I am stronger than this...I thought!

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badgirlontheright
badgirlontheright Member Posts: 2
edited July 2017 in Waiting for Test Results

I am 44 years old. I have 3 children (2 grown, but still at home) and one little guy. I work for a busy group of 23 orthopaedic surgeons. I am in charge of 5 offices and over 40 clinical staff. I thrive on stress!!! Or at least I thought I did before I got called back for a diagnostic mammogram and ultrasound on July 7, 2017. My screening mammogram showed "architecural distortion". It persisted on the diagnostic mammogram, but there was no correlate on ultrasound. Because of concern that a needle biopsy might miss the area, I am scheduled for a wire localization followed by excisional biopsy this Friday, July 28th. I have been an emotional mess! I am always taking care of other people and solving their issues and I feel like I don't have a clue about how to help myself. I have not been able to really talk to anyone about it because I am so emotional and I don't want people to think I am overreacting or weak. This has been the longest 3 weeks of my life and I still have waiting to do.

I know most breast cancers do not cause pain. I wouldn't say I have pain, but I do have some discomfort or achiness. The right breast is larger than left, but I honestly can't say if that is a recent change. My right breast does feel full and a little swollen.

I have an irrational fear of the wire localization. As a very young X-ray student, I watched a radiologist do several without any type of anesthetic. He thought it was unnecessary since either way they were getting a needle. It was awful for those women and the images have remained with me all these years. I have been assured that will not happen to me, but I can't erase those fears! My localization is being done 3 hours before the surgery and I can't imagine sitting in the waiting area with a wire sticking out of my boob. I have never had conscious sedation, only general and epidurals. My incision will be around the areola and I am scared I will feel it. I would prefer to be knocked out!

I have always thought knowledge is power! I have read all sorts of information and case studies. I go between small reassurances and freaking out! At times, I think if they offered me a complete mastectomy that I would do it and not have to go through all of this! Doesn't that sound nuts???? I feel like I am losing it and that is just not normal for me. I am always in control! Maybe, I am going a little crazy from my insomnia!

I am not sure what I am expecting from posting this message. I guess nothing except knowing I am not alone...or weak...or being silly...or crazy!


Comments

  • pepper43
    pepper43 Member Posts: 103
    edited July 2017

    You're not alone, or weak or silly or crazy. I was in your shoes late last May. Even with all I've been through (I was diagnosed with breast AND kidney cancer, so have been through just about all types of treatment there is), I can tell you that nothing is worse than what you are experiencing now. The waiting. The anxiety. The uncertainty about what's to come. Take deep breaths. Ask your surgeon if you can be prescribed some anti-anxiety medication and remember, lots has changed since you were a young X-ray student.

    I'm sending virtual hugs your way. If you need to, PM me. I'm 44 and have 4 kids (one about to head off to college, the youngest about to turn 9). You'll get through this. And the ladies here won't let you go it alone.

  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited July 2017

    I had conscious sedation for my wire localization and I rememver very little of it. I remember them telling me they were sorry to have to hurt me, but they would give me some local anesthetic. I remember feeling a small amount of pain, but honestly almost nothing else. They said I sat up and talked to them, and I do remember them doing a very gently mammogram to make sure they had it in the right place. I don't remember the wheelchair ride back to pre-op, though.

  • badgirlontheright
    badgirlontheright Member Posts: 2
    edited July 2017

    Pepper43 I am so sorry that you have had to endure so much! Thank you for the virtual hugs! I need all I can get. I know you can sympathize with the fears I have for my children. My oldest just finished college and is an L&D nurse, but even she still needs mom to help her navigate life. Her boyfriend just asked for permission to marry her. She doesn't know yet. My 18 year old son is the ultimate middle child! He can't even put his dirty clothes in a hamper, but he is "an adult!" And the "baby" is my sweet, happy go lucky 11( almost 12) year old son. It is hard not to be paralized with the fear of what if...My husband is wonderful and I couldn't ask for a better partner and father for my kids, but they all still need me.You have definitely made me feel a little less alone! Thank you!

  • ShawnaB
    ShawnaB Member Posts: 11
    edited July 2017

    Hey girlontheright---you so not alone. I am almost never on this forum, but happened on today and your post happened to be on the top--and I so, so feel you!

    I'm 43 (mom of 5 ages 17-5) and went for my first mammo last summer and got the dreaded call back--diagnostic mammo and US followed, and they found a "thingy" that was inconclusive, "probably" not cancer, but not totally sure. Doctor said to come back in 6 months and we'll take another look.

    No big, right? I mean with all the push for early screening, we KNOW this happens. They find stuff. Which leads to a lot of additional testing which mostly always turns out to be nothing, and sometimes early stage cancer, which may or may not ever threaten our health...yadda, yada. Nothing to worry about, right?

    SO wrong. I was a freak. It was a HUGE anxiety trigger for me, and I was incapacitated. Couldn't eat, Was a crying basket case. It was embarrassing, as I could hardly function. Perhaps some perimenopausal anxiety? (Ya think?) But the reality is that breast cancer is a huge anxiety trigger for many of us because it hits us close...we jump from zero to worst-case scenario in a nanosecond and the emotions run super high, especially during our 40s/50s when we may not have the best emotional resiliency to begin with.

