Feel panicked about getting Oncotype results

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I am feeling panicked once again. First was the frightening experience of bring told I has breast cancer. Then having to wait to find out if my lymph nodes were clear. Very scary appt that turned out to be in my favor. I thought that was it. The plan was set for radiation and I knew what I would be facing but now there is this wait

The nights are bad and the mornings are also bad


Comments

  • coraleliz
    coraleliz Member Posts: 1,523
    edited March 2015

    Some people will say it's putting the cart in front of the horse, but I played both scenarios out in my mind. Needing chemo & not needing chemo. I started figuring out how I would manage work & family...........long story short, I didn't need chemo(oncotype 4) but I could have managed it if I did. Hoping your score comes back low. As for sleep, that was the only time I could quit thinking about BC. Hope you can get some sleep. Others have used sleep aids both prescription & alternative. Good luck

  • JJOntario
    JJOntario Member Posts: 356
    edited March 2015

    I am a planner...and I also worried. The only way I coped was to plan what I would do ...once I had a plan in place...I could mentally shut it down. My score came back at 16 so no chemo but I'm starting 6 wks of rads on Monday.The lack of sleep (for me) makes things worse...it just sucks. Sending you a hug!!!

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited March 2015

    I totally sympathize, Florida, and I won't tell you not to worry or obsess or panic about it. If that's in your nature, that's just how it works for you (I personally hate it when people tell me not to worry!).

    I will admit that I've played out both scenarios in my head, too, and I've even drawn time lines. Having the visual was NOT helpful, as it made brutally clear just how much of my summer and fall would be eaten up with treatment of one kind or another. However, facing the prospect was o.k. If I get good news I'll just go home and tear those pages out of my notebook with relief.

    DO get something to help you sleep. You need it to heal and you need it for your emotional well-being. Like Coraleliz, sleep is the only time I can escape from this, even though the escape is all too brief.

    How long until the results are expected? Please do let us know your score and your next steps. Good luck.

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    it seems from the moment you get that first call back from the screening mammo, there is one worry, replaced or added to by another. I worried a lot about the Oncotype score. As others said before me, making a plan for either scenario helped a little. I tried to get out a little each day with my dog, or a friend, and try for even minutes to stop thinking about bc. I got better, little by little, at separating bc from the rest of me. And my life. I am more than my diagnosis.

    Unfortunately, my score came back a 30. I felt I had to give it a shot, and I started chemo about 3 weeks ago. I'm doing ok, and enjoying my life as best I can. Learning not to worry is a skill. Nobody can teach you how to do it. And some of us (and I am one of those people) naturally incline towards more worry than others.

    But, as I said, you can get better at it. Small steps. Big rewards. I wish you a score of zero.

    Hugs

  • lisa137
    lisa137 Member Posts: 569
    edited March 2015

    Chemo is no fun, but it's nothing to panic about. Truly. I'm the world's biggest wimp, and I made it through it. Worry? Sure. Panic? Nah. It'll be okay, either way.

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    Thank you everyone. It helps to have people understand how I feel. I have always been a worrier and as for timing can't help wishing this had happened winter months. I am getting results on April 3 will have 2 appts back to back. The radiation onc. And the medical onc.

    I know I will be in treatment at a timewhen I wanted to travel may 1 to visit my daughters in colleges in boston because all 3 of us have birthdays in a row. Particularly my daughter who has Asperger's syndrome will want us to be there for her and I know with radiation you can't skip a day.


  • katcar0001
    katcar0001 Member Posts: 621
    edited March 2015

    I don't deal with those waits either; heck, I don't even do well waiting for my friends' results (have one waiting now). Just rest assured you will get through this no matter the result, and you will mostly likely feel relief once you have a treatment plan in place--chemo or not. (((((HUGS))))

  • melb44
    melb44 Member Posts: 130
    edited March 2015

    I am right there with you. Waiting on mammaprint results to determine whether I will have neoadjuvant chemotherapy before surgery. I am having a hard time working or doing anything but thinking about the test results. Good luck to you! Hope you get the best results soon.

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    it's nice to know I am not only one waiting for results and feeling like it is constantly only mind.

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    by the way what made drs put u on the hormonal drug before letting results back from Oncotype? My HER results aren't back yet

  • Bk253
    Bk253 Member Posts: 1
    edited March 2015

    So helpful to read this today. I am also waiting for my oncotype score.

    My first appointment with the med onc is April 8. Do you think my BS give me the oncotype score, which is due back today at the latest, before I see the MO?

    Trying to use this pause to take care of myself and rest. This is my first post.

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    I think if u want it back before your appt you can have it told to you. In my case they rescheduled both appointments I had with both radiologists until the 3rd and I had said I want my results given on thst day when all options are explored with hormonal meds etc. I did however get a call from Oncotype lab yesterday saying they needed more info including copy of drivers license etc and my husband had to call surgeons office to make sure they had also sent a release otherwise honestly I feel I could have gone into that appt without all information being available.

    The waiting is twofold. It's horrendous waiting and if your BS called u and told u that it was a low number you would be relieved. But giving u this time to process things could be helpful

    I don't have option to make decision since my FISH test is not in either


  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited March 2015

    Florida, if it helps any - you can usually wait a max of 12 wks between surgery & starting chemo (per my oncologist). Radiation I'm not sure about but I do know that there's usually at least a week between simulation and beginning of actual treatment and they do want you to be pretty well healed before starting. You CAN take the occasional day off but prefer to keep it to a minimum. so you MIGHT, either way, be able to make that trip to Boston.

    BK, welcome to the board. Your surgeon MIGHT be willing to give you the results as soon as available. It probably varies a lot from one BS to another. I hope s/he will, and that it's all good news.

