anyone else dancing with NDED?
hi. i'm ann, and i've had breast cancer (see below).
my 6-month follow-up ct scan on 7.22.2016 resulted in this: "no definite evidence of disease". have any of you had that wording in your test results? "no definite evidence"??
my tumor markers have been rising for the past 14 months. i have constant pain in my groin, and frequent pain in my back and leg. the ct results also mentioned "scattered small sclerotic foci of hypodensity, likely bone islands." these had not appeared on any of my 5 ct scans within the previous 4 years. no mention was made of the location or the definition of "small". i've had a 2mm lung nodule noted in all my previous scans; this time it was "4mm, unchanged from previous scans". really?? 4mm sounds like double the size noted in previous scans!
this scan also showed that i have radiation fibrosis "unchanged from previous scans"; i have never before been told i had radiation fibrosis.
my onc is very cavalier about my situation. he did mention in his notes (but not to me) that my rising tms are "concerning", but he's not doing anything to investigate the cause: "come back in 6 months". meanwhile, stay on the tamoxifen.
can you tell that i am less than confident in the care i'm receiving? i'm disappointed, because i had fired my original onc to go to this one who is an 8-hour drive from my home. he is at one of the top hospitals in the u.s., and is a breast cancer specialist. it seems he is doing no more than my original onc, who is 15 minutes away.
what do you think? am i just being paranoid/hypochondriacal? do you think i should get a second opinion? do you think i should just shut up and sit down ("watch and wait")?
Comments
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If your current oncologist is not answering your concerns, then you should talk to someone else. I agree with TS that a lot of the big hospital guys are straight-down-the-line standard of care, and if their cookbook says watch and wait, they're content to do it. But besides these questionable test results, you are experiencing pain, and that should not be ignored.
I also think you should see some other types of specialists, like an orthopedic doctor, and/or maybe a gynecologist to investigate your back and groin pain, and rule out (or deal with) a possible non-cancer issue going on with you.
If you are having pain, someone should be willing to find out why.
Do you have a good PCP that you can talk to? A creative and thoughtful PCP can come up with other ideas about how to investigate what's going on with you.
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Thank you for the supportive reply, Tectonic. i probably will seek a second opinion, if i can figure out where to go for one. i live in new mexico, in the "four corners" region of the u.s.--my home is 5 miles south of colorado, 45 miles southeast of utah, and 45 miles east of arizona.
there's a university hospital in this state that i think is nci designated, about 2.5 hours from me, but i've "heard bad things" about it, so am reluctant to use them. maybe i should, though, at least for a second opinion.
i don't know. another option would be a hospital 40 miles away, in durango, colorado. i loved the hospital there when i was caring for my mother, who had terminal colon cancer; but i wasn't so happy with their oncs. (when my mother was about to die, the two mo's in the only office affiliated with that hospital got into a huge argument right in front of me about whether they had treated my mother's cancer aggressively enough).
i liked the idea of going to denver to see an oncologist (the doc i referred to in my original post), because my only offspring live in that area, and i could make it a family visit as well as a doc visit. plus, i'd "heard good things" about the university hospital there.
my husband has offspring in the phoenix area, and i also might consider going there, perhaps to mayo or to bennett, i think it's called, in a suburb of phoenix. the latter is a sort-of satellite of md anderson.
thank you, too, kathleen, for your reply. i actually did see an orthopedist (?) for my pain. he sent me to physical therapy, which greatly exacerbated the pain. he's presently on vacation, but i have an appointment on the 29th of this month for follow-up. prior to seeing the orthopedic doc, i'd spoken with my pcp about the pain (i adore her), and she ordered a pelvic and transvaginal ultrasound; nothing unusual was detected on those images. maybe it's time to get back with my pcp and see what she can come up with.
i tell you--i get SO CONFUSED juggling docs! (my radiation onc finally dismissed me last week, so that's ONE down!).
thanks again to both of you for replying. good advice.
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I am in the Denver area - my mo is Dr Sami Diab at Rocky Mtn Cancer Center. I've met with him for my first appt a few days ago. He is so caring and listened to me patiently. He believes in not just relying on meds and prefers to also use other holistic things too (like mediation, yoga etc). He has trained with Dr Andrew Weil too. The entire office is great. You may want to check him out. I have been very lucky with my team here in Denver (physical therapist, breast surgeon, plastic surgeon and now ono). They have been very nice, professional and patient. They will take whatever time is necessary to answer my many questions.
Good luck
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Thank you all for replies.
Tectonic--the doc i am seeing and about whom i am having doubts is in denver (no insurance probs--medicare +). relocation is out of the question: we have stock and crops to tend. :-) and, yes, i have already spent countless hours and more energy than i have fighting to get the tests and treatment i think i need, fighting to get docs to answer my questions adequately, etc. it feels like a full-time job. thanks so much for your input.
kayb--thank you for the feedback. i will see about getting in with ms tarnower (or ms royce--brusque doesn't bother me if it's TRUTH!). it's good to have positive references.
barbski60--rocky mountain cancer center sounds like a really cool place! if i can't get any "satisfaction" with my doc at uc denver, i may transfer my care to rmcc (i'm reluctant to be a "doc-hopper" without really good cause). thank you for the info.
i have an email in to the mo i originally posted about. he's on vacation until wednesday the 10th. the nurse said she'd have him call me when he gets back. i'll have a clearer idea after that about second opinion/transfer of care/etc.
thank you all.
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Google
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It helps if you are near big city going to another big city
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Fran its so wonderful to see you..hope all is going well for you!! Thanks for stopping by!!
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Fredntan--thank you for that suggestion. it won't work for me, but what a marvelous resource for those who can use it! i'd never heard of it!
update: my m.o. finally got back to me about my concerns, and all he said was he's confident that i don't have mets because my alkaline phosphatase level is low. and he'll be happy to talk with me about my other questions at my next appointment (which is in january). he didn't mention anything about what he thinks might be causing the pain i'm having in my back, pelvis, and groin.
so--i've read on these forums that tamoxifen can cause pelvic/groin pain. since it's debilitating to me, and i have a life to live, i'm going to stop tamoxifen to see if the pain goes away. i have a lot of other se's of tamox', as well, so i might just end up feeling pretty darned good despite a dismissive doc!
thanks for all replies.
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Annasazi, are you eligible to take an aromatase inhibitor instead of Tamoxifen? Everyone's different, of course, but some have more tolerable side effects with switching it up.
Please don't let a dismissive doc corner you into a decision. Find another physician if this one isn't cutting it.
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Thank you for your reply, sbelizabeth.
i had tried AIs first, as i'm post-menopausal. on both anastrozole and letrozole, i had bloody vaginal discharge, which i hadn't had since my hysterectomy in 1977. also excruciating (attempts at) intercourse. that's why i was put on tamoxifen.
i just feel like a cripple nowadays, and i can't live like that. i have always been very active and productive; i can't do anything these days. i don't know which, if any, of my problems are from the tamoxifen, but it's the only element in my life that is relatively new (6 months) and preceded my physical "disability". i was very reluctant to take tamox' in the first place; i hate drugs (as some people on these boards have said, "i don't want to take anything that will give me a new disease").
i do plan to get a second opinion after i see what effect/s discontinuing tamoxifen has on my body and mind. and i'm still considering just getting a new doc. i just don't know if any other onc would do anything differently from this guy i have now.
thank you again for your input.
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