    I know that none of that likely makes it better for you, but I just want to say that what you are feeling is so common. True, some women handle the uncertainty better than others, but today, that's not you. And its OK. Don't be tempted to beat yourself up for being upset. This is time to have grace and compassion on yourself, and to give yourself a freaking break. :) Its OK to be emotional and scared, even though statistics are way, way on your side that everything is going to be just fine.

    All that said, in my case, my doctor (a breast surgeon and specialist) suggested a blood test for me at my 6 month followup, since the thingy was still there, no change, but still visually inconclusive. The test was called Videssa Breast by Provista and you can google it. It is a test for protein markers that are present when breast tumors are present, and it is a good "predictive negative" test....meaning that if its negative, its negative. But if its positive, its still likely negative, but then a biopsy may be in order to rule out cancer.

    In my case, the blood test was negative, and it saved me the angst of a biopsy. (Although it did require 3 weeks to receive back results.) So this could be something to mention to your doctor?

    Anyway...big, big hugs. Oye...I so know the anxiety and it sucks. Its going to be OK. Sending love.

    Shawna

  • MTwoman
    MTwoman Member Posts: 2,704
    edited July 2017

    Shawna, the Videssa test that you mentioned was so interesting to me, I had to look into it. From what I found, there is quite a bit of interest in it's potential, but it has not been accepted into general use or practice. http://www.clinicalomics.com/articles/provista-diagnostics-liquid-biopsy-shows-promise-in-detecting-breast-cancer/1094

    Interesting that your doctor is already using it. Are you at a major center where they try "new things"?

  • mommakat
    mommakat Member Posts: 147
    edited July 2017

    Hi BadGirl,

    I am with you! I'm 40, just had my first mammo last month and have been going through the ups and downs of the follow ups since. I too am usually tough, handle everyone else's everything and this has thrown me more than I thought it would. I definitely think the not knowing and the long waits are the worst. Naively, I assumed this would be a straightfoward experience...get a mammo, all good. Or get a mammo, need a f/up, get a biopsy, and a yes or no. For me, it's been a convoluted up and down. But it takes SO LONG! Checking in here helps so much, to know we're not crazy, not alone and not overreacting. The women who have experience are super helpful answering and giving good advice, and I find comfort with the others here in limbo.

    Hang in there!!!!



  • ShawnaB
    ShawnaB Member Posts: 11
    edited July 2017

    My doctor is a breast surgeon and specialist, but not in a huge urban area or anything. Yes, he's up on the latest, but my understanding is that the test is available not, and not part of a trial. I won't post the link, but you can Google the company's website by typing Videssa Breast. <3


  • MTwoman
    MTwoman Member Posts: 2,704
    edited July 2017

    I did see the company's website, but typically I like to see that it is recommended by a non-invested and clinically relevant source (like nccn, mayo, johns Hopkins or published in a peer reviewed journal). I did find one published article, which again states there is great potential. It also finds " Further studies evaluating whether Videssa Breast performs similarly in broader age ranges, high-risk populations, and additional BI-RADS-defined patients will be important in assessing the totality of its clinical utility and expanding the clinical use of this personalized, precise, proteomic clinical assay. Additional model development is currently being conducted to maximize sensitivity, thereby increasing clinical utility as a biopsy rule-out test." Full article here: http://www.clinical-breast-cancer.com/article/S1526-8209(16)30412-8/fulltext


  • ShawnaB
    ShawnaB Member Posts: 11
    edited July 2017

    Thanks for the article link MTwoman! Interesting. I guess perhaps its not that common of a test? Or maybe just beginning to be used in a clinical setting? I had no idea! I assumed it was given to lots of women.

  • Wildplaces
    Wildplaces Member Posts: 864
    edited July 2017

    Badgirlontheright,

    The wire localisation - you can ask to be sedated to the point where you don't have recollection of anything that is done to you during the procedure. It may not be possible depending on resources of your hospital and who is administering the sedation, but it's worth asking for it. If you are having a general anaesthetic for the following lumpectomy - you may be able to find the name of the anaesthetist - speak to them about your concerns and see if they can arrange ongoing antianxiolysis/premed for the interim 3 hours. It is not going to be a good great day but you can GET through this - and you will be better armed to make decisions about your treatments once you know what this is.

    As you can see from my signature - I have had " the lot" - I am 49 with one child.

    It's a tough time indeed waiting for a diagnosis.

    One of the best bits I picked up on this board came from one of the Stage 4 ladies - who said ' try and not project yourself too much into the future - just try and get through one day - just one day, and thenyou get up and do it all again tomorrow'

    🙂

  • Jadiebaby
    Jadiebaby Member Posts: 3
    edited July 2017

    Badgirlontheright- The way you said everything you said sounds like you are me. I am not experiencing the same situation but I'm on this site like you so there is that commonality but I do identify with thinking I was stronger than the freak out I am having. My life story sounds like a bad country song including the house burning down and the dog dying. If childhood is "the kingdom where nobody dies" then my childhood ended at 6 with the loss of my younger sister. I am strong! But this uncontrollable situation creates uncontrollable fear. You are not alone! You are strong! Don't let this take away your sense of self. (Easier said than done, I know) you got this! Sending hugs and positive thoughts your way! Not sure what good that does but you are in my thoughts, the thoughts of a stranger... you have impacted my day in a good way. I am not alone in my fear. I thought I was weak for posting on here but have found it to be the opposite. So many strong supporters on here. I'm proud to be among them.

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