MIDDLE-AGED WOMEN 40-60ish

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  • Deborah2012
    Deborah2012 Member Posts: 234
    edited May 2015

    Hi ladies,

    I was participating in an intense business training series of exercises and am finally able to have a bit of a respite.

    I have developed a chronic pain from my sternum to armpit over a large area of my chest where my 2012 MX and saline implant foob was installed. I cannot for the life of me recall injuring myself. The soreness feels like it's below the implant and seems more bone specific than any muscle issues.

    1. Does a foob change over time that it can mechanically cause pain to sternum & ribs? It doesn't feel like it's become "un-moored".

    2. How long should I wait to have this be checked so I don't feel like an idiot with this general pain area? It's like the entire upper quadrant of my chest.

    3. If it persists, and I do seek medical evaluation, do I see my GP first? Go back to my PS? I no longer have to see my oncologist (who recently retired from patient practice but still does research)?

    Thanks.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited May 2015

    Deb2012, Well, you've written "pain" and "sternum" in the same sentence (followed by "soreness" and "bone" in another) which for us BC patients, usually gets you an express trip to the bone scan people. Either of those docs can order a bone scan. IF your PCP has done any of your follow up, you might want to check with him first, since he has a lower co-pay, but if your PCP is like mine (never really a part of the ONCO team,) then the PS might be the better choice.

    I can't write any comparisons about recon or implants, but others here can so watch for more replies.

  • heartnsoul76
    heartnsoul76 Member Posts: 1,648
    edited May 2015

    NativeMainer - I guess you're right about whether or not to negotiate. I'll just wing it as I go. This is a huge task like you said, but I hope I never have to do it again. One and done! And I'm looking forward to everything finally being where it belongs.

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited May 2015

    I'm sure you will do really well! It is a lot of work, though.

  • KJSUN
    KJSUN Member Posts: 44
    edited May 2015

    heartnsoul7 - I don't know if you take any meds on a regular basis, but I take Lyrica for nerve pain. I have Fibro and autoimmune and a mast cell disease so I can have a flare from any of them, but the Lyrica does help. I take Plaquenil for my autoimmune. Since my surgery I have been taking Tramadol for the pain. I can't take narcotics, makes me sick, but the Tramadol works really well. I just adjust the dosage based on my pain level.

    This is my second time with BC, so I am familiar with chemo and I also felt pretty well during it. It is good for your skin too! Lol I will start new chemo sometime later this month. I don't know how this one will go, the tumor was different this time so it should be a different cocktail, but I'm not worried. I just hope they don't have to put a port back in.

    Good for you, opening your own store! I don't think I would have the stamina for something like that, but you never know. My main focus right now is trying to lose weight if I want to have reconstruction. I noticed your son lives in Seattle. I was born and raised there, miss it every day.

    elimar - I do have neuropathy in my hands. I feel like there is a mild electric current going through them with numbness and pain in the tips. As far as the restless leg goes, Yes! I have had that on and off since I was a teenager and isn't it terrible?!! I get it most often when I am in the car and of course you can't move around. It is so hard to explain it to someone that doesn't have it, just like with BC. I did see it on a list of autoimmune diseases so I guess I have had one since my teens.

    I am 5 weeks post surgery, BMX, so I still don't feel great but am getting stronger every day! One day at a time, right? Tired now. I think I will go lay down. Hope to talk to you all again.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited May 2015

    KJSUN, Having the FM in hands and feet made me paranoid of getting CIPN (chemo-induced peripheral neuropathy) real bad. I did get/do still have CIPN (feet only,) but strangely do not notice the FM in my hands much anymore, and feet only sometimes. You would think it might be hard to tell the FM from the CIPN, but it's not because they feel different. I never had numbness from FM, that's all the CIPN.

    For all with FM, although it was nothing conclusive, I do think that anything with artificial sweetners or msg in it gave me a FM flare-up, and pretty sure msg brought on the restless leg too. RL does seem to strike on road trips, but think about it...the kind of food that you get "on the road" is more likely to have that kind of crap in it.

  • macatacmv
    macatacmv Member Posts: 1,386
    edited May 2015

    hey, I have the real achy kind of FM also. Never really feel "good" I wake up with my thighs and hands and feet just throbbing. I use voltaren gel for pain so I can fall asleep if I need to.

    Then right before I left for a week vacay, I decided I had to get a strap cut for a purse handle and managed to lean too hard over a counter while pulling the strap cutter along the hide and bruised my bottom rib really badly. I have been in agony for 2 weeks. The gel comes in real handy for that! But really, leaning over a counter?

    I just got my bone density report and it was downhill some more. My PCP wants me to start on Fosamax. I am unsure, I am way too sensitive to any medications. So the box is still sitting on my counter and will probably remain there for a while.

