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Member Since: July 30, 2008
Last Login: November 17, 2008
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Occupation:

Biography

Diagnosis

Diagnosis: Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Diagnosed: July 25, 2008
Type: Ductal Carcinoma In Situ
Recurrent? No recurrence
Metastatic? No
Stage: Stage 0
Lymph Nodes Removed: 9
Positive Lymph Nodes: 0
Tumor Size: Less than 1cm
Tumor Grade: Grade 2 or medium grade
Hormone Receptor Status: Tumor has both estrogen and progesterone receptors
HER2/neu Status:

Recent Posts by angel0921

Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Nov 10, 2008 10:20 pm

OCTOBER 2008 rad group

I now officially more than halfway through..on #19...and I continue to see the cumulative effects.

My underarm is BLACK..very attractive and my radiated areola is quite bigger darker than my other breast's. My boob is so swollen and red..now the redness has crawled up way above the areola to the entire area which is covered by my bra. It looks like a mild sunburn, but does feel uncomfortable. I am wearing more and more a sports bra to support my huge battered DD boob.  I can't tell you how this "sexy" look gives me confidance as a single woman (NOT!) I have been avoiding any and all social outings. Part of me wants to date and get out and have fun....I feel like I have no other life than rads and obligations. But, another part of me feels so unattractive and "undateable".

In some ways, yes treatment has been going by fast, but in others, it hasn't. I have to say the daily stress of leaving work to get to rads on time is really getting to me. I leave work at 3 to make it to 3:30 rads. So my work day gets cut short. Even though my school day is over at 3:30, I usually like to stay at least an hour after school 2 or 3 times a week to catch up on paperwork.(I'm a school counselor) Well now that time is gone and I am starting to get that overwhelmed feeling. And forget getting to work early. We start at 8 am and I have enough trouble getting there on time, let alone earlier than that. I am sooo wiped out with exhaustion every morning before I force myself out of bed that making an attempt to leave earlier is just out the question.

My evenings are also so full with my kids' homework, soccer practice, dinner and chores that I barely get a breather. I have tomorrow off for Veteran's which is a relief. I get to go to rads without the stress and I am also getting my bloodwork done. Do all of you also get blood drawn every two weeks? See that's another time consumer: going to lab for bloodwork. Also there is the weekly see the rad onc which is scheduled right after rads and then let's not forget the day they do the weekly xrays which also adds time to your appointment. I hate xray day because I have to lay still EVEN longer and sometimes I feel like I am crawling out of my skin waiitng!!!!

Ok I feel better..I vented..Thanks everyone

Angela

When this is over, I think I am going to be so appreciative of having all my time back. It's going to feel like a luxury!


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Nov 5, 2008 06:10 pm

OCTOBER 2008 rad group

Hi everyone. Today was number 16 and yesterday the discomfort REALLY hit me for the first time. Up until now besides the inconvenience of the everyday treatment, I really hadn't felt bad. All of sudden after yesterday's treatment my boob has become extremely tender and the soreness has extended more deeply into my arm, back of arm and armpit.  I am also feeling more the fatigue. Last night I had this sudden feeling of being SOOOO cold. It lasted a couple of hours and I just lay in bed curled up under the covers watching election results. Has that ever happened to any of you, suddenly feeling very cold? Maybe I coming down with something...

Today I am tired and as long as I don't move around too much I don't felt the discomfort, but as soon as I do I feel sort of this heavy duty soreness.

I feel crabby and just eager to be done with this whole deal. I am almost at halfway point...I am just feeling down and lonely ....:-(


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 31, 2008 09:17 pm

OCTOBER 2008 rad group

LOL kleenex, my 13 year DID go trick or treating afterall! He just called and said he and his buddies decided what fun would Halloween be just hanging out and not getting candy. So I think you are right..this is a diehard tradition that will last into the teen years. Not the same like believing in Santa Claus....


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 31, 2008 06:37 pm

OCTOBER 2008 rad group

Wendy, we are on same schedule..I also have 20 more to go! I feel most tired in the mornings. It's very hard waking up. I feel like I could sleep forever if I stayed in bed.

Tonight I am fighting with my conscious about whether or not to go with my daughter trick or treating. She will be going with her friend's mother and a group of kids so I am really not needed, but I feel guilty. She is 11 and this may be one of her last real door to door Halloween's. My 13 year old is pretty much over it and will hang out with friends, but not be knocking on doors this time.  I just want to stay home and RELAX!!!  Between work, rads, soccer practice and the "take me here and there" demands, it really does feel like too much at times. Being a single mom is never easy, but now being a single mom going through cancer treatment is even harder.

