Good prognosis, but am struggling emotionally
Hi,
I was diagnosed about a month ago with stage 1 IDC. ER+,PR+. I had a lumpectomy a week ago. It did not spread to any of my lymphnodes, and they got it all with clear margins. I will most likely be doing radiation therapy and some sort of estrogen blocker. The prognosis seems to be really good. I know I should be really thankful for this outcome, and I am but I have been feeling really depressed for the past 3-4 weeks. It almost feels like I have never allowed myself to feel upset with my BC diagnosis. In my mind I am not allowing myself to be upset, becuase it really is no "big deal" compared to what other people are going through. My friends and work community have been super supportive, but I feel guilty about recieving their support. I feel like I do not have the right to feel upset about anything or to complain, becuase as my surgeon said "I have the best possible diagnosis and prognosis".I just wish I felt more grateful, rather than being so depressed about it it all. Please let me know if anyone else has been struggeling with this sense of "survivors guilt".
Comments
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Well, the best possible scenario would be not having cancer, so I do disagree with your doctor. It's really understandable that you would be getting in touch with your distress at this point. There is no need to feel guilty about not having worse breast cancer, and you get to feel whatever it is you feel about having your life suddenly change in this way.
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LH - one valuable lesson I've learned from my dad is that "you feel how you feel". No one else can tell you how you should feel. You went through it - the shock, dismay, the fear and the tears. The journey is heart wrenching. Thankfully, your prognosis is ivery good and no decent human being will begrudge you that- I for one am thrilled for you!
This cancer crap isn't fair. It's mean and heartless and it infuriates me. I'm very happy for you.
You feel guilty and that's ok. But don't let it interfere with living.
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I was in a support group for BC and there were only three younger women including me. Both died within a year but I was node negative and stage 1 and had horrible survivor guilt. I was depressed and overwhelmed. I went to the counselor at the cancer center she told me " You can only own your own journey. What you are going through is what you are going through. We all play the cards we are dealt."
your feelings are your own its perfectly ok and it might help to talk with the counselor at the cancer center. They get it far more than just random friends who can say some pretty flippant things.
As far as the support you are getting just be gracious and let those around you know you are relieved to be stage 1 and optimistic about your treatment. Use it as an opportunity to educate those around you. Everyone thinks Breast Cancer is cured so many women die from it. I am not saying be a downer just make it easier for the next women who gets diagnosed.
I had a friend who had the same diagnosis you are detailing me. She looked like she was hit with a truck for a few months especially around radiation but she was relieved and vibrant. She also was the first one to come and help me and support me when I had my diagnosis.
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Here is one for you I am stage 1 so was my SIL. I had 2 tumors ILC and IDC and oncodx of 34, SIL one tumor IDC and oncodx of 14. Hers looked better than mine, all tumors were 1cm. I didn't do chemo had mastectomy no radiation. She lumpectomy and radiation. I took AI drugs she was on tamoxifen. I had reconstruction she didn't need to. Both of us had no nodes involved. She got uterine cancer and just passed away. So you never know can't really compare cancers even though that is what we all do. My good friend is stage 3, aggressive every node removed full of cancer. She had bmx radiation chemo the works including AI. She is over 20 years NED.
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I totally felt this until I looked into it more and realized - Holy ____ I could die from this and sooner than I had planned! My radiologist was awesome in getting me to deal with this emotionally and not sweeping it under the rug. I saw others who were looking worse off and felt so guilty. Yet, I may be there at some later date. It forced me to look at my mortality and I'm still trying to wrap my head around this - only now just beginning to because when tx is ahead of you there is too much to do and show up for. For many in my family I look like "I'm over it" and it often feels like just the beginning of dealing with the emotions. Use this community as a support, it really helps when you need it. Good luck and keep us posted!
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I understand. Completely. Going through the same thing. I had a pretty easy time with the double mastectomy. I was up and out next day, walking. By 2nd day i was walking few blocks to store getting bagels. When I read in my surgery group how others are still struggling, I feel bad that I had such an easy time. Make sense? I'm angry that I have cancer, even that anyone does, but then i feel bad for feeling bad for myself because i could be worse off. My sis had IBC, chemo before, double mx, rads etc. Has lymphedema. Tg she is NED for 9years. Here I am crying to her I had cancer and its stage 1, grade 1 no nodes etc. I even told her I felt guilty dumping it on her. She totally understood and said it's still cancer no matter what. It is still emotionally devastating and physically.
