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Member Since: May 4, 2007
Last Login: November 22, 2008
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Recent Posts by LisaAlissa

Posted in: Tests, Treatments & Side Effects + Surgery - Before, During, and After, Created: 17 hours ago

Mastectomy in November

Hi Ninja,

I'm so sorry that you needed to find the site.  But you've probably discovered that there are a lot of wonderful men & women on this site, so I guess I'm glad you found it when you needed it.

You have, however, made me curious...I thought DCIS was always Stage 0...do you also have another diagnosis? or am I wrong about that? 

Not that that matters.  Hang in there.  And BTW, tell your daughter that a "uni-boob" is that odd looking thing some women choose to have (when they select bras/clothers) that runs straight across w/out a break (kind of like Frieda Kahlos's eyebrows) Laughing   You'll undoubtedly look much better than that!  

If you'll forgive me for generalizing on the basis of your single post, but it sounds like you may be a little like me...someone who intellectualizes it all (are you able to stop yourself?).  At any rate, you may have seen many mastectomies...but you haven't seen yours (not that you want to...).   If you can, let yourself be emotional.  Even though I just had a lumpectomy, eventually, I found myself grieving my "loss"... (not sure I can even describe of what--flesh, innocence, trust in my body?) but it was at a very odd time/place.  

So, hang in there...huggle and be kind to yourself.

LisaAlissa 

etc: typo

Posted in: Not Diagnosed but Concerned + Not Diagnosed but Worried, Created: 19 hours ago

microcalcifications

Oh Jazzie!

I'm so sorry.  Check w/ your surgeon.  I'm guessing they'll tell you not to use heat, but to use ice.  I was given two small (fit-in-the-bra size) ice packs at the time of my biopsy.  And I used them again after my lumpectomy. 

I don't know about the advil.

HTH,

LisaAlissa 

Posted in: Day to Day Matters + Family Issues for Those Who Have Breast Cancer, Created: Nov 20, 2008 05:51 pm

Girlfriend recently diagnosed and is pushing me away...

Hi MME,

I just read through this entire thread and have some questions/ideas for you: 

1.  Commitment? You describe her as your "girlfriend" which can mean anything from "have dated a few times" through "have lived together for years," but since it's not "fiancé" she may think that you are not committed to her for the long term.  Does she think that your relationship is something that is fragile...something that could end easily/quickly?  She may be afraid to "let you in" if she doesn't have confidence that you're committed to her.  That if she relies on you and then she loses you that's one more trauma to deal with in the midst of something very traumatic.

How do you view your future with her?  You asked other members here how their "mates" have dealt w/ their BC diagnosis, so that suggests that you may view her as your mate. If so, does she know that?  Does she share your level of commitment?  (I'm not trying to push you into anything, and I honor your efforts to help her, but this may be part of why she hasn't wanted you at appointments, etc.)

Your say your mother "loves her like a daughter." Does she know that?  Or if she does, perhaps she's afraid that that love would go away if you two split...  Would your mother continue to have that relationship with her if you two weren't together?

2.  Refuge of Normality.  She's spending a lot of time thinking and experiencing the roller-coaster of the emotions that come w/ a cancer diagnosis.  Perhaps she sees the time she spends with you as a respite from all of that.  That could explain why she hasn't wanted to talk about it with you. When you see the counselor, you can explain why you want to know/be involved, but she may be that the thing you can do best to support her is to continue to treat her as you have before.  Those are things you'll need to work out w/ her.  Perhaps unless she brings it up, you'll agree not to ask more often than ______. But that she will give you those periodic updates.    

3.  Not a victim.  No one wants to be the object of pity.  Or viewed as a cancer "victim" (that's one of the reasons why the "survivor" term started to be used, to avoid the "victim" mentality) but I think many people share her desire not to tell anyone about it.  For example, they don't want to be the subject of gossip, don't want pitying looks and hope to be able to keep the details of their health/illness private--just as other details of their health have been private in the past.  She doesn't want this to be different. 

For example, ask herif she's ok w/ you disclosing to your Mom (if she doesn't already know you have).  And if she isn't, tell you Mom you've made a huge faux pas and that you need her to "not know" until you're allowed to tell her.   

4.  Control.  I suspect that a lot of things may be moving awfully quickly, and she wants to keep control.  I know that you care for her...and it's clear that you've been researching her illness.  But you may seem like another element of her life that's moving too fast for her just now.  It may be that she will be pleased to have you doing research.  But she may not want you to be the expert on her illness.  You can volunteer, but if she says "no", you need to let her be the expert on her illness. 

