the days that I want to smile far outweigh the days that I don't. Please feel free to message anytime.

  • iwannaseeyoubebrave
    iwannaseeyoubebrave Member Posts: 226
    edited November 2014

    Hopeful, thanks for the link. It was very informative and I shared it with my family as well.

    A mindset adjustment is in order.


  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited November 2014

    Iwannaseeyou - I'm glad to know it was worthwhile; thanks for letting me know.

    Some days (weeks?) it seems to take a Herculean effort to stay out of the black pit, doesn't it? I hope you're able to find a way to shift your mindset and deal with the situation in a way you can live with more comfortably.

  • sandcastle
    sandcastle Member Posts: 587
    edited November 2014


    I.....REALLY Hate wearing a Sleeve!!  Liz

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited November 2014

    I would too, sandcastle. I have a friend who does ALL the time (at least during the day) and it's been very eye-opening hearing about her experience with LE. Why is this so downplayed by the medical world?

  • glennie19
    glennie19 Member Posts: 6,398
    edited November 2014


    I think any condition,,, LE, fibromyalgia, etc,,, is downplayed by the medical community because they can't CURE it.  It is a chronic problem and thus boring,, as Dr. House would have said.   You can't cure it, you can only manage it. Thus I think they don't like to deal with it,, cuz in their minds,, they are doctors and supposed to CURE us.     Just my opinion.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited November 2014

    You know, Glennie, that makes a lot of sense; they can't control it, so let's pretend it doesn't exist or doesn't really matter. Thanks for the insight.

    I suspect that if more of them had the issue we'd see a lot more concern for the issue.

    I'm really fortunate in that my BS had breast cancer a few years ago, so she is super empathetic regarding all of these issues. She's very open to new approaches that minimize the risk of LE, which I appreciate tremendously. It's too bad they're not all like that!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2014

    I think there are a couple of reasons lymphedema is not discussed among breast cancer patients and their surgeons as often as it should be - first, it isn't well understood in terms of who is at risk and why some people develop lymphedema - some docs assume that if you are slim and fit, had fewer nodes removed, etc., that you won't develop LE - which is untrue, and second, many surgeons let their pride and arrogance about their surgical skill get in the way of admitting that their patients do indeed develop this condition.  In addition, many people develop it long enough after surgery that they are not seeing their breast surgeon as regularly - so I am not sure surgeons are as aware of just how many of their patients are affected.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited November 2014

    Good points, SpecialKay (as usual). There are numerous factors that feed into the situation and you've hit a couple of them squarely on the head.

    I had 2 surgeons pretty much assure me that due to my size and fitness level I would be very unlikely to develop LE - and then pretty much brushed it off and resisted (strongly) any further discussion of the topic. Since it's a huge concern to me, that was really unnerving. I walked away from both of them, although I liked one of them quite a bit otherwise. I just don't think it's wise to put one's well being in the hands of someone who dismisses major concerns and invalidates one's feelings.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2014

    hopeful - I was one of those who developed LE that did not necessarily fit the risk profile, other than having additional nodes removed - but I was fortunate that even though my surgeon has a very low LE rate due to advanced surgical technique, he was sympathetic and helpful.  If you have a surgeon who is willing to send you for LE consult in advance of surgery, that incudes arm measurements, that is a surgeon worth staying with.  I don't know how much can be done surgically to prevent the development of LE, but getting you to the right resources to help deal with it if you do develop it is invaluable.

  • glennie19
    glennie19 Member Posts: 6,398
    edited November 2014


    I didn't fit the high risk profile either. And when I felt "puffy" and went back to BS, he said I didn't have it. When I saw my MO a week later, he said I did. I'm sure my MO has seen it a lot more often than my BS. 

    and I have not seen my BS since then.  I notice that many continue to go back for checkups or whatnot, but I am not having recon, so not sure why I would go back to see him. 

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2014

    glennie - I also received most of my help from my MO for LE, including the CLET consult.  I developed bi-lat LE (bi-lat SNB, one sided ALND,with LE worse on the ALND side) during chemo, which was delayed several months due tofour additional and unanticipated surgeries and healing issues, it was caused by a body-wide swelling event after my third infusion.  I saw my surgeon coincidentally at that time for a routine check (because of all that extra surgery) and he was supportive and helpful in determining that it was indeed LE - there was some suspicion that I had RSD due to some of my symptoms.  Your experience is exactly what I think contributes to some surgeons not thinking that their patients actually get LE - they won't admit it, and their patients have no need to continue seeing them.

  • iwannaseeyoubebrave
    iwannaseeyoubebrave Member Posts: 226
    edited November 2014

    My plastic surgeon got in touch with my breast surgeon to get me in with a LE specialist after complaining about shoulder pain and tightness in my upper arm and breast. I told her point blank that I don't think that's the issue. I'm glad she got the ball rolling, since I was wrong. I have my first pt next week and will learn to wrap. I told my kids I will be their new mummy. Bad joke of the day.


  • SusanSnowFlake
    SusanSnowFlake Member Posts: 165
    edited November 2014

    I was told I didn't need to worry about LE by my Navigator, I wasn't over weight when this started (sadly I am now between depression and exhaustion) only one lymph node removed and she said she didn't see many people with it anymore. I have figured out why she said that, it's because I haven't seen her since right before my surgery. How would she know if she doesn't keep up with patients?

    I also complained about what felt like a tiny sliver of glass in my breast along with the shoulder pain and a really heavy breast that led to diagnosing my LE. I know what that is now. 6 months after surgery a stitch worked it's way out of my breast. What's next?

  • cider8
    cider8 Member Posts: 832
    edited November 2014

    I hate all the collateral damage from treatments. I really try to manage the best I can and have a good attitude about it. But it sucks!! I need to wear a sleeve daily now and the extensive rads have turned so many muscles into jerky. I do love my LE therapist, though. I never see my surgeons for follow up. I rely on my MO. She's great, too

    One day at a time.

  • carol57
    carol57 Member Posts: 3,567
    edited November 2014

    My BS at a huge city's major med school hospital said that in her practice, she has almost no LE develop. Ha. LE after sentinel node biopsy only here, although that meant 5 axillary nodes, plus lost one from removed breast tissue. SpecialK's point about the lack of BS follow-up is spot on. They have no clue what the LE incidence is after their surgeries, because follow-up drops off pretty fast, especially when our care is taken over by the plastic surgeons. I don't think the risk studies begin to catch the actual incidence, either--short follow-up, and all-over-the-ballpark criteria for LE diagnosis, not to mention no standard measurement method.

  • amygil81
    amygil81 Member Posts: 165
    edited November 2014

    I know how you feel, Susan. It IS really hard on us. I'd say that having LE bothers me more than losing my breast. The sleeve and glove every day, the bandages at night, the massage, manual drainage, PT. It's like having another disability, which I really do not need. (I've needed crutches for walking since age 13.)

    We all do the best we can. I've found that custom sleeves and gloves work better for me than off-the-shelf. And my BF helps me with my bandaging on nights we spend together. But this adjustment is really hard, and we don't need people who don't have to do it telling us how we should be feeling. Hope this helps.

    Amy


     

  • glennie19
    glennie19 Member Posts: 6,398
    edited November 2014


    I agree with you, Amy.  It's harder dealing with LE, than it was dealing with the MX.  The LE, sadly, goes on forever,,,,

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