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kwiencek View Drop Down
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    Posted: May 23 2009 at 8:39pm
Hello, I am new to the forum... I have been going through treatment for almost 4 months now.  I am fortunate enough to live in AZ and I have been going to the Tucson Cancer Center on a monthly basis.  It is about a 3 hour drive from where I live and then we spend about 8 hours there and drive home!  I am worried about a recurrence when I am all "done" with this.  We are in the second week of taxol after AC already.  I don't know if anyone else had this but I have been doing chemo first, then surgery then radiation.  I know it is uncommon.  On top of all this, I am only 30!  And trying to get married too.  We are discussing whether to do a single or double mastectomy.  Any suggestions?  I would love to talk to someone in a similar situation!  Approve
 
Kristie


Edited by kwiencek - May 23 2009 at 8:48pm
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trip2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2009 at 5:52am
Hi Kristie and welcome.
 
I cannot help you with your questions but I am sure you will get a couple of replies.  This being the holiday week-end many woman are gone somewhere.
 
On the mastectomy issue only you can make that decision.
Do your research.  Look in our News, Resources & tips section of the
forum.  We have lots of info in there.
 
Keep in mind tri neg is very aggressive!
 
Best wishes, this is a great forum and many women here will do all they can to help.
 
Also, http://www.facingourrisk.org is an excellent site to read about genetics and the brca 1/2 mutations.  They also have a forum where you can ask questions.
 
You need to consider genetic counseling. Any cancer history in your family?   Many but not all tri negs are brca 1.


Edited by trip2 - May 24 2009 at 5:57am
Stage 2 2003
Stage 1 2007
BRCA 1+
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mainsailset Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2009 at 10:10am
Hi Kristie, it's a tough one for sure. I too share the long distance question. I live 160 miles one way from my care center and then in winter when the pass closes it becomes a 6 hour drive.
One learns to get the most out of every trip.
 
I went through 6 months of chemo, 1x a week and for that I moved temporarily closer. Surgery done and now looking at the radiation to begin next month. Logistically that will be a nightmare.
 
My neighbors have been great stepping up to the plate, I can't thank them enough. But the distance is a challenge. I do think alot about whether I should sell my home and move closer to care in case of a recurrence. The obvious answer to that is 'hell no, I won't let cancer dictate where I live', but the question lingers.
 
I no longer argue with inconvenience of the travel, getting good care is my mantra, but I also manage my travel logistics to try and keep myself safe, I travel with a "Spot" that broadcasts my location to family and has a 911 button on it, I don't drive when overly tired, I get out and stretch every hour, etc. I encourage you to ask for help driving from your friends and neighbors, take care of yourself.
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Shelley Quote  Post ReplyReply Direct Link To This Post Posted: May 24 2009 at 6:03pm
I had a long drive to radiation every day.  One speeding time and one deer in 8 weeks.  Not too bad.  I found that books on tape/cd kept me very focused and alert for some reason.  I did rely on a few drivers at
times.  I also did AC then 12 T followed by radiation.  But I had surgery first due to the aggressiveness of my tumor.  It doubled in one week.  I am looking at starting reconstruction in a few weeks and having the other breast removed.  I will be on the road again too.  Good luck driving!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kwiencek Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 9:18am
I want to thank all of you for getting back to me....
I have already done all the genetic tests and all are negative too. 
I am leaning toward removal of both breasts at the same time.  Any pros or cons on that? 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mainsailset Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 10:08am
Kristie, I just had a double on May 7. Only one breast had cancer, the other free. I'm older than you so had different considerations, but here's a few thoughts for you.
 
Check with your insurance to be sure they would cover a double.
If you go with the single, are you committed to go with reconstruction? This involves more surgeries and time. If you are small breasted, you could consider not having reconstruction but the surgery leaves a substantial scar.
 
You're a young woman and with a long life ahead of you, you likely will want to have children and there is the consideration of breast feeding. This isn't a decision maker but should be part of your converations.
 
For the surgery itself, talk long and detailed with your surgeon before you make your final decision. If they take lymph nodes on the affected breast, you will have a numbness on that arm after surgery from the nerves that must be compromised. You will also lose some mobility of that arm. I had 18 lymph nodes removed and I can tell you that the numbness (2 wks out) is annoying but certainly liveable and the mobility is only one angle of movement. All in all, I'm very ok with it.
 
The side with no lymph node removal is simply sore and doesn't share the numbness or mobility issue.
 
As an aside, there's been quite a bit of driving back and forth after surgery, more than I expected, and in that regard, you may want to get a driver for that time. I couldn't bring myself to wear a seatbelt for the first week - my bandage came off after 48 hours. More than anything, you'll just feel clumsy with all this 'stuff' attached.
 
And be sure to take a long necklace or string with you to the hospital, believe me it will make the bathroom trips and your drains a whole lot easier to deal with (you can clip the drains on the necklace to free up your hands). Oh, and take a long sweater or tunic to wear home to cover up the drains. Maybe too much information but it's what we deal with.
 
Lastly, my surgeon had me stay overnight in the hospital, where they pumped me so full of liquids I thought I'd drown. For me, looking back, I think it was a good procedure. The nurses came in every 4 hours to check me an we had quite a tussle over taking my blood pressure. They insisted on taking it on my ankle and the machine over pressurized each time which finally made me rip the cuff off it hurt so much. When the surgeon checked in in the morning he was upset because he said the idea that after a mascectomy you can't take bp off an arm is a holdover from the old barbaric days and that doing it on the ankle is just plain not necessary.  PLEASE be sure that a friend stays the first night with you whether you're in the hospital or at home, it's a MUST DO!
 
