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Topic: repost: 3-month post-tx check-up--what to expect?

Forum: Older Than 60 Years Old With Breast Cancer —

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Posted on: Mar 24, 2009 10:03AM - edited Mar 24, 2009 10:04AM by bluewillow

bluewillow wrote:

Hey there ladies, I just posted this in the HER2+ forum and haven't gotten any replies yet, so I thought I'd post it here too-- sorry to be a pest, but I need some answers soon, since I'm thinking of re-scheduling tomorrow's 3-month appt. for later on next month...  Thanks in advance for reading! 

I am due for my three-month post-treatment check-up soon at my oncologist/breast surgeon at the cancer center where I was dx'd and had chemo.  What is the usual protocol for a three-month check-up?  Do they do blood work, or just poke around?  I have never had tumor markers done in the past and blood-work only pre-chemo, so I'm not sure what to expect.  I guess I am really wondering about the importance of this dr. visit, since I am feeling fine, except for the usual aches and pains. I am due in May for my six-month mammogram, which I will go to without fail.  I'm just not sure about this three-month visit.

(I had a lumpectomy/SNB- finished chemo in Jan 2008, finished rads in April 2008, and completed my one year of Herceptin in November 2008, had my port out and last check-up December 2008)

I might add that I so dread going back to the cancer center.  I hate the decor, the smells, and my doctor! Embarassed But duh, who in the world would like being at a cancer center?  Surprised

Thanks for any input you can send my way!

Nana of Mason, Hayden, and Addison~Lumpectomy, Re-excision, SNB, AC/Taxol, Radiation, 1 yr Herceptin Dx 7/26/2007, IDC, <1cm, Stage I, Grade 3, 0/4 nodes, ER-/PR-, HER2+
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Mar 24, 2009 11:13AM gramadeb wrote:

Hi bluewillow - my 3 month check up included the routine " how are you feeling", breast exam, listening to lungs, palpating abdomen. No blood work for me. Then scheduling of next 3 month appt and mammogram. It was benefical for me because I was feeling so fatigued so needed some answers. I thought the fatigue was related to all my treatments - turned out I have sleep apnea!

Deb

Dx 2/7/2008, IDC, 1cm, Stage I, Grade 3, 0/2 nodes, ER+/PR+, HER2-
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Mar 24, 2009 12:02PM bluewillow wrote:

Hi Deb and thanks so much for your reply!  I'm glad you found the cause of your fatigue.  As it turned out, I went ahead and rescheduled it for later on next month, and it has worked out for the better.  And now I won't dread it as much. I hate being such a chicken!  Embarassed
Nana of Mason, Hayden, and Addison~Lumpectomy, Re-excision, SNB, AC/Taxol, Radiation, 1 yr Herceptin Dx 7/26/2007, IDC, <1cm, Stage I, Grade 3, 0/4 nodes, ER-/PR-, HER2+
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Mar 24, 2009 02:09PM mzmiller99 wrote:

Hi bluewillow - of course you're not being a pest!! 

 My med onco does blood work and tumor markers.  I see him every four months.  And, my BP is always over the moon!!  He's the NICEST, cutie-patootie, but just being in his office makes my heart race.

But, I'm just having my first digital mammo this week!  It's been nearly a year since my last one.  Guess no one was worried....?

Susan IMRT 09/08, Oncotype DX 15, Aromasin 03/09 Dx 6/16/2008, IDC, <1cm, Stage I, Grade 3, 0/1 nodes, ER+/PR+, HER2-
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Mar 24, 2009 02:31PM Brenda_R wrote:

At my 3 month, my onc did blood work and tumor markers, he might have felt my neck nodes. Hard to remember. At my 6 month he did blood work, tumor markers, and did physical exam neck, underarms, boobs, stomach.

Dx 12/12/2006, IDC, 3cm, Stage IIIA, Grade 3, 1/17 nodes, ER-/PR-, HER2+ Surgery 12/29/2006 Lumpectomy: Right; Lymph node removal: Right, Underarm/Axillary Chemotherapy 1/28/2007 AC Radiation Therapy 5/1/2007 Breast Targeted Therapy 7/10/2007 Herceptin (trastuzumab)
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Mar 24, 2009 03:57PM bluewillow wrote:

Thanks, Susan! I had to giggle out loud when I read your post about your cute dr.!  Lucky you! Mine not only is not attractive, he has no personality.  Don't doctors know that being cute and nice is nothing but a big PLUS for them? Wink

And Brenda, thanks to you too!  It sounds like your dr. is very thorough.  It is interesting how some get tumor marker tests and others don't.  I also have to go back to my radiation oncologist for a check-up next month too.  A lot of doctors and a lot of poking! Laughing (and a lot of co-pays!)

Hugs,

Mary Jo

Nana of Mason, Hayden, and Addison~Lumpectomy, Re-excision, SNB, AC/Taxol, Radiation, 1 yr Herceptin Dx 7/26/2007, IDC, <1cm, Stage I, Grade 3, 0/4 nodes, ER-/PR-, HER2+
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Mar 24, 2009 04:58PM mzmiller99 wrote:

Mary Jo - I think it's a matter of docs.  Many don't do tumor markers because they aren't that reliable. 

 Amen to the co-pays!!  I'm so glad I have insurance, but the daily radiation co-pay almost put me in the poor house!!

If they're not cute, they better have a great sense of humor and compassion!  Or be female, 'cuz I love all of my women doctors!!  Love 'em all!

Susan IMRT 09/08, Oncotype DX 15, Aromasin 03/09 Dx 6/16/2008, IDC, <1cm, Stage I, Grade 3, 0/1 nodes, ER+/PR+, HER2-
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Mar 24, 2009 07:33PM - edited Jul 5, 2010 09:00PM by Maire67

.

Dx 6/2005, ILC, Right, 5cm, Stage IIIB, metastasized to bone, 1/9 nodes, ER+/PR+, HER2+ Hormonal Therapy Aromasin (exemestane), Faslodex (fulvestrant), Femara (letrozole) Surgery Lymph node removal; Mastectomy Chemotherapy AC + T (Taxol) Targeted Therapy Herceptin (trastuzumab)

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