My radiated areola has really darkened up significantly compared to the other and my breast is an overall light red. I am a little worried about a a small lump I found just right above my areola. I had my tumor and incision in a completely different spot (9, 10 o'oclock position a good 4 or 5 inches from areola). I showed it to rad onc and she didn't seem concerned and said we could have it ultrasounded once I was done with treatment if it was still there. Next week when I see her again, I think I will press more to ask what it could be.

Happy Halloween everyone.

Posted in: Support & Community Connections + Singles with breast cancer, Created: Oct 25, 2008 09:42 pm

ROLL CALL - WHO'S A SINGLE SURVIVOR?

Hi. I was diagnosed over the summer with DCIS. Had a lumpectomy/SNB and I'm on treatment #8 for rads (will be 33 total).

I am divorced mom of two (boy 13, girl 11) and I am feeling sorry for myself today which I have tried very hard not to throughout this whole thing. Rads schedule is getting tiresome and I am feeling overwrought. Between a full time job and raising my kids and nows rads on top of it all, it's just a lot by myself. The ex sees the kids, but he travels a lot on business and aside from the everyother weekend deal, I can't really count on his help.

I am having a down day today. Just feeling tired and lonely. I have been divorced for 3 years now, was married 15 (together 20). Ex found somene before we even separated and he is still with her. I have dated a lot of frogs but not a single prince.

I have to be honest and say one of the hardest parts of being dxed with cancer is not having someone by my side. My mother, who I am very close to and is also a survivor, is "there" for me, but during the daily struggle, it's just me.Mom still works herself full time and has her own full plate. I tend to be a loner which doesn't help and the couple of good gfs I do have are married with kids and have their hands full.

 Having had just DCIS and a lumpectomy,  I have tried to minimize it and I am not one to be dramatic, but it's hard when I feel everyone thinks I am just fine (and I am not).

My kids are at ages where they are very self centered and although I don't expect them to wait on me, I wish there was a little more consideration involved on their parts. They expect mommy to always be "on" and always 100% available and sometimes I just am not. Today I crawled into my shell and have been on the couch or bed most of the day. Even though my son made repeated "take me here, take me there" requests, I had to say I was feeling sick because apparenty being tired from "just rads" is not enough to get a break around here.

I would love to have someone special in my life,  holding my hand, giving me something to look forward to (yes..including sex!). Most men I meet though are ONLY interested in sex and I have gotten so turned off by that. I am not looking for a full blown 24/7 relationship, just someone to spend time with me when I am free who can keep me company and I can have fun with. This middle ground kind of relationship seems soo hard to find. It also seems that there is always a lot younger men looking for "milf action" (lol) or older men who look like my dad. A guy around my age who wants what I want and is attractive seems to be an extinct species. Now I have to factor in a guy who will be caring enough to not be scared off by the C word. I have pretty much taken a dating hiatus till I am done with rads, but I am always open if the right guy came along.

Fitchik, thanks for starting this thread. It has given me a chance to vent and read about other single survivors.


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 24, 2008 10:35 am

OCTOBER 2008 rad group

Hello Ladies. I will be doing treatment # 8 today.

Rads now are part of my daily life. The rads themselves are not stressful, but as some of you may be experiencing, it's everything surrounding the rads such as the daily worry of leaving work on time to get there,  Also now this two hour block of time every afternoon is sacred and I can't plan on doing anything else. Even though the actual time I am radiated is only two to three minutes, it's a half hour each way to hospital, another half hour for usual wait time (they try to run on time, but if just one person is late, it puts whole schedule behind) and then whatever time is needed for changing and setting up machine. Once a week is "picture" day and doctor day so that adds more time to the appointment. I find it stressful to lose that time at work and also come home later everyday and still have to deal with my chores at home with kids and house (single mom). My boob (which is already a large 40DD) is uncomfortably swollen and I feel a light soreness in the breast and armpit area. 

I should be seeing the medical oncologist soon. I have tried making that appointment for about three weeks now and there has been some issue with getting my records faxed there which is strange considering the rad oncs work closely with them...but as some of you may have experienced such as the wide wonderful world of medicine. 

