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Jozzzy's avatar
Jozzzy
Member
13 years ago

1st time blog

Gday beautiful pink sisters. Ive been reading this site for a couple of weeks & finally decided to do a post. New to all of this, Im learning lots from this site & other posts. It seems from what Ive read so far, that treatment is definitely much worse than the disease. Im concerned about chemo. I notice that most women do chemo then radiation. I had stage 2, 15mm lumpectomy surgery 29/1/2013. Clear surgical margin & lymph nodes removed were clear. Healing well.

I have an appointment 1 month after surgery with a medical oncologist to discuss chemo. Id rather just go straight into radiotherapy. The way this is going, I wont be doing any treatment until over 3 months after surgery. Is that a long time to wait?

Im 44 this year & live in Sydney. I dont want to do chemo. Ill do radiation only coz I have to. Does anyone say no to chemo? This all sounds soooooo awful. Justine

  • Thanku very much for your message. It was extremely informative & Ive read it a few times now. I had a break from this site for a few days coz I was getting very anxious, reading so much about chemo. My surgeon said right from the start, that coz Im 43yrs, I should do chemo no matter what the cancer results are. I told her then, I wouldnt.

    You really have given me a balanced way of looking at all of this. Im not keen on scarves or hats either. My mum's been wearing a wig coz she has thin hair since her early 50s. She occasionally complains about it on a hot day but most of the time its fine. She'd be a good help to me getting one & showing me how to look after it. The fact that there's more collagen in a younger persons body is a good point too.

    Im trying not to think about my 1st appt with Onc on Mon. I start to panick but I suppose Im going to have to read more & learn more before appt so I know what to ask. I hope the Onc is a good one & has all the info I need to decide properly.

    I appreciate your honesty on your chemo experience. I'll read more of what you have written about it.

    Thanks Justine

     

  • Having read through the above, I can't help but ask - where are you being treated? I can't believe that no doctor has mentioned tamoxifen to you, when it is one of the very positive things about being diagnosed with hormone positive BC. That's a terrible lack of information to you as such a crucial time. So glad you've found this site to help arm yourself with facts.

    I've posted on here about my chemo experience, and am writing to you on day two, round three of four rounds of AC chemo. Now I'm not suggestiing anyone would want to run out and do this, but for me, it has honestly not been that bad. I have managed to work and play pretty much as normal through the whole thing (including that I was back at work on the Tuesday following my mastecctomy on the Friday and back in the ocean swimming the first day after my first round of chemo).

    Like you the hair loss was something that really bothered me. I knew it would hit me harder emotionally than the mastectomy, which truly I don't care about. My boob was trying to kill me as far as I was concerned, Be gone. And I'm 47 and very active, and before I've even had reconstruction, I'm out there in the the world with my silicone fake boob and no one is any the wiser. Ditto hair. Well I am so not a scarf/turban kind of girl. And you know what, as open as I am with my family, friends, community, do I really want my clients and businesses I deal with to know what i'm going through? Not reeally. Do I want to walk the streets of Sydney out and about with my hubby and friends, and have people look at me with pity (and not because they're looking my outfit up and done thinking what was she thinking ;-). So I wear a wig, and again. It's not that bad. Even has its upside. Never a bad hair day regardless of the humidity :-). I look like I've been at the hairdresser every day. It only starts to feel a bit tight towards the end of an 8-9 hour day at work, but again, not really a biggy. And I'll just keep wearing it until my hair has grown long enough to be revealed to the world as a bitching pixie cut. I haven't had short hair for over a two decades...and you know what came as a total surprise to me when I got a buzz cut number 2 when it started falling out? It feels fantastic having short hair. Liberating. And I may never grow it long again through choice. (BTW baer in mind you have youth on your side when it comes to your hair growing back as you have much higer stores of collagen than older women, and I have read plenty of posts of girls who have regrown thicker lovelier hair than they used to have...and this has been the experience of two girl friends who've gone through BC).

    Sooooooooooooooooooooo....if you feel like reading my experiences of chemo, which are eseentially pretty symptom free except for the hair loss, it might give you a different perspective on what it can be like. It does not affect all of us the same way.

