metastatic breast cancer stage IV 3 bone mets

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lissalou
lissalou Member Posts: 66

"Terrified" about sums it up when someone tells you that 3-5 years is the average length of time you have to live after this diagnosis. "You may live longer but that depends on how you respond to treatment." I don't know how to think, feel or act. I'm only 49 and I have 3 adult children and one still in high school. A husband of 26 years that is as afraid as I am. I feel worthless, afraid, angry, alone and like a financial burden on my family. I am afraid to send my family into financial disaster so that I can live 5 more years? That makes me feel selfish. I am scheduled to meet with the oncology team at the university of Michigan in 2 weeks. I guess the hardest decisions will come after that, to seek treatment or not. My family has a long history with terminal cancer. Mother and brother died of lung cancer, one brother survived colon cancer and my father died of lymphatic cancer. I admit that i am not well versed on this disease and its progression, however, i cannot concentrate while reading articles on this topic. It is all to frightening to me. In fact I cannot concentrate on anything. I can't eat and I can't sleep. With the holidays coming I don't know if I should attend the annual parties or skip them to avoid all the questions and sympathetic stares. My husband immediately is trying to plan a trip to the florida keys, however, I just feel none of it matters. My daughter took me to the mall to get me out of the house today. It is odd to walk through a mall and think I don't need any of this anymore. I wont be here to enjoy it or use it. I know I sound depressed and I most certainly am. I would assume this is a normal feeling after getting this sort of news. I know people have written on this website about their personal triumphs and I applaud them and their courage. I just don't believe I have that kind of courage or strength. Any helpful advice would be appreciated.

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Comments

  • Hubsofamanda
    Hubsofamanda Member Posts: 8
    edited December 2015

    My wife was diagnosed a month ago and I can tell you what you and your husband are feeling right now is normal but even in just 30 days it gets better. Just breath and cry and let your husband do the same thing. Talk to your doctors and get a good plan in place. Once that happens some of the urgency seems to fade and life starts to come back into focus. I'm sorry that your part of this shitty disease but there is lots of encouragement out there. Lots of long time survivors and lots of reasons to fight! Thinking about you and your family tonight

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited December 2015

    lissalou,


    Everything that you are feeling is normal when you receive a stage IV disgnosis. But, there is lots of good news. The first being that bone mets can be quite manageable. Without knowing the particulars of your diagnosis, I can't speculate on your treatment options, but I can tell you that there will be options. One thing I would recommend is seeking a second opinion, especially if your oncologist gave you that 3-5 year time frame. With only limited bone mets, there is no reason to put time limits on your life.
    As for finances, do you have medical insurance? If not, there are different ways to get financial assistance to cover your care.
    I have been living well with a single bone met for over 4 years. I work, travel and enjoy my family. I plan for the future, but live in the present. I buy myself what makes me happy and never think that I don't need, want or deserve things that make me happy.
    So take a deep breath, get a second opinion and go back to the mall and buy something that gives you pleasure. Give yourself a break. It will get easier.
  • Susie02
    Susie02 Member Posts: 17
    edited December 2015

    I agree with the advice above

    PLUS

    God is in control!!!

  • lissalou
    lissalou Member Posts: 66
    edited December 2015

    We do have medical insurance but it is not going to cover the cost of all the treatments and meds. I am going to the university of Michigan for the second opinion. I am hoping they can give me a clearer picture of what my treatment options are. Thanks to all who have responded i feel less alone and will try to be more positive. I appreciate each of you taking time out of your day to help me through this difficult time.

  • PattyPeppermint
    PattyPeppermint Member Posts: 11,162
    edited December 2015

    hi Lisa. Terrified that's a great way to describe it. The feel of a financial burden, and emotional burden, and just and a time burden for our families, is very normal thinking. In tears on mine I had so many tears during those first few months. Give it some time. Once you see an oncologist and find out your options can make a plan. For me I got a little easier once I had a plan in place and knew what I could do. I definitely agree second opinion is needed. How old is your daughter? How is she doing? This is a great place to find information and support.

