Newly diagnosed and feeling overwhelmed
Hi all,
I found this community last week when I was waiting for my results appointment. Confirmed today that its breast cancer which, while I was able to be calm at the time, now its sinking in a bit. I'm a (barely) 42 yr old American living overseas in the UK and trying to navigate a strange-ish medical system. For now I am on the NHS system, but I have excellent private insurance and will be looking into moving into that system instead for both comfort and access to better drugs. Waiting in a hallway for three hours for my appointment wasn't fun in the least
The meeting with the doctor was a blur - they said 5cm in the right, but the most common breast cancer. Biopsy of armpit lump was inconclusive, so they want to do a bunch of MRIs on everything again. I wanted a copy of the pathology report, but then there wasn't paper in a printer and between that and the craziness of being sent up to bloodwork, getting the CT scan appt for tomorrow, and another bunch of appointments set up, I forgot. It looks like its going to go chemo (4-6 months) then surgery which makes me worry its some massive monster in there and there isn't any hope etc etc. Having already had a breast reduction 20 years ago, frankly I would have no problem if they take them both off completely when we get to that point.
I have to call my parents later and I know mom is going to be upset and that will be hard to hear. Cancer hasn't really ever happened in my family and I did everything 'right' - exercised, ate right, no smoking, low alcohol, etc. Even more frustrating is that I can't exercise right now due to a back injury, so I have no way to escape (but that is being managed and getting better). What a mess.
This year I was doing a lot of positive other background work on myself because I wasn't happy where I was at in life. I guess I didn't imagine I would get cancer thrown on top of it too. But perhaps its meant to be a full, clean break from the past ways of life, into something new and better.
Comments
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((((HUGS))))
Those first few weeks with all questions and no answers are SO hard. Hoping you get answers and a plan in place soon.
I know you have a back injury and cannot exercise. Are there things you can do? Can you walk and go for walks? Even slowly? Can you do meditation? Anything like that you can do may help. Maybe start making a playlist of songs that inspire you...or get a couple good books to read...or make and freeze some meals (you'll appreciate this later)...........
Hoping you get answers and a plan soon.
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Hi SondraF - sorry to hear about your diagnosis and also having to deal with this whilst in a foreign country.
I had private health care but chose to have my treatment on the NHS. My consultant told me that I would get the same treatment if not better on the NHS. The NHS take a cancer diagnosis very seriously and will ensure that you are seen very quickly and get the best treatment. Private health care is great if you need access to drugs that aren't available on the NHS, and this is often drugs which are still being trialled, but not usually in the early stages of treatment. I don't know your diagnosis, so can't advise on this.
What hospital are you being treated at? You need to find a hospital known to be one known for excellent cancer treatments such as the Royal Marsden, Royal Free (Hampstead) Mount Vernon, etc. I'm sure there are others around the country but those are the ones that I know. My treatment was second to none on the NHS, and i could have gone privately.
Good luck
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Hi ladies,
First, thank you for the comfort, it was much appreciated. My call with mom went surprisingly well - she and dad were both on the phone, but she has also spent 35 years going through various surgeries (back, feet, knees, hands, etc) with him. He just got his last one (carpal tunnel) and I felt bad dropping this on her now, even though there is nothing she can really do. I did ask that she tell my sister so she is aware of increased risk now - sister works for GE Healthcare so knows all about the machines and everything and can explain to mom too.
Re: back injury - my chiropractor here has been wonderful (once I found him! First had a PT that made it far far worse) and at yesterdays adjustment he must have been able to finally spring everything back into place because I'm feeling great with minimal pain. He said next week we start strengthening exercises, but to continue short walks. I'm all-or-nothing sort of exercise person, but I think I can get back to more substantial workouts in a few weeks. Not a jogger but a swimmer, so that's good!
For Rebz - Im currently at Homerton University Hospital (up in Hackney), but since we live way down in Wapping, I wonder if we aren't on the border of another Trust and if I lived two streets over I would be caught in a different one (not to mention the MUCH better GP surgery. I just hate mine). Its a good 45 minutes to get up there with two trains and a bus and while its fine its just... depressing, loud, and crowded. I did note the Royal Marsden as an option (10 minute walk to Tube then straight shot 15 minutes to South Ken) - can I ask to switch hospitals on the NHS? I guess I thought I could only do that with private insurance (which will pay for that hospital too). We are also probably going to move house that direction later in the year for various reasons, which will make Homerton even more inconvenient. But for this I dont want 'it'll do' I want The Best. And if The Best is actually closer then why not go for that?
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I feel the same as you about wanting the best care. I didn't want any regrets down the line that I settled for "okay" when I could have had "excellent" no matter how far I had to travel. I did get a first and second opinion. The first MO was closer. Her tx plan was the same as the larger cancer center that was further away and my second opinion, so I went with the closer MO.
I have no idea what back injuries you have, but certain types of yoga are wonderful to build strength and learn to breathe (like when we have anxiety). You might consider attending a beginner's yoga class and see how it feels.
Claire in AZ
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So getting a bit more to grips with everything here and I feel like I've been reading this forum non stop for three days!
CT scan was fine on Saturday even if it was a few hours up there, and I felt well enough to go out to not one but two shows that evening. Sitting in that hallway Friday was a blessing in disguise as if partner hadn't been bored he wouldnt have religiously refreshed Facebook and seen a surprise concert announcement for the next night. So that was nice and my back held up well.
