Stage 1 and struggling

KathyL624
KathyL624 Member Posts: 217
edited December 2017 in Stage I Breast Cancer

I am almost six months out from my double mastectomy and really, really struggling with anxiety about the future. I have a good prognosis, and was so happy after surgery to be officially Stage 1A...then happy again to get a low oncotype...and now I am questioning everything...whether tamoxifen will work on me, whether I should have done chemo anyway, etc...And even aside from all that, feeling like mets are inevitable...every ache has me convinced it is already in my bones, every blood test causes major anxiety...every story I read here where a Stage 1 became Stage 4 sends me into a panic.

Do other Stage 1-ers have feelings like this? I really wish there was a place similar to this site to read stories of long term survival, something to give me hope.

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Comments

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited August 2016

    Hi Kathy. I certainly felt like that. After 4.5 years my anxiety is still high sometimes. Just this morning I had a total meltdown about Windows10. I'm not sure, but I think Tamoxifen increases my anxiety.

    What have I done that helps? Well, I mentally tell myself, "ok, let's go over the stats." When it come down to it, our odds are really good. I know, I know there are exceptions, but there is no reason to believe you or I will be one. I do rely on Effexor to even me out, and early on I was on Klonopin for a full year.

    In the end I have accepted that what will be will be. It took a long time to get there. One wonderful doc said acceptance might take a year, even two. Such truth in that statement.

    Exercise help. Avoiding sugar helps me. The other thing I used to ask myself was "Am I going to die today? NO. Then live today."

  • Meow13
    Meow13 Member Posts: 4,859
    edited August 2016

    I think we all worry about going stage 1 to 4. There really isn't much we can do but continue medical surveillance. Most of the time I forget about having had cancer but it only takes an instant to get reminded again.

    Enjoy everyday we feel good.

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited August 2016

    I belong to a rowing club for Breast cancer survivors, and one of our members just celebrated her 69th birthday, and she's a 22 year survivor. Remember that many women complete their treatment and never come back to these boards. You only hear stories about women with recurrence because they are the ones coming back for support

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited August 2016

    I was diagnosed with stage one in January and have had 3 surgeries since. I did not have to have chemo, only radiation. I started effexor 1 1/2 weeks ago because of severe insomnia and hot flashes. I think my depression got worse after treatment was over because it's as if I'm just waiting for the other shoe to drop. I have to stop myself from feeling up my breasts on a daily basis and struggled with nausea from the tamoxifen. At the end of the day, I did everything suggested to me and even had hysterectomy at 42. I guess I worry because of being so young with extensive family history of breast cancer, that I have a long time left to have recurrence. I worry on an hourly basis, seven days a week. I'm hoping the effexor helps. I'm exhausted all the time, I think if I felt better and could live life a little, I could eventually worry less. Never feel alone!!!

  • hummingbirdlover
    hummingbirdlover Member Posts: 421
    edited August 2016

    Hi Kathy, I know I struggled with these very same questions and especially at six months out. I remember feeling a swollen gland and having a cough not too long after my third and final surgery and was in a panic thinking it had already spread. It does get a bit easier as time goes by and I don't obsess about it like I used to but I think it's something we just learn to live with. Honestly, I sometimes ask myself why I still visit these boards because isn't that just a reminder to think about cancer? But I do because if my thoughts can help one scared person, it makes me feel like something good has come out of this crappy ordeal. Someone questioned why I didn't push for chemo, because I had a grade 3 tumor but a low oncotype score and I had a total meltdown that took long conversations with a nurse navigator to diffuse. I just try to not to worry about tomorrow. Chances are good that you will put this behind you and you'll live a long healthy life. Hugs to you

  • KBeee
    KBeee Member Posts: 5,109
    edited August 2016

    Your feelings are normal and will improve quote a bit with passing time. It helps to stay distracted. You hear a lot here about people who have recurred because most have not recurred and most of them do not come back here very often. When I have aches and pains... Which I have a LOT, the first thing I ask myself is what I would have thought of that pain before cancer.... Then I can usually pinpoint a reason ... Tough workout, etc. if I cannot pinpoint a reason, I jot it down on the notes on my phone where I keep a symptom log. If it persists for 2 weeks, I call. Most often, when I go to jot a symptom down, I see the old ones I've written down, and smile because they've long since subsided.

    We do understand though. Dealing with the worry is challenging

  • menelao
    menelao Member Posts: 14
    edited August 2016

    Hi,

    Just want to add that worrying and stress is bad for your health. Focus on everyday life, take a long walk in the Park, spend 10 min a day on a free meditation on a cell app Like headspace.