  • Lynnwood1960
    Lynnwood1960 Member Posts: 1,284
    edited December 2015

    Lissalou, I have stood in your shoes just 8 short months ago. I have felt every single thing that you do now. I would go out in public and look at people and think that they are living and I am dying. Fast forward to now..I have a good onc that tells me to ignore the statistics because they are outdated, and tells me that she has patients that have been on treatment for 10 years and more. I am back to work full time as a nurse and feeling well. My life goes on and is basically the same as before except for the meds and doctors visit every month. I still have my moments of fear but I tell myself that for today, I am ok and doing well and will not worry too much about tomorrow. Once you get your treatment plan in place you will feel more in control and that helps a lot. Hang in there!

  • DivineMrsM
    DivineMrsM Member Posts: 9,620
    edited December 2015

    lissa, we have all experienced the roller coaster of emotions you are currently feeling. It does get better. Yes, you are worth the extra money those co pays are going to cost. You will make adjustments to how you live. It is a transition and won't happen overnight. It is normal to worry about the cost. Please take this one step at a time.

    Take some deep breaths. Often. Ask your primary or onc for some antianxiety meds. Many of us use them to help us cope. Your way of looking at life has been forever altered. Another coping mechanism is to stop projecting yourself three and five years down the road. Many of us learn to live today, in the here and now. As stated, this new way of looking at life is a transition from the old way. For me, the antianxiety meds helped me stay more in the moment and wards off the fear that initially griped my thoughts.

    It is going to help some when you get a treatment plan in place. My doctor advised me not to look up stuff on the internet, too scary and too much misinformation. I listened to him. Much of the info I need comes from this forum.

    It is surprising that I have had some of the best moments of my life since being diagnosed with bc, not because of it but in spite of it. I consider myself to be LIVING with bc, not dying from it. At the end of this month, I'll be heading into the sixth year of dealing with stage iv bc. There is a post called "Life does not end with a stage iv diagnosis...really!" that you may draw some inspiration from. https://community.breastcancer.org/forum/8/topics/...

    Best wishes to you as you navigate these new waters. We are here for you to offer support.

  • lissalou
    lissalou Member Posts: 66
    edited December 2015

    thanks to everyone for their kind thoughts and words. I received a phone call from oncology this morning and found out I have the same type of breast cancer in my right breast as well as my left. Which they tell me is uncommon but will not change the treatment plan. I am still very afraid but am thankful for the people here who have given me a sliver of hope. I'm not ready to die. I should be getting an appointment with U of M soon and hoping that I will leave there with a plan I am comfortable with. It is the unknown and the "what if's" that keep me up at night. Thanks to all of you for your support!

  • Lovelife49
    Lovelife49 Member Posts: 59
    edited December 2015

    Lissa, I'm so sad you're going through this. You and I are similar in that I'm also 49 and have a child in high school (no adult kids, though), plus I grew up in Michigan, so your post particularly tugged at me. I wanted you to know that I have had pretty much every single thought you have over the last three months since my diagnosis, including giving up, being mad as all get out, suggesting to my DH we not spend one red cent on this so I can leave it all to the family, then deciding to fight like a maniac, and on and on. I think all of this must be completely normal because it sounds like most of us have had these same thoughts! It really does get a little better with time. I won't lie and say that these thoughts never show themselves again, but after the initial adjustment period, they lessen a good deal. I think the five stages of grief apply very much to a cancer diagnosis and that we all go through them and vacillate back and forth at times. You came to the right place for some help with your feelings. I felt very hopeless until I started reading here and realizing that life isn't over yet, hopefully not by a long shot. I'm glad you are going to the University of Michigan, a very solid cancer center. Hugs!

  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited December 2015

    Lissalou,

    I'm three and a half years out with bone mets, so I do know how you feel.

