What was your wait time to surgery in Canada?
I first went to the doctor with a lumo at the beginning of May. Diagnosed with IDC in early June. Surgery is not going to be before September and I'm panicking. Lump is about 2.8cm. Plan is for lumpectomy and radiation (chemo only if surgical biopsy indicates it). But is it normal to wait 4-5 months for breast cancer surgery? Won't the likelihood that it will spread to my lymph nodes or beyond increasing the longer I wait?
Comments
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I'm in ontario, I dont know where in canada you are. I was diagnosed February 8th and had surgery February 22. I wouldn't feel comfortable waiting that long unless I was doing neoadjuvent chemotherapy. Hope that helps.
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I'm in Vancouver. It took a bit for me to get all of the testing done for the diagnosis (something like 7 weeks, nobody seemed to be in a hurry), but once I was diagnosed, things moved more quickly. I was diagnosed on Nov. 22nd and had my lumpectomy on Dec. 14, that was the earliest they could fit me in.
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MollyinTO
I feel for you. No, 4 to 5 months does not seem like a reasonable time. I'm beginning to despair of Canadian healthcare. I just don't get it.
You've already had a biopsy, correct? Was there any Grade or other histological information given?
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Not normal at all. I waited a month and that included the Christmas holidays. Where in Canada are you
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Dec 4, received official diagnosis and copies of biopsy results
Dec 5, met surgeon
Dec 12, had surgery
Unless you're doing neo adjuvant chemo before surgery, this is too long to wait. There are in fact studies on this.
A write up by a breast surgeon of the current studies: https://sciencebasedmedicine.org/you-have-breast-c...
"Putting the results of these studies together suggests that it's best to do surgery within about 60 days in patients not needing chemotherapy first.." -
Oh forgot to say - I found out on a Monday but my family physician got the biopsy results on the Friday before & she personally spent that afternoon on the phone calling various oncology and breast surgeons' offices in the entire Lower Mainland of Vancouver and checking who had space in their operating room schedule. Her first choice couldn't even do the initial consult till 4 weeks later & then surgery would be another few weeks later and my GP said that was not acceptable so she just called and called until she found someone with earlier appointments.
So anyway, perhaps go back to your GP and say you need them to help you find a surgeon with faster OR availability so you can have your surgery within the 60 day window. I'd be willing to travel for it if necessary, kwim? If the slot had been a couple hours out in one of the suburbs, that would have been fine - just get that tumor out of there.best wishes
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moth, you're very fortunate that your doctor went to bat for you that way. I have been trying to get an excisional biopsy for a 30 X 40 mm mass below my collarbone that the radiologist described as "highly suspicious for a pathological lymph node." I am a 20 year Stage 2 BC survivor. My doctor said it would take a long time to get in to even get an initial appointment with a surgeon. I asked couldn't they phone around and find a surgeon anywhere in southern ontario, I'd be willing to travel, and she said no. I said, could I phone around and do that, and she said that's not how it works. At least in the U.S., where I had my initial experience, you can phone around yourself and see if you can get in to get the consult with a surgeon. The treatment in Canada is not very patient-focused in my opinion.
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I'm pretty new to this so I still don't have all the lingo. I've got a couple of the reports but not sure how to determine if a grade is mentioned.
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I'm in Toronto at Sunnybrook Hospital - a huge breast cancer centre.
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Molly, it could be that based on your histological results and other findings, you are maybe in a lower-risk category. I believe that they do triage surgeries to some degree, so that someone who presents with a large, invasive, rapidly-growing, aggressive tumor may receive surgery more quickly than someone who has a slower-growing, less aggressive tumor. So it might actually indicate that you are in a more favorable category. But I am just speculating.
I know the waiting is agonizing, and I agree with the poster who said maybe a call to your doctor is in order. You could at least discuss your concerns and maybe he or she could give you an idea of why you are not scheduled for surgery sooner and give you some reassurance.
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Sorry you are experiencing this. That seems like a really long time. It took five weeks between going to my gp for the lump, mammo, us, and biopsy to get the results but then once I was diagnosed I had a lumpectomy two weeks later at a smaller regional hospital. My mastectomy was at a larger facility and even they were booking three weeks out. Definitely follow up.
ps I’m in BC.
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I’m familiar with Sunnybrook, the care is top notch there. Not sure why they make you wait so long, it doesn’t make sense. Can you talk to your family doctor?Maybe get referral to another hospital like North York General which is smaller and may be more efficient.
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From mammogram to surgery would have been 5 months with wait times for biopsies and appointments with surgeons including plastics. (That was with having an "in" with a surgeon, so I even got things moved up a bit.) They assumed I was low risk as the core needle biopsy came back ADH and the excisional biopsy came back DCIS. The whole ordeal was excruciating. In the end, I finished out the school year for a total of 7 months and it turned out it was invasive after all. 😢 I gambled and lost.
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Personally I don't find anything as bad as waiting. As long as I am getting the treatment I need I can be OK with that, but long waits are excrutiating.