    You can do things to prevent recurrence:

    Limit your drinks to 3/week or less

    Exercise 3 times a week (check free programs for cancer survivors at the YMCA)

    Walk everyday

    Eat Mediterranean diet




  • Keepongoing
    Keepongoing Member Posts: 62
    edited September 2016

    it gets easier but I know what you mean. I am coming upon one year of finding my lump in the shower. I plan to enjoy every second of my life to the best of my ability and try to push the dark thoughts back. The very day i got my path results I lost a college classmate of colon cancer and have since lost a high school buddy of brain cancer. ( both males) I have taken this and my situation as a big wake up call that life has no guarantees . I was going to walk in a Komenwalk in oct but instead I'm going to the beach with my sisters. Find what gives you joy and do that . The 5 year survival rates are good. Think you'll be in that group. 💕

  • bluepearl
    bluepearl Member Posts: 961
    edited September 2016

    You have an EXCELLENT prognosis!!!! People who have breast cancer return, stage one, usually have bigger tutors, and/or involved node(s), or are triple negative or are her2+....none of which you are. AND a low oncotypeX! Time to celebrate. Yes, you will have down times. Expect that. But your chances of going stage 4 are very minimal.

  • eggroll
    eggroll Member Posts: 150
    edited September 2016

    With our luck we'll live to be 100, worrying the whole way! Sometimes I get frustrated with myself because I do let it get out of hand at times... I think wow, Grade 1, that means it's been there for YEARS, plenty of time to metastacize! And doesn't that mean chemo won't work if I ever need it? On and on. BUT, I have found what is helping me is to clean out my stuff, sort out things, get my will done, give people stuff I've been meaning to give them, spend time with people I love, make sure they know how I feel . . . making a list of what I enjoy, I have plans for adventures to look forward to, I'm setting goals and moving towards them... wrap up the loose ends and look ahead to the fun parts of life as much as possible. It helps that I am still working and have a brother with down syndrome and mental illness who keeps me hopping. Distractions can be good... Netflix has all the old Twilight Zone episodes, that is my treat at the end of the day lately. Zumba is awesome... what a fun hobby that is on the Kinnect? I don't even have to leave my house. As time goes by I find I am more confident and happy, not taking things for granted like I used to. Every breath in and out is a blessing they say!

  • Meow0369
    Meow0369 Member Posts: 156
    edited September 2016

    Hi all, I'm struggling with stage 1b. I had two small tumors in same side 2 mm and 4 mm with additional DCIS around. Also had small DCIS on right. I was first told stage 0 bf surgery. I didn't meet guidlines for chemo but Dr recommended it. I've done 3 cycles of 4 and ready to stop. I don't hve support at home and hve 3 kids. I'm always stressed out and go to treatments alone.

    I do hve some side effects like pain in muscles and some numbness in feet. MO said to stop if numbness in hands and feet occur. My local MO doesn't seem concerned.

    My question is has anyone stopped treatment ??

  • Michelle_in_cornland
    Michelle_in_cornland Member Posts: 1,689
    edited September 2016

    Meow, whatever you do, keep continuing your treatment. It is just one more, and you can do it. Rally your neighbors, friends, church members who know your diagnosis, to help you get through this last one. With disperse areas of suspicion, it is common to do chemo. They are trying to get all stray cells with chemo. You go girl, and you keep going. Where are you located?

  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited September 2016

    I think it's not all that unusual for us to feel more anxious after treatment is finished, for all of the above reasons. When we're going through the treatments, it's all we can do to just keep going, let alone think about the future.  In fact, I have read on this site that as many as 80% of people diagnosed with breast cancer will go on to have some degree of PTSD.  I fall into that category.

    I was diagnosed with breast cancer in July 2015.  In the last 12 months I have had 2 lumpectomies, a bout of sepsis, 4 rounds of chemo, diagnosed with 2 gene mutations, and had a BMX.  I held up very well through the whole thing, until I suffered severe tissue necrosis and lost half of what was left of my right chest and a huge 6cm seroma of the left side. It was so horrible I could hardly even look at it, and I've been a nurse for 39 years!  I went into a deep funk---I could hardly bathe & dress, or even get off the couch. I was totally uninterested in reading, watching TV, going to a movie, going to church, or even going out for ice cream. My DH was frantic with worry. Thankfully, he got me to a doctor and she diagnosed me with PTSD immediately. She put me on an antidepressant (Lexapro) which also has some anti-anxiety properties. She also gave me something to help me sleep, because I had hardly slept from the day of surgery. Within 2 weeks I felt like myself again, even though the wound healing still struggled along for a total of 16 weeks. 

    I'm 7 months post-BMX now. I'm off the sleeping med and weaning off the Lexapro. Both meds helped tremendously. I never went in for talk therapy for this because I had a pretty good handle on my feelings.  Your mileage may vary.  I find that it helps me to not think too far into the future.  Three-four months is about my limit.  If I find myself perseverating on things farther out that, I just have to shut it down.  I get busy with housework, or doing something for someone else. Anything but allowing those intrusive thoughts to take over and bog me down.

