Getting pretty frustrated
I was first diagnosed with breast cancer in my left breast April 2015. I had a lumpectomy with. Usual regimen of radiation and placed on anastrozole.
My life has changed dramatically since December of 2016. I'm sure and hoping there are others in the Forum who can help me and are going through similar experiences. I'm in the process of building my body back up again. In November of 2016 I have been in and out of the hospital and rehabs because of pneumonia and fluid on my lungs ( which was drained) I was also diagnosed with CHF.
In November of 2016 (One Month) before all of this started I was told by my oncologist that my breast cancer had metastasized to my bones. The entire month of November I was placed on Ibrance and shots of Fulvestrant. My treatment had to stop for 6 months and my cancer did not progress rapidly. My oncologist placed me back on the chemo meds and I have been on them for 4 weeks. In the process of being in and out of the hospital with pneumonia I lost hundred pounds (honest) and my legs grew weak where I could not get out of bed and walk. Through rehab I am able to walk again but still bound to my wheelchair for safety reasons. I know I'm all over the place with this explanation. I am growing more frustrated over time with both my oncologist and my family. I was told my cancer spread ( bone scan in December and again in May) CT Scan in May. Mets is definitely in the bones specifically in my left femur and right tibia and my skull.
My question is the did anyone ever Visibly see the bone scan or CT scan results through x-rays. I believe the oncologist but I would just like to see them and I would like to see exactly where the cancer is. I guess he was protecting me said not to worry about where it is and let's give the ibrance a chance. There is a lot more of the story but I wanted to know how much detail I am allowed to get or see regarding my cancer. I have my close family members who I know love me dearly, but tell me it's no big deal, not to worry, you'll be fine, everything will work out. Would it really make a difference if I knew exactly where the cancer was.
Also I am having hot flashes and getting a little impatient while on the ibrance are other people experiencing those two symptoms
Comments
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Hi jmktmob. The facility which did my last scan told me they could mail me a copy of the radiologist's written report. I took that report to my acupuncturist (!), who explained what it said. She really spent time with me and it helped a lot. I had seen the scan on the computer screen at my doctor's office, but I couldn't make out anything on it. Just looked like light and dark layered shapes.
Maybe you have another practitioner that you see who could go over your scan report with you? Or maybe you could highlight the parts of the report that you would like explained and ask your onc next visit what they mean.
Does it really make a difference if we understand exactly where the cancer is? Yes and no. For one thing, no one can be sure where all the cancer is or isn't. Cancer cells travel in our blood through our bodies, even the bodies of healthy people. It is better for me to think in terms of how do I feel overall. I focus on living right now. I believe being present and fully aware in the moment is the lesson I am here to learn.
On the other hand, knowing where my tumors are helped me to visualize healing, and it helped my acupuncturist with her needles, so I say, if you want to know what's going on with your body, it's your body, and you are the client. You should be able to have your questions answered.
As to side effects from Ibrance, the short temper and hot flashes appear to be common when estrogen levels drop. I find that when I avoid meat, dairy, excess sugar, and alcohol I feel better than when I don't avoid those things. I did have great fatigue on Ibrance, but that went away when my dosage was cut from 125 to 100 mgs.
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Jmtkbob, next time you are in the MD office, ask them to show you and walk through the scan. If they have electronic health records they should be able to pull them up on the computer and show you exactly where the cancer is.
If they won't show it to you, ask for a CD and take it somewhere for a second opinion.
You should always ask for a printout of the report from the radiologist.
I've never seen my CT scans (mostly because I haven't asked), but I have seen the PET scans. They are easier to visualize. I have a copy of every report.
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I don't know if it matters if you know where your lesions are, but I know exactly where mine are. My doctor always gives me the PET scan report, with an offer to actually view the scans which I no longer bother with, and then, together we go through the report. If the report of tumor locations is confusing to me, my doctor will touch my body to show me where they are located. My last scan didn't show any new spots, so we only reviewed where they had diminished and she didn't have to explain where those spots were.
You should get whatever information YOU want from your oncologist. In my case, the actual location of the bone mets is not determining my treatment. Sounds as though this is the same for you.
As to your family, can't help you there. Families are complicated and of course they want this all to work out.
*susan*
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Jmk, I am able to get a written report and cd of all scans I get. In order to do so, when I am in the nuclear medicine department the day I get the scans, I tell the woman at the desk that I want a copy of the written report and a cd of the images. She has me fill out a form, very short form with my signature. I have to do this every time, it does not carry over to the next scans. Then in less than a week, the cd and report are mailed to me.You are legally entitled to a copy of every one of your medical reports. And you should easily be able to start by calling the place where you get the scans and request the reports that have already been written up. They are all on file and kept on file for years. They have employees who specifically work in the records department who fill these requests all the time. When you ask for the reports, inquire about getting a cd of scans as well. Believe me, you are one of many who call with this request. You may have to go in and fill out a form in person for the reports. Reading your reports is an excellent way to take control of your health care and stay informed about *you*. Any questions you have, then you can take the report into the onc and ask.
I did not get my reports at first (too scared and confused) but then a couple years into this, I asked for them, filled out a form, and received all of them i had had for several years, and the cds, too. Then I started requesting them on the day I had the scans.
Sorry about your progression. Please check in to getting the reports, I think it is empowering.
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I actually pick up my cds when the test is complet
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Thank you all for the helpful replies. It is always good to hear from another person who can share the similar experiences that we do. I forget often about as Nine Twelve said to me "I focus on living right now. I believe being present and fully aware in the moment is the lesson I am here to learn." what a profound statement. I pray to remember that. I feel like I am extremely lucky after reading some of the diagnosis of all of you. Find my Gratitude but logically I would say.
I adore my oncologist, he treated my neighbor's sister with success on the same chemo regimen as I. I forgot to mention that while I was hospitalized trying to recover from Pneumonia he would come in once a day to see how I was because he also wanted me to get started on my ibrance. I could not do it at that time because of my Pneumonia. The Breast Center, his office and Hospital are all on the same grounds.
I am going to see him this Monday 7/17. He wanted me on the ibrance for 3 weeks and to recheck any side effects. I will touch base then as I am going to ask him specifically where the some of the tumors are. Again Bone Scan discovered Cancer in Left Femur and Right Tibia, also my Skull.
In Dec during my first Bone Scan I was out of it in ICU when it was done, But this second scan was done in May 2017 showed little or no change which is why I think my Onco is pushing back.
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jmtkmob - My first mo was bad about not going over scans with me , however , when I mentioned it to ro , she happily obliged.
My new mo(2yrs) is the opposite. When I have scans , we go over the whole thing together. He wouldn't have it any other way, nor would I. Knowledge is power and you can be your best advocate with knowledge. We also review all bloodwork together.
I don't handle surprises well and want to know everything about the cancer and the treatments. I am a much better patient when I am prepared.
As for family, well you need what you need. My dh knows how I am and he is just as bad, honestly. He goes to every scan meeting and asks more questions than I do sometimes. He is my go to medical advocate should I not be able to speak for myself and he takes the responsibility very seriously.
I am sorry to hear about your rough patches. It sounds like you are having a tough time. I hope some of this helps.
Hugs and prayers
C
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Just wanted to add another thought as to why MO might not review scans with you. MO's are not actually trained to read imaging. Now some are better than others because they showed interest in learning and radiologist over the years have taught them. RO, on the other hand was trained to read imaging, so they are a lot better at reading them then MO's. Rather or not your MO is good at reading imaging really has nothing to do with how good they are as far as being a MO. That is what radiologist are for. You do have a legal right to get a copy of your scans and the report. Every facility has their own protocol for that. Best wishes to you
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