If you have just been diagnosed....
Comments
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Rafael,
I had the SNB done in May. There were 4 shots in the nipple area. It does hurt - I have heard it described as a bee sting which doesn't hurt after the needle is removed and I would agree with that. The first two weren't so bad, but the last couple hurt more when injected. I was told on another board as recently as last week, that there is a topical ointment that could be put on an hour beforehand to reduce the pain. You might want to check into that. I was also told that taking tylenol before the procedure was helpful. Perhaps check to see if these are options. Neither were offerred to me which kind of sucked. After the shots, I got a warm compress to put on the area which helped a bit. You might have some swelling in the breast and that takes awhile to go away but it doesn't hurt - just feels weird. Good luck - I brought an ipod to the procedure and it helped me to zone out while I was there. Good luck and sending hugs:))
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Jule,
thanks for the post... I asked the BS about a topical cream and she said no. I've read other posts with various responses. I figure that if the first one is too much for me, I'll just have to say stop and they'll have to do/get something for me. Just the thought makes me cringe... ugh...
I told the BS it ounds barbaric... she agreed but said if there was a better way, she'd be a champion, it didnt make me feel any better.
BTW, I'm a stage I, < 1cm, very small - 34B... maybe bigger would have been better .. who knows? I am absolutely petrified, the wire loc seems like a piece of cake compared to this.
Yikes!!!
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I went for a second opinion because I had a mammogram done in December and didn't care for the place or the attitude of the person who was going to do the core needle biopsies. I had one done in February of 2003 after losing my mother to BC. She had her last mammogram in 1994 and was diagnosed with stage IV that had mestacized(?) to her brain. I lost my father to colon cancer in November 2007 and am dealing with his estate now. Everyone is offering me their opinions of what I should do but they haven't personally dealt with this disease. I haven't met with an oncologist yet. I am going to meet with my doctor/surgeon and discuss all the reports from all the tests I have had done. I really want to know if anyone is having to make a decision about mastectomy or lumpectomy and how they feel about it. I am soooo scared of needles and the testing that I am a nervous wreck just thinking about another test. I think all the testing is finished for now and I just need to make a decision about surgery. I have done the crying and I am blessed to have great family, friends and support at work. I am just overwhelmed with the information and the future. I just want this to go away and not come back. Will I worry about it every day? Will I have days when I forget I have it? Thanks to all of you for posting and giving support to those of us who are going through this painful time!
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Hello everyone,
Wow. What a night. I probably got 4 hours sleep if that. Thank you Jule and CFB. It was good chatting w/you CFB yesterday. I so empathize w/you Lashon. It is devasting news and you are young. This site is excellent and I've already learned so much.
I must say I am worried about not knowing my stage yet. IDC- My lump under my right armpit has been enlarged for sometime. Right Aux. node. Tumor 2.1 cm. I hope its Stage 2 not 3. I could kick myself for not having my mamo when I turned 40 last year but my doc said not to stress over that because tumor may not have been there. I was too involved w/my daughter's graduation, parents 50th and angiogram tests (came out neg). last yr.
My family has been so supportive and my hubby reassures me this is a very common and beatable cancer. Lashon: You need support- friend, relative, staff member. Call your ins. and get as much info as you can. I received good info to start a notebook with ALL your tests, ins. docs., etc., So thanks everyone. We're in this together!
I haven't told anyone in my dept. yet as I don't know when I'll have my surgery and how long I'll be off. Has anyone worked during chemo? How are radiation treatments performed? At the clinic, by pill both? My daughter is worried about being there for me and her 9 yr. old brother. What a journey to follow...
God bless everyone.
Jeannine
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I'm new to all this and never posted on a discussion board before. After finding a lump 3 weeks ago was referred by GP to local Breast Clinic. I had all the usual tests mammogram, ultra sound scan and 3 biopsy samples taken. Was then told that they suspected cancer even before they had any results - don't know if this is usual practice?
