43 - Just Diagnosed - Wondering what to tell the kids?
Hi - New here. I had a biopsy last week and received news on Monday that it is IDC. I have an appointment with a surgeon on Tuesday. I'm wondering if most people tell their children that they have cancer? My mother was a few years older than I am when she was diagnosed and she died at age 50. My children are 15, 11, and 9, which is about what my sisters and I were when my mother was diagnosed. My parents did tell us when she got sick....and I remember how terrifying it was. I don't want to put my children through that...but I'm not sure how difficult it will be to hide whatever treatment we decide on. I have been going for mammograms/ultrasounds annually for twenty years....so I'm guessing it is early stage. This wasn't here last year.
Anyone have any advice?
Thanks!
Comments
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Hi Staggerleigh-
First off, we want to welcome you to our community here at Breastcancer.org. We're sorry for what brings you here, but we're glad you've found us.
We're sure some of our members will chime in shortly with their experiences, but in the meantime, we wanted to direct you to some information from our main site that you might find helpful. Here's some info about talking to older kids and teens about your diagnosis: http://www.breastcancer.org/tips/telling_family/ol.... Also, you might connect with this blog, which offers a more personal story: http://community.breastcancer.org/blog/telling-kid....
The important thing to consider is that no one knows your kids better than you do, so only you can gauge how/what they're able to process at their ages. There's no right or wrong, only what works for your family. We hope you'll stick around and continue posting, we'll be thinking of you!
The Mods
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Staggerleigh, So sorry about your diagnosis and the loss of your mother.
I was diagnosed at 49 and have 3 boys, ages 16, 15, and 11. I chose to wait to tell my children until I had more information. I didn't want to tell them I had cancer, but didn't know how advanced it was... or what my treatment plan would be. After I met with my BS, I had more information that I could share with my boys. I answered all of their questions truthfully, even if that meant saying I didn't know the answer! I told them it would be a long process, with good days and difficult ones, but that we would get through it. I didn't want to hide it from my children because their trust is important to me. I didn't want them to worry that I was hiding something from them. Children are amazingly resilient and perceptive. Of course, you know your children best.... but I would recommend telling them once you have more information.
Treatment has come a long way, with many options available to you. Please let me know what you find out on Tuesday!
Poppy
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Thanks, Poppy and Moderators. I was definitely not going to say anything to the kids until I found out more about the treatment plan. I want to be honest with my kids.....but I don't want to be the cause of their fears. I know first hand how scary it is...even when you are told everything is going to be fine (which I'm sure it will be). I suppose I'll reevaluate after meeting with the surgeon.
On a separate note, if you were working when you were diagnosed, did you have to take much time off from work? I have a relatively demanding job and it is going to be difficult to be away for too long. I can limit travel and work from home.
Thanks again!
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I am not working. Stay at home Mom.
The amount of time you will want to take off from work will depend on your diagnosis and treatment plan. If you have a lumpectomy, you would only take a few days off of work. Of course, it would depend how much tissue was removed during the surgery. Ask your doctor when you see them on Tuesday. Usually at least the sentinel node is dissected as well. Most find this incision more irritating because your arm rests against the incision.
Most people are able to work during radiation. Most experience at least a bit of fatigue during this process.
Those needing chemo: some are able to work full time, others need to take a few days off after chemo. Fatigue and chemo brain (kind of a loopy, unable to think clearly) seem to be the biggest problem.
The women I've met on the discussion boards come from all walks of life. If they worked before their diagnosis, they work during treatment, many with a few days off here and there. Being young and not having other underlying medical conditions have made this process much easier for me.
My surgeon recommended 1 week recovery time for every hour of surgery. By this he meant the amount of time before I would feel normal again, not the amount of time until I could drive and do other normal activities. You will need to limit yourself and not carry anything more than about 8 pounds (a gallon of milk).
My oldest son focuses on my being okay when treatment is over. My middle son, is very empathetic... was sad sometimes when I was first diagnosed. This improved as time went on. My youngest doesn't really have any previous experience with cancer, so he only knows what he sees when watching me, or what I tell him. None of them are scared. They see me on good days and bad days. And that's okay because they see me doing what needs to be done.
Once you have your plan in place it will be much easier. It will be your treatment plan, so don't be surprised if the surgeon offers both lumpectomy and mastectomy.
Good luck!
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Thanks so much, Poppy. Will wait to see what the surgeon has to say. I'm sure I'll be back with more questions after speaking with her:)
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staggerleigh -- I told my 15 year old daughter about my cancer, but not my sons (who have autism and aren't very verbal). They've figured out that something is different about Mommy anyways. My daughter is doing OK with it, but she's never been the most introspective child.
I worked through chemo (which you may not need) and plan to work through rads. I did meet with my boss to reduce my workload somewhat and have made sure to have a back-up plan in place, should my illness interfere with any major responsibilities. Everyone has been very kind and supportive but it's been an exhausting six months.
