Newly diagnosed & scared
spent the last two weeks getting test after tests &'talking to dr after dr. I'm completely overwhelmed . How do I make good decisions in this state. How do I focus on anything else. The first couple of days I couldn't even say the word cancer. And now there is a giant neon sign in my head with the word cancer. I can't seem to focus on anything else. It's like suddenly my whole world revolves around cancer. And I'm having such a hard time focusing. I'm trying to keep my sense of humor but it's hard. And how do I find some people that have been through this to sort of mentor me? I think they should provide some kind of sponsor to people when diagnosed . There is a nurse navigator but it is different than someone whose been through it
Comments
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You will hear it a lot here... the testing and treatment planning is the worst, it actually is easier when you start tx so hang in there. For me, that was true... I know that many people don't feel comfortable sharing their diagnosis early on, although I did find one huge benefit: survivors come out of the woodwork to support you and I found people that could play the role of navigator for me! Plus of course everyone on the board here will support you through this. Just ask away!
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I felt the exact same way. But everyone here assured me once you get a treatment plan and start treatment it gets much easier. I know that doesn't seem possible but it's really true. I hardly think about my cancer that much and I'm even in radiation. It doesn't define me, it's just one part of me. I worried like crazy too for at least a month. But it got better. You will get through this too. This is something none of us ever wanted to hear but we are all very strong because we are women. And we rock. You got this and we are all here for you.
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Hi butterflykd, I'm so sorry to hear about your diagnosis, but I have to tell you that the fact that you found this website will be tremendously helpful on so many levels. I was diagnosed back in April and my friend sent me to this site being a BC survivor herself, and I didn't go on it until a week or 2 ago. The women here are so supportive, we have all been through the same terrorizing feeling of a diagnosis, the tremendous fears that we all face as we move into treatment, and the hundreds of questions that race through our minds daily. I too was unable to concentrate, and yet I moved through this one day, sometimes one moment at a time. I kept exercising through the whole thing as best I could to help keep my endorphin's up and my attitude healthy. And yes, I have had some days where I couldn't move from the overwhelm, but you will find a strength inside yourself that keeps you moving forward because you have to. For me this has been a huge wake-up call, I want to learn from it as best I can but I am still scared. My life is more precious to me now, even though it was precious before. I want to focus on the most important things in my life and not sweat the small stuff. And I'm trying to utilize this time in my treatment to get reunited with my personal passions because there is healing in find time and space for those now more than ever. We are here for you, and you are not alone. Sending blessings and hugs!!
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BCO has been a life saver for me. From the moment I found it and went on, the support has been amazing. My onco is always saying, " how do you know that already"? I just smile and say I'm not just a pretty face! Honestly, so many ladies will be able to answer questions that u forget it is a God send. Try not to over worry. Get your plan in place. That really helps, because you are actively fighting the beast
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Dear butterflykdh, welcome to BC.org. We are so glad you are here with us, although we hate the reason....so sorry about your recent diagnosis.
As you can already see you'll find great support and encouragement here among these wonderful ladies! Please keep us posted on how everything is going, we're thinking of you!
The Mods
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I'm sure that starting treatment will help. As will having a plan. I don't do well when things aren't clear so this part is really hard for me & my anxiety is out the window. Everyone says to have 2nd opinions but if I'm comfortable with the set of Drs that I've been given is that necessary. They all have excellent reputations &'have been treating breast cancer for a long time. Most even teach at local med schools also so I'm not sure I'd find better qualified people to do a 2nd opinion without going out of state which I can't really afford. I've spoken to nurses that work at other in home infusions which our son gets for an immune disorder. & they have said that if they needed cancer care to hospital I'm using is where they would go cause their 'team' approach is very effective & all the doctors involved in the cancer teams are excellent . And I've compared their recommendations to sites online & they all seem to say the same thing as recommendations so far. So I guess that is sort of 2nd opinions. Or at least research into it all. I'm just trying to get to a place where I feel safe. I keep having panic attacks when I start to fall asleep. I guess I can hold them off when I'm alert but my defenses are down as I start to fall asleep. So sleeping has been difficult also. I'm just a hot mess right now. I want to be strong I hate being weak but I can't seem to get grip for long. Thank all of you who responded. The support means a lot to me!!