I think it's like everyone else posted, we each have our own journeys.
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My sister had stage 1, no nodes, didn't do chemo, and was able to have a lumpectomy. She, too, feels guilty for having a "less bad" BC. Not only am I very happy for her, but I completely support her sadness and upset about her own body and experience.
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Thank you for all your responses, and words of encouragement. I am realizing that dealing with BC is a journey, and I have to allow myself to feel my emotions. I have to remind myself that it is OK to feel upset about something bad that is happening in my life, even though it is "kind of small in comparison to what other people are facing." I am just hoping and praying that there will be some purpose in all of this.
Both my parents died from cancer only months after being diagnosed. It upsets me a lot to think that they never even had a chance to fight back.
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Dear Kat, Dear All:
Thanks for this post - so much.
I have felt this way for three years and didn't have the courage or even the words to post these feelings.
I had a tubular diagnosis and felt guilty saying how much it still distresses me. Lumpectomy, rads. I told virtually no one.
A recent scare - 3 biopsies in the treated breast - brought all the fears back. Right alongside a job loss. Age 55. Ugh.
I see others struggling with more right now and I feel like I should just be quiet.
But I am still so upset and afraid of all the poking, prodding, frightening possibilities.
Cancer takes away your "life of endless possibilities" thinking and inserts fear in its place.
Someone wiser than me - on this board I hope - will perhaps share good words to quash the fear and help me lift my head up and stop being so afraid.
Thanks so much for listening, considering and reading this note. I know you understand.
Love,
Belle xx
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Exactly, don't feel guilty cancer is CANCER no matter what prognosis is or treatment. It seems all of us suffer the emotional pain. 95% of my pain was emotional having other BC friends to talk with is how I got through the worst of it.
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Katrientjie wrote: I am just hoping and praying that there will be some purpose in all of this.
I wonder why cancer is thought of differently to other diseases, it makes no sense to me. We don't expect measles, mumps, diabetes, heart disease, strokes, etc to have a purpose.
Just always struck me as odd, get cancer, wait for an epiphany.
Anyhow, back to your original post, how you feel is how you feel, it is not wrong. Cancer is cancer, there should be no hierarchy.
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Everyone goes through a grieving process which is completely normal and expected. Allow yourself to go through this process and realize it does get better.
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I don't believe that everything happens for a reason, nor that misfortunes have a purpose other to remind us that s..t happens, life is arbitrary & capricious, and we can't expect everything in life to go our way despite having checked all the right boxes on the to-do list. I too have a "good prognosis" (though not as "good" as the OP whose tumor is tiny and only Grade 1). But it's still cancer, we didn't expect it, it all hit us between the eyes like a 2x4 when we least expected it. In my support group I'm the only one who had neither chemo nor mastectomy. But nobody there--not even the Stage IV women--considers me an impostor. (I had feared they would and it took me a few months to work up the courage to come to the meetings).
By the time my paternal grandmother was my age, she had been dead two months from her second heart attack. None of us is immortal. But that doesn't mean we have no right to be scared and/or pissed off about having cancer. We do own our own journeys, without obligation to explain or apologize.
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Belle,
I am sorry this has been such a long and painfull journey for you, now together with your job loss. I think other people who have posted her are correct in saying that cancer is cancer, and all of us have the right to be scared and upset about it. ChiSandy used the word imposter" in her post. I feel I do feel like that at times when I tell people about my diagnosis, but she is right nobody sees me as an imposter. It is too much to keep all of this bottled up, and not sharing the burden with other people. I hope you can a way of sharing this experience with people around you.
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Dear Kat:
Thanks so much for your truly kind post - it's great just to be here and share and connect. I hope we will keep in touch. Sending you much love xx Belle
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Freya you asked in your previous post why it is that when people get cancer we always wait for an ephiphany, wanting it somehow to have a purpose. I think you made a very good point, and it gave me much food for thought this weekend. I think pain (emotional and physical) becomes more bearable if I can find purpose,or at least something positive in the midst of the storm. It provides a sense of hope.