Anyway was back today for results and they confirmed that I had a small cancer and said that there is no evidence that it has spread to the lymph nodes. After discussing what comes next it was suggested, that because of where the cancer is, very close to the nipple, that I have a full mastectomy and reconstruction. As I am only 39, 40 in 2 months, it was suggested that instead of an implant I could have tissue/muscle removed from my stomach and have that used instead. Has anyone heard of this or have had this procedure?
Everything seems to be moving so fast - my sentinel lymph node procedure is next Thursday.
Brenda
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Rafael,
I don't really understand why other people get different information for tests. I know I was floored when other people said that they received meds before the procedure. I am a 42C and I don't know if size helped....I would think that greater size more needle to push in:) But I have no idea obviously. Just know that you will get through it. Count down the number of needles, look at the ceiling, and try to stay as calm as possible. When they were doing it, I started playing one of the games from this site in my head. The naming items of food from the grocery store in ABC order. I went through the alphabet while I was there but it took my mind off of it. Just remember that as soon as the needle is removed it no longer hurts...just a bit sore. Thoughts are with you.
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Willbeth 77
My sister died from cancer at 32, and I have several extended family that have had cancer or are currently going through treatment. I can only tell you what I am going through but once I was set on my line of treatment, it does get better because I knew that I was taking care of the issue. That being said I can only really think about where I am currently in treatment. I focus on getting through chemo, and then when that is done I will worry about surgery and then rads. I think for me that is the only way I can get through it. If I look at the whole process, it is very overwhelming and so I have to stay focused.
I don't think that there is a day that I don't think about it. But there are many days where it is not so important
which is great. The support from family, friends, and work is crucial I think for me because it helps. The best help is from people that have just sent a card, dropped off food, or picked up my kids without asking!
Good luck and hugs to you. This stage of not knowing everything or what to do is difficult I know.
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Jeanine,
Hi. I am working during chemo with some days better than others. I had my 3rd tx (treatment) on Wed, and was at work on Thursday. My first days are actually the 3rd and 4th days after tx. However everyone is different and it depends on any chemo that you will be having as there are so many different cocktails. I have TAC (3 different drugs) every 3 weeks. Many people have 2 drugs every two weeks or some other type of combination. Radiation is set for after surgery for me, and so that is probably not until Nov or Dec. I have heard at a clinic daily, but again I am not doing this yet. There is a thread about radiation which you might want to check out. I believe that rads only takes about 30 minutes with a lot of that time getting set up as the actual rads takes just a couple of minutes. Good luck and bless you.
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Brenda,
It is so scary this part. And it seems like it goes by so fast, but in some ways so slow. I know that for me the point of discovery to getting treatment (chemo first) took a month. Lots of things went on during that time with lots of tests, but it felt like it was forever in so many ways. I have heard of using tissue from your stomach to do reconstruction. I would ask to talk with a plastic surgeon. If you need a referral based on your insurance, get this and it is very informative. The plastic surgeon can discuss these options and how these might work with your body.
Good luck with SNB. Get through that and then you will be able to find out more information about what is going on in your body. Praying for good news for you.
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Jule,
Thanks for your post. I definitely helps. I really like the 'head game' and will try to remember to do it. I'm a 34B so maybe I'll get less shots. How many did you have to get?
I'm certainly not going to look when they give the injections. When I had the wire loc done, I never saw a thing as I looked the other way the whole time and didn't even peek at the wires before surgery.
The BS said it's like a bee sting, which another sister here has already confirmed.
BTW - how was your recovery time/pain level? The surgery is scheduled for next Thursday, I'm off Friday and plan to go back to work Monday. I do inside sales, so it's mostly just phone work.
Thanks so much, Big Hugs to you...
Rafaela
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Rafael,
I got 4 shots. I had surgery one day and then I think I was back the next day or the day after. It is a blur to be honest. It was probably 2 days later that makes more sense. The only suggestion I have is to pay attention to the tape. I was told to keep this on a few days, and by day 3 it was very uncomfortable and looked red through the tape. I called the doc and was told that I could go ahead and remove them. Turned on that I had blisters under the tape!! I would never had thought of it, and I would have appreciated being warned that this might happen especially if your skin is sensitive which mine is. Obviously they can't warn about everything, and I am not trying to scare you but it is a legitimate concern. Just be aware...nothing like adding insult to injury
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Jule,
Yikes ! Where was the tape? At the SNB excision? How in the world/why did you get blisters?
