Feeling lost and scared
Hello,
I was dx with breast cancer mets to bones last January at the age of 46. I have been taking Ibrance and letrozole with good results until this past Monday. My latest PET scan showed new growths so my oncologist told me to stop my treatment and is sending me to Dana Farber in Boston to seek a new treatment or possible clinical trial. I'm worrying so much it's making me terribly sad and feeling hopeless to to the point I am making myself physically ill. I am on celexa 20mg but it isn't helping.
I never thought a Dr would stop your treamtent and send you off to another place. I live about 1.5 hours from Dana Farber so I'm worrying about how I can go there for treatment/appointments/tests as needed. I have a great husband (who works FT) who is wonderful but we also have 2 teenagers that we have to manage our time around. I don't see how this is all going to play out. I have a great support system/family but I see the hurt/stress this disease has on them and that's probably the worst part of all this. This dease is terrible and I don't know if I have strength left to keep fighting.
Thanks for listening!
Lisa L
Comments
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Hi Lisa, sorry you're feeling this way. Where are your new growths? Bone or visceral? Is this a de novo diagnosis or recurrence? Is this your first line treatment? What is your breast cancer profile? ER+? PR+? Her2? It sucks either way. I found out May 25 it was cancer, July 24 that it's Stage IV. I'm 44 and I have three beautiful kids that keep me motivated. Please know we are here for you. I see an oncologist at Dartmouth Hitchcock Medical Center. I love him, that makes all the difference for me.
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LisaL. I can see why she would send you to a bigger cancer center. Probably there are opportunities for more clinical trials and maybe an MO who has more experience than she has. I wonder, if they do have something for you, if some of the therapy can be done at the Center nearer to you.
I can imagine you are still in shock right now. I've been on Ibrance/ femara for one year today. I have my scan next week. If it showed progression, and I needed to change TX, I'd be scared. It feels like I just know how to deal with my SE, but a change would mean going through all the unknowns again. And, I think all of us think we'll get two years out of this TX.
I think your MO stopped treatment because your MBC is not responding to it anymore. Also, I've heard that sometimes you have to be off all treatment for a certain period of time before they will let you start on a clinical trial.
Being so young has got to be so stressful. There are lots of young women here that you can talk to. I think there is a thread for that. Keep in mind there are new treatments and trials for you to try. There are discussions here about each of them.
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LisaL, two thoughts:
One is that I almost felt worse with my first progression than I did with the diagnosis. Somehow you feel like everything will be OK than the rug is pulled out and you realize that yes, this is cancer and it will progress. That's part of what you are feeling. When you find a new treatment and it works you'll feel a little better. Your cancer hasa become resistant to letrozole and Ibrance, so it's time for something else. Most likely Faslodex but there are other options.
The other thing is that your MO isn't abandoning you. At least I hope she isn't. You should talk with her again. Hopefully what she's doing is sending you for a second opinion and/or a treatment plan. Then you carry out that treatment plan at home. She's trying to find as many options for you as she can. That's a good thing. It's doesn't mean you need to travel to the Farber every month unless you enter a clinical trial.
I'm a patient at the Farber and the docs there are great. If you call they'll give you an appointment within 48 hours (I believe unless that's only for newly diagnosed patients). Bring a CD with your old and new scans for them to upload to their systems. In advance of your visit take a look at the clinical trials that are open: http://www.dana-farber.org/research/clinical-trial... so you have some idea whether any interest you.
Feel free to PM me. I work about a block from the DFCI so if you want someone to come hold your hand I'd be happy to do that.
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chiming in to say I have a wonderful local onc but also a team at MGH (I live in western mass). I think the comments above about access to clinical trials and a more singular focus on our cancer (my local onc treats all cancer) is a major reason to have a larger team. I only go there once every three months (more frequently at the beginning) and manage thru my local team. But the larger centers also just have more - my local hospital doesn't offer gamma or cyber knife for example. Also I think it is important to note your doc took a big step to acknowledge he/she doesn't know and to send you as soon as possible to a team that have the resources to. That says a lot about how good your onc is and how much they care about you.
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Lisa L- I was diagnosed with de novo BC to bones when I was 47. I’m now 53. I think I’m on my 4th or 5th line of treatment? Some work longer than others. Some are more tolerable than others. The nature of the cancer is to eventually outsmart the drug, thus progression. So you move to another and start the process over. The thing is, there are SO many lines of treatment..and each year I’ve had BC, new ones have come out. I’m 6.5 years out and still have multiple options in front of me. My point is...you have many many more years to live. You are currently not dying from cancer..you are living with it.