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Hi Butterfly:
In your profile, you have listed tumor size, but not HER2 status.
- Tumor Size: 1cm-1.9cm
Are you awaiting the results of a HER2 assessment? This might affect treatment recommendations prior to surgery.
BarredOwl
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Sorry you are going through all of this. The beginning is the roughest and things will improve.
For what it's worth, I loved my doctors as well, and they came highly recommended. I did not feel I needed a second opinion and I did not want to delay the recommended treatment as it was pretty cut and dry. I know the anxiety can be crippling and many have found relief with anti- anxiety meds such as ativan.
Good luck!!
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No, second opinions are not obligatory! If you can get them with minimal fuss and expense, then sure. If there seems to be a discrepancy between what your oncologists are suggesting and the national guidelines for your stage of cancer, then sure. (though in that case, I'd suggest also asking YOUR oncologists about the discrepancy as well)
Otherwise, don't worry about it!
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Hi:
I agree with queenmomcat.
However, I was asking about whether HER2 testing has been done or has been requested, because national consensus guidelines recommend such HER2 testing. Specifically, for invasive disease, the National Comprehensive Cancer Center (NCCN) guidelines (Version 3_2015) recommend the following tests be performed prior to loco-regional therapy (e.g., surgery):
• Determination of tumor estrogen/progesterone receptor (ER/PR) status and HER2 status
Patients with tumors this size who are found to be HER2 positive typically meet with a medical oncologist prior to surgery, and receive a recommendation regarding whether or not they are a candidate for "neoadjuvant" therapies (drugs administered prior to surgery).
Please let us know if you awaiting the results of a HER2 assessment or if this has not been requested. Personally, I would be inclined to seek a second opinion if HER2 testing was not recommended prior to surgery for a 1cm-1.9cm tumor.
BarredOwl
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BarredOwl: sorry, you're right! though I don't know if OP had the test done and didn't list it (I forgot to list mine until you brought it up just now.)
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Hi queenmomcat:
Me either. Hoping Butterfly just forgot to enter the information or test results are pending.
BarredOwl
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Hi, dear sister. Welcome to this site. I am 17 years post treatment, 80 years old and in good health. Remember, about 80% of BC sufferers recover completely and go on with their lives. It is a tough year, scary and lonely. But you will do fine and come back to help others. Most of the gals I first met have long ago got on with life. Come often with any topic and our sisters will talk you through, gentle hugs Shirlann
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Yes the HER2 was inconclusive so they sent it out for more testing.
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And I see the oncologist tomorrow so hopefully they hill have those results & my MRI results for me when I go. I will let you guys know what happens. Thank you for all the responses. It helps more than I can say to have the support of those who have been through this also!!
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Please do let us know! not just the Her2 tests.
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I will. I'm taking a lot of deep breaths today. Something about going to the oncologist makes all this very real .
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hi, the MRI,didn't show any other problems. They didn't even show any lymph node involvement . The HER2 isn't back yet. The oncologist is referring me to an endocrinologist at their hospital to get my Addisons under control prior to surgery which he thinks I should have first &'then chemo. And also, so he can be part of making our plan because my blood pressure is already very low & they don't want to make it worse with treatments. So as soon as I see the endocronologist & he helps us figure out how to keep the Addisons under control we will schedule surgery so probably in the next week or so we will get it scheduled. And he said he's taking all my medical issues into account to make the cocktail of chemo for me & will be administering stuff to counteract the problems they could cause along with the cocktail. To hopefully avoid any bad things happening because of my other medical problems. That impressed me.
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Hi Butterflykdh:
Great news on the MRI. It is also nice to see the oncologist coordinating your care with an expert.