Just some things for you to think about...and perhaps discuss w/ your Mom and/or w/ a counselor. 

HTH,

LisaAlissa

Posted in: Not Diagnosed but Concerned + Not Diagnosed but Worried, Created: Nov 19, 2008 04:26 pm

Should I be worried?

"They put a wire piece at the area they biopsied....does anyone know why they would do that?"

Hi Becky!

That wire piece is often referred to as a "clip"...and it is usually made of titanium, which will be visible on x-ray (and perhaps other screening techniques).  It's like a bookmark.  It's placed to mark the place the biopsy was from, so if they need to find it again, they can.  

If your biopsy is benign, the clip will tell radiologists doing screening studies that this is where the biopsy was performed, and will be an "explanation" for any scar tissue there they might see in the future.  If the biopsy is not benign, and something needs to be removed, it will help a surgeon be sure that they are at the right location in your breast. 

If they didn't show you the type of wire/clip they used, ask them if they can show one to you.  They are very small.

HTH (and that your results are benign!)

LisaAlissa

Posted in: Tests, Treatments & Side Effects + Hormonal Therapy - Before, During and After, Created: Nov 19, 2008 03:47 pm

I Quit!

Hi vision4utoo!

I also had similar SE's...although I also had cognitive SEs as well (I couldn't seem to think straight, was easily distracted/couldn't focus and had trouble finding words).  But I persisted w/ the tamoxifen for almost 8 months before I gave it up, all the while seeing a neuropsychologist, neurologist and a psychiatrist to try to "fix" myself. 

Once I stopped taking the tamixifen, it took a 2-3 weeks before I was back to myself.  But there's no question that it can be a major depressant for some of us...and it was such a relief to get myself back!

After I "recovered" from the tamoxifen, my oncologist discussed the various alternatives with me.  I'm now on Evista, even though I'm still pre-menopausal.   I haven't had any difficulties with it.

I hope you're back to yourself very soon!  (If you want to discuss further, please PM me.)

LisaAlissa

Posted in: Not Diagnosed but Concerned + Waiting for Test Results, Created: Nov 19, 2008 03:29 pm

Wire Biopsy Done...Now Waiting for Results

Hi Janice!

I'm so sorry that you have to deal with this! huggle

You've come to a good place to discuss.  But (if you can) try not to get ahead of yourself...80% of all biopsy's show benign results, so the odds are in your favor.  If you can persuade yourself that you're just working through an "advanced screening" procedure it would be good.  Or as my grandmother used to say: don't borrow trouble--we each have enough of our own without borrowing extra."

You don't really need to worry until someone tells you that you are in the 20%.  However many of us can't help saying "what if,"   "what if..."  And the time waiting can be agonizing if you can't set it aside.  So this is a good place to come and discuss if you need to while you're waiting. 

And if you're in the 20%, you've definitely found a good place to come for support!

And I understand about dealing w/ things on your own.  My family is several states away, and I did have to "do it myself."  If you need to, you'll be able to do it too!

Hang in there...and I'm hoping you're in the 80%!

LisaAlissa

Posted in: Connecting With Others Who Have a Similar Diagnosis + DCIS (Ductal Carcinoma In Situ), Created: Nov 19, 2008 12:00 am

dcis non invasive then why worry?

Barry,

You say:

"If it's stage 0 then it's nothing. Zero means nothing...I know what the medical establishment says...but it still bothers me. Sorry to pain you all with my thoughts on this, but I don't get it."

I don't know if this will help or not...but I think you're focusing on the definition of "zero" too much.  From math/arithmetic, "zero" or "0" may mean "nothing."  But that doesn't really apply in looking at Cancer Staging.  Think of "0, I, II, III & IV" as a series of labels for categories of cancers that share a similar prognosis.  They could have chosen "V, W, X, Y, Z."  or "Red, Orange, Yellow, Green, Blue."    Any series of labels could have been used. 

They wouldn't need to describe it at all if it was "benign"...  Unfortuantely, that seems to me to mean that Stage 0 is "something."  Something that isn't as bad as "Stage I", but that isn't benign.  Exactly what it is in your case is presumably what your team from the medical establishment has been describing for you.

BTW, I've often wondered if Stage "0" was a later add-on to the system.  Perhaps the need to use "zero" represents a lack of imagination at the beginning of the 20th century when the staging systems were being developed.  If they later needed to add something before "I", "0" would be the only (or at least most obvious) choice available.  Note that this paragraph is merely speculation on my part...but I've certainly wondered...