Best of wishes to you -- hope you have a productive meeting with BS and get a good treatment plan in place.
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My girls were 12 and 9 at the time, and I told them I had cancer, and that it would need to be treated which might make me a bit tired and grumpy at times, but that I would be fine (I already knew I would need radiation but not chemo at that point). I was diagnosed about 6 weeks after my mother, who had a mastectomy with no other treatment and they had just seen her the day before laughing and smiling at Thanksgiving dinner, so I think for them, that helped a bit as it made them see it as something treatable.
Other than what I described saying above, I restricted myself to answering any questions they had, but not bringing it up otherwise. I figured that if they wanted to talk about it they would, and if not, they wouldn't bring it up. They mostly didn't.
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I am much older, 70, but still worry about my kids. When I was diagnosed with recurrence, I was devastated, but after a day or so, had gotten myself together enough to find some things I could have a positive attitude about. My daughter, whom I call My Rock, told me that my calm and optimistic approach is what settled them all down, and we are handling each new development as it comes. There are so many new treatments since my first onset 18 years ago, it is amazing and I continue to have hope. It's hard to get in that place, mentally, and maybe easier for me, because I was born with a good, calm nature.
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I did what Annette said. I knew for about a month before I told them. I waited until just before I started chemo (it came before surgery). I figured the less time they had to know the better. My kids are 13 and 11. They did ask if I was going to die
and I told them that there are great medicines and doctors and they believed ( I did not use the word promise) that I was going to live a long healthy life. They were settled with that. Luckily chemo didn't slow me down too much and I was able to work. I think seeing me up and about helped them to put it in perspective. Once I had my lumpectomy and found that I was cancer free, that went a long way in resting their remaining fears, if any. I won't lie, telling them was one of the most difficult things I've ever done. Once it was out, I felt great relief. Hugs... it will get better. Linda -
Thanks, everyone.
I'm not sure that I'd be so hesitant to tell my children if I hadn't gone through it myself as a child. I realize that things have changed dramatically in the world of cancer treatment, and I'm confident that this is only a bump in the road.
Because of my family history, I had undergone extensive genetic testing and was negative for every available test. I was somewhat optimistic that I would avoid this but always knew it was a possibility. I had been seeing a breast specialist for several years that always felt there must be some genetic predisposition for cancer in my family (mother, multiple aunts, grandmother, cousins all diagnosed with breast cancer under 50), despite my negative results. She had even suggested taking Tamoxifen prophylactically, which I regretfully declined.
Anyway….it's here now….so will do what it takes to get rid of it. I'm very appreciative of everyone's answers and support. This seems like a great place:)
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Out of curiosity, has anyone had a normal mammogram/ultrasound and was then diagnosed a year later with anything beyond stage 1?
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Staggerleigh,
I've been thinking about you!
Can you share more about your IDC diagnosis? What type of biopsy did you have? Do you know the grade of your BC? How large and where is the area of concern?
I was tested for BRCA1&2, with negative results. These genes only account for about 10% of BC diagnosis.
Regarding diagnosis beyond stage 1 after a clean mammo: It does happen. Some cancer grows faster than others. Mine is grade 1 and slow growing.
An area of calcifications was observed on my mammo. Only a 4% chance that the area was cancerous. The doc had a difficult time isolating and sampling the area during my stereotactic biopsy. She asked me whether I wanted to stop the biopsy and follow up in six months. I insisted that I was fine with the poking and prodding around, and didn't want to wait. I wanted answers now. I'm glad I did because it led to my diagnosis. The earlier you are diagnosed, the more treatment options you will have.
Hugs,
Poppy
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I had a clean mammo, but followed five minutes later with an ultrasound that eventually led to diagnosis of a palpable 2cm mass. I normally have multiple palpable cysts at all times - self exam was useless for me, so I was always diligent about annual screening. After I was diagnosed I went back to thank the radiologist for following with an ultrasound and then recommending a biopsy. He could have skipped the US and said that since nothing showed on the mammo that I should come back next year. I was node positive and Her2+, it could potentially have been disastrous.
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staggerleigh yes I had a clean mammogram( have faithfully had them yearly since I was 40) and my tumor was 2.8 cm with one positive node 11 months later. I am stage IIb. I am also grade 1 which is slow growing so how did it get so big in less than a year? I think my mammo missed it. Makes me very uncomfortable now with mammos.