I don't think I have sensitive skin, I've been a beach bum for years. The incision from the wire loc lump really hasn't bothered me at all and the BS says it has healed very nicely. I had steri strips with a gauze bandage over them which I took off the next day in the shower.
Can't wait to get this next procedure over with.
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Thank you Jule for your expert info. I am meeting w/a good surgeon on Tuesday. My son's 9th b-day and probabley find out when I'll have surgery. So my questions are if any can answer:
1.) My 2.1 tumor is @ 10:00. BUT is a Bloomrichardson grad3. Poorly differietiated. Do you think I'll have a mastecomy? Perhaps I should have a double since it's aggresive.
2.) My right lymph node is enlarged. Pathology report didn't say lymph node(s). Will that # come later? I'm am so scared after researching the grade tumor.
This is day 3 of my diagnosis and my stomach is shot. Please someone give me encouraging news on this.
Trying to hang in there
Jeannine
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Hello, I received my diagnosis on Monday after having my yearly mamogram, second mamogram with ultrasound, and ultrasound guided biopsy. I have invasive DCIS. I have an initial appointment with a breast surgeon at Stanford on Monday. I feel relatively sure it has
metasized (?) to my bones because of bone pain in my back and spine. Initially I felt this would be a death sentence (bone cancer), but after reading some things on the internet, I hope this is not the case. My husband has nonhodgkin lymphoma and has been dealing with that for 16 years. He had a bone marrow transplant last November, the type where you use your own bone marrow. Now here I am with mine. I spoke with the breast surgeons nurse on Wednesday and she explained everything to me. They will do a lumpectomy and radiation and will check the lymphnodes in my armpit to know if I need chemotherapy. The fact that I feel pretty sure I have it in my bones too would indicate chemo for sure probably. Just thought I would write, feels a little better.
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Hi
It's Pattie.
Thank you for all the information, pep talks and prayers. I am going in Tuesday 7/8 for a lumpectomy and the sentinel node removal. They said it will be day surgery . Will I be very sore? How long should it be before I get my information? Had the MRI but I will not be able to speak to the doctor about the results until Monday. Anything I should know before speaking to her. Anything I should ask her? I know I am having the surgery Tuesday but I am scared and mostly because I fear what I don't know and understand.
You are all wonderful. I read all your letters and you are a wonderful bunch of "sisters". It was not the way I would have liked to meet you but it is a wonderful place to share.
Thank you
Pattie
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Brenda/Childminder,
I too had a stage I IDC, about 1 cm in size, involving my nipple and areola complex. No lymph nodes involved, but because of the location of the cancer mastectomy was strongly recommended, just as for you.
I had a mastectomy of the left breast, and reconstruction with a silicone implant (that involves a stage called "tissue expansion") -- I'm quite happy with the results.
The operation you are describing sounds like a TRAM flap procedure, which is very common. It uses part of the "transverse rectus abdominis" muscles = part of the muscle complex you feel when you do sit-ups. There is a new type of procedure which uses blood supply and fatty tissue from the abdomen, but without taking muscle, called a DIEP flap (but far fewer plastic surgeons have a lot of experience with the DIEP).
Here is a webpage that can give you a lot of information about reconstruction: http://breastreconstruction.org/
Right here on this board, there is a whole discussion section about reconstruction: http://community.breastcancer.org/forum/44
and a discussion section about having no reconstruction: http://community.breastcancer.org/forum/82
and also, a website created by a member here, about choosing not to have reconstruction: http://breastfree.org/
Good luck with your sentinel node biopsy -- I'm keeping my fingers crossed for benign results for you!
I know what you mean about everything moving so fast -- we really get plunged into a whole new world with this diagnosis, and have to start treading water like crazy. I hope you find it helpful to come to this board -- whatever you will be going through, someone here has "been there" -- it has been so helpful to me.
Take care,
Ann
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Ann
Thanks so much for those webpages. I am so glad for surgery was successful and you arew happy with the results.