I don't know if any of this will help you, Barry, but I hope that it might.

LisaAlissa 

ETC: "W" to "Y"

Posted in: Day to Day Matters + Research, News, and Study Results, Created: Nov 17, 2008 08:11 pm

Feedback on the rhetoric of breast cancer

Becky,

If you are doing research on this site (like for your paper), you will need to get the approval of the moderators.  

Best wishes with your schoolwork.

LisaAlissa

Posted in: Recovery, Renewal, & Hope + Biographies of Breast Cancer Survivors, Created: Nov 14, 2008 12:49 pm

Any long term lumpectomy survivors?

Hi goophy58!

I'm so sorry that you're having to deal with this.  I'm not the right person to help you with this, but I think you might get a better response if you post your question as a new thread in the "Just Diagnosed" forum here:

 http://community.breastcancer.org/forum/5

Call if something like "Do I need chemo? 2 docs, 2 opinions...help!"  and I think you'll be more likely to get the help you're looking for.

Hang in there!

LisaAlissa

Posted in: Not Diagnosed but Concerned + Not Diagnosed but Worried, Created: Nov 14, 2008 12:24 pm

microcalcifications

Hi Roxanne!

So sorry you need to worry about all this.  You'll find a good glossary of breast cancer-related terms at the Imaginis site.  Here's what they have on "pleomorphic" here:

http://www.imaginis.com/glossary/glossary_p.asp

Pleomorphic: Having many or various shapes. These terms often describe microcalcifications which can indicate ductal carcinoma in situ (DCIS), an early stage breast cancer.

However, a neoplasia is a growth, which may (or may not) be cancer.  You'll see a discussion by Dr. Marisa Weiss (who runs this site) responding to a question about a woman's mamogram results which showed calcifications here:

http://www.breastcancer.org/symptoms/testing/faq_screening/calcifications.jsp

which you might find helpful.  Note that your medical team is being careful (which is good).  There's no way to know what the findings that they said were "of concern" really are without a biopsy.  And you've got an appointment to discuss all of that.Smile 

For now,  stay calm.  Think of it as just another (advanced) screening thing. After all, 80% of biopsies show benign findings.  So it's probably nothing.  But you have a good medical team that is running everything down to be sure!

BTW, it can be helpful to take another "set of ears" (perhaps someone who can take notes and help you remember any questions you have) with you to your appointment--it can be very overwhelming to even talk w/ a breast surgeon when you're talking about your breasts.

So hang in there.  And just remember, no reason to borrow trouble.  You have a good med team that's following up. 

The time to worry is if they start saying things like "let's wait and see."  If they start saying that, that's when to start asking lots of questions to make sure that they're being as careful of your health as they should be.

When you know what kind of biopsy you'll have, you can search here for info about what to expect, but just remember that you can do this.  And that you'll probably be in the 80%, and the biopsy will be the end of it.

Even if you turn out to be in the "20%", there's lots of help and info here, so don't hesitate to ask!

HTH,

LisaAlissa

Posted in: Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Nov 12, 2008 09:02 pm

Can I complain about my husband?

Bridget said: "My husband and everyone else says get a houscleaner to come in once a week yeah sure that would work if she could find the floors bathroom etc. That I spend hours everyday picking up!! It would stress me more! " 

Bridget,

When I read that, I immediately thought of a story my sister told me about an arrangement my B-i-L made with his housecleaner.  He temporarily had a college-age kid of a friend living in his house for the semester.  The kid was a slob, so the B-i-L made a deal w/ the housecleaner.  If there were things on the floor (or on some surface she needed to get to) she agreed to put them all in a box (no folding, neatly stacking, just in the box), and deposit the box in the garage.  It didn't take long before the kid was picking up after himself so that he wouldn't have to try to live out of that box in the garage.

Maybe you could hire a housecleaner and use some version of a similar scheme? The cleaner would have to agree to cooperate, but that could be one of the terms of employment.  Take your husband up on the "hire a housecleaner" suggestion, but with this little addition--and it's only fair that your family knows that is how it will work. 

That way you wouldn't be spending your time cleaning up after everyone in advance of the cleaning person's arrival.  And maybe your various family members would begin to take care of themselves, instead of thinking that you will have the energy to do it for them.  BTW, although I haven't had to try something similar (since I live alone) you'll have to be prepared not to dig for what they need in the various garage boxes.  You'll have to be willing to let them flounder a bit.