I get why they say now that the tests and waiting for the official diagnosis is the hardest part. Ive got MRIs this Thursday and at some point I have to go to a different hospital for bone scan because they don't have the machine. And some more biopsies I think. I have a call with my (terrible) GP tomorrow for the referral to the Fancy Cancer Hospital (Royal Marsden) which should go right through. They did tell me that the NHS is a machine and will keep on cranking while you figure out if you want to do private or not, or switch hospitals so until I figure that out things keep going. I'll call insurance tomorrow to see if someone can explain things to me. I have short hair anyway but was due a haircut, so I will just get it cut a bit shorter than normal on Thursday. I set a meeting with a director I trust at work to break the Big News once I have clarity on treatment path at the end of the month, because someone needs to know about whats up with scheduling and project impact, etc
Slowly but surely gaining some control over all this but I may ask about antidepressants as I've been having a shit time of it this year, even before the diagnosis. And of course a bit of extra fatigue or lack of appetite and immediately I'm thinking the worst of everything but I also remind myself even if it doesn't feel stressful, it is and these are outward manifestations of that too.
For exercise I do walk every day to and from the station and work, which includes stairs, and then I do some light strengthening with bands at home. Next weekend I may try to at least get in the pool to bob around and do a few laps, just to be in the calming water.
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Hey SondraF:
It just sounds like you are making really intelligent decisions. Addressing the possibility of antidepressants, getting your back taken care of and exercising. I know FOR SURE your recovery will be so much better because of that. Put your anxiety in preparing. That really helped me. My diagnosis was at 52 in June and I am now 4 weeks post OP. There have been now far more highs then lows and I really wish that for you. Keep your besties around you and shut the negative Nellie's out♡
XO, C
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I guess this is becoming a place to collect thoughts while I go through this waiting/testing to final diagnosis and treatment plan. MRIs this morning - I had one before for my lower back a few years ago and (this sounds weird) but I love the sounds the machine makes. So soothing - wubwubwub - but then I listen to a lot of experimental electronic music
I've been on the phone with insurance and spoke to a lovely nurse yesterday on their small breast cancer care team who assured me of everything that was going on with my policy and the options I have/how things work, etc. I spoke to GP about switching hospitals and I can't until I get my consultant and team assigned and even then its to the hospital up the road (Royal London) which... isn't very good. So more and more I think I am going to go the private route in an NHS facility. Hopefully as the major cancer center in the UK (in the event of Brexit) they will get the isotopes and drugs coming through uninterrupted (supposedly the government is going to guarantee and use the Army to fly stuff in but pfft. Look at them. I still think its going to extension anyway).
In making these calls its been a good way to practice saying 'I have cancer' without crying. This diagnosis is also really focusing the mind, I feel really light and optimistic somehow, that whatever the ultimate diagnosis, I'm ok. I'll be ok. It'll be a tough, shitty road to go, but I'll be ok and I can handle it. I was at a show last night and in looking around I thought 'wow, if I lose my hair that means I could get a cool wig to wear to shows and not look like Corporate Square!' Although frankly the shows I attend if I went bald it wouldn't be a big deal either.
And my back injury all of a sudden started feeling much much better, which means things are getting stronger. Its actually my pelvis as a joint has been locking up on the right side, but it feels like I hit a new level of muscle strengthening and can start to decrease the Ibuprofen and I didnt need to wear my SIJ belt to bed the other night. Not having that overhanging pain has helped perk up my spirits and relieved a lot of fatigue issues I was having too. Which is good because I want to do All The Things before I can't for a little while.
Just going to keep putting one foot in front of the other to get to the other side.
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Perfect, SondraF. True-it is a shitty road to walk, but it gets better some miles down the road. As you said, just keep walking it, and eventually you'll get to the finish line and all will be well.
Hugs
Claire in AZ
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LOL and I thought I was the only person who enjoys the sounds of the MRI--very soothing! I never accept the headphones w/ music, just the ear plugs.
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The NHS machine continues to roll on - new appointments keep getting texted to me, so now I have a late appointment on Monday for left (unaffected) side mammogram (according to the letter that appeared today). While this is handy its also sort of strange, like I am being borne along like a cork in a fast flowing river. Perhaps that changes when I meet the team. I do need to call my BCN today about this impacted saliva gland on my lip as I have a reference from my dentist to an oral surgeon and how to deal with that (do I tell them about the cancer? Can I PLEASE get this taken care of quick? Or can they just shunt me to another dept in the hospital and shoot it up with something?).
This week was exhausting with too much going on and I am quite fatigued. Going to take today to rest at home and then tomorrow I want to go over and have a look at FCH and see how I feel about the commute. Back/pelvis is continuing to improve, the chiro stretched me out yesterday and it felt so good. So I will now spend a week stretching and then strengthen because that was just too, too tight. Unsurprising considering everything I was up to last week - even going to hospital appointments involves a good hour of walking and at least ten flights of stairs up and down on the Tube/Overground. I did get a free sample Godiva chocolate bar on my way to MRI, due to a promotion at one station, so that was a win!
Ready for the diagnostic tests to end and get going on chemo - mostly so I can stop going to so many appointments and can start to focus on what I need to do to get through the next 4 to 6 months and how to plan leave from work and everything else! But these final diagnoses weeks are also helpful to read and learn so I have as much knowledge to ask the oncologist questions and understand the process. Reading all the threads here has been so helpful both for reassurance and general education purposes too.
And finally - this week I read about Sarah Thomas, who swam the Channel four times a year after finishing treatment for BC at 37. What a machine - she was marathon swimmer before and kept swimming throughout treatment but wow, inspirational.
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