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I'm 42 and just recently diagnosed with IDC too. I'm post mastectomy and just started chemo (hopefully you won't have to do that). I have 4 boys ages 12, 9, 7 and 3. We told them right away after my diagnosis. We let them know that I would be feeling sick and lose my hair and it would be a long process. We told them that I have very good doctors and they are going to work very hard to make me better. That is my go to answer when they ask if I'm going to die. My 9 year old let his teacher know and I asked that a counselor be available to them at school. They have seen me cry (something I don't do often but get over whelmed at times) and I let them know that sometimes I get overwhelmed. I also try to answer their questions as honestly as I can. My 9 year old was very concerned about me being bald and has asked a bunch of times when I was going to get a wig (I still have my hair) so when I went wig shopping I took a pic of me with the one I chose on and showed it to him. Both my older 2 are sweet and ask often how I feel. My younger 2 don't understand so we just check in with my 7 year old but don't bring up cancer often.
It was hard to tell them but it would've been impossible to not. They would've figured something was up and been more scared ( I think).
I'm mostly a stay at home mom. Taking care of my 3 year old is kicking my butt with chemo but there's not much I can do about that. Luckily I have an awesome hubby, he does a lot when he gets home from work. I did have a part time job and took a leave of absence from that.
So about mammos...mine was negative 10 months before my lump was found. I'm considered "low risk" so I wasn't even due for another one until Oct. 2015. My OB found my 2.8 cm lump during my annual exam. Dense tissue here too. BUT it seems like you have been going to experts and they have had a very close eye on you. It sounds like chances are they caught yours very early.
Everybody says it but I'll say it again. Right now, where you are at, the initial diagnosis, is the scariest time. Once you get all the info and a plan a lot of that fear turns into focus on kicking cancers butt!
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Hi all...and thanks. Running out to dinner...but just wanted to check in. Poppy - all I know is IDC. It was a core needle biopsy. When the doctor called I think I was in shock and didn't ask a thing (very unlike me). I've always had both mammograms and ultrasounds for dense breasts. Both were negative last July other than 3 nodules that they said looked benign. This one was completely new and the only one that was biopsied.
I genuinely appreciate everyone sharing their stories.
Have a good night:)
Tara
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Staggerleigh
so sorry about your dx. But, as others have said, the industry has come a long way. My kids were 12 and 7. I couldn't tell them-I was so upset. No bc in my family, led a healthy life--I was terrified. My h told them, separately. He thought (and he was right) that the 7 year old needed different info than the 12 year old. Both of my kids have had classmates with cancer so they saw the situation as completely solvable. I am not sure they were ever scared, and my h is to thank for that.
I did work through chemo, have a demanding job, but was able to move things around and others helped out, so that made a difference. My onc once said that the kids" will take their cues from you".. and that was true. We never panicked or showed them that we were scared (and there was good reason since the prognosis was excellent).
I am also in the club of a clean mammogram 6 months before the lump was found in my regular physical--so, I do get mammograms, but every other year I have an MRI….
Best of luck
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staggerleigh, ask for a copy of the pathology report from the biopsy, and after surgery also.
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Hello. I am very sorry to hear about your diagnosis. Like you I have recently been diagnosed with IDC and have been stumped as to whether I should give my two children the details. The diagnosis has been a rollercoaster for us adults, so I initially spared them the worry and heartache. My husband has gone ahead and told our 14 year old everything. We have since had lengthy discussions about my upcoming surgery and care. I have reassured him all the while. My younger child, is 10 years old, only knows that I will have surgery. I'm concerned with fearing her, before I know the details of the treatment. My surgery is set for Dec. 11th for a lumpectomy with node dissection.
Hoping for the best!
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Good morning, Staggerleigh:
I am also 42, was just diagnosed and completed surgery 4 weeks ago on the 28th of October. I have two girls - one is 14 (going on 24) and the other is age appropriate 10 going on 11. We waited to speak with them until I had my pathology report and after I met with with the BS. It was such an interesting time, because I found out the day before my husband and I left for a 7 day vacation to Tuscany, Italy. We had "won-i.e. made the highest bid ;-)" the trip at an auction during a fundraising ball in Colorado Springs many months ago. So...we already had my husband's parents here to watch over the kids/dogs/house...and once we returned, I immediately went to the appointments and then told both girls right before the grandparents left. My oldest had a hunch that something was going on and was absolutely shocked that we were able to act normal and still be excited for our Tuscany trip....which we did have a wonderful time, drank way too much wine and that is where I shed a lot of tears and yelled at God over the beautiful hillsides at night. It was just perfect timing.