I’m a big research hospital fan. I worry about the smaller town private oncs. Some, not all, of them aren’t necessarily up on the latest and greatest treatments. Worth the drive for a few more years of life, no?
Chin up, and take anti depressants. If one doesn’t work, try another. I finally found my magic happy pill in Prozac.
I hope we can help you feel less lost and less sad.
Stefanie
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Lisa, the sadness and worry about the toll on one's family are certainly emotions that hit so close to home for many of us. I am impressed you MO admitted that there may be more opportunities for you at a larger hospital. Egos get in the way of making that recommendation nearly every time so your MO clearly is looking at what is in your best interests. I echo the others in that you should be able to carry out some, if not all, of your day-to-day treatment at your local hospital unless you are enrolled in a trial. However, even with a trial, your local center can petition to become a participating site. My MO keeps an eye out for trials elsewhere and has told me to keep him apprised of any interesting clinical trials I come across as my treatment center does petition to participate in various trials. This whole disease is full of ups and downs but once your next treatment kicks in, you will feel better again. Hang in there.
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Lisa, you do not have to see how it is going to work out. It is the age old wisdom of taking things one day at a time. I traveled an hour one way for chemo and surgery and it was doable. Especially because that is where the best treatment was, and thats the same for you.
It sounds like you are worried that your dignosis is disrupting the lives of your loved ones. If roles were reversed, you know you would do what it takes to help a child, husband, sister, ect. and not feel inconvenienced. If you need to accept rides from others, or meals from them or other kinds of help, please realize that in the midst of your dealing with bc, they feel helpless in some ways, and geting you back and forth to appointments or helping you with your kids or wherever you need a hand is making them feel they are helping in ways that they can.
As for kids, it is rough but they grow thru this. My son was a high school senior when I was diagnosed, and tho I wish he did not have to deal with my diagnosis at that time, we took it a day at a time and learned to ride the roller coaster and figure things out as we went along. Other than your kids and dh, dont worry how others are dealing with your diagnosis. Dont try to make them feel better about it. That is not your responsibility, Your energy needs directed to you. Let them figure things out for themselves.
Please realize you are worth what you may consider "the extra trouble" of getting you treatment. You would want the best for your loved ones; they want the best for you. As women, we are so used to putting everyone else first, but guess what? WE WOMEN are worth it, too.
You do not have to be strong. Just show up every day and let the day unfold. Your family wants you around for a long time, and you can be an example to your teenagers on how someone deals with a crisis. It gets rough at times, that is okay to let them see that. But, there are other times when it is all worth it. We are living with bc, not dying from it. Best wishes to you.
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Lisa- wow, you must be feeling really overwhelmed. As stated earlier, go a day at a time. When you get your appmnt. at DF, deal with that day only. Make arrangements for the kids. It will be your day to do what's best for you. Could your husband get a day off, or do you have a relative or friend who could go with you?
You are very early in the treatment process. There are many more lines of treatment available, and more in the pipeline. It took me at least a month to process the fact that I had progressed.
You will find great support here. Love MJH
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Lisa , u have gotten great advice above. I just want to encourage you too. I was 47 when initially Dx, my youngest in middle school, 2 were in HS & 2 in college , oldest came home from her teaching job to give emotional support. I made it my goal to live to see youngest graduate HS. Well that was a yr & a half ago. I have gotten to witness oldest son’s wedding, his graduation from medical school, my oldest is now working on her PhD, 2 more got their bachelors degree & 2 youngest in college. 2 MO’s have retired , I think I am now on my 4th MO. I have switched to Uni of Fl, drive an hr & a half to get there. I make the most of these trips as son #5 goes to college there & we visit when i am there for treatments.
Some one coined the phrase “progression depression” . I loved it, cause it is so true. You feel down & start thinking the worst, then you try new treatment, watch it work for awhile , get optimisim back. I thought 2 Christmas’s ago would be my last , but I am still here, and look at each day as a gift. My family doesn’t like to talk about cancer, laugh at me when I pull out the cancer card. But I have spoken w/all my kids & husband separately. These are usually tearful discussions, which my son over Christmas said he was glad we talked & that he had not been able to cry but it felt good to let it out. Hang in there, you will be surprised what good will come out of this ordeal.Sue
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