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I floated from January until April with North York General, tons of tests. Finally hit neoadj chemo at beginning of May, surgery at the end of August. It took me slamming my fist down on my BS desk and almost yelling ‘how long are you going to leave this verified cancer inside me’ (my tumour was big...visible through my clothing, and getting bigger)Things rolled quickly after that. In their defence a few of the tests were unexpected, however there was a lot of foot dragging. My BS was an excellent surgeon, but I think work overload was a problem. My MO wouldn’t answer me when I asked why I’d been left so long...that in itself gave me my answer. I was so new to it all..today that desk slam would happen much sooner. Advocate for yourself and insist firmly for answers and a treatment timeline!
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Molly, if you have your biopsy report, you can write it out & we can help you decipher it.
I would be faxing a letter to the surgeon's office with a copy of the studies I mentioned above & referring to the optimal times being within 60 days and asking for a faster surgical date. If you don't get a quick and acceptable reply, move it up to the patient ombudsman.(I'm in the angry phase of my cancer 'journey' - barf, hate that word - & everything pisses me off all the time so if you need any rage filled but legal sounding letters written, I'm your gal )
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Thanks, I'll try getting my biopsy report. That was done at North York General, but I presume my family doctor has it (who of course doesn't work on Fridays!).
BTW - I also hate the word "journey", and just two months in I'm well into the angry stage now. This wait time nonsense is putting me over the edge.
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Molly - going through the breast clinic I assume?
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Yes through the Odette Clinic.
And I now have a physician trying to help me out, so at least I don't feel like I'm fighting a huge system on my own.
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I am from MONTREAL diagnosed last January 9
Lumpectomy ... January 30
Re-excision... March 13
ONCOTYPEDX result... May 11 (score of 7)
Radio theraphy... started June 11 ( 15 whole breast rads and 4 boost total of 19 sessions) now on my 17th session 🙏
Hormonal theraphy (tamox) ... scheduled for August
Waiting is torture but hang in there and call your doctor why you hve to wait that long coz my BS put “ emergency” note in all my test appointments .
Good luck luck to you and praying that you’ll have the surgery soon
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You should have been given a clinic nurse navigator's contact info. If you have it, call or email asking for your info. If not call the clinic receptionist, she can give you direction, if things don’t work out with the physician. Are being seen byDr. Pinchuck at the clinic?
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Molly I am sorry you are waiting so long! This is so worrying. I waited 7 weeks for my lumpectomy in Vancouver and that was too long for me.
I hate the word “journey” too. A journey should be FUN and this is not at all fun! My idea of a journey is going to the south of France.
I am glad you have a doc helping you. Keep up the pressure and let us know when you have your surgery date.
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@Egads007, I did get contact info for a nurse navigator and all she did was give me the direct number for scheduling and say it's their issue not hers. Oh so helpful.
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I see things haven’t changed since 2013. This is ridiculous!Your PCP might be helpful or a personal visit to the clinic if you can. The patient ‘experience’ lol office might be able to advocate for too:
Visit our office at the General site, room GSE 114 (ground floor east)
Tel: 416-756-6125
Fax: 416-756-6656
Email: patientexperience@nygh.on.ca -
@egads007, do you work at NYGH? are you able to find out when they are now booking lumpectomies for?
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Molly, no I don’t sorry, I just went through treatment there in 2013. Have you seen an oncologist yet? Who is your breast surgeon at the clinic
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Thought I should check in here with my experience. I had my treatment at Mt Sinai/Princess Margaret in Toronto. From the day of my first Dr appointment with a complaint of nipple discharge until final diagnosis was about 2 months. In between that was a series of tests with discordant results (mammogram, ultrasound biopsy, MRI, MRI guided biopsy). I waited 18 days between the last test-MRI guided biopsy and my lumpectomy. I always felt that things were being scheduled as quickly as possible.
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The problem is for people who live out in the sticks like I do. It seems like referrals to get into the major Canadian Cancer Centers are very slow. I feel at this point, with my recent rapidly growing 40 X 30 mm subclavicular growth, which was termed "highly suspicious for pathology" upon ultrasound, and my history of breast cancer, my family doctor should have had least been in touch with an oncologist. Maybe I should be having some scans etc. But nothing.
It has already taken 4 weeks from my initial doctor's appointment to point out the lump, to just get the ultrasound guided biopsy appointment scheduled for July 13. Results take a week or two according to Joseph Brant Hospital in Burlington.
If I do indeed have recurrence I would like to be referred to Juravinski. God only knows how long that will take. And then in Canada there seems to be this thing that centers can actually refuse you and insist you be treated at some local rinky dink center like where I live, Brantford General Hospital, where they have an oncology clinic where the oncologist comes there ONCE a week. That's not a cancer clinic, that's a joke. I had a family friend who went in there with pain, and was NEVER EVEN SEEN BY AN ONCOLOGIST FOR 3 1/2 WEEKS AND SHE DIED. She was killed by a blood clot generated by the original cancer tumor. It seems like in Canada cancer patients are not in control, but an inefficient system is. I'll just rent a studio apartment in Hamilton to get a Hamilton address if having a local address is the only way you can get cancer care at Juravinski.
I am actually more afraid of not getting the timely care I probably need than I am of the actual probable recurrence itself.
And when you get insistent with the staff here, which I view as advocating appropriately for myself since who else is going to, you get labelled as a rude and difficult patient. It's like you are bothering or inconveniencing them.
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