Today I have to leave work earlier instead of the usual 30 minutes early for rad appointment. I am leaving two hours early because I need to see eye doc. I have reached the stage at 46 where seeing print up close is a challenge! This is the other part about being locked into doing rads EVERY afternoon that is tough because that is my normal time for other kinds of doc appointments (like kids orthodontists) and the usual errands. Now there is time for nothing! I know..it will be over before I know it..but for now I need to bitch to those who know what I am talking about. Thanks for the support.

Angela 


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 14, 2008 08:45 pm

OCTOBER 2008 rad group

Tomorrow I finally start my rads!!! Yahhhh! And I got a 3:30 pm appt time!!  yeahhhhh!! That works very well for me because my work day is over at 3:30 so that means I only have to miss 30 minutes of work everyday versus 90 minutes had it been earlier in the day. That was such a huge relief for me. My kids who are 11 and 13 will be on their own till I get home, but it shouldn't be more than an hour which is really not a big deal. They are old enough.

I was surprised my rad center did not give me a whole lot of "orientation" as to what to do or what not to do during rads. I had to inquire about the whole deodorant and shaving issue. The chief rad guy said NO WAY. But then he had me talk to a nurse who said I could use deodorant as long as I washed it off before rads. I am going to try the Tom's. She said I could try an electric razor. I honestly never cut myself. I use those razors that have like the soap surrounding the razor (I think they are Venus) and they are very smooth and I never get nicked.

Wndalina, did u have a lumpectomy? Like you, my mother and maternal aunt both had breast cancer  and I also kinda always felt  like it was a matter of time for me. Sometimes I feel though that that negative thinking attracted the cancer to me ..you know the whole law of attraction thing. Have you thought about doing the BRAC testing? I definitely plan to and will discuss it with med onc once I start seeing her (Geez ANOTHER doctor!!)


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 13, 2008 09:28 pm

OCTOBER 2008 rad group

Ladies, I can't get over how slowly this whole process has crawled along for me. I have had two planning appointments where they keep measuring and marking. The appointments were a week apart. Tomorrow is the ct scan and maybe I can finally start rads by the end of the week. I guess everything just seemed to really slow down for me two weeks ago when I wasn't a candidate for internal rads/mammosite after going through my FIRST simulation with balloon inserted which didn't work out. That was a setback. And then I had to reshift my entire thinking from 5 days of rads to 7 weeks....I had my surgery on 9/4 so it just seems like this is taking forever.

Today I finally asked a question I had dreaded asking, "How much flexibility is there in getting rad appointments times when convenient for the patient?" Well, the answer I received was not a good one. They are, of course, swamped for early am and late pm. This means I will most likely have to start with a time not convenient to my work schedule which has me feeling overwhelmed.

Today when I drove to the hospital from work for my markings, all I could think is "I can't believe I will have to do this 35 times back and forth!!" It's about a 20 to 30 minute drive each way plus about half hour for appointment means 90 minutes a day on cancer treament ..just sounds like a lot. I know many ladies here have it much worse and are dealing with a great deal more than just radiation anxiety.

I know I know..it's all perspective...In my case, I am extremely grateful I am fine and all of this is precaution to reduce my risk of recurrence...I have healed great post surgery and I am feeling wonderful. It's just I feel frustated to have to start this whole process and perhaps not feel so good anymore as the weeks go way during this tx.

I just had to vent ...Thanks for reading and understanding.


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 3, 2008 10:03 pm

OCTOBER 2008 rad group

Midsum, what I had inserted was the Contura. What happened was that I have implants (since 5 years ago) and when they did the simulation with the balloon filled with saline it was up against the implant. There has to be a certain amount of tissue around the balloon. It was very disappointing especially since I had dummy catheter in since surgery 9/4 then it was switched out for Contura catheter and balloon on 9/24 and I finally had simulation on 10/1..so it's been a journey. I am so ready to finally start rads!

Kleenex..wow I had no idea about the not losing weight part. I wonder how much weight loss would impact measurements for radiation? I wil definitely ask onc about that.


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 2, 2008 02:41 pm

OCTOBER 2008 rad group

Hello. After a simulation yesterday with the balloon mammosite in place showed it would not fit as required for internal radiation, I found out I will be doing preplanning next week for conventional exterrnal rads. Not sure if I will get to start next week the actual treatments. I am still trying to get over the frustration the 5 day mammosite treatment was not an option for me. 

