Diagnosed on 3/23/2016
Hi, I've just recently been diagnosed with Invasive Ductal Carcinoma, grade 2 stage 1. I woke up with a rash and excruciating pain on the nipple of my right breast on 2/19/2016. My doctor couldn't get me in so I went to the ER and I was told it was Cellulitis. My primary care doctor wanted me to have a diagnostic mammogram done just to be sure. I agreed and went to my appointment on 3/3/2016. Everything was fine in the right breast but they found a mass in my left breast. I had a biopsy done on 3/18/2016 and I received the results on 3/23/2016. When my doctor called me with the results I wasn't shocked or had any emotional feelings at all, I just told him thank you. I had an appointment with a breast specialist on 3/24/2016 and she went over the test results with me. All results were normal with Progesterone/Estrogen neg HER2 negative. She told me if I were to get breast cancer this is the one to get. I then had an appointment with the plastic surgeon on 4/4/2016. Everything is moving so fast I haven't really had any time to go through any emotions. I honestly don't think it has really hit me yet. Everything is lined up and I'm just waiting on a surgery date. The breast surgeon and the plastic surgeon will be doing the surgery at the same time. I'm worried I'm going to have a major breakdown once it's all over and lose all control. Has anyone else had things progress so quickly that you didn't have time to react to anything? I guess I'm freaking out about not freaking out...
Comments
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Good morning WenchLori,

The breast surgeon and the plastic surgeon doing the surgery at the same time is quite normal for people who know they want reconstruction. Some people choose no reconstruction and others wait, take their time to decide and may have it later in a separate procedure. THE DECISION IS YOURS.
The hospital I had my surgery at was a bit busy and I waited almost a month for my surgery date, which was comfortable for me. You can certainly ask the person who scheduled you if there are any other dates available.
I found having time to wrap my head around everything was useful - a month was a little more time than I needed.
And I hate to say this but it has helped me, now is a perfectly legitimate time in your life for the option of anti-anxiety medication. If that might be an option for you just give one of your doctors a call. THE DECISION IS YOURS.
We're here for you,
cb
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lori...sorry to hear that you are joining us. You ask a most interesting question, one that I've not seen asked before on this discussion board. Wondering why you haven't gone to pieces when hearing you have cancer is quite interesting and for sure out of the norm. That said, the answer to your question is, "Yes," there are a few patients like yourself and that includes me! That doesn't necessarily mean we are stronger, better or wiser. Most patients usually move slower from diagnosis to active treatment, which I think is the hardest time to emotionally deal with the situation. Like you, I progressed quickly and hadn't enough time to emotionally deal with my situation. But, I think there were several reasons why I didn't feel like the ground below me was falling.
First off, I went into the diagnosis with the experience of having almost died on two occasions. I also have a husband who has had difficulties with his health as well. So, I wasn't rattled by hearing I had cancer.
Secondly, and most importantly, I was told repeatedly by my team that there was a good chance that I would do well. I think respecting their opinions went a long way with respect to my emotional health.
Finally, I've always been stoic. Not feelingless. I'm just the type of person who prefers not to let their emotions swing too far into an abyss. And the few times that I've swung into an abyss, I've had the ability to quickly claw my way out!
Still, some things about being a cancer patient continues to rattle me. I hate the word, "Oncology." And, looking for the Oncology Department scares me even more because once I get there, I feel badly for the patients that I find once I get there.
You are early in the process, so it is possible that at some point along this journey, you are going to feel upset. We all do at some point but at varying degrees. For me, just hearing from my physicians that for many of us cancer is a treatable disease has kept me balanced for so long. I wish you the same journey....
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Hi Lori - I just stumbled across your post. I have a diagnosis like yours: IDC, ER+, PR+, HER2- and yes those are favorable results. My tumor was discovered in a routine mammogram in mid-January. Post-surgery, I've been taking my time to gather information before embarking on treatment and I do feel I have time to do my due diligence since the cancer has been removed from my breast. I had a straightforward lumpectomy and sentinel node biopsy (nodes were clear) in February and healed very well. Because my pathology report showed that Lymphovascular Invasion was present, I decided to do the Oncotest DX test to help with my decision regarding adding chemotherapy to my treatment plan and my results should be in next week and at that time I'll be meeting with my medical oncologist to discuss treatment.