    Here are a few hints for Cancerland:

    1. Open enrollment might be over, but call whoever runs your insurance program and see if you can max out your FSA contribution. That should cover most of your co-pays for the year, prescriptions, and imaging. I have found that imaging (CAT scans, etc.) is the most expensive bit for me. Since my local hospital went off of the traveling CAT/PET van, and got their own machines, each CAT scan is running about $600 for the co-pay. It used to be about $350. Your mileage may vary, but I'd plan on two scans a year.

    2. Depending on your initial treatment, be cautious about travel plans, and any non-refundable tickets and deposits. Wait to see how you are handling the treatment before you fire up the travel machine.

    3. Don't feel like you have to be superwoman. Figure out how much energy you have, and learn to discard the useless. Clearly, in my house, I have found cleaning to be an energy suck. I'd rather play with my kid.

    4. Learn to love yourself. You are worth the expense of treatment. All the ladies here have vast wisdom about navigating treatment expense. Post a query, and you will get answers!

    5. Depending on treatment, it is likely that your body is going to feel funky at some points. Get natural fiber jammies, as the polyester ones seem to cling to a clammy/night-sweaty/fussy from treatment body. Make sure your mattress is friendly. Get a comfy chair. I found a nice looking Lazyboy on Craigslist, and it is my buddy.

    6. Comfy shoes. Some of the treatments can mess with your feet, but it is important to keep moving. Look out for nice looking, walkable flats that aren't too hard to get on and off.

    7. If you get IV chemo, wear clothes that are easy to pull up and down for restroom access. They give a lot of fluids when they hang the meds, and you will be a frequent bathroom visitor. Especially if you don't have a port, and are trying to manage your garments with one hand mostly out of commission from the IV site. Which leads me to . . .

    8. Get a port if you are going to have a lot of IV treatment and you have troublesome veins. The Bard Powerport seems to be the best one, but I've had mine for three years now, and that might have changed.

    9. Lastly, pay no mind to Dr. Google. Those stats are old, and new treatments keep moving the goalpost. Any info over a year old is stale. This site stays very current, so you can trust it. Not the forums (though mostly very good), but the moderated articles are up-to-date.

    Cyber hugs.

  • Nel138281
    Nel138281 Member Posts: 2,124
    edited December 2015

    Lissa,

    Ditto what everyone here has said. What you are experiencing is typical of what happens when you first hear the dx. Many of us are living well and I for one "buy" things I want. I did not see this suggested above, but I might have missed it. Many of us have been prescribed an anti anxiety or antidepressant medication. It has meant a world of difference to me and many others. Do not be afraid to ask for help, this is a tough, but very doable road we are on. "Better living thru chemistry"

    Be well

    Nel

  • WinningSoFar
    WinningSoFar Member Posts: 951
    edited December 2015

    Dear jenniferblaine,

    That is one of the best lists of practical advice. The recliner and the port are musts, and one would not think of that ahead of time.

    Dear lissalou,

    I was diagnosed with 5 bone mets and all of them were gone within 3 months of Abraxane. I've had another spot or two since but have gotten rid of them as well. Don't assume that you won't do well with treatment. And please don't assume that treatment is complete hell. It is for some, but many of us find it doable. Please put your anger to good use by being a good patient and hope for the best.




  • DivineMrsM
    DivineMrsM Member Posts: 9,620
    edited December 2015

    I'm not sure why your doctor gave you a 3 to 5 year timeline. They simply do not know. Many oncologists will offer more hope and take the process one step at a time. My onc never said "you have this many years".

    When a woman gets hit with this diagnosis out of the blue, she and and her loved ones sometimes react to misinformation simply because it's all new and there is so much information to digest. They may be operating on some erroneous perception as to what is supposed to happen. I think that's why some husbands think you have to immediately take the trip of a lifetime, like its a made-for-TV lifetime movie where there is much drama in the urgency of getting things done. My husband wanted us to just jump a plane to The Grand Canyon because I'd always wanted to see it and he just wanted me to have something to feel good about. But I didn't want a spontaneous, haphazard, hectic trip; it had to be something I was comfortable with.