I will certainly take time to digest all the information. I am currently considering just a basic silicone implant as I don't want to have any other wounds/sore areas to worry about and don't want to be worried about any weakness in the back or stomach area.
I know this sound really whimpy by my worst fear is the general anaesthetic. I have never had surgery of any kind before.
I am so glad I found this board. It is so helpful and it is good to know I am not alone.
My SNB is on Thursday and my consultant has said he does not expect to find anything suspicious so hopefully all will be well. Did they remove your lymph nodes at the same time as your mastectomy or are they still intact?
Will keep you updated.
Keep well.
Brenda
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Hi to the BC Cyber Sisterhood. It has been very interesting reading your stories, and I would like to share mine with you. I am 50 years old, and had a Lympectomy when I was 26, which was a Fibroadenoma Left Breast. Have had yearly Mamo and Ultrasounds since. I discovered a lump that I immediately knew was not good, in the Right Breast. Mamo and then Ultrasound, followed by Core Biopsy to both breasts as I also had a cyst in the other, to discover that I have Invasive Pleomorphic Lobular Carcinoma, Level 3+. I had a Mastectomy on the 20th June 2008, and removal of 2 Sentinel Nodes. I am going to have Level 2 Bulk Dissection of Nodes out on the 17th July at this stage unless I get a call earlier. I was on HRT before diagnosis and my specialist says that is good as it gives a better indication of where the nodes are. I am ER & PR, I have not got Pathology report yet, to see if I am HER 2 but presume I will be! Specialist says I will have to have Hormone Therapy and at this stage, Chemo/Rad, and also that he would be pretty sure that as it is aggressive it is probably in other places. I will be also taking Herceptin?? but as I said I don't know too much just yet. My question is, should I be asking for level 3 nodes (in the neck) out as well, while I am under, perhaps Mastectomy of the other breast as well. So much is not know about the type. Oh my the way I don't like those CANCER words so I have renamed mine with Breast Lace, as specialist said it looked like Spagnam Moss which is a lacey looking plant, so my name is perfect. Looking forward to some feeback or similar stories.
Thanks to all of you don't forget to stay positive and remember "THE SISTERHOOD ROCKS"
Donspink
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Hi Everybody
I am in such a dither. I was scheduled for a lumpectomy with the Sentinel node removal tomorrow 7/8 and the surgeon just called me with my MRI results. They found another suspicious area in the lower part of my breast, original one that was set for removal was at 10 o'clock on the right breast.. The new area is only .8 centimeters.(is that 8mm?) They have postponed tomorrow's surgery and are setting me up for an MRI guided biopsy of the 2nd site. I told them I wanted it asap. If it is benign they will just do the original lumpectomy and the SNR but if it is cancer they are suggesting a mastectomy. I am so upset because I was all set for tomorrow's surgery to get it out and go on to further treatment. sorry to go on and on but I am completely bewildered. Has anybody out there had this happen?
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My mom recently developed pain in her right breast and found a dimple there. we have done tests and tests reveal these: pls give better idea
CT Imaging of THORAX(a case of carcinoma breast-for staging)Supine A. P Digital radiograph of thorax reveal normal cardiac size. Trachea and mediastinal structures are central. Lung fields are clear. Both diaphragms show normal position. CP angles are clear. Bony and soft tissue thoracic wall appear normal. Multiple serial contiguous sections have been taken from the level of thoracic inlet to the level below the diaphragm.
Axial CT sections reveal:
1. At Lung window high resolution CT sections reveal normal broncho vascular architecture and CT appearance of both lung parenchyma. No infliltrative, nodular or exudative lesion. No pleural thickening or pleural effusion.
2. No significant mediastinal or hilar lymphadenopathy or any other mass lesion.
3. Normal caliber of mediastinal vascular structures. Normal heart and pericardium.
4. 2.7 x 2.1 Cms lobulated soft tissue mass right breast.
5. No axillary lymphnodes.
6. At bone window visualised thoracic vertebrae and corresponding ribs show degenerative and osteoporotic changes.
Impression:
CT scan of thorax reveal no evidence of any mediastinal or hilar lymphadenopathy or any other mass lesion. No lung parenchymal lesion. 2.7x2.1 mass right breast.