    All I know, is that in those moments when I worry about the what ifs of it coming back (depsite being node negative, having a mastecomy, chemo and being able to go onto hormone therapy which will give me the best boost at avoiding recurrence), I have the peace in my head and heart that I am/will be doing everything possible to give my body the best chance mediciene can give it right now to not have this sneak back into my life down the track. There can be no guarantees, for any of us, but I know should anything come back, I won't be bashing myself up that I didn't do absolutely everything to help my keep this not only at bay, but away.

    I didn''t get to see an oncologist until 5 weeks after my surgery -- something that concerned me a lot, chemo didn't start until 6 weeks later -- again should happen within 2-3 weeks normally. It was in the lead up to christmas and nothing I could get done to rush it along any furthe because hospital was bursting at the seams. I met with a new and fabulous oncologisy yesterday who was outraged I'd had to wait so long to see an oncologist and start treatment (sacked my first for incompotence but that's a blog for another time).

    So it's not great you're having to wait so long, but perhaps when you meet with your oncologist, who will go through all your results, speak with you about the different options you have for further treatment, and what each offers you to reduce your chance of recurrence, you might want to attend the meeting with an open mind, as you will have more information about your very personally tailored tumour (isn't it great we're all so unique ;-) ) and you might reconsider. For example, they will look things like your ki67 score, which is a gene that lets them know how fast your cancer was growing, therefore how aggressive it is. It's possible to have a very small low grade tumour, but have a high ki67 score, which makes them more prone to recommend chemo (mine was low hence they left it to me to decide). The form your cancer took in terms of form gives them clues as to more aggressive or not. Anyway, lots and lots of things they look at from your pathology report to come up with the very best options for you to beat this thing into submisson.

    This is so personal for all of us, but all I can share with you is that chemo for me has seriously not been anywhere near as bad as I'd feared, not even remotely, and I am so glad that I have done it. I was in a "gray zone" where they left it to me to decide -- which was not easy -- but it's amazing how once I decided the treatment team were all so relieved and supportive that I had made the right decision. If I remember right it reduced my recurrence risk to 11% from 15-14%. Not a great reduction but I'll take whatever percentage reduction they throw me. I want to live a long and healthy life.

    Good luck with your meeting next week and I hope you get lots of answers and information that mattter.

    x

  • Gday Louie, Louise is my middle name, so its easy to remember you.

    Thank you for your informative message. I will look into a breast MRI. I can understand with your situation, having 2 different tumors, why medical staff would suggest chemo. They are way too keen to tell everyone, it seems, that chemo is necessary including me. Sad to hear that it was your best choice, like many others.

    My onc appt is still 1 week away. Exactly 1 month after surgery. The waiting is VERY annoying, which I read is a common complaint on this site. From what Ive read, Ive decided already, Im not doing chemo. The onc will have to be very persuasive if I do agree.

    Thanks again, Louie for your honesty. Ill be following you on this site as you enter into your next stage of BC surgery in April. You look quite lovely wearing your skarf in your photo.

    Best regards, Justine

  • Hi Justine, I underwent a lumectomy and didn't get clear margins. If I did they would have left behind all the early stage cancer found during MRI after my surgery (it did not show up in ultrasound). I'm now booked for a double mastectomy/reconstruction in April. Just finished 6 months chemo. I'm 42, with a family and for me this is the best I could do to be here for them. An MRI can get a clearer picture of what's in your breast. It's not covered by Medicare, mine cost $600. Most doctors don't refer for breast MRI as standard mainly due to the cost (as far as I can tell from my research). But this was game changing for me. I have multi focal disease, ie more than 1 primary and they said its very unusual to have unrelated areas of disease in one breast. Unusual is not impossible. I'm relaying this information not to scare, but to inform. I had never heard of breast MRI and wish I knew about it earlier. I also wanted all the information I could get to be the best informed I could be, that way I could make better decisions with the medical team. Good luck with your decision making, chemo is crap but manageable. Maybe see the oncologist before deciding, to get more facts. Decisions are the hardest part of navigating this journey because everyone is different and only you can decide whats best for you. Take care Louie
  • Gday Debbie thanks for your message. Interesting that we had the same cancer. My surgeon said it is the best combination to have. She didnt give me an option of removing the whole breast. She just called me & said I have cancer & need to go into hospital next week for a lumpectomy. Mastectomy never entered my mind.