    I strongly recommend that anyone who has feelings of anxiety, hopelessness, lack of interest, or unreasonable sadness for 2 weeks or more should talk to their doctor. You may have depression, anxiety, or PTSD (or all three), all of which are treatable conditions.  You don't have to suffer through it.

  • Blinkie
    Blinkie Member Posts: 169
    edited September 2016

    KathyL624, even though your thoughts are making you uncomfortable, I think what you are experiencing is pretty normal. Normal! Think of it - something normal! This is something my therapist has told me - that being fearful or upset is sometimes a normal reaction to an event.

    My first diagnosis in 2007 was Stage 0. For this second occurrence, it is Stage 1. My mind races and I get anxious and afraid, thinking that next time (see, I think there will be a 'next time') it will be Stage 4. My life and my thoughts - and evidently some of my cell divisions - are chaotic, which I hate.

    If only we could channel our imaginations into something more positive. Like writing a novel or something. haha.

    Everyone finds their own way of dealing with things. I am going to my therapist. I might change primary care physician to someone who is at the same clinic as the cancer center. I'm not telling everyone what is going on with me - just a few people. These are actions I can take which give me a feeling of control in an uncontrollable situation.

    Plus I've decided to get as much in my life as order as I can. As soon as I am not so tired (from treatment) I'm cleaning my house, getting rid of tons of stuff, getting my legacy file (will, etc) completely in order, etc, etc. I'm in my 60s so this is something I should be doing anyway. When that is done I hope to have calmed down and be able to live more fearlessly. & if cancer comes again, at least I will not be thinking, "Why didn't I prepare for this?!" Hope for the best, prepare for the worst. This helps me, but it may not be everyone's cup of tea.

  • jwilco
    jwilco Member Posts: 486
    edited September 2016

    KathyL642 - our stats are very similar. I think the way you feel and the anxiousness is normal. I felt the same way too. It will get better with each appt and annual exam. This October is my 5 year anniversary. I still worry if I think too much about the what ifs, but I try not to let my mind go there. Hang in there!

  • Meow0369
    Meow0369 Member Posts: 156
    edited September 2016

    Michelle , Thankyou for encouragement. I'm in California. I'll decide after I talk to MO. The 3rd one really wiped me out emotionally and want toknow if the last one will help. I knw what were dealing w is serious they said it would only help me by 4%. I'm at 90% w/o chemo than 94% with. It seems like a lot of crap for a small amount. But also to do all I can.

  • mckenna5
    mckenna5 Member Posts: 1
    edited September 2016

    Hi, my diagnosis sounds almost identical to yours. Bilateral mastectomy, Stage 1A, no nodes involved, no chemo or radiation, oncotype score 3, ER/PR positive. I was diagnosed in May 2014 and have been on Arimidex since then. I have side effects(joint and muscle pain) and have also developed osteopenia and an area of almost osteoporosis. Just had my first injection of Prolia yesterday. The first year seemed to be the most worry filled. I still sometimes have days where I am filled with worry and dread. Those days are getting further apart. I realize that I am very fortunate and the potential for recurrence is low. In a lot of ways my diagnosis opened up new things for me. Things and experiences that I probably would have not done or put off for the future. I bought a horse! I ride 3-4 days a week. It brings me great joy and I am more fearless than I was before my diagnosis.

    I hope things will get easier for you! You have done everything possible to rid your body of bc and you are in treatment with tamoxifen. My neighbor has a long term survival story. She was diagnosed in 2002. Lumpectomy, radiation and 5 years of tamoxifen. She is active and healthy in her early 70's :)

    Wishing you the best!

  • Moderators
    Moderators Member Posts: 25,912
    edited September 2016

    mckenna, welcome to you! Thank you for stopping by to share some encouragement.

    We look forward to seeing you more around the Boards!

    --The Mods

  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited September 2016

    I have decided, one year out, not to let any opportunities pass me by. Every time I wonder “what if I suck at it” or “what if I don’t like it” I kick myself and just do it. Opening myself up to new experiences has been a lifesaver---well, a mind-saver--for me.

  • Positive2strong
    Positive2strong Member Posts: 316
    edited December 2016

    meow hi I am in Southern California... I am debating chemo of Taxotere and Cytoxan...

    my nodes were clear with stage 1 IDC

    I thought I would just have lumpectomy and rads but mammaprint came back 20% high risk of reacurrance

    So now I just don't know I am 66 and wonder long term side effects of chem

  • Meow13
    Meow13 Member Posts: 4,859
    edited December 2016

    positive, I would do what you feel is the right treatment for you. I was 53 and had an oncodx of 34 er+ pr - and her2- I didn't do the chemo recommended and I did as much AI therapy that I could. I am 58 and off all medicine and feel good. No sign of cancer, I am enjoying my life and happy I went with my research and gut instinct. If you feel good life is good.