Best of luck to you, M
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Beth Anne Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 10:49am
Mainy,
We need to talk... I had no Idea that you were living so far away. I am also goin to begin rads in June it looks like... Maybe you could stay with us and we could carpool....
 
Let me know what you think
Beth Anne
Dx 5/07 DCIS Stage3 gr9 A/C x 6, Abrax x 16 Bi-Mass 2/08
Navelbine x 12, finished radiation end of July 08. DX Brain Met's 2/09StageIV
CK3/09.Brain resection4/09 WBR
Dreaming of dancing with Ned!
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trip2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 1:21pm
Hi Kristie,
 
Another tip for you.  If your seatbelt rubs against anything that hurts, whether it be surgery or a port you can get a note from your doc stating that you can drive w/o the shoulder belt.
 
 
 
Mainy I did not realize you had a bilat just recently.  I hope you are healing ok.Heart
 
 
 
 
Stage 2 2003
Stage 1 2007
BRCA 1+
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Beth Anne Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 2:21pm
another thing that works well is the seat belt protector that is used for babies... you can get them at babies R Us... They work great!
Beth Anne

Edited by Beth Anne - May 25 2009 at 2:23pm
Dx 5/07 DCIS Stage3 gr9 A/C x 6, Abrax x 16 Bi-Mass 2/08
Navelbine x 12, finished radiation end of July 08. DX Brain Met's 2/09StageIV
CK3/09.Brain resection4/09 WBR
Dreaming of dancing with Ned!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Nancy Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 3:14pm
Dear Beth Anne,
 
Great tip and I will add it to our chemo tips. Wink
Hugs,
Nancy
Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Post Options Post Options   Thanks (0) Thanks(0)   Quote sibu Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 6:24pm
Hi Kristie and welcome!

You are asking all the right questions already! May I suggest you post your "stats" with your signature--that will give us a little more information about you that may help in responding. Nancy, you'll have to show her how :)

Doing chemo then surgery is not uncommon--there are many on this board who have done that.

Single vs. double--also a daunting one. May I also suggest you go back through the archived discussions over the past 6 months or so, as there have been many interesting posts and valuable information passed along regarding this topic.

It seems that we often see the same few subjects pop up on the board, and those who have been around a while kinda feel like we've given our two cents on them. We forget how fresh and scary it can be to each new person!

So here's my two cents--On single v. double, ask your oncologist flat out to tell it like it is! It seems like being brca- may be a good thing in your case, but they also take into account the stage, size and position of tumors, age, family history, node biopsy, and other factors.

My onc. had a computer model that he entered these factors in, that predicted I would have an 80% chance of it showing up in the other breast eventually. That did it for me! Decided on bilat.

Again, those were based on my stats and you can only make that decision with real and useful information that pertains to your case. Ask for it. Demand it.

Lots of love, light and tranquility your way!

Donna
Donna, age 42
Dx IDC 12/06, 5/18 Nodes + BRCA1+
Double mast. 1/07
Chemo 6 X TAC 6/07, rads 10/07
Hyst./Recon. 12/07
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trip2 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote trip2 Quote  Post ReplyReply Direct Link To This Post Posted: May 25 2009 at 6:46pm
Kristie, 
Here is a good link for a skin-sparing Mastectomy.
 
Also Kathy Stelligo? has a great book out on mastectomies and recon, you might pick up a copy.  Alot of women like that book.
Stage 2 2003
Stage 1 2007
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Fear Nothing Quote  Post ReplyReply Direct Link To This Post Posted: May 27 2009 at 9:20pm
Kristie,
 
Welcome to the site- you've come to the right place as the ladies here have been a tremendous help for me.
 
I was 33 when diagnosed back in December.  I opted for a bilateral mastectomy. I simply wanted to be as aggressive as possible in hopes of avoiding a recurrance.  I just wanted to take every step I could to protect myself. Even a mastectomy isn't a safe guard against this disease returning, but I know that I've done everything within my power to keep it from coming back.
 
I started my chemo In January with four rounds of A/C and am now nearing the tail end of Taxol- only three more to go after this week. ;)
 
I wish you the very best- and hope you'll feel free to PM me if you have any questions regarding the mastectomy... that is one step I've been though if I can help you in any way.
 
All my best to you!
FEAR NOTHING!
Jodi 
Age 34, Colon Cancer Survivor- 2006, DX TNBC 12/08, BRCA1, Bilateral Mastectomy, 2cm, 0/7 nodes, Completed 4 rounds A/C & 12 rounds taxol.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ninel Quote  Post ReplyReply Direct Link To This Post Posted: May 29 2009 at 5:26am
Hi Kristie,
I was also 33 when I was diagnosed in 6/08. My tumor was about 1.8 cm and I had micromets in my sentinel node. Because the tumor was so close to my chest wall we decided to do neoadjuvant chemo first before surgery. My doctors and I decided to be as aggressive as possible. I did Dose Dense AC and Taxol. The great news...I had a complete pathological response.
 
I am BRCA1+ and decided I NEED to have a bilateral mastectomy with immediate reconstruction. Personally, if I wasn't BRCA+ I would still have done the bilateral. This would reduce my chances of recurrence and it would make my breasts symmetrical.
 
These are important and very personal decisions. Good luck to you.
Please PM me if you have any questions.
 
Ninel
Dx 6/27/2008 BRCA1+
IDC Trip Neg Appr 2cm
StIIb Micromets in 1 node Grade 3
DD 4AC 4Taxol
Skin sparing BM w/ TE 12/17/08 12 nodes removed
3/13-Exchange Surg
7/13-Proph Ooph
Comp Path Response
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