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Topic: Canadians in British Columbia

Forum: Canadians Affected by Breast Cancer —

Canadian health care, clinical trials, and life in general in the north.

Posted on: Dec 19, 2011 04:17AM

suz45 wrote:

I'm wondering how many West Coast Gals we currently have on here. It makes it a little easier to compare notes as our health-care is provincial. Would be nice to share tips and such to each other as we wade though the health-care Bureaucracy.

I'm in Richmond BC (a part of the Vancouver Lower Mainland) and the majority of my treatment has been at Vancouver General Hospital and Vancouver Cancer Agency.. with a few small surgical procedures done at UBC and my original Lumpectomy at Richmond General. My GP is also in Richmond. Ive been on the BCO boards since 2007 with a few breaks.

Please pipe in even if only to let us know your here Wink

Hugs Suz

Laugh your heart out, dance in the rain, cherish the memories & ignore the pain, love and learn, forget & forgive. Remember you only have one life to Live. Dx 11/25/2010, IDC, 6cm+, Stage IV, 8/23 nodes, mets, ER-/PR-, HER2-
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Nov 5, 2019 07:47PM Pots wrote:

Ugh....yup we are indeed our own advocates. Yes it is up to the MO to request them. The frequency may also change as you get further out from diagnosis so confirm the frequency with the MO.

Heck I had joggle the MO to get a CT scan last May, she wanted to go to a 6 month schedule since I had been stable for the previous two...umm, nope not when you have Mets plus I felt that something was brewing. I was right, I had a progression.

So try take a deep breath runor, you have no evidence to say you have a progression unless your body is telling you otherwise. Yes the fear and anxiety is real and can take over our thoughts.... we all get tied into knots waiting for the unknown.

Be well,


Dx 7/2013, Right, 3cm, Stage IIIB, Grade 2, 5/20 nodes, ER+/PR-, HER2- Dx 5/2017, Right, Stage IV, metastasized to other, ER+/PR-, HER2- Dx 3/2018, Right, Stage IV, metastasized to lungs/other Hormonal Therapy Femara (letrozole) Chemotherapy Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Targeted Therapy Ibrance (palbociclib) Chemotherapy Taxol (paclitaxel)
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Nov 5, 2019 08:33PM cathy67 wrote:

Ladies in Vancouver,

I have another question. I will have 20 sessions of radiation. I created a thread to ask around how many sessions others have, sounds everybody has 20+, I am not sure if my radiation is too light? Or does it depend on the machine?

I know I worry too much stuff, but how can I spend the days not thinking of this?


Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes
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Nov 5, 2019 08:34PM Elderberry wrote:

cathy67: sorry, I have been remiss about the boards. Yes, my wig was expensive but it is part human hair., lace front, look very real. My extended health only covered about $200.00. I have starting wearing it now that the weather is cooler. Keeps my still nearly bald head warm!

De Novo - this isn't a "brave battle" - it is a "furious struggle" Dx 3/6/2019, IDC, Left, 5cm, Stage IV, metastasized to liver, HER2+ Targeted Therapy Herceptin (trastuzumab) Targeted Therapy Perjeta (pertuzumab) Chemotherapy Taxol (paclitaxel)
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Nov 5, 2019 08:57PM Pots wrote:

cathy67 I know it's hard to stop over thinking stuff when you don't know exactly what will happen. There are a number of variables that have to get factored into the number of treatments....your RO will explain them if you ask. Things like the type of tumour, size, stage, number of nodes, location, and others that we may not think of. What I got for rads May not be what you get so don't compare yourself to others. When do you start radiation? Are you able to come to the lunch on Nov 23, it would be great to meet you!

Elderberry.... I am chuckling about your wig being nice and warm now that the weather has turned cold. Now is probably the only time of the year that it’s comfortable.

I have a table at the pottery sale this Saturday Nov 9 at Douglas Park Community Center in Vancouver 10-2. I’m shamelessly promoting this sale b/c 18 months ago I wouldn’t have thought it would be possible..and here I am. This pottery reflects a lot of who I have become and what I valueas I navigate living with Mets. Feel free to come by and say hi.

Be well,

Dx 7/2013, Right, 3cm, Stage IIIB, Grade 2, 5/20 nodes, ER+/PR-, HER2- Dx 5/2017, Right, Stage IV, metastasized to other, ER+/PR-, HER2- Dx 3/2018, Right, Stage IV, metastasized to lungs/other Hormonal Therapy Femara (letrozole) Chemotherapy Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Targeted Therapy Ibrance (palbociclib) Chemotherapy Taxol (paclitaxel)
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Nov 5, 2019 09:00PM cathy67 wrote:

Hi Pots,

I will meet MO tomorrow to settle down chemo, if I opt no, then radiation will start two or three weeks from now.


Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes
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Nov 6, 2019 03:15PM moth wrote:

runor - Yup, as far as I know, the imaging place will not book it without an order so each time the doctor has to send it in.

are you still under the care of the MO /cancer agency? I got discharged back to my family doctor and she's in charge of ordering my diagnostic mammos & any other follow up. If she has any concerns, she's to request the MO /cancer agency involvement back again asap but otherwise she'll take care of it all. I'm supposed to see her in person every 6 months for a physical exam as well.

generally speaking - as a student nurse & seeing things from the other side - I'd say the patients have to keep an eye on the calendar. I think for all of us it might be a good idea to find out from the booking clerk at the facility you go to how far in advance they book diagnostic mammos (I think they're not all the same - some might book 6 mos in advance, some only 3). Once you know how far in advance they book, make sure to either see or call your doctor that far ahead of when you should be getting it, and remind them to send the requisition.

Dx at 50; Left, IDC, 1.7 cm, Stage I, Grade 3, 0/5 nodes, very weakly ER+, being treated as TNBC Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast
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Nov 6, 2019 07:02PM cathy67 wrote:

Hi,

I just got my oncotype score, it is 6 with 11% as 9 year recurrence rate with AI only, so no chemo!

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes
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Nov 6, 2019 10:36PM runor wrote:

Moth, you are correct. That seems crazy to me. Automatic call backs should be generated somewhere in a system and not dependent on a doctor remembering to request an annual mammogram. It's too easily lost in the paper shuffle.

I was going to get all in a flap over waiting anotehr three months or so to get a mamm but as someone else said, if the cancer is back, i'ts not like getting a mamm NOW is going to change anything. So I wait.


Dx 3/23/2017, IDC, Left, 2cm, Stage IIB, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 4/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Radiation Therapy 7/5/2017 Whole-breast: Breast Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Nov 6, 2019 10:43PM moth wrote:

congrats cathy, that's very good news!

Dx at 50; Left, IDC, 1.7 cm, Stage I, Grade 3, 0/5 nodes, very weakly ER+, being treated as TNBC Surgery 12/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Chemotherapy 2/14/2018 AC + T (Taxol) Radiation Therapy 8/13/2018 Whole-breast: Breast
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Nov 7, 2019 09:06AM downdog wrote:

BCCA guidelines for follow up care and surveillance include a physical exam by your PCP every 6mo for 5 years and annually thereafter, plus an annual diagnostic mammogram. I lived in Toronto when I received my tx in 2015. In Ontario MOs conduct patient follow up annually for 5 years, after which you are discharged back to your PCP. BC's healthcare system is overburdened, just like Ontario's. My exposure to BC's healthcaresystem has been primarily as an advocate for my father-in-law, since moving here a couple of years ago. Both systems are overburdened, but I do believe it is possible to receive truly excellent care, provided you advocate for yourself or have someone else do so on your behalf. Should that be necessary? No, but that's the reality.

Diagnostic mammos need a requisition to identify the areas of concern, including new issues, if there any. runor, if you don't trust your doc's admin to follow through in a timely manner when you request the requisition, you may want to consider booking your follow up appt with your doc, requesting the diagnostic mammo at your appt and then following up after your mammogram for the results. Sure, she'll say no communication means no issues, so don't call, but patients fall through the cracks often enough. Book a follow up appt if necessary for the results for peace of mind, if she won't give you the results over the phone. Ideally you could phone and request the mammo x weeks/months before your appt and get the results at your 6 month appt, but that requires an efficient and helpful admin/receptionist.

BCCA guideline info:

http://www.bccancer.bc.ca/books/breast/follow-up/detecting-recurrences

http://www.bccancer.bc.ca/family-oncology-network-site/Documents/4)%20Baxter,%20S.%20Follow-up%20Care%20of%20Breast%20Cancer%20Patients.pdf

IDC
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Nov 8, 2019 03:06AM runor wrote:

Thank you Downdog. Oddly, after having been told I would not receive a call for an appointment until late December or early January (that was for the call, NOT the appointment, which would be later!) I got a call TODAY for a mammogram in 2 weeks. Hmm...maybe it does pay to phone the BC Cancer Agency?I will never know for sure.