    If you feel better doing chemo than do it. There is no right answer.

  • MaggieMae123
    MaggieMae123 Member Posts: 38
    edited March 2017

    Hello, I was diagnosed with Stage 1 breast cancer in July of 2015. I had a lumpectomy, chemo and radiation. It was such a relief to me when I had my first mammogram after treatment  (Oct. 2016) and they told me that all looked well and they would see me in a year for my next one. I know that it is such a scary diagnosis, no matter what stage you are. I am triple positive, but did find a positive article online about how recurrent rates are low for even triple positive diagnosis when caught early. I copied the article and would take it out and read it whenever I started to get too scared about a recurrence. I think that eventually it will get easier the further out you get. Wish you the very best.

  • wallan
    wallan Member Posts: 1,275
    edited March 2017

    Hey there:

    I have multifocal breast cancer. Last time, I had stage 3A with 2 positive nodes, ER+/PR+ her- and 7 CM tumor. I really thought I was toast and I think my oncologist did too. But 13 years later, I have not recurred. Believe me, it took me years to crawl out of the anxiety and depression and fear of every ache and pain being the end of me. I had all the guns thrown at me - mastectomy, chemo, radiation, hormone therapy, oophorectomy. I think I had PTSD because I walked around in terror that my life was about to end for many years.

    I was dx with stage 1 multifocal breast cancer on the other side this Jan 2017. It is not a recurrance of the old cancer, but a new cancer on the other side. In hindsight, I wonder if I should have had a prophlyactic mastectomy on the this side years ago. But it is what it is. Do I have a return of the anxiety now? Yes and no. I am in limbo waiting for the full pathology report and if I will need chemo. Before my recent mastectomy, I was told I would not need chemo or radiation. But now, after surgery, this has changed likely. The waiting is torture to know what treatment I will need. This gives me anxiety because I know what I am facing if I need the full gamut of treatment. On the other hand, I have learned how to manage the fear of recurrance so I feel "experienced" and I think with some anti anxiety drugs I am good to go.

    I have learned thru all this you do need to focus on living your life for YOU one day at time. I think of other people I have known who are told they have esophegeal cancer and die three months later, or lung cancer and die 6 weeks later. This past summer, my neighbor literally had a fatal heart attack right in front of me. So I realize now life is fragile and no one knows when their time is up. No one. It can happen anytime. So I feel sort of grateful that I have breast cancer and my prognosis is not as bad as dying in three months. I want to live until I am old and grey. But I don't want grippling anxiety to stop me from enjoying the time I do have. Easier said than done. But this time, if I do get that anxiety, I will get treatment so I can get on with it. Thats my plan anyways.


    Hugs to you and know that with stage 1 BC, your prognosis is excellent.

    wallan

  • Falconer
    Falconer Member Posts: 1,192
    edited March 2017

    Wallan,

    Thanks for sharing your insights. I know from reading your other posts that it's been a long road. But I guess you might agree- hindsight is 20/20, but what is there to look back for? Keep looking toward the day, and the next, and you'll live your life one day at a time. Hugs

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited March 2017

    Wallan, thanks so much!!! I needed this today and prayers for great news!!!

  • wallan
    wallan Member Posts: 1,275
    edited March 2017

    image

    Hey guys:

    I found this on Pinterest and I thought I would post it. It helps me to focus when I am freaking out if I remember to look at it.

    wallan

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited March 2017

    Love it!!! I'm changing my attitude to "SO WHAT!" 😁. Reminds me of a saying that helps me also. We can't always change a person or situation, we can only change the way we react to them!

  • Falconer
    Falconer Member Posts: 1,192
    edited March 2017

    Thanks, Wallan. Saved to my phone.

  • Meow0369
    Meow0369 Member Posts: 156
    edited March 2017

    Wallan, thank you for your posts and "the golden rules..." I'm trying to get a handle on my anxiety.

  • 1936Mary
    1936Mary Member Posts: 2
    edited May 2017

    I have stage 1 breast cancer and am 81 years old. I have had a lumpectomy and. Sentinal node biopsy. The removed tumor eas sent to a pathologist and I learned I am HER positive, PR negative which limits my options for treatment. Tamoxifen is not approved fir my hormone profile and the AI may also not work as I have osteoporosis and high blood pressure with a family history of heart disease. I also have a form of colitis that would make chemo bad for me. My doctor has talked to me about radiation and a mastectomy of the SNL biopsy comes back positive. What would my prognosis be in thus. As

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