I am a 46 year old middle school counselor, single mother of an 11 and 13 year old so I feel like my hand are quite full on any given day without including now daily radiation treatments. I had my lumpectomy/SNB on 9/4 and sometimes I feel like this whole experience is taking over my life. I have had more doctor's appointments in this past month than I have had in my lifetime! And, I think I am just feeling overwhelmed that this is a long process and that now it won't be over (as over as bc can be) for quite awhile. 

I want to try and focus my dx on recovery and feeling healthy. My goal is try and lose some weight ( I am a good 50 pounds overweight) by walking and eating right. I want to reframe this whole experience as a rebirth that is giving me a second chance.  I don't want to wallow in the stress and headache of the treatment process. It's nice to know I will have some company during radiation.


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Oct 1, 2008 03:43 pm

Has anyone done MammoSite Radiation Therapy?

Well here's the verdict: after the simulation and CT scan, the radiologist and other medical professionals (there were like 4 in the room!) including onc rad determined mammosite will not work for me. I have implants (have had them for 5 years now) and the mammosite balloon once it was filled all the way with saline pushed up against my implant which I am not quite sure why it meant internal rads couldn't be done. Maybe the radiation wouldn't have emanated properly? I was so stunned when they told me and how quickly they took out the balloon and catheter that I never got to really process it all while I was there. At my next appointment I will get the details.

I would be lying if I said I wasn't disappointed. After a month of having a catheter in my braest preparing for mammosite and now not being able to is a definite let down. I wonder if this is a common problem for women with implants? If any of you have had this experience or know of it, please share your feedback. Also I wonder how much my surgical onc considered my implants as a possible barrier to mammosite rads and whether or not he should have been less gun-ho about inserting a dummy catheter right away at time of surgery if there was a good possibilty this would not work. 

Now I see why the original rad onc was so less than enthusiastic about my doing mammosite rads. He saw the writing on the wall. I still don't regret for a minute switching rad oncs. I feel much more comfortable with my present one. When I arrived to my appointment (before simulation)she was wonderful about sharing with me the off the press research that showed the most recent clinical trials of five year study on mammosite in early stage breast cancer which indicates results comparable to those acheived with conventional whole breast rads (as far as local recurrence results). She then told me that everything would depend on simulation results. 

So now here I am like starting what feels like another long chapter as I know so many here have also done and will be doing.  They told me I will have three preplanning appointments before I start the actual treatments. I called my insurance to verify that I am 100% covered and was happy to learn that I don't have to pay a copay each time.

And for now, the best part of all of this is:  I DON'T HAVE A CATHETER IN MY BOOB for the first time in a month!!!! Yahhhh. :-) 


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 29, 2008 08:01 pm

Has anyone done MammoSite Radiation Therapy?

Hello Ginger, Jea, Kak, Emac, Kdeit, OmahaGirl and all the supportive women who have been reading about my journey to the land of radiation...

Well I LOVE my new rad oncologist! She is great. Just the kind of doctor I needed to help me through this and make it less intimidating and scary. She is also on the fence like the previous rad onc as to whether five day mammosite or regular external rads would be better in my case. The issue is my age and family history.But, with her I felt a definite comfort level and that we were making decision TOGETHER.

She mentioned a medical conference held last week in Boston where the topic was which was best rad option for women with my profile. She said she would take a good look at the most  recent research to help in my decison. I have an appoinment for simulation on Wednesday and at that time we will look at everything and decide which is best option for me. I feel SOOO much better seeing an onc out of the hospital's cancer center versus the other rad onc renting space in a business center.

 For me personally , it just feels like a better level of service. Maybe it's because I had such a bad experience with a freestanding location radiologist who never identified my DCIS despite a year's worth of 3 month follow-ups. Finally, I went, at primary's urging, to the hospital's Women's Center for consultation since this other place couldn't figure it out. The hospital found the DCIS.

I also liked that the new rad onc began discussing with me the need for the BRAC testing which up until now no one had mentioned. I knew I wanted to do this from my own research, but not because any medical professional had suggested it. She gave me two names of medical oncs (also females) that she highly recommends.

I also told her about my experience with surgical onc pushing me to stay with other rad onc allegedly because he thought my insurance wouldn't cover anyone else (in retrospect, that statement in itself was strange). She said these types of referrals are very "political" which leads me to believe my surg onc has a deal with rad onc to send patients to him. That really bothers me, but I believe this is way the medical community works. I understand they "help each other out", but it shouldn't be at the expense of taking a patient's right of choice away from her. We are so vulnerable at a time like this and it sucks to feel like a doctor would try and persuade me to go with another doctor for their monetary gain instead of looking at MY level of comfort as the first priority.