    The first year, I had the big treatments, chemo, rads, lumpectomy, hormone therapy. The following year, I started planning that Grand Canyon trip, saw it along with the Hoover Dam and spent a few days in Vegas and since then have been to numerous other places including a cruise to the Bahamas. I was in a much better place emotionally and mentally to enjoy those trips after the first year.

  • Toto06
    Toto06 Member Posts: 61
    edited December 2015

    Dear Lissalou,

    I too am 49 with two adult children and a sixteen year old at secondary school. I got my stage iv diagnosis last March 11th and needless to say I was devastated. I felt that all my plans for the future were being robbed from me in one fell swoop and the very thought that I would not be around for my children broke my heart. An elderly friend of mine said the following "in every crisis/situation first we do what is necessary; then we do what is possible, remembering tomorrow is promised to NO ONE"

    That one sentence captured my imagination because it's so true. No One is promised tomorrow. So, don't miss out on one single day of living. Treat yourself, be kind to yourself and most importantly love yourself. Please do not despair as your diagnosis will become clearer and brighter once your treatment plan is in place. Remember, you are unique, your body is unique, there is only one of you in the whole world and you will respond in your own unique way to treatment; so never let statistics burden you.

    One day at a time, xx

  • 3-16-2011
    3-16-2011 Member Posts: 559
    edited December 2015

    Lisalou

    All of these posts have such great hope and wisdom. I was dx just over a year ago and this thread has given me a booster shot of hope.

    My life has changed in this last year, but I have no regrets. I have given up work and focus on my 19 year old daughter and 14 year old son. I have been a saver my whole life and I am learning to be a spender. Some neighbors have become close friends. Some things havent changed. I am incredably imperfect and waste too much time in worry and arguing. I struggle to learn and grow. This website has given me so much support and wisdom.

    If you are considering letting go of. work, know that metastatic breast cancer is on the compassionate allowance list with social security making the application process so much faster.

    Wishing you peace

    Mary

  • kayrnic
    kayrnic Member Posts: 1,708
    edited December 2015

    I felt the exact same way after my diagnosis (almost 4 years ago). I refused to buy ANYTHING as I figured I was just going to die so why bother. Even green bananas caused me to pause. I was a train wreck! But, once I had a treatment plan in place and wrapped my mind around it, things got better. I was 39 at the time. Today, I am 43 (almost) and I still work, travel, etc. There have been bumps in the road, but I am so glad I decided not to give up! Life is still good! Bone mets are very manageable. My advice: Don't give up! Don't be hard on yourself.....cry when you need to, attend only the events you truly want too, take meds if you need too! Visit this site often for advice, humor, empathy, and support! Much love to you!

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited December 2015

    Kay,

    Love the hesitancy on buying green bananas 😅

    Caryn

  • annieoakley
    annieoakley Member Posts: 870
    edited December 2015

    Kay, I loved your post and thanks for the chuckle about the green bananas!

  • Bestbird
    Bestbird Member Posts: 2,818
    edited December 2015

    I am glad you found this site although I'm sorry for the circumstances that brought you here. You've received marvelous input, and you'll see the commonality about how the initial weeks and months after a Stage IV diagnosis are the worst, and gradually you'll begin to feel a bit better - unbelievable as that sounds right now.

    I'd highly suggest obtaining a second opinion about your treatment plan for peace of mind, and also might point out that if you have only 3 bone metastasis, you qualify as being "oligometastatic," (i.e. having very limited metastatic disease) which implies that with treatment your situation may potentially stand a chance of effecting a cure.