BarredOwl
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I was given this information through an American Cancer Society worker at my hospital. I haven't took advantage of it yet but it may be what you are looking for in terms of a Mentor.
imermanangels.org
Are you a cancer fighter, survivor or caregiver looking for 1–on–1 support? Through our unique matching process, Imerman Angels partners individuals seeking cancer support with a "Mentor Angel".
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hello sweetie, u have come to the right place for people that been there, most of us here, i know that feeling of being overwhelmed, i was planning our 2nd wedding when i found my lump, but once treatment plans are in effect things will calm down some, but i come back to give HOPE cause with my faith it got me through, i m here to Inspire others, i am now a 21yr survivor(Praise GOD) , Positive thinking, saying to myself "this too shall pass," i will make it thru. We here are in my prayers daily. msphil(idc,stage 2, idc, L mast, chemo and rads and 5yrs on tamoxifen) -
thank you for all the support. I'm feeling much stronger with all the support. And I'm finding local resources. Tomorrow I am doing a race for a cure where I will get to meet more people like all of us here. I felt very alone at the beginning of this but every day I find some one else who is supporting me through this. Sisters I didn't know I had. Online & off. I don't know how I'd manage all this without all of you out there! I'm so glad I found you. I know there will be days in the not too distant future where I feel awful but I now know I don't have to do this all alone. Thank you for being there for me. I know I will need all this support to get through this.
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ladies I'd love an opinion on what you guys decided with your surgeries. My HER2/ FISH tests are still out ,so is the genetics testing, but I do have a family history of cancer (breast, skin &'lung cancer). There are 2 separate masses about 2 inches apart one just over 1 cm the other aprox 3/4 cm.The larger is stage 1 &'the smaller stage 0. They do not believe there is any lymph node involvement ormother spreading but obviously that can not be 100%. The genetics counselor made it sound like I have a high likelihood of other masses in the same or the other breast later because of having 2 separate & because of family history. The surgeon basically gave me 3'options: lumpectomy & chemo with high risk of other rumors devoloping over time, single mastectomy with very little chance of any further issues in the right breast but possibility of rumors developing over time in the left, Double mastectomy & chemo to put my chances of any recurrences extremely low. I know no one can tell me what to do but I'd love your opinions. It's a horrible choice either way but I'm terrified of this all happening again & next time ending up to be even worse. I would get reconstruction with either mastectomy choice. Luckily my insurance covers that . I just don't know if I'm overreacting to the odds of recurrence. I've been reading all the info I can find on reputable sites but it's different than hearing other people that have gone through the same thing. & hearing what choices you made & why I just know I'm 50 & don't have very good health anyway so going through this once will be difficult to do. & keep my other health issues stable, but doing it twice will be even harder.
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Hi Butterfly:
To get you started, here is a link to Beesie's famous and excellent post about deciding between lumpectomy and mastectomy:
https://community.breastcancer.org/forum/91/topic/...
BarredOwl
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Hello Butterfly,
I'm very pleased that you are finding the support that you need through this ordeal. The tone of your posting does demonstrate the confidence that comes with good support, and I am so very glad for you. (And, I will keep in touch with you about the breast cancer groups in our area).
As to the decisions you are now facing, I do have 2 things to share.
First, on the choice of reconstruction, that is completely a personal decision, one that you must make for yourself. That being said, it is my opinion that the default position of the breast cancer treatment community is to advise and opt for reconstruction. That was certainly my experience, and I have spoken to others who share my opinion. I chose against immediate reconstruction, deciding that I wanted to heal and experience life without breasts, and pursue a choice of the many reconstruction methods available only after I knew I was dissatisfied with life without reconstruction. It is also my opinion that many ladies proceed with reconstruction without understanding the full extent of the risks. Among my community of family and friends, I was personally aware of many women who encountered very serious and debilitating complications with reconstruction, implant rupture, infection, contractions, to name a few. My primary goal is health and function, and adding to risks in that area, at least without knowing what the flat life would actually be like for me, was beyond my comfort zone. That being said, I did go into BMX as an A cup, so flat is not that far from my life anyway. So bottom line, I think it is critical to understand the risks and evaluate whether the benefit outweighs those risks for you.