BILATERAL MAMMOGRAPHY1. Both breasts were studied in carnio caudal and mediolateral oblique views.
2. Both breasts are composed of predominantly fatty elements.
3. Lobulated hyper dense mass lesion with spiculated margin and evidence of specks of micro calcification is noted in the right
lower inner quadrant. associated with thickening of the overlying skin.4. Nipple and subareolar region appear normal
5. normal vascular markings noted.
Correlated ultra sound reveals predominantly hypo echoic irregular lobulated elongated lesion measuring 25x20x13 mm in lower inner quadrant of the right breast. Bilateral axillary lymphs with fatty hilum seen
Impression:
Lobulated hyperdense spiculated lesion in the right lower inner quadrant is noted, in this known case of Ca right breast.
No Focal lesion in the left breastCytology report:
micro: cellular aspirate, shows cohesive & papillaroid clusters of cells displaying overlapping , round/oval/ elongated, hyperchromatic nuclei with irregular nuclear outlines & eosinophilic cytoplasm. The cells display mild variation in nuclear size.
diagnosis: FNAC rt. Breast showing atypical cell clusters
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Hi Pattie,
I am soooo sorry to hear your surgery will be re-scheduled. Since I'm scheduled for this Thursday at Beth Israel for SNB and clear margin lumpectomy, I can relate to being worked up about the surgery. Please try to think positive, I know it's hard. If you need someone to talk to tonight, send me a private message with your phone number and I'll call. You might remember me from another post, I live in Groveland, MA, grew up in Lynn and you're in Revere.
I've been think of you and praying for you - if you'd like someone to talk to, I'm a good listener.
Lots & Lots of Hugs,
Rafaela
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Good day everyone,
Today is my son's 9th b-day and 6 days after my diagnosis. I'm sleeping a little better but I'm still waking up in the middle of the night w/the dreaded anxiety. I took donuts to the YMCA and passed them out to the kids. It made me feel a lot better. I guess I'm accepting my new condition. I too can not say the "C" word yet.
I'm meeting w/my surgeon on Thursday. I don't have a C team like many of you. I do trust the surgeon as he performed on me 16 yrs ago on my thyroid. I just want to get through this treatment. It's the anxiety of not knowing what stage your in, being able to handle the chemo and getting those awful side effects that are so scary. I have just put in my mind that no matter what stage I'm in, I'm fighting this thing and going to be a survivor! We all are. We've got to stay positive.
Hugs and prayers to all of you! Keep the faith.
Jeannine
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Rafaela, I know how you feel. I had bilat mast last year and they did the radioactive tracer and dye in both breasts. They put warm packs on each breast and did the 6 shots quickly in each breast, after each shot the nurse swabbed the area and after the last shot she put another warm pack on the breast. I got through them with prayers, focused meditation, deep breathing, and a few 'oh sh*t!!!'. The pain was brief and the warm packs seemed to dissapate the pain.
You can check out other threads and even start your own topic if you have any questions. There is no crazy question on the site.
edited to say - I just realized that I missed the entire last page.
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OK MRI guided biopsy scheduled for Thursday 7/10. Anybody with any input on this procedure?
any information would be greatly appreciated.
Thanks
Pattie
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I had a hell of a day and I am pissed (pardon my language but no other word best describes it).
I got into the hospital at 11:30 my appt was not until 1pm but I thought I would try to get all my records for next week. The MRI tech came and got me at 12:15 so I was happy because I thought I would be done sooner. He prepped me and put the IV in for the contrast and said the Dr would be right in. 45 minutes later the nurse came in and apologized for the delay and said the Dr just finished in surgery and would be right in. 15 minutes later an Indian gentleman (that I presumed was the Dr. to do the test, came in and asked me what I knew about the problem and why I was having the MRI guided biopsy (DUH!!!!) I told him and he said he would be right back as he wanted to read my last MRI. Waited another 30 minutes and the surgeon that did my core biopsy with the ultra sound came in and told me the original surgeon was in a meeting and could not do the biopsy and the Dr that was going to do it (the Indian gentleman)\) did not feel qualified to do it. She was very upset and she asked me if I would undergo another ultra sound to see if she could find it and do the biopsy. I found her very qualified the first time so I said ok. She and the technician tried for about 20-40 minutes and could not find it. Even gave me another mammogram to see if she could see it. She apologized and said she was going to have the chief of radiology at the Brigam-Dana Farber read my MRI. She also said she would be sure that all my records would be there when I got there Wed.