    You may be trying to obtain information about your disease at a time when you are least equipped to do so. I was in the same position four years ago after being diagnosed with lung metastases. Subsequently I've written a Guide to mbc therapies to assist others through this difficult time. The Guide contains a chapter about oligometastasis, which you and your medical team may find of particular interest. If you are interested in requesting a complimentary copy of the Guide, please visit the top of this link after copying and pasting it into your Internet browser: https://community.breastcancer.org/forum/8/topics/831507?page=2#idx_31

    I hope you respond well to your treatment and that one day soon you will find yourself reaching for those green bananas!

  • lissalou
    lissalou Member Posts: 66
    edited December 2015

    Thank you for the encouragement and information that I have received from all of you. I have been diagnosed with the same type of cancer in the other breast. Going to U of M tomorrow for the second opinion. Hope to start treatment soon. Emotions are still all over the map. With the holidays looming I am really feeling the financial strain. My husband and kids are all being very supportive but I feel as though I have let down the team. Christmas is looking skimpy and the medical bills are starting to roll in. On a positive note I have lost 12 pounds of worry weight. The doctor gave me Ativan for the anxiety, which really helps but then I feel like I could sleep all day. I will post after the appointment tomorrow. Keep the encouragement coming! I love reading your success stories they give me hope!

  • 50sgirl
    50sgirl Member Posts: 2,527
    edited December 2015

    Lissalou, You have not let your team down. They know that you have no control over the situation. My mbc dx was just six months ago, and now I feel grat. We were settling into a normal life again, planning vacations, etc. Now it looks like my DH has kidney cancer. We have appts with specialists at two cancer centers this week and next. In no way do I feel that my DH has let me down. Sure, it is not the best time of year for this, but there is NO good time. Cancer sucks big time and doesn't care about interfering with lives.

    Here is how I feel about my husband's situation. 1. He did not plan to have cancer. He has no control over that situation. 2. The money doesn't matter. It is better spent on helping my DH get through this crisis than on anything else. He means so much more to me than money does. The finances will be worked through later. 3. The holidays might be skimpy this year, but I truly believe that having family members together means more to most people than lots of gifts. Love and family deliver so many riches to us. 4. I want my DH to have a treatment plan in place asap so we can take the next steps. We can celebrate holidays later, if we have to.

    I am sure your family treasures your well-being above all else. I will keep you in my thoughts and prayers and look forward to reading your updates.

    Btw, I plan to live for a long time with all these bones mets I have.

    Lynne

  • lissalou
    lissalou Member Posts: 66
    edited December 2015

    thanks for the encouragement, Lynne, I will be thinking about and praying for you and your family.

  • Heidihill
    Heidihill Member Posts: 5,476
    edited December 2015

    Sounds to me like your family's love will bring you a longer way this Christmas and beyond than anything money can buy.

    i was also 49 at diagnosis. Now I'm 58 and my daughter is in high school. Limited bone mets, like what I had, can be very manageable and you have a chance of even having a remission. Keep us posted on the second opinion.



  • amred
    amred Member Posts: 10
    edited December 2015

    For what's it worth, I'm 6 years down the track from bone mets diagnosis and fairly stable. (It was high grade, lots of nodes positive originally). Still just in bones.

    Constant chemo with small breaks now and then - tiring, but I'm still here. I run, I ski...

  • Toto06
    Toto06 Member Posts: 61
    edited December 2015

    amred your post is worth a lot, delighted to hear that you are 6 years down the road and despite your regular chemo (albeit with breaks) you are doing pretty well, skiing and jogging!! fair play to you. Also heidihill very encouraging to hear that you are nine years on and going strong. lissalou every good wish with the second opinion. 50sgirl I like your strong family values, hope your husband is doing well, clearly you are both very supportive and caring of each other and ultimately that's what it's all about.