Dx 3/23/2017, IDC, Left, 2cm, Stage IIB, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 4/12/2017 Lumpectomy: Left; Lymph node removal: Sentinel Radiation Therapy 7/5/2017 Whole-breast: Breast Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Nov 8, 2019 08:05AM - edited Nov 8, 2019 08:09AM by downdog

Great news, runor! Unfortunately, it's just a job for many people in the system and they lack empathy for the stress and mental anguish caused by waiting. It sounds like a combination of events - your doctor slipped up and the Rush requisition was finally received or potentially even tracked down if it had been misplaced within the BCCA, you followed up and hence the call. Best wishes for uneventful results.

IDC
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Nov 8, 2019 08:30AM - edited Nov 10, 2019 02:24PM by wrenn

I'm relieved for you Runor. I hate it when slip ups are blamed on that terrible "socialist” Canadian heathcare system. Our health care system is amazing but individuals eff up sometimes.

When I saw the doctor about my lump she sent in forms to the Rapid Access Clinic and told me I would hear from them in a few days. After a couple of weeks I called to see why I hadn't heard and they hadn't received the forms. The clerk checked and they were sitting on the fax machine. They then rushed them and it sounds like yours said "oops" and put a rush on your mammo. These things don't happen often so I still feel lucky. Never having to consider cost is huge.

Metaplastic IDC Triple negative...Tumour is 1.5cm. BMX Aug. 16th. Chemo cancelled after one dose due to complications. Dx 7/25/2013, IDC, Left, 1cm, Stage IA, Grade 3, 0/6 nodes, ER-/PR-, HER2- Surgery 8/16/2013 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left, Right
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Nov 10, 2019 03:02PM Elderberry wrote:

Pots: I will apologize publicly for not coming by and seeing you.Shame on me. I got hung up on my own crafty stuff. I am repurposing a completely bashed up, trashed circa 1940's, made in England cardboard suitcase I found at one of those "treasures" places. It is small and my DH said it reminded him of the one he had when he started at boarding school as a little boy. I hope the craft sale went well and you made some sales.

runor: it always pays to raise a little Hell.

Cathy67: good news on no chemo!

Keep on truckin' Ladies!


De Novo - this isn't a "brave battle" - it is a "furious struggle" Dx 3/6/2019, IDC, Left, 5cm, Stage IV, metastasized to liver, HER2+ Targeted Therapy Herceptin (trastuzumab) Targeted Therapy Perjeta (pertuzumab) Chemotherapy Taxol (paclitaxel)
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Nov 10, 2019 09:03PM Pots wrote:

Thanks Jean, no apologies needed. Because my work is so different, I spent quite a bit of time talking about what inspires me and how it is reflected in my work. A few people observed that I am a ceramic artist now and not just a potter. My work doesn’t look like anyone else’s and I certainly feel that I am getting more comfortable with this new me. This past year and especially post Taxol I have moved into a very different headspace and making. It’s kind of ironic that after trying valiantly to live a “normal” life after my 2013 diagnosis, it is only now (21/2 years in with Mets) that I am actually living more fully, I’m more authentic to who I am and what matters to me, and being more present. Sigh

Dx 7/2013, Right, 3cm, Stage IIIB, Grade 2, 5/20 nodes, ER+/PR-, HER2- Dx 5/2017, Right, Stage IV, metastasized to other, ER+/PR-, HER2- Dx 3/2018, Right, Stage IV, metastasized to lungs/other Hormonal Therapy Femara (letrozole) Chemotherapy Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Targeted Therapy Ibrance (palbociclib) Chemotherapy Taxol (paclitaxel)
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Nov 10, 2019 09:08PM Elderberry wrote:

Pots: Be authentic! Be a ceramic artist. As a cocktail napkin I once had said "Be yourself. Everyone else is taken"

De Novo - this isn't a "brave battle" - it is a "furious struggle" Dx 3/6/2019, IDC, Left, 5cm, Stage IV, metastasized to liver, HER2+ Targeted Therapy Herceptin (trastuzumab) Targeted Therapy Perjeta (pertuzumab) Chemotherapy Taxol (paclitaxel)
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Nov 12, 2019 01:57PM Mk1118 wrote:

hi ladies in B.C., I was wondering if you can help me? I have stage 4 bc extensive Mets to bones and little bit to liver. I’m 38 and mom of 2 boys (6 and 1). I’ve been on gemzar/taxol and it has worked well for me so far. I’ve been diagnosed for almost a year now and I feel it’s time to change oncologist. He has terrible bed side manners and has zero plans for me in regards to treatment after taxol.I’ve only had ct scans every 3 months no bone scan no PET scan. Do you have any recommendations for a good breast cancer oncologist? I heard Dr Gelmon is retiring soon. Thanks!!

