Question about protocol
Comments
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Question for my stage IV sisters... Do you ever hesitate to respond to threads from lower stage sisters out of fear that the stage IV part of our diagnosis will scare them? Thoughts?
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It's so interesting you ask this - I was thinking about it earlier tonight. There are countless threads I find myself starting - then deleting - a response. I'm at the point where I very rarely post anymore. I miss some of those threads I used to contribute to - I don't feel I belong there anymore (especially the High Oncotype long-term survivors and early stage recurrence rates). I'm simply feeling a little lost lately. -
I totally get that lost feeling. Not only am I trying to adjust to life with a stage IV diagnosis, I'm also trying to recover from a 7.5 hour emergency spinal surgery. My leg is still 80% numb and it's hard to process the stage IV part when I am still having trouble with simple things like walking. Sigh... Yup, lost
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I'm sorry to hear of your surgery; I hope it makes a positive difference in how you feel, soon. You're certainly dealing with a lot. This diagnosis creates so much chaos, it's exhausting. I'm struggling with guilt and coming to terms with this new chapter because I'm not doing any treatment - yet. Small bone mets that aren't progressing quickly, and being TN my options are rads or chemo. And not a lot of pain so why treat just now? Not exactly sure where I belong, missing the connections I had built before everything changed. *hugs* to you and positive energy for quick healing, myfriend.
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Thank you so much, Nancy. It means more than I can say. I had about 12 hours notice before the surgery. I wish I was kidding. And then the hit me with the stage IV. Talk about your world being turned on its head. I'm still trying to figure out what end is up. Just putting one foot in front of the other and being extra kind to myself. It's really all I can do right now. Eventually all will fall into place.
They radiated my spine and now I'm just on ibrance/femara.. oh, and can't forget the lupron. At 42, my ovaries weren't finished naturally and there is no way in hell I'm going through another surgery right now.. so Lupron it is. This whole situation sucks.. just sucks.
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Finallyoverit, sorry to hear about your surgery and the pain and being stuck in bed/chair (temporarily), ugh, I can't imagine.
But to answer your question, yes. As Nancyhb said, I find myself starting and deleting too. Especially for the worried or just diagnosed, if I say I felt great, had no clue and dxd stage IV at 41, I think it might be too much for some. When I felt the lump, cancer alone was my worst case scenario, stage IV wasn't even on my radar.
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illimae, I can't imagine being Stage IV from the get-go. I was 1A 6 years ago, and again last year when I had a recurrence. Six months later accidentally found mets on 2 ribs via routine CT scan (and correlated by bone scan). Since then a new lesion on my sternum, and now a paratrachial lymph node. A friend and BC sister said to me, "You're my nightmare" - and I've been devastated ever since. I want to reach out to newbies like I used to but don't want to scare them. So I read a lot and do t post much because I'm still finding my way...
finallyoverit- I can only imagine how difficult this time had been for you. 12 hours notice doesn't give you any chance to process what's going on!! This disease is so devastating physically and emotionally. I'll have to go back and read your other posts to see where you are physically - how are you doing emotionally with all of this?
Even if we can't talk with newbies - we always have each other. And while I wish none of us were here, I appreciate more than I can say that others understand. Thank you so much for being here!
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I understand where you are all coming from. Then I am that next level where I am dealing with end of life issues, and I don't feel comfortable responding anywhere. When my mets were confined to my bones, I felt I could live forever, (or at least 20 years). I didn't think about dying from BC much at all. DH and I had so many adventures and really made the most of every moment.
Now I have days where I am in a really bad place physically and watching my DH struggle with it all, and I don't want to scare other stage IV ladies/men. I don't believe in sugar coating things, but there are some things you just don't need to know as your time could be very different.
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I can't speak for everyone but I personally like the honest responses from people who have been in the game a bit longer than me. While I am a positive person and obviously hope for the best I'm not one to sugar coat or ignore the possible future. You ladies have a lot to offer and your experiences and trials are valuable. I know it can't be easy and at some point you might want to respond to a thread with "I did everything I could, exercised, ate right, slept like I'm supposed to etc. and I'm still stage IV". We get that and I appreciate that honesty too Please don't stop responding though. I would rather hear the truth from someone who's been there as opposed to burying my head in the sand. I also think that those of us currently diagnosed with a lower stage can offer support, companionship and even humor to our sisters in a different part of their diagnosis. I can talk to my family and friends til im blue in the face but sometimes it's the words of strangers who have/are experienced the same physical/emotional issues that help the most. Sometimes that's all it takes to get through get through the day.
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So sorry to hear of your surgery and hope you continue to recover and regain function.
I don't hesitate to post about things that I know or have personal experience with, regardless of what stage the audience may be. I refuse to be treated like a pariah because I'm stage IV. Rest assured that reading /responding to my posts will not expose you to MBC. I do find that responding on non-stage IV threads sometimes gets me ignored. This has been particularly true on threads discussibg one step implants. Despite having a positive experience and living with them for 6 years, I think I'm often dismissed when it's realized I'm stage IV.
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I almost never look at the lower stage threads these days. In years past, I would read something and consider if my reply might strike fear in the lesser stage gals. If I felt it might, I did not reply. If I felt I had something worthwhile to contribute, I did. Most often, I didn't add anything to the conversation.
I'd had about a month there when I was getting tested before I found out I was stage iv from the start, and I can still recall how incredibly fearful I was to even see the link for "stage iv/metastatic only" section. It was incredibly difficult to click that link when I learned that was now "me". So I always keep that in mind about those who are lower stages.