  • lissalou
    lissalou Member Posts: 66
    edited December 2015

    had my appointment with u of m yesterday. same prognosis 2.5 to 5 years to live. 22% chance of living to the 5 year mark. they are going to start me on the hormone blocker tamoxifen and i also will be in a trial group for a new drug. I guess I had my hopes up too high. I feel absolutely devastated again. My husband as well stated he feels "powerless". Anyway, they (U of M) will be taking a biopsy from my spine early next week just to confirm it is the same cancer . They also will study the sample "to see why my cells are behaving badly" which may help in deciding tx options for down the road. I cannot bring myself to believe that I will be dead by 55. I had hopes, plans and dreams to chase. I wanted to see my children marry and maybe hold a grand baby or two. I feel cheated, robbed and an overwhelming sadness that I cant put into words. How am I supposed to go on living knowing what the future holds, which is pain, sadness and an all consuming fear. I never considered myself a whiner but I am completely lost. How do you enjoy things when you are constantly thinking "that's probably the last time I will do this".

  • 50sgirl
    50sgirl Member Posts: 2,527
    edited December 2015

    lisalou, Your MO is just quoting you statistics, and you are not a data point. The statistics are based on old information, and much progress has been made in treatments. It is likely that we will not be cured, but it is also likely that we can live for many years with mbc. I told my onc and breast surgeon that I intend to live for a long time, and they are both onboard for helping me do just that.

    Please do not give up hope. Find some threads on this board that focus on the same type of cancer you have. Read and join the discussions on the Bone Mets Thread. Read the thread that Caryn began about There is Life After Stage IV (I forget the exact title but someone will give it to you, I am sure.) There are many wise and supportive people here to help you through this. The first few weeks and months are the worst. It will get better, really.

    I only told my family and only a few close friends about my dx last June. I continue to lively a fairly normal life with the addition of tests and dr appointments thrown in here and there. People who have not been told about my dx would never know that I have mbc. I look pretty darn good! Many people on these boards continue to work, travel, have fun, etc.

    I will continue to keep you in my thoughts and prayers. Let us know how you are doing.

    Lynne



  • leggo
    leggo Member Posts: 3,293
    edited December 2015

    Hi Lissalou. I've been where you are. I remember almost passing out when I got the news. 2 years? seriously? It's 10 years later. I'm still here. The best advice I can give you is concentrate on the fact that it is treatable, not curable, but treatable. I would also kindly suggest you look into complimentary and/or alternative treatments. There are several things out there that CAN and DO help slow things down. Lastly, and this I think is the most important and it took me a while to realize, attitude is so important. I've seen so many women that just wallow, stay angry, become reactive instead of proactive. In my experience they fare far worse. I know how devastated you are right now.....I felt pretty sorry for myself at the beginning, but trust me, feeling confident in whatever treatment you decide to do is half the battle. No reason you can't be here in ten years too! Hugs and much love to you.

  • mo37
    mo37 Member Posts: 17
    edited December 2015

    lissalou,

    I was diagnosed with bone mets in 2004. After 8 rounds of chemo and 11 years and counting of femara, I am still in remission.

    I was 47 when diagnosed and am now days away from turning 59.



  • HLB
    HLB Member Posts: 1,760
    edited December 2015

    oh my goodness, why are all these oncs giving this lousy 2-5 years nonsense!! Please don't take that to heart. Look at all of these ladies who posted that are living much longer than that! And they are not rare or exceptions to the rule. I really don't think that stat is valid. They really need to stop saying that! Geez, how depressing. I highly recommend to take up Bestbird on her offer of the guide she put together. And like Caryn said, with only 3 mets you could even have a possibility of cure or long term remission. Not all oncs are on board with this thinking, so search until you find one that is! Try not to worry too much. The hormonal treatments are very powerful. When I had my first onc visit after being diagnosed with mets, my parents went with me. My dad asked him what the prognosis was, and I started to interrupt, because I did not want him spewing a out a number for me to have in the back of my mind forever. He told my dad that with bone mets it can be managed for many many years and he certainly hopes that I will be one of those patients. I think my dad was looking for something more specific but too bad lol! The only way I want any info is if it's at least 30 years.

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