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Nov 12, 2019 04:24PM wrenn wrote:

Welcome Mk1118, I'm so sorry to hear about your diagnosis at such a young age. I can't recommend my oncologist since his bedside manner is not great. Might be the same person. Inititals S.C. Hopefully someone will come along soon with good recommendations. I have heard good reviews of some here but can't remember the names.

Callanish (w. 10th near Vine) is a great place for support and they have a young adult support group for people up to age 45 (I think). They are amazing. They are away at retreat right now until the weekend but here is their website in case you think you might like to talk to them.

https://www.callanish.org/

This site is really helpful too. I hope you can come back and that someone has some ideas for getting a new oncologist. I think bedside manner is really important.

Metaplastic IDC Triple negative...Tumour is 1.5cm. BMX Aug. 16th. Chemo cancelled after one dose due to complications. Dx 7/25/2013, IDC, Left, 1cm, Stage IA, Grade 3, 0/6 nodes, ER-/PR-, HER2- Surgery 8/16/2013 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left, Right
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Nov 12, 2019 05:34PM cathy67 wrote:

Mk1118,

I am sorry to hear that, actually I am also thinking of this. We Canadian, under government insurance, actually no option for second opinion. I am in richmond BC, my family doctor said, only two MOs in our city, and they two work together, backup each other. My MO is good, and I am already released into local hospital's cancer clinic, he said won't see him till three months later. I am not sure if same situation in Vancouver, hopefully you can get a good MO and easy to have appointment.

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes
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Nov 12, 2019 05:36PM cathy67 wrote:

Elderberry, thanks!

The greatest encouragement is always from patients or their family members.

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes
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Nov 12, 2019 05:46PM wrenn wrote:

Cathy we can absolutely get a second opinion or more. The government insurance has no influence on that but you might have to travel to find the one you want. I have a friend who was seeing an oncologist in Vancouver move her care to an onc in North Van.

Metaplastic IDC Triple negative...Tumour is 1.5cm. BMX Aug. 16th. Chemo cancelled after one dose due to complications. Dx 7/25/2013, IDC, Left, 1cm, Stage IA, Grade 3, 0/6 nodes, ER-/PR-, HER2- Surgery 8/16/2013 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left, Right
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Nov 12, 2019 06:51PM cathy67 wrote:

wrenn,

I know we can change our MO, but at the same time, we cannot see two MOs for different opinions. I use oncotype test as second opinion for chemo decision, and fortunately my RO gave me his opinion based on the score, so I got two Dr's opinions.

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes
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Nov 12, 2019 06:56PM Mk1118 wrote:

thank you wrenn and Cathy, I think we have the same MO wrenn, initial SC as well. Sigh! I know about Callanish. But having 2 little ones and this illness is a full time job I just don’t have time to go to any of their meetings plus traffic is not on my side as I live in west van, the bridge can be trick

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Nov 12, 2019 07:20PM cathy67 wrote:

Mk1118,

Before my first appointment at BC cancer agency, I went for appointment with counselor, cause I already felt pressure from cancer treatment, thanks God my daughter is already 14 years, so she can take bus for her daily activities, and I have friend to help if she needs ride in the evening.

I told counselor some hardships I met, fortunately husband and daughter so far so good. Counselor said, cancer treatment is no. 1 for us, put our other roles aside, mum, wife, daughter,... but be patient at first. If you do think that MO is good, you shall go, and you can hire someone or find someone to help care your two kids.

My MO is so far so good, but hard to meet, it takes more than two weeks to see MO after getting oncotype score, and front desk cannot tell me score in the phone, and my RO also said, he can not tell me the score, but he said his opinion, thanks my RO, he did what he can in this system.

Best wishes to you! Take care yourself. We always care other family members, but we also have the need to be cared.

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes
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Nov 12, 2019 10:12PM Pots wrote:

Hi mk1118, getting a Mets diagnosis is tough on so many fronts. Good for you for reaching out! How many Taxol have you had, how often?