And secondly, as to the choices of LX, MX, BMX, I will share that I approached the decision by sharing with the BS, the rad doc, and the MO, my personal priorities in life and work along with treatment. And like you, I do have a family history of breast cancer. All of these specialists met in what is called tumor board and make recommendations for treatment. I had no personal preference for LX or MX, other than not wanting unnecessarily aggressive surgery. I wanted the advice that they would give to their own mother on how to proceed, taking into account what they knew of the medical issues in combination with my personal issues. The advice was BMX, and that is what I did. I know that the trend is to put the patient in charge of the decision, but my decision was to follow the course the surgeon would choose for her own family.
There are so many contingencies in our decisions and treatments that it really can simply wear you out!! Wishing you the very best in your treatment!
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Hi Butterfly:
Itzy has provided some good information there, including the often not discussed option of non-reconstruction.
Although I decided not to reconstruct after bilateral mastectomy (for bilateral disease), I did consult with a plastic surgeon in the interest of making an informed decision. You can find out what types of reconstructive surgery you are a candidate for, and then focus on what those particular procedures entail, the added time in surgery required, the likely aesthetic results, the types of complications and their frequency, and the likelihood of subsequent procedures (many of which are done under anesthesia (e.g., revisions, replacement of implants)).
If you'd like to find out more about not reconstructing, you may be interested in reviewing the information at the breastfree.org site created by member Erica (aka Barbara), one of the best sources of information about mastectomy without reconstruction:
There you will find information about why others chose not to reconstruct, personal stories and photos (see menu at right), plus useful information about preparing for surgery, various types of prosthesis (forms), as well as going without prosthesis ("going flat").
BarredOwl
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Thank you. This info really helps. The dr can quote all the stats & options ybut hearing from people who've gone through is much more helpful. I had pretty small breasts when I was young but after 2 children & a lot yrs that added fat I'm now a D cup (& in some bras even a DD) & I love that after being small before so I don't think I personally could handle a BMX (still getting used to all the new abbreviations!) without reconstruction. My oncologist has said I will need chemo regardless of what type surgery I have just to clear up anything they didn't locate so I will probably have to wait for reconstruction until that is over. They have said that the reconstruction with my own tissue from somewhere I have extra would be better than implants for me with my other health concerns they don't want to risk having one leak or needing anymore follow up surgeries than absolutely necessary. I'm thrilled that they said they could use from my buttocks because it's too big anyway. Lol. Hubby says he won't care if I have butt boobs. Lol. I don't think I can take the fear of cancer coming back& although I know there is still a very small chance of getting it again even with BMX I will feel better knowing I've done all I can to lessen my risk. I hate the idea of losing my breasts but not so much as to further risk my life so if it is a high likelihood that it will return I think BMX might be the right choice for me.thanks you all for supporting me through this & sharing your knowledge. There really is just so much info to figure out with this that its hard to see everything without help
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sweetie, u are sooooo right u want to hear from those goin thru and been there, i am from last group, i come here for I nspiration to those going thru and just diagnosed for Inspiration, sharing those feelings your going thru now, once treatment plans in effect u wont feel so overwhelmed take it from us here, and to I nspire u, i am now a 21 yr Survivor(Praise GOD. msphil(idc,stage2, 0/3 nodes, Lmast, 0/3 nodes, chemo and rads and 5 yrs on tamoxifen)
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HER2 was also,negative. I have decided on a BMX with reconstruction to reduce recurrence risk as much as i possibly can...the stress of all this is really taking a toll on me & my Addison's & I want to feel like I've done everything possible to reduce my risk of this ever happening again. See the endocronogist today. I hope they can help me feel a bit better so I can get thru all this!! Right now I'm exhausted & dizzy all the time!!
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Itzy tried to send a private msg just now but it won't let me says I've met my allowed number of private messages but I've only done the one to you today so it doesn't make sense. So check my profile here & send me a msg thru my website because I think what we were talking about would work & it would help immensely right now!!
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