    I had a uterine biopsy yesterday. I guess it is mandatory if you mention spotting and cramping and tamoxifen. So lucky me, they sprang that on me at my GYN appt. I have an appt for an ultra sound next week. It's always something, isn't it?

    Some good news, I got sprung from seeing my RO anymore. She is cutting back her hours and instead of me breaking in a new doc, I just had to promise to still see my MO and BS.

    heart, good luck with your store. I have run my own business for 35 years and I so want to just be able to let it go. It's good that you have a time limit and a set inventory.

    deb, I always start with my PCP and move on up the chain from there. She always tells me she wants to treat the whole of me, so to let her know whats happening. I also have not had implants. But it's always better to err on the side of caution.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited May 2015

    mac, Hmmm, I wonder if you love or hate that I always refer to the core needle biopsy as the "leather punch biopsy?"

  • macatacmv
    macatacmv Member Posts: 1,386
    edited May 2015

    lol, I love it. It really is basically the same maneuver.

    Now, I had the fun vacuum (laying face down on the table with said body part hanging thru a hole) biopsy while the techs worked underneath.

    But I've had core needle biopsies done during fun dermatology appts.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited May 2015

    They had me on my back. I felt just like cowhide.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited May 2015

    Morning!

    I know a lot of us here might be smarter than my husband is, BUT (my but looks big!) he is a scientist and I was shocked to learn today that the grapefruit-drug interaction was something new to him. Geez! I've know about that for thirty years, passed down in old-wives tale fashion, by my mom. So, I thought I better bring up the topic on here just in case anyone here missed it as well. Don't worry, I won't do any scoffing, like I did with my brainiac mate.

    It's important to keep in mind, because there are so many drugs that are do interact. Check this Wiki page:

    Grapefruit/Drug Interactions

    That's in general, but you can find other BC specific articles like this one:

    Grapefruit & Breast Cancer

    As always, if you want to find out more in depth info.---search a little on your own.

    image

    Won't go so far as to say it is the "forbidden fruit," but doesn't the danger make you just feel like having some right now.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2015

    Oh boy - you are absolutely correct. I was eating watermelon as I read your post but now I REALLY want a grapefruit. Even w/ER/PR negative BC, I'm sorry to say I have been limiting my grapefruit exposure for many years. I really miss it.

  • Tomboy
    Tomboy Member Posts: 3,945
    edited May 2015

    I am so sorry, I have 3 huge grapefruits in a bowl in my kitchen right now. I squeezed 8 of them for juice the other day, which I shared. As soon as they are gone, I will try not to have anymore.... my friend who just moved to palm springs found a tree and no one eats them.... and there are more coming today.... crap

  • Eph3_12
    Eph3_12 Member Posts: 4,781
    edited May 2015

    Fortunately Grapefruit has never been a "must have' for me


  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited May 2015

    So sad that such a good food causes such bad drug effects.Almost makes eating healthy bad for you!

    And I LOVE grapefuit!


  • Eph3_12
    Eph3_12 Member Posts: 4,781
    edited May 2015

    Native-EXACTLY! Bring on the cotton candy, hot dogs & chocolate Milkshakes!


  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited May 2015

    Does Diet Affect Cancer Recurrence?

    Dana Farber Cancer Institute, Brigham and Women's Hospital
    Previously published on Intelihealth.com

    Results of The Women's Healthy Eating and Living (WHEL) trial consisting of 3,088 women concluded that
    eating more fruits, vegetables and fiber while eating less fat did not reduce a woman's risk of breast
    cancer recurrence or death. (emphasis added by NM)

    * * *

    The researchers found that the women who were eating approximately 8 to 10 servings of fruits and
    vegetables a day had the same risk of their breast cancer returning and dying from breast cancer as
    the women who were eating approximately 5 servings a day. While this suggests that eating more
    than 5 servings of fruit and vegetables a day may not affect breast cancer survival, it definitely should
    not be interpreted as meaning that fruits and vegetables do not play a key role in preventing chronic
    diseases, such as heart disease and cancer. (emphasis added by NM)

    Source: http://www.brighamandwomens.org/Patients_Visitors/...


    Diet and Breast Cancer Prognosis: Making Sense of the WHEL and WINS Trials

    John P. Pierce, PhD

    Printed in Curr Opin Obstet Gynecol. 2009 Feb; 21(1): 86–91. Current Opinions in Obstetrics and Gynecology

    Abstract

    Purpose of Review

    To clarify the role of dietary pattern on prognosis in breast cancer survivors.