Not knowing your MO, my hunch is that he is waiting to see what the Taxol does...he may not know what is next yet. I finished Taxol and was NEAD but from one visit to the next after finishing Taxol, the strategy for my next drug changed. CT scan may very well tell him what he needs to know right now....every 3months is standard. I've lived with Mets for over 2 years and in 2 provinces....you always have the option of requesting a new MO but new may not mean better. I’ve had a patronizing dismissive MO and also an empathetic MO, what I value the most is 1)whether they know their stuff and 2) listen...how nice they are is less important to me, just makes the visit easier. My Ottawa MO was direct, plain speaking and sometimes abrupt but she knew her stuff, I respected her judgement. My first MO in Vancouver, not so much. Elderberry sees an MO in North Van that she likes....hopefully she sees this post and can weigh in.

In the meantime, know that we care and are here. You aren’t alone.

Ann

Dx 7/2013, Right, 3cm, Stage IIIB, Grade 2, 5/20 nodes, ER+/PR-, HER2- Dx 5/2017, Right, Stage IV, metastasized to other, ER+/PR-, HER2- Dx 3/2018, Right, Stage IV, metastasized to lungs/other Hormonal Therapy Femara (letrozole) Chemotherapy Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel) Targeted Therapy Ibrance (palbociclib) Chemotherapy Taxol (paclitaxel)
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Nov 12, 2019 10:18PM wrenn wrote:

I recall someone here mentioning Christine Simmons being a good onc and I hope they see this thread. I had the same onc MK1118 sees and he really is cold. If I have a recurrence I am not sure I will see him again.

Cancer is a nightmare and wouldn't it be nice to have compassion shown by our medical team.

So sorry for all of you dealing with more advanced stages.

Metaplastic IDC Triple negative...Tumour is 1.5cm. BMX Aug. 16th. Chemo cancelled after one dose due to complications. Dx 7/25/2013, IDC, Left, 1cm, Stage IA, Grade 3, 0/6 nodes, ER-/PR-, HER2- Surgery 8/16/2013 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left, Right
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Nov 12, 2019 11:06PM Mk1118 wrote:

hi Pots (Ann), thanks for your post. Since March i did 9 cycles of taxol along with 18 cycles of gemzar. Now I’m just doing gemzar weekly. The scans so far have shown more and more shrinkage and I’ll be getting the latest scan results soon so we will see. MO did say he wants to see my scan results and then determine what to do next but he gives me a different treatment plan every time I ask this question so it just confuses me. I’ve been with him for a year now and I just don’t trust him. He doesn’t seem like someone who genuinely cares.

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Nov 13, 2019 11:30AM GG27 wrote:

FYI, Dr Simmons is on sabbatical until February.

Dx 10/2008, IDC, Both breasts, 3cm, Stage IIB, Grade 2, 3/9 nodes, mets, ER+/PR+, HER2- Surgery 1/8/2009 Lymph node removal; Mastectomy: Left, Right Chemotherapy 2/1/2009 Other Radiation Therapy 7/5/2009 Whole-breast: Breast, Lymph nodes Hormonal Therapy 9/6/2009 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 5/14/2014, IDC, Both breasts, Stage IV, metastasized to bone, 9/20 nodes, mets, ER+/PR+, HER2- Hormonal Therapy 5/19/2014 Arimidex (anastrozole) Hormonal Therapy Faslodex (fulvestrant) Radiation Therapy External: Bone Hormonal Therapy Femara (letrozole) Targeted Therapy Ibrance (palbociclib)
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Nov 13, 2019 11:45AM wrenn wrote:

"FYI, Dr Simmons is on sabbatical until February." Darn.

Has anyone seen Dr. Sasha Smiljanic in North Van?

Metaplastic IDC Triple negative...Tumour is 1.5cm. BMX Aug. 16th. Chemo cancelled after one dose due to complications. Dx 7/25/2013, IDC, Left, 1cm, Stage IA, Grade 3, 0/6 nodes, ER-/PR-, HER2- Surgery 8/16/2013 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left, Right
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Nov 15, 2019 09:03AM cathy67 wrote:

Hi ladies,

I went to BC Cancer Agency radiation department for therapy setup yesterday, and they game three pages information. For the moisturizer, they recommend water-based product, which means the first item in the ingredient list is water. I checked my moisturizers, all of them start from aqua in the ingredient list, does that mean I can use either of them, for example, the aloe vera lotion from vaseline that I bought in costco?

Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy: Right; Lymph node removal: Sentinel Radiation Therapy Whole-breast: Breast, Lymph nodes

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