I called my BS and her associate said she was in surgery all day and this is the first time they heard of the problem. She said the BS would call me as soon as she got out of surgery. I was in transit, coming home, when she called so I missed it. She apologized up and down and said she would get to the bottom of the situation and get back to me first thing tomorrow morning. What a day!!!!!!
I don't really need this stress. Now it is hurry up and wait again. I like the BS at Boston Medical but I am going to see what Dana Farber has to say and then make my decision.
Hate to bother you with this stuff but I could not talk to anybody else.
Stay well
Pattie
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I got my diagnosis on Monday the 7th. After a very long holiday weekend waiting for the results of my ultrasound/biopsy. Invasive ductal, size difficult to determine, but any size is too big! I have another MRI-guided biopsy in 3 weeks(for a smaller spot which couldn't be found on US), which is too long to wait. I've contacted two breast centers near my home, and hope the information-gathering will help. The oncologist was very encouraging, as was the surgeon, as was everyone else I've told. I'm lucky I'm in contact with lots of people in the medical field and all the terms are very familiar to me, but I found myself frozen several times at work last week, having to take a deep breath and get moving. My wonderful sister told me to make a list, don't accept anything but the best, and remember that this is not our mother's BC.(as in the 1960's). Everything is so much better now, the treatments, prognoses, even people's attitudes! We didn't even talk about it back then! Thank goodness for communities such as this one, where we can share issues and problems and vent! Thanks for listening.
Libby
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Your sister is right Libby . Research your doctors, hospitals and best treatment facilities in your area. The treatments today are not at all like way back when and cancer is become more like a "chronic condition" these days. NOT to downplay its seriousness, but you'll be surprised at how well most people do on treatments. The variety of treatments has also come very far over the yrs. My sister in law was diagnosed with stage IV and is still doing well 8 yrs later.Get more than one surgical & oncology opinion also, it helps put things into perspective. You have to like your doctors as well, and feel completely safe and comfortable in their hands. I found comfort in doing that. As far as getting those feelings you have, completely normal. Its a shock to find out its not someone else, but you!
Blessings,
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Thanks, PeachyMarie! I'm so happy for you and your sister. Sisters are wonderful to have--I've got two and they're gems! I'm looking forward to finding out everything I can about my situation, then getting moving. Moving forward really helps. I do wish I could move things faster, then I remember that it's moving as fast as I can make it. I've thought about this happening so many times in the past (two biopsies, 20 years of mammograms) that now that it's finally here, it doesn't even seem so surprising. Being a nurse for the last 20 years helps, too, but not as much as you'd think. I'm the same as everyone else when it comes to fear and anxiety!
Thanks again,
Libby
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Take your time to decide exactly what you want to do. There are alot of doctors and alot of options. Family tired to push me to make up my mind fast but I am glad I took a couple weeks to really think about what I wanted to do. My daughter is a five year survivor and I was with her every step of the way. I decided to take a different path than my daughter and I have been happy with my choices.
Treatment improves all the time. I have only missed one day of work due to chemo. All days are not great but I have lived a normal life through it all. I have 11 more rounds to go. I believe attitude has alot to do with everything in life. I try to walk and exercise when I feel good and I really think it has helped me.
Search your heart and do what is right for you.
Lisa In Mississippi
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Lisa,
I'm glad I have a few weeks in between biopsies. I thought at first it was too long to wait but now I'm OK with it and have an opportunity to visit two breast centers with some very experienced people working there. I hope I know what's right when the time comes to decide, but I think I will. I really hate having my friends and family worry about this for me, but I know I'd do exactly the same thing if it was one of them! It's actually easier on me! (Right now, anyway, we'll see later!)
Libby in MD
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