HTH (and hang in there), huggle

LisaAlissa

Posted in: Tests, Treatments & Side Effects + Hormonal Therapy - Before, During and After, Created: Nov 12, 2008 08:14 pm

Tamoxifen for gals who have not had chemo

Stefie & CodyLynn,

I too had severe mood & cognitive side-effects from Tamoxifen.  Apparently it's not the most common side effect, but for me, it was very debilitating.  I was very depressed (and antidepressants didn't seem to help), and couldn't think/focus or come up with the words I needed.  Had to take a medical leave of absence from my work until we figured out what was going on. 

In retrospect, I also had some knee pain...but if that was all, I would have been happy to continue on the Tamoxifen.

Eight months after starting, I stopped taking Tamoxifen, and two or three weeks later I was feeling better.  I'm on Evista now (even though I still qualify as pre-menopausal) and have returned to work...

Even though the cognitive/mood side-effects are believed to be less common, be aware that they are possible. 

LisaAlissa

Posted in: Site News and Announcements + Comments, Suggestions, Feature Requests, Created: Nov 12, 2008 07:53 am

What do we do when the spammer attacks again?

Here's a link to a post from an admin on another board, with (I think) good advice on what to do if a board is "invaded:"   http://artisanssquare.com/sg/index.php/topic,178.msg2427.html#msg2427

Note that initial part of the post is directions to any mods who are on duty when it happens. To make "real" topics "sticky" (so that they'll appear at the top of each board--spamming threads will fall to the bottom). Part of the post-spam clean-up is to "unsticky" all of the normal threads.

The second part of the post is what members should (and shouldn't) do in response to an invasion.

Beesie,  you'll note that she suggests that if only members are available, that they should "bump" the real threads until mods/admins can deal with the situation.  I note that if members use the designated "word" or "words" ("post" or "bump" or whatever) that it is then easy to search for those posts...and that it is equally easy to delete them when the excitement is all over. 

On a board I moderate, we can completely delete posts (so that the sort of "shell" of a message that appears above where nck777 deleted their post doesn't remain).  I don't know if it is similarly easy for mods/admins to delete entire posts (not just the content), here.  If they can, then the search/delete for bumped posts (as a part of the spam clean-up), will leave the "new posts" links working properly again.

HTH,

LisaAlissa

Posted in: Not Diagnosed but Concerned + Not Diagnosed but Worried, Created: Nov 12, 2008 04:39 am

Should I request an MRI?

I'm so sorry you have to deal with all of this.  But let me add a couple of additional thoughts for you to consider as you decide what to do:

1. Excisional biopsy vs. other biopsy techniques.  Your OP speaks of an excisional biopsy, but if you haven't seen the surgeon (and they haven't seen you) there's really no way of knowing what sort of biopsy they will want.  S/he may well suggest (for example) a stereotactic needle or core biopsy, which is less invasive than an excisional biopsy.    

2.  See the Surgeon first/let them order MRI.  I'd see the surgeon first, and discuss it with him (or her).  Find out if the results of an MRI would change the next steps.  Could be (for example) that whatever the MRI showed, a stereotactically-guided core biopsy would be the "next step."  In that case, perhaps there is no need for the MRI before the biopsy.  If you will be having an excisional biopsy, then the surgeon may well want to have a pre-surgical MRI (to ID any other sites which should also receive surgical attention).

Separately, since the surgeon is the one who would be using the MRI results (instead of your gynecologist), allow them to order the study they would find most useful from the provider that they've had best results with. You'd hate to get an MRI order by your gynecologist and then have it not be the exact study that the surgeon wants.

 3. Check your insurance before the MRI study.  Your surgeon's office probably has someone who gets "pre-approvals" and they should check coverage for your MRI (before the study).  Even if your insurance doesn't require "pre-approval" (mine doesn't) most insurance policies only cover "medically necessary" procedures.  You want to get assurance from your insurer that they won't conclude that an MRI isn't medically necessary.  Mine wouldn't cover an MRI without a prior positive biopsy.  However they were happy to cover it as a pre-surgical procedure (before my lumpectomy). 

4.  Add MRI to future screenings. If the biopsy is negative, then discuss with your gynecologist (or whatever doctor is in charge of your breast screenings) whether or how MRI's should be added to your future routine screenings.  The guidelines have been changing (I think) about what additional modalities should be added to address (for example) dense breasts.  You may want to review some of the latest guidelines in preparation for that conversation.