So hopefully on Wednesday, I will know one way or another which rads I will doing and starting them soon!!! This mammosite catheter is less cumbersome than the original dummy one, but it's still a bother. I hate wearing sports bras 24/7 and now I have to be extra careful when showering with using plastic sheet around site and catheter to avoid getting it wet. I refuse to stick to sponge baths. I have been in this catheter predicament too long!!!


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 25, 2008 12:54 pm

Has anyone done MammoSite Radiation Therapy?

After a long tiring day yesterday, I finally feel better today and have an appointment with a new radiation oncologist (YAHHH!)

Yesterday I had the balloon and catheter for rads put in. The exchange of the dummy catheter for the rads one was not painful at all. The draining was not as much as I thought it would be and so far today (it's lunctime) I have not had to change the gauze.

I found out that they are using not the Mammosite brand, but Contura which "contains five separate lumens or tubes inside the ballon will help to shape or contour the radiation dose away from the skin or chest wall to obtain a more optimal result" (as per the brochure). Later in the day I did feel uncomfortable, achy and had a headache, but I think it was stressed related.

After a lot of asking questions and making phone calls I figured out I had more choices regarding which rad onc to go to. My surgical onc thought I had Humana Gold which limits which facilities you can go to, but I have Humana Open Access which gives me more choices.

The original rad onc,who is so conservative and didn't agree with the brachytherapy. works at a free standing facility (not part of a hospital) and I noticed he had ALL elderly patients. Now it makes sense, he is the rad oncologist used with Humana Gold for seniors and I don't think he has a lot of experience with women under 50 with breast cancer. Thus, he did not feel comfortable doing brachtherapy on me!

To make a long story short, I now have an appointment with a FEMALE rad oncologist (on Monday) who is part of same hospital as my surgical onc and I think I will feel much more comfortable. I don't think it will put my treament behind since the other onc didn't want to do CT scan till Monday at the earliest because he kept insisting the tissue has to "settle" first from the balloon insertion before he could do it. He also has all these "ifs and buts" about whether the brachtherapy radiation will work. I am afraid by the end of CT scan he would declare I was not an appropriate candidate for bractherapy. He kept saying that even after the CT scan, he would have to carefully "study" the measurements of the cavity and balloon and this could take several days!!!

So I am VERY happy I am going to someone else. I feel very empowered by taking charge of my treatment and making my choices that I will comfortable with.


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 23, 2008 10:53 pm

Has anyone done MammoSite Radiation Therapy?

Very interesting!!! You know I am so naive, it never ocurred to me that he could be too booked up or something along that line.. And that is news to me the five days don't have to be consecutive..Why can't these doctors just be straight up about these things!!!


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 23, 2008 10:32 pm

Has anyone done MammoSite Radiation Therapy?

I think maybe I didn't explain myself correctly in previous post. The radiation onc WILL go ahead with mammosite rads. He never said he wouldn't. He just expressed to me that I had other options to consider because of my age. He pretty much left the decision in my hands.  

My concern is his wish to delay till 10 days from now because he doesn't want to do CT scan so soon after balloon is in place. He seems to think the balloon has to adjust itself in the cavity for the CT scan to take proper measurments, thus delaying my starting rads by another ten days ....because they can only start  them on Mondays to get the five days in a row (not done sat or sun).


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 23, 2008 09:01 pm

Has anyone done MammoSite Radiation Therapy?

Kdeit, thanks so much for pointing out the disagreement between Surgeons and Radiologists on the MammoSite web site. That makes it VERY clear as it why there is a disagreement here between my two doctors and why my rad oncologist has expressed reluctance. It puts everything in a clearer perpective. I wish the rad onc had just came out and said that instead of (what i feel) what beating around the bush and making me feel confused and anxious. 

And Jea, I have been on antibiotics 4x a day since surgery on 9/4 so that has probably saved from infection. I do want to point out to my surgeon that ANOTHER 10 day delay in starting rads, this time with balloon and mammosite catheter in place, does I would think increase my risk of infection. It does seem absurd to wait that long when there is there should be no reason why I cashouldn't get CT scan done this week and start the five day rads on Monday.


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 23, 2008 05:02 pm

Has anyone done MammoSite Radiation Therapy?