Anyway, I digress. I also have an extremely demanding job and was only planning on taking 4 weeks after my bilateral mastectomy. However, when I discovered that I also have to start chemo, I went ahead and took the remaining 2 weeks that my BS had approved through to my company. Now, it was very difficult for me to release my 200 million dollar portfolio that I had sweat blood and tears over the last year....I hated seeing my team being given to someone else. However, I am also very thankful that I agreed to let go of this program and allow my boss to give me a lesser stress portfolio upon my return. I had no idea that I was going to be on chemo for the next year...so again, perfect timing and God is definitely watching over me. ;-)
I guess at the end of all of this, as I sit ready to start chemo on Thursday, what is most important to you becomes so very crystal clear. I was so much into the rat race of climbing up the corporate chain and had my sights on VP by the end of this year. Now, I look back and realize that my family, my life and my inner peace and joy count so much more. We are so very blessed to have health care in our country. I watched the 60 Minutes show last night on all the refugees from Syria moving into Jordan and really was struck by how extremely blessed we are. It makes me want to help in new ways and really ask myself the question, "how will I bless others through this trial? How will I respond? What legacy will I leave when all is said and done?"
I am so very sorry for the loss of your mom and for this new diagnosis. I pray that as you walk through this journey, you learn to lean on others, come to this discussion board frequently and realize that you cannot do it alone - but you CAN do it! Fight like a girl!!!!
Love,
Akitagirl
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Hi Staggerleigh. I was 41 when diagnosed 2 years ago w/stage 2, grade 2 IDC and metastatic adenocarcinoma. It was beyond scary. I have 2 boys, they were 10 and 15 at the time. I couldn't tell them...I let my husband do it after we determined I would have to go through chemo. That's the hardest part is thinking about how it all will affect them. We didn't give a lot of details, just that I would feel bad for a while but would be fine. I never let them see me with no hair. I didn't want them to have to think about it and have that image in their head.
I worked all through treatment. I had a lumpectomy on Thursday and was back at work on Monday. Chemo was scheduled for Thursdays and didn't kick in too terribly bad until late Friday night/Saturday. I even took my laptop to treatments to keep busy during them. I did miss several days when my hair started falling out but for the most part, things were still routine (as much as they could be). I would think it would depend on how strenuous your job is. I worked as an accounting manager at the time and spent most of the day sitting. I think if your job requires standing or a lot or physical effort, it may require you to be out more during chemo. Radiation was a bit painful as the skin can get raw and tight. It wasn't too terribly bad, typing and crunching numbers but if I had to have used my arm muchfor lifting or raising it over my head, it would've been pretty painful. I was very fortunate to have been able to work all the way to keep my mind busy. I think if at all possible, it's best to try keep the same routine as much as possible, especially when kids are involved.
I wish you the very best of luck. Stay strong
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Annie88-
We wanted to welcome to our community here at Breastcancer.org. We're sorry for what brings you here, but we're so very glad you've found us.
Hopefully you've gotten some advice from this thread and others. We included a couple of helpful links in our response above to Staggerleigh about how/when/what to tell your kids about your dx. If you have questions, please don't hesitate to reach out to us via pm.
We're thinking of you!
The Mods
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I was just diagnosed with IDC, Grade 2, 3cm mass/tumor. My last mammo was in March and it was clear! It seems that a fair amount of people find the lumps by self-exam, like I did (and I wasn't ever too regular or careful about those, either). It's rather discouraging that the mammos didn't catch it, but what can you do? (My family history was just one aunt who had BC at age 60+.)
I don't have kids, but I have one sister and her son that I'm very close to. He's 16 and my sister told him--I'm not exactly sure how, but my sister has had friends with cancer so I guess she has thought about how to do it. He's old enough and we're all being as positive as possible, so it shouldn't be too stressful for him. It's only been like a week for me! I barely know how I'm feeling, much less how to everyone else is taking it. I have a feeling this is stressing out my sister a lot (we're the only siblings and just a year apart). I tried not to tell her anything until I got definitive news of breast cancer... but she still wanted ALL the test results--and some aren't even back yet. So it's hard to say how people will deal with things, although I kind of suspected she'd be very upset and concerned and running about trying to find out things, etc.
Much Good luck and Good wishes sent your way!
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Thanks, everyone. It's been a crazy week. Still haven't told the kids....but likely will at some point. Lumpectomy scheduled next week at Sloan Kettering. Can't say I was overly impressed with the place. They lost my films and the entire operation seemed generally unorganized...but they are supposed to be the best:) Fingers crossed.
The first surgeon I saw recommended a mastectomy. One of the reasons she gave was because I have implants and she was concerned about complications with radiation (capsular contracture). Has anyone had radiation with implants?
Thanks again:)
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Hi Staggerleigh-
You may want to ask your question over on our rads forums, there're a lot of really knowledgeable ladies over there!
https://community.breastcancer.org/forum/70
The Mods
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I'm sorry about the diagnosis, I am late to this post and hope you have found the support you need. Personally, my first concern was how to tell my 4 year old...I understand your concern. Teens are much different of course. I was treated at Boston MGH and Dana Farber, they both have great social workers and programs for support. MGH has PACT, parenting at a challenging time (there is a book with the same name). There website is http://www.mghpact.org/ where you can find a ton of valuable information! Good luck.
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