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I am so very sorry you have been struggling. Please know that your post about saved me. I too share all your feelings but mine came out immediately after surgery when they found two additional tumors with malignant characteristics. I am a strong woman and this has tested me to my core. As I was coming out of anesthesia, I was told about the tumors and had expected everything to have gone smooth. I was even happy to have surgery! But I started to cry, almost hysterically and it continued that night and for the next two days. I thought I was going crazy and my partner, who was my primary support was overwhelmed. I have been beating myself up for not being grateful that my cancer is not worse, etc. I think we all process differently but its so important to be able to move the energy of our grief, anxiety and sadness (even terror) out from us in whatever form and time. Thank you so much for posting this.
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hi, everyone. I'm about 18 months out. Thank God, I had an excellent prognosis and so far I'm doing well. I've posted elsewhere that the physical consequences of bc, surgery, radiation and tamoxifen, were nothing, absolutely nothing , compared to the mental consequences. The world just shifted on its axis and everything changed. I too regarded myself as very robust mentally. The diagnosis just about knocked me off my feet. My confidence in the future vanished. I didn't feel I could make plans. I felt I became needy and pathetic. These boards were a lifeline for me because I wasn't ashamed of being like that: only women who have actually heard those words ' I'm afraid it IS cancer ' can really understand. And yes, I'm afraid the change is permanent, for me anyway. Here I am, still on these boards. No matter what your prognosis is, you just don't walk away . I would say, however, that you do get past the terror and the grief for the confidence that is gone. You can take the chance to have a look at your life and make some changes for the better. I am giving up working and retiring in just a few days.....I would never have done that without bc. I went on holiday and guess what...bc didn't stalk beside me like a shadow. I've taking up running (v v slowly). And one other thing happened. My son, aged 22 , strong and healthy, had the most bizarre, random,unlikely accident which put him in intensive care for 3 days. Thank God, he's grand but the message was clear... life is fragile and things can and do go wrong for all of us. He was a hair's breath from death in the space of a few seconds. I can't spend my precious life worrying about a 2/3% chance of recurrence. I don't believe there is a reason for everything.. I think shit happens and bc is just random shit. (Hope no one is offended). I do believe , however, that you can turn it into a chance to change things.
On a purely practical note, don't underestimate the effect of a general anesthetic. It can have very significant impact on theway you feel.
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Just came back from seeing my gyno for a baseline pelvic ultrasound since I started Tamoxifen. I haven't seen him since prior to my dx of BC. I told him how I felt I feel bad for feeling bad that I have cancer because so many others are worse off. He told me to remember that I did not get to choose to get cancer or to decide the type, the hormonal factors, size or grade. It just happens.
Grainnie, Very well said.

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grainne, mostly all my pain was emotional as well. Shook me to the core. All I could think about was spending the last couple months of my life in a hospital bed in pain and a slow death.
It was so hard to comprehend because physically I was in excellent shape. There were no symptoms yet all these drastic procedures and treatments were being trust at me. With the help of my BC friends who had been there done that I didn't completely panic. I sailed through mastectomy and DIEP and managed through AI although not completely unscathed.
Emotionally not 100% never will be until I die, the threat always looms but it definitely is on the back burner of my mind.
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Meow - you've expressed exactly where I am 5 months post dx. This is a place where I come to experience compassion from others sharing this journey. It feeds my soul. Then I am able to go about my day feeling a little less alone.
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Meow 13, you wrote "It was so hard to comprehend because physically I was in excellent shape. There were no symptoms yet all these drastic procedures and treatments were being trust at me." I totally agree, it is very difficult to go through the treatments and even to believe that it is necessary becuase I feel so well physically. It is a very odd experience, and I am still trying to wrap my head around it.