    Thats very extreme, but I maybe in for a mastectomy in future too. Im possibly putting off the inevitable by only doing radiation & not choosing chemo first. At 43ys Im just not ready to be that sick if I dont have to. Havent met the oncologist yet.

    Ive read some of your postings where you talk about reconstruction, expanders & tram flap. Im learning lots by what you've posted. Glad to hear your blood tests are going well. Hadnt heard of the recurrance test you referred to but it was good to see another women did & could answer your concern.

    I sincerely wish you well on this horrible ride of BC. Ill be reading.

    Thanks again for letting me know about your results. Justine

  • I appreciate your words of experience Janet. Looking at your photo at the beach, it looks like you had long hair. It must be horrible waiting for it to grow back. Coz Ive got such thin hair, Im pushing it, to grow it long. It'll never be long again. Not if I lose it at 44 yrs. My surgeon said "dont worry, other people dont care if you're bald", I thought, "I dont grow it for other people, I grow it for me".

    Now I realise there's a drug called Tamoxifen or possibly AI, I also have to take after chemo and/or radiation that can cause side effects too. Im learning so much from you all on this site. No Dr has told me about any of this.

    "A ride you dont like & want to get off, but cant". Yes, thats a top way of explaining BC.

    Yes, to die in your 40's is very young. Thanks for arming me with all this encourgement & helpful info. Ill be watching & reading about your ride. Best regards for now. Justine

     

  •  My cancer was the same as yours. 15mm tumor, oestrogen + , progestrerone + and her2 neg. I had clear margins. I chose to have a mastectomy. My Oncologist told me I did not need chemo and put me on Tomoxifen, but I had a hysterectomy after that and I am now on Femarra.

    Mastectomy was my choice. Everyone is different, only you can choose what is right for you.

    It will be 2 years for me this coming March. Just had my blood tests done all good.

    This sight is so good for support . 

    Best of luck . Debbie

     

  •  My cancer was the same as yours. 15mm tumor, oestrogen + , progestrerone + and her2 neg. I had clear margins. I chose to have a mastectomy. My Oncologist told me I did not need chemo and put me on Tomoxifen, but I had a hysterectomy after that and I am now on Femarra.

    Mastectomy was my choice. Everyone is different, only you can choose what is right for you.

    It will be 2 years for me this coming March. Just had my blood tests done all good.

    This sight is so good for support . 

    Best of luck . Debbie

     

  • Hi Justine, Sorry to hear you've got the dreaded BC like the rest of us here. It's very scary and confusing at first - so much information to process. I never realised until my diagnosis last April that there were so many different types of the disease.

    After my biopsy I was told I might not need chemo because my cancer was supposedly a type that didn't spread readily (mucinous) but after the surgery it was found to be grade 3 (aggressive). Mine was also a little bit bigger than yours - 27mm - and E+ and P+ but with no lymph node involvement and clear margins. It was pretty horrifying to be told that I did have to have chemo and later on radiation.

    I won't lie to you, chemo is not much fun and losing your hair is just awful. Mine is growing back but I still hate it being so short. But to be perfectly honest chemo wasn't as bad as I thought it would be and most of the symptoms can be managed. As Tonya said, you should probably do what your oncologist recommends. I didn't want to take the tamoxifen either (it has side effects for some people) but the way I look at it, as bad as the treatments might be, getting secondary cancer and dying in my forties would be so much worse. While there are no guarantees whatever you do, I want the peace of mind of at least knowing that I have done everything I possibly can to prevent my cancer coming back.

    One of the down sides of reading about other womens dreadful symptoms and problems is that you end up worrying that everything you read about is going to happen to you. Some of it might, but chances are most of it wont. Another aspect of this site that has affected me - and keeps me taking tamoxifen and eating healthily - is reading from time to time the stories of women whose cancer has spread. It scares me witless but at the same time make me appreciate that I have a second chance and I want to do everything I can to hold on to that.

    Best of luck Justine. If you do go ahead with chemo, there is lots of good advice here on how to handle things. It's unpleasant but you get will get through it. Take care, Janet. :)