    Recent Findings

    Observational trials show mixed results that do not strongly support an independent role for dietary pattern in prognosis. WINS and WHEL are two large randomized controlled trials that address this question. The Interventions from both studies achieved significant reductions in energy from fat and the WHEL Study achieved large increases in vegetables, fruit, and fiber. WINS examined postmenopausal women only and reported a not-quite-significant improved prognosis for women in the intervention group, with the benefit focused on ipsilateral localized recurrences but little improvement in the most important distal recurrences. This review considers only WHEL postmenopausal women to aid a direct comparison with WINS. The WHEL Study reported a convincing lack of association between diet and prognosis. However, a secondary analysis suggests that the dietary intervention reduced distal recurrences among the sub-group without hot flashes at baseline.

    Summary

    There is no convincing evidence that changing dietary pattern following breast cancer diagnosis will improve prognosis for most women with early stage breast cancer. However, it would appear to be important for some sub-groups. Further investigation of mechanisms for such selective action is needed. (emphasis added by NM)

    Source: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC263696...


    Both studies, in the small print, indicate that dietary changes MAY help women with ER negative/PR negative bc decrease the risk of recurrence, which essentially disproves the base theory that decreasing fat intake and losing wgt decreases the metabolic syndrome effects supported by estrogen is a big player in the rate of recurrence of bc.



  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited May 2015

    AAARGH! Just listened to a news report about requiring TANF (temporary assistance to needy families) and SNAP (supplemental nutrition assistance program) recipients to undergo a screening process (a questionaire) and if at high risk of drug abuse be subject to drug testing. The big argument against this is that it's targeting people who are poor. Drug testing just because someone applies for public assistance is unfair/unconstitutional. I can be randomly drug tested just because I have a job, a job that has a bunch of money that I earn taken out for taxes, money that goes to those programs! They can't be drug tested cuz it's not fair, but I can? Really? AARRGH!


  • Eph3_12
    Eph3_12 Member Posts: 4,781
    edited May 2015

    Welfare receipents should be drug tested. While they are collecting benefits, that is their job. If I can be randomly drug tested at my job, they should be also subject to that same invasion.

  • glennie19
    glennie19 Member Posts: 6,398
    edited May 2015


    We have 3 months and 4 days to hit 30,000 posts!!

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2015

    Oh my goodness Glennie. Guess I'd better start rambling on here more often.

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited May 2015

    Helping get to 30,000 posts!

    Post, post, post, post, post, post, post,post, post, post,post, post, post,post, post, post,post, post, post,post, post, post,post, post, post,post, post, post,post, post, post,


    OK was going for 30,000 copies of the word "post" but that's getting crazy so ;'ll stop at 30.


  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2015

    Native - LOL!! Thanks.

  • Tomboy
    Tomboy Member Posts: 3,945
    edited May 2015

    We will make that easily, won't we?? If it comes down to that, we could stay up late the night before...

  • Tomboy
    Tomboy Member Posts: 3,945
    edited May 2015

    loooks like we will hit a thousand posts easily enough.

  • Eph3_12
    Eph3_12 Member Posts: 4,781
    edited May 2015

    It warms my heart that someone else pointed out a goal to be reached. According to my math (which is NOT one of my best skills) after this post we only need 424 posts to reach 30,000 by birthday of the thread on Aug 21. We can do that, yes we can!!!!

  • glennie19
    glennie19 Member Posts: 6,398
    edited May 2015


    Good job, NM!   LOL!!

    Ramble on, MinusTwo!

    Yes, we can do it!

  • macatacmv
    macatacmv Member Posts: 1,386
    edited May 2015

    of course we can reach that goal!!!! We all are striving for the same outcome!!!! Life and more Life!

    So I had my ultrasound and fun TVU today. I was so glad when she let me pee before the second act!! I didn't realize how interactive it was going to be. I might be able to count it in for my exercise today. Hold this side down, stick your stomach out, take a deep breath and hold it!

    But the peeve for the day was how she said doc will have results in a couple of days, Good Luck, as I was walking out the door. Why do I need luck? Why couldn't she have said you're good to go!!! Right as rain!!! Normal as normal can be?

  • macatacmv
    macatacmv Member Posts: 1,386
    edited May 2015

    NM, you would have to post just 400 one word posts to get to our goal.

    I have one of my med bottles that always tells me not to eat grapefruit or drink the juice (which seems to be overkill) Haven't had one in years. But I grew up in FL and we had citrus trees in the yard. They were organic (way back then) weren't pretty to look at but awful good to eat!!!

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited May 2015

    Oh yes Mac, we had orange trees in our back yard in Northern California way back when. I agree, they weren't really pretty & hard to peel, but the sweetest juice I have ever tasted. Not to mention the wonderful smell when all the blossoms were in bloom.

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