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    thank you Hopeful! I will try to not think then it's not a possibilty to spend all our birthdays together in Boston.

  • ml143333
    ml143333 Member Posts: 658
    edited March 2015

    Florida - I was always a worrier too, but it was weird, when I received the diagnosis, I didn't worry any longer really.  I knew what it was and knew that whatever came at me, I was going to treat it as aggressively as possible so that I knew I did everything I could to prevent a recurrence.

    My oncotype came back at 23 which is the grey, intermediate area.  After talking with my MO and he talked with his peers, we decided to go with 8 rounds of chemo every three weeks.  Has is been great?  Nope - but it is doable.

    Now, when the worries and fears start to creep in, which they do, I just have to refocus my thoughts elsewhere.  It really is a struggle sometimes, but I don't want to live my life worrying all the time.  I just want to live me life.

    Sleep is a great diversion.  If you can't sleep, try talking with your doctor about getting something to help you sleep or to help with the anxiety.  A few friends of mine took Zquil, I think it is called, which is over the counter.

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    did u feel comfortable going with what they told u. Because I feel if I am in thst grey area that I would want a second opinion

    With they way you are doing the chemo does your hair fall out?

    Thks

  • Ridley
    Ridley Member Posts: 634
    edited March 2015


    Hey Florida -- I can definitely relate to the worrying at every stage-- I thought that once I had the oncotype back, the anxiety would drop as I knew what my plan would be.  In my case, it didn't quite work out that way as tamoxifen resulted in some side effects that I had to deal with involving a biopsy, had a lump on my tongue show up that needed to be removed and biopsied, etc., etc.  If I knew then what I know now, I would have tried to accept that the year(s) following diagnosis were going to be filled with a significant amount of uncertainty.  Perhaps the Effexor that I'm on to deal with some of the tamox issues helps,SillyHeart, but I'm trying roll with it more.  If you can, I would encourage you to talk to your doc or someone (support group) about figuring out how to handle the stress/anxiety/panic.  I think for most of us, dealing with breast cancer ends up being more like a marathon than a sprint.

    Good luck!

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    Hi, thanks for responding. Wow..that is what I am nervous about with those drugs - side effects!! Sorry you had to go through that biopsy that couldn't have been pleasant.

    I do have a therapist, and also take xanax - if I find I am too stressed to function from all of this on the road it takes me, I will explore taking an antidepressant.

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    when my onc gave me the score of 30, which is the very top end of intermediate, it was hard. I had tried to prepare and ask myself what I would do if I fell into the grey area. It's almost as if I knew that would be the case. I had a very good meeting with mo, who also relieved my mind by delivering clear results of PET/CT, so mets was highly unlikely.

    In the end, I asked him what he would do in my shoes. He said he would go for it. There was only one other choice for an mo in my sparsely populated area, and I knew I wouldn't go to her, and therefore didn't seek a second opinion. But if I lived in a more populous area and had more choices, I would do that. Whether insurance paid for the so or not.

    You need yo feel 100% comfortable with your mo. That's who your long term relationship is going to be with. And that means being comfortable with the nurses, office staff, billers and the rest. I got very lucky ... I am getting great care, have confidence, and trust. Good luck finding the right doc for YOU. Hugs, Kat

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015
  • cookiegal
    cookiegal Member Posts: 3,296
    edited March 2015

    florida, make sure to ask for the full report notjust the score. I found seeing the graphs to be very helpful, especially if you are in the grey zone. It allows you to see the margins if error and where the benefit kicks in. Don't be shy, it is worth it.

  • florida2015
    florida2015 Member Posts: 186
    edited March 2015

    Okay I will do that

  • mysunshine48
    mysunshine48 Member Posts: 1,480
    edited March 2015

    Jackie,

    You say you are doing well with chemo? Great!

    I have not even had surgery yet, although my doctor ordered a Mammoprint test which is similar to Oncotype. My score was in the high area (it only gives high or low). I don't hear of many women having the Mammoprint.

    The high results mean that I will have chemo. I am not understanding all this. Anyway, how have you been feeling? Are you able to do most things you did before chemo? And, it looks like you had quite a while between surgery and starting chemo. How was that decision arrived at? How was your BMX recovery? Range of motion and things like that. This is all so new and scary to me.

    Thank you!


  • momand2kids
    momand2kids Member Posts: 1,508
    edited March 2015

    Florida

    no matter what, you will get through this.... chemo or no chemo. I was in the gray area-- and my MO said "it would be hard NOT to give you chemo"... I asked my bs what she would say to me if I was her sister and she said "I would twist your arm to get you to do chemo-you are young, healthy and why not? You can tolerate it well now and it is the standard of care (I had 4 rounds of chemo)... and they were right.... I have never regretted it nor have I ever lost a moment's sleep about it since then (and I think I would always wonder if I hadn't done it). I had a lumpectomy, no nodes and a mid range onco score.... I was finished with chemo in 8 weeks--worked through it (my kids were 7 and 12 at the time). It was not fun, it slowed me down a bit and I didn't always feel great. But I never questioned the decision once I made it.

    It has been almost 7 years--I am healthy and well and never expect to have bc again. I did have a very low grade case of thyroid cancer right after the 5 year mark and I was just pissed. But, because of the bc experience and the incredibly high (over 99%) cure rate on thyroid cancer, I managed to get through that without much stress ..... I feel great--- and expect to be here for a good long time.....

    Definitely get the whole onco report -I think it is at least 3-4 pages--- and go over it with your mo. It is hard to land in the gray area--- get your information then listen to your own instincts.......

    good luck


  • Hortense
    Hortense Member Posts: 982
    edited March 2015

    I was in the grey area and my doctor felt I should get chemo because I had lymph nodes involved.

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