Just a couple of additional considerations.  Hope they help as you work through this process.  I'm just sorry that you have to go through it at all.

Hang in there!  huggle

LisaAlissa

Posted in: Connecting With Others Who Have a Similar Diagnosis + DCIS (Ductal Carcinoma In Situ), Created: Nov 12, 2008 01:07 am

Stages/Levels of DCIS??

Hi SaraJane!

I'm so sorry that you're having to deal with this...huggle

Stages & Grades are two different things.  Your surgeon is right.  DCIS is Stage 0.  However within that, the your DCIS can be low grade (aka "Grade I"), moderate grade (aka "Grade II") or high grade (aka "Grade III").  (You don't want to be "high grade" here.Laughing

You can read more about these classifications here:

http://www.breastcancer.org/symptoms/dcis/type_grade.jsp

and you'll also see links (at the bottom-left of that page) to more info on how that info gets used by your medical team as they're planning your treatment.  BTW, the info about the grade of your DCIS is something that should be able to find on your pathology report. 

Sorry that your surgeon didn't understand what you were asking... 

at any rate, HTH,

LisaAlissa

Posted in: Connecting With Others Who Have a Similar Diagnosis + Recurrence and Metastatic Disease, Created: Nov 12, 2008 12:48 am

Totally Great News!

I'm so pleased to hear good news for a change!  Smile And your girlfriend is a very special person for being willing to make this happen for your family.  huggle

BTW, you probably know all about it, but for someone who finds that the willing kidney donor they've found is incompatible, either paired-donation or daisy-chain donation can mean a transplant is still possible.  There's a nice story about it here:

http://online.wsj.com/article/SB122212713014365289.html?mod=googlenews_wsj

Again thanks for sharing your news!

LisaAlissa

Posted in: Tests, Treatments & Side Effects + Just Diagnosed, Created: Nov 11, 2008 11:26 pm

treatment change

Hi ginnysue!

I'm so sorry that you may not be having the treatment you had originally selected with your doctors.  (It sounds like you won't know until tomorrow after your PET/CT.)  It can be so unsettling when things look like they're going to change.  You can't change your body or what the tests will show about it. 

All you can do is try to think about it a little bit differently.  Perhaps focusing on how good it is that your medical team is being so careful of you.  Even after a decision has been made, they continue to monitor that decision so that changes can be made if needed.  And if you have to do the 6-8 week treatment, you can do it.  It just takes longer.  But you'll be able to be confident that you and your team have selected the best treatment option for you.   

Hang in there, be kind to yourself and find a time/place where you can let yourself be scared and be comforted.  If that's not w/ your family, try a support group, counselor or clergyperson.  Check w/ your cancer center...many have social workers/counselors/psychologists on staff, who moderate support groups.

I hope that tomorrow brings you news that after checking, they can do the Mammosite radiation after all. 

Good luck!

LisaAlissa 

Posted in: Recovery, Renewal, & Hope + Growing our Friendships After Treatment, Created: Oct 15, 2008 12:35 am

Armyofwomen.org

I believe it is US only to begin with (according to their FAQ).  They hope to expand to researchers outside the US soon! 

Today they are up to 205,558!  (that's a little over 20% to the initial goal of 1 million women!)

I keep asking people to join...but I haven't heard that anyone has (at least so far), but apparently some of you have been more successful!Laughing

Posted in: Tests, Treatments & Side Effects + Surgery - Before, During, and After, Created: May 5, 2008 02:55 pm

Oh, crap--NERVE PAIN!!

Anne said "Ice packs help, but I can't go around everywhere with ice on my tit."

Why not?  I used small flat ice packs that fit inside my bra for several weeks after surgery--including at work.  I simply has a ziplock-type freezer bag w/ extras in the refrigerator at the office, and switched them at breaks/lunch. 

While I wasn't dealing w/ nerve pain, if cold helps, I don't know why you shouldn't use it!  (just use an overshirt/sweater/jacket to mask any odd contours and no one should notice a thing!)

Best wishes,

LisaAlissa

Posted in: Tests, Treatments & Side Effects + Surgery - Before, During, and After, Created: May 4, 2008 04:43 pm

steri-strip removal?

Stacey,

I had a lumpectomy and SNB as well...my steri-strips were also still on when I saw my surgeon at about the same point post-surgery.  She didn't seem to be troubled at all.  Thought everything looked good at that point.  She took them off as a part of the exam.

Sounds like everything is looking good.

Best wishes.

LisaAlissa

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