What I wanted to say to you is that I have not had a "breakdown" at any time either - little waves of sadness and disappointment, and occasionally resentment, that I'm having to deal with this unexpected twist in my life, but not for a second have I worried that I'm going to die which is why I'm not overcome with emotion, I guess. Everyone, from doctors to friends, keep saying "You're so calm" - that's just my nature. My husband's and my matter of fact demeanor has helped to keep our teenage children calm as well - they take their cues from us - as well as the handful of people with whom I've shared my diagnosis. I've kept my circle small until I know if I'm going to have chemotherapy or not. Not everyone with a cancer diagnosis reacts the same way - I'm just relaying my experience. Personally, I see this diagnosis as a problem that needs to be fixed and I'll move on with my life when treatment concludes. So, you may not have a breakdown
however, if you do fall apart one day, that's okay and it wouldn't be unusual -- you're allowed! Receiving a cancer diagnosis is a surprise when you're otherwise healthy! Educate yourself - knowledge is power - and visit various forums where you'll get lots of support from other women going through the same thing. It's a great place to go for support. If you do find you need help coping at some point, I'm sure your medical team will help you with anxiety medication or suggest a support group. Some people also find meditation and even yoga really helpful, as did a friend of mine when she was diagnosed with BC. Good luck! -
VoraciousReader - as soon as I posted my comment, I saw yours and laughed - very similar mindset! It's good for newly diagnosed people to know that there are no rules on how to react to a breast cancer diagnosis.
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Lori, maybe you're not freaking out because you don't quite know what you're in for yet? When I had my follow up mammo, US, and then biopsy I was definitely stunned, but I didn't lose it per se. It was kind of hard not to lose it because I was surrounded by nurses and social worker who were holding my hands and asking if they could call someone for me. Lol, I was trying to decide whether I should go to work or go home. At that time a dear friend of mine was dying from BC, so I was very familiar with what could happen. You may have a breakdown a some point, just take it as it comes
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Thank you everyone for your encouragement and sharing your experiences with me. I should have taken the time to add more of my past with you...
I'm told I'm not a good candidate for a lumpectomy so having a mastectomy and then reconstruction is the best way for me to go. The reason I'm not a candidate for lumpectomy is that I had prior surgery on my left breast. Back in 1982 I had an abscess which 3/4 of my left breast was removed along with the abscess. (I've apologized profusely to my left breast for putting her through this again!) In 1985 I decided to have the reconstructive surgery done. I had an implant put in my right breast to match the left side. With the cancer being so close to my implant my surgeon advized me against the lumpectomy, radiation and pssible chemo, that the effects on my implant could cause so many other problems down the road. My plastic surgeon said it was also probably a good idea to have the mastectomy and then reconstruction at the same time. He let me know that with my prior surgery it may be a little tricky for him to get everything "right" but he will do his best and that he'll have to do it in 2 procedures for safety reasons. He did go over several options and I'll let him know which way I want to go at my pre-op appointment. Both surgeons assured me I'll have a good out come. Maybe my prior surgery has me feeling confident and I hope not overly confident and fall on my face when I get home. I'm also thinking waking up with a breast there will make me not panic after surgery? Then again I could be totally wrong...
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grazy....yes, we have similar minds....and with respect to telling others, I've never told more than a handful of family and friends about my diagnosis. And, I made it my family's business to never tell my mom who is now almost 91! I wish you well too with your active treatment.
Lori....I think your point about having already gone through a medical misfortune has sharpened your emotional ability to confront your recent diagnosis. I wish you well with your treatment!
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WenchLori, we wanted to say WELCOME to our amazing community! We're sorry you have to be here, but as you can already see, it's a wonderfully supportive space and we're all here for you!
Also, we wanted to point out that you may be interested in checking out the Triple Negative (ER-/PR-/HER2-) forum to meet others with a similar diagnosis.
Please continue to let us know how you're doing!
--The Mods
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Thank you, everyone has been so helpful already!
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Thank you for your advice. I still have so much to learn and I'm ready to soak it all up.
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Thank you sjacobs146, my daughter's best friend Lis passed from breast cancer, she is the only woman I know that I'm close to to be diagnosed with BC. Lisa decided not to have surgery as she didn't want to be maimed the rest of her life and she decided on radiation and chemo only. She was very religious and put her fate in God's hands. Lisa passed about a year after she was diagnosed. I wish I knew what type of BC she had, my daughter may not remember but I will ask her. Of course with having a friend die of BC my daughter was very scared for me when I first gave her the news.
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The waiting is the "bitch" here.
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Oh boy! Now it hits me that this is real!
I just had a second appointment with my breast surgeon yesterday morning. After closer reveiw of everything that has been explained to me Dr Heidt recommended we do a double skin and nipple sparing mastectomy with immediate reconstruction of both breast. I'm not sure if I will need expanders yet but as my PS said it could be a possibility, so I won't be shocked when I wake up and find out I'll need more procedures. We're just waiting on insurance to approve the surgery...
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