I called the rad onc today as he told me to. When he spoke to me on phone, he said he wanted me to come in in person so he could discuss with me my options. So I left work an hour early a little anxious and met with rad onc. His explanation of the  three options was not a newsflash, but I guess he felt it was his responsibility to give them to me. Option 1: conventional radiation 6 to 8 weeks, Options 2: Mammosite 5 day or Option 3:  Masectomy.

I think the issue for him is that I just turned 46 over the weekend and the age recommendation he follows for mammosite treatment is women 50 and over (although I thought I had read elsewhere 45).  He was too professional to come out and say it,  but I get the impression he and my surgical oncologist disagree on this. My surgical onc is more cutting edge and really insisted from the first day I consulted with him presurgery that mammosite was my best option. The surgical onc really never offered me the other two options. Hence, why he inserted dummy catheter right away during surgery.

I also surmise that my radiation onc is more conservative and traditonal and crosses every T and dots every i, For example, he said he didn't want to do my CT scan till NEXT week because he thinks my skin needs to adjust to the insertion of the balloon for the measurements to be precise. This kinda annoys me since I just want to be done with all this and start the d**** rads already. If I don't get the CT scan till next week as he is planning , then that means rad treatment won't start till 10/6, the first Monday after CT scan since they don't radiate Sat. or Sun..

I have my appointment tomorrow with surgical onc to have balloon inserted along with "real" catheter. I want to ask him his take on all this waiting for CT scan and then delaying rads another week and a half, Maybe I can persuade him to persuade rad onc to start sooner???

I was also thinking maybe I should ask about getting another onc who won't delay my rad treatment. From reading about all your experiences here, it's obvious there is no need to wait days in between balloon insertion and CT scan. I am wondering if Rad onc just doesn't have enough experience with this which is why is is hestitant????? I am thinking I need to really to speak up tomorrow with surgical onc and express these concerns.

 Any suggestions or opinions from you tonight before my apointment tomorrow would be appreciated. Thanks!


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 22, 2008 06:56 pm

Has anyone done MammoSite Radiation Therapy?

You ladies are great. I REALLY appreciate so much your feedback and support. No one I know can possibly understand how the logistics of all this is getting to me ( as I keep tucking my foot long rubber tube in my bra). I really think that these male doctors just don't get it! Am I wrong to think a female doctor would be more empathetic and less likely to have this happen??


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Connecting With Others Who Have a Similar Diagnosis + DCIS (Ductal Carcinoma In Situ), Created: Sep 22, 2008 06:51 pm

Pain in the pit post biopsy

I had the armpit pain for two days  about two weeks post surgery (lumpectomy, SNB). It was funny because the armpit soreness was the last in a series of different discomforts I felt after surgery. Once that deep armpit soreness was gone, it was like I felt 100 % better, I didn't have anymore soreness of any type.


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+
Posted in: Tests, Treatments & Side Effects + Radiation Therapy - Before, During and After, Created: Sep 22, 2008 03:11 pm

Has anyone done MammoSite Radiation Therapy?

Well my situation is still up in the air. My appointment with the rad oncologist (which was my first) did not clarify anything for me. The rad oncologist is now not sure mammosite rad is best option for me because I have silcone implants (in place for years now) which he explained can push the mammosite balloon closer to my skin and thus cause possible burning during radiation. He said a CT scan would have to measure the thickness of my skin and see if was thick enough. There seemed to be other issues related to my profile (I just turned 46 and the cavity size may not favor the mammosite). So rad onc said to call him back tomorrow once he consulted with onc surgeon.

Now I feel even more frustrated because on Wed I am suppose to switch out dummy for real mammosite catheter. I am thinking surgeon may not do it until I get CT scan to confirm the thickness of skin and other details.  Therefore, I will be left EVEN longer wearing this thing. 

I am trying to be patient and continue to think this is all a small price compared to what many others who have cancer must go through and I rather they be careful in my radiation planning than just doing a "cookie cutter" approach.

However, when I hear some of you had your rad consultation appointment before your surgery, I so feel frustrated as to why things with me have been so slow. I thought that perhaps the specific rad treatment plan couldn't be devised until there was more certainty regarding the pathology report and also a certain degree of healing within the breast had to transpire.  It's also very difficult to reach my surg onc. I have left messsages in the past and he does not call back. 

It just feels like I am being left in limbo!


Dx 7/25/2008, DCIS, <1cm, Stage 0, Grade 2, 0/9 nodes, ER+/PR+

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