And similar to you, exbrnxgrl, many times when I added my two cents worth, the thread would dry up. Hardly any more or no more posts. You'd hear crickets, as the saying goes. Even threads that had been active like gangbusters, suddenly, nothing. It happened too often for it to be a fluke. I am very intuitive about things like this, so I could tell my presence made others flee. It's okay, I moved past it.
To hear that a bc sister and friend told you that you were their nightmare , Nancy.....grrrrrrrr, that makes me so mad!
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So, I'm not the only thread killer around.
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I started out IIIC which was a new category then and thought to be poor prognosis. I felt more comfortable on the stage III posts. Now I am IV and mostly stay on stage IV posts. The people there are great and many thoughtful suggestions and lots of research and heads up about new meds. I think part of it has to do with what is relevant to you at the time. At the beginning I did feel that stage IV was a death sentence and glad I didn't have it- but, I didn't know anything about it at the time. I'm just surprised that stage 0-->Stage IIIC all have the potential to become stage IV-none of us are immune to this. (and some people 20+ years later) Ultimately we ALL need $ and options for a cure.
Check out some stage IV and see if they work for you.
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@Nancy.. I'm ok I guess. It's really weird.. I really don't feel anyway about my progression. When I went through it years ago, I always had a feeling that I wasn't quite done with bc. So, when I received the stage IV news, I honestly thought, "meh". I'm really not in denial, and I hope I don't offend anyone by saying this, but I believe in God and feel like this is just part of his plan for me. I'm not going spend time second guessing him or feeling sorry for myself. I honestly have not broken down about this mess. The only time I had a few tears is when my hair started coming out in handfuls recently. We shut my ovaries down very quickly so my MO believes my hair follicles were just rebelling for having their estrogen taken away. Thankfully it's stopped.. now I'm on hair watch again. Though I was done with this when I finished chemo.. guess not.
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Went for my monthly Lupron shot today. The nurse looked at me and asked "anything I can do for you today?" Not sure why, but I started crying. I was just overwhelmed by her compassion. She gave me the biggest hug. Not sure why I had that reaction.. I really haven't shed many tears since this mess started.
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finallyoverit, sending big virtual *hugs*. Those moments of gentle compassion can make such a difference when you're exhausted, and what seems like a simple question becomes so powerful. I'm glad she was there for you when you needed her.
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Finallyoverit- I understand completely your feelings about your progression. I feel like I went through all the really dark horrible days and nights with the initial diagnosis. Always felt like the other shoe was going to drop- now it has and I feel calm.
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I feel the same about lower stage threads, but for a different reason. I often read stuff that seems so petty and I can't wrap my head around it, especially the dramatic worriers that don't even have cancer. I just can't, you know. I do feel at home on all stage 4 threads, whether a sister is NED or in her last stages, it's all relatable to me in some way.
Stefanie
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I do look at the active threads outside the stage iv forum, and post when I feel I have some useful knowledge and experience to share. I have been able to provide guidance to some new people. But other times I leave the responding to others without such scary stats. I sometimes assert my right to participate in a discussion that is relevant to all stages, and not be shunned because I am stage iv. One of our lovely early stage members, when I mentioned to her that I was afraid my stats would scare people if I posted, had a different take on the question. She thought it could be valuable for someone to see that I was managing stress and anxiety well in spite of my stats.
All you thread killers, maybe your post was the last because you said it so well, there was nothing left to say. At least that is what I chose to believe when I heard the crickets!
Within the stage iv forum, I want to hear from my stage iv sisters wherever they are, no ranking. This is a community; everyone is included and has something to contribute. I will admit that there are times I feel the need to protect myself from the three topics that scare me most, so I do appreciate it that there are dedicated threads for those, and I can choose if and when to delve into those subjects.
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Nikb - exactly!! My dear friend worries incessantly about recurrence (understandable, she was IIIb), and when I recurred she broke down in tears "for me" because I wasn't crying. I told her I'd been waiting for the other shoe to drop; now that I'm barefoot I feel free. I'm not happy, mind you, but far less stressed over "what/when if"
Stefajoy - I feel welcome in the Stage IV forums but personally feel lost without being in actual "treatment". I don't feel like I can offer anything but general support, but I try. It sounds weird but without being in active treatment I struggle to feel like I'm actually Stage IV (and then I feel guilty for not being in treatment...). I'm sorry if that offends anyone, I don't mean to. I think I haunt the lower-stage threads because I spent four years there and on some level I feel like I still belong there? I don't know, I'm trying to work it out.
Shetland - great reframing!! My words are so amazing I just mic drop the whole conversation- *boom*!
Thank you all for making this a safe place to talk about all of this.
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A bit of a sensitive topic for me, but there have been a few too many times when I have been made to feel unwelcome on stage IV threads. Some feel I haven't suffered enough to earn my stage IV cred. It's upsetting but my experiences are what they are. Stage IV does not look the same for everyone but my fate won't be remarkably different in the end. I've ever been angry or pissed off at anyone, with respect to bc either. Some people find this off putting too but that's just me.
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Caryn, thank you for your post. I'm sorry for your experience, especially here. It doesn't surprise me but it does hurt my heart. I've held you in high esteem since I first arrived at BCO and appreciate your honesty and gentle nature. None of us deserve to feel as though we haven't "paid our dues" regardless of our stage. This isn't a competition for who's got it the worst - we're all on the same crash course, we may just be taking different routes.
I'm rarely truly angry with people, even when they say or do insensitive, stupid things. Anger is a waste of my time and energy. I believe most people really mean well, but may be misinformed or uneducated about this disease. Or they're scared. I remind myself that what people say is about them; what I hear is about me. Sometimes the message gets lost in translation.
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Thank you everyone.. maybe the reality is finally settling in. This disease just sucks. Words just escape me this morning. Wishing my bco sisters a pleasant, pain free day.
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