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I agree completely. My overwhelming reaction on diagnosis after a routine mammogram was utter astonishment. I felt that the doctor who broke the news was patronising and repeating a standard little speech, meant to be reassuring but failing and for months afterwards his words and especially his tone almost haunted me. It was only after my first post treatment mammogram a year later that I was able to move on. The (female!) radiologist said " there is nothing there that causes me even slight concern" and those words were like balm.
I have to say I never felt even slightly guilty about having a good prognosis. I was rocked to my core and horribly aware that there is no certainty for any of us moving forward. Now, i feel incredibly lucky and grateful
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Katrientjie - Thank you so much for sharing this post and more importantly your honesty. I have been struggling with a lot of the same feelings. I have received so much love and support and even after all I've been through, I still feel guilty about all of the attention. I'm sometimes embarrassed by the gifts and other acts of kindness.I received a very favorable prognosis. I've had some trying days between surgery, chemo and the prospect of having a bi-lateral mastectomy in November. Still so many have it much worse than I. Chemo wasn't fun, but it was bearable. I'm not looking forward to more surgery, but I'm going to be just fine. This all could have been so, so much worse.I've managed to keep a positive and gracious attitude throughout the process. And people keep telling me that it's good that I'm upbeat, but that I should go ahead and let myself cry. (Someone actually asked me if I'd ever considered "primal scream".) I've almost begun to wonder if I am delusional - suppressing true feelings. It does me a world of good to know that I am not alone!
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I also am struggling. I look and feel healthy since I've recovered from surgery and have not started other treatment yet so everyone acts like I'm fine. Inside I start to panic "I HAVE CANCER". Even though the prognosis is good, I'm floundering but pretending I'm ok so others don't worry.
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In the same boat.. I don't think I have even had a chance to wrap my head around my own diagnosis. I have bitten off small bites and attempt to digest them as time goes, but when it gets too much I have to squash the feelings back down. I am happy to have days where I am so distracted, I forget cancer...until the night time comes....and I get panicked that I lost time researching or writing down questions for my next appt. I understand the feeling about knowing how blessed(or whatever you want to call it) you are compared to many women and men with a different advanced diagnosis....I struggle too about my sister's death....she died from cancer and yet here I sit....none of this makes sense...it is hard period...and there are good days and bad days, good moments, and crazy moments..I try to stay sane and keep moving...there is literally no other choice.
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This cancer thing is definitely a difficult thing to come to terms with. I can really identify with some much of what has been said on this forum. I am doing a little better emotionally, but some days are still really difficult. All the gifts and attention is tapering down, and that has actually been helpful. I do think about my cancer diagnosis daily. I am not afraid of the future, but I do feel upset that I am thinking about it so often. I am now 4 weeks post surgery and will soon be starting radiation and then Tamoxifen. It has been a challenge to actually get on board with the treatment options, because I do not feel "sick" and my prognosis is good. I question if it is all really needed.
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Saying you have the best possible prognosis for a disease as horrible as this one, is little consolation, I know.
I felt like I won the "breast cancer lottery." It's still not a lottery I want to play. And it's full of surprises. It's a roller coaster. I thought I only had 1 tumor. MRI found another. And now I have to go back to biopsy the OTHER breast because something showed up on the MRI that didn't appear in the mammogram. I'm hoping this one is a false alarm. In any case, I'm facing a unilateral mastectomy at best, because I got unlucky enough to have 2 tumors. I'm not worried that this changes my prognosis. That tumor is small, too, and also ER+/HR+, HE2 -. It just sucks that I can't save my breast.
I'm thinking this is going to be the future for us..constant surveillance and monitoring..many drs visits..to keep this thing in check.
We can do it.
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Exercise guru..do you think you felt guilty that you had such a better prognosis? Or did you feel guilty for feeling depressed that, even though your prognosis was better, you still felt sad about having this disease?
Please don't. It's like a door you go through. No matter what stage..biomarkers, etc..I feel like my life will never be the same again. It changes you.
I'm trying to look at the bright side which is..I'm going to eat so much healthier now and get more exercise. I'm learning a lot about this disease that I can hopefully impart to others and help them.
That's all we can do..is look at the positives. And take time for ourselves. And grieve if we need to. I've been crying a lot.
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I have friends who had lumpectomies and got radiation. They're all doing well now.
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