I, further, also want you to try and do what seems impossible, as you mentioned and that is to get your records together...have someone help you
if you must and go to a major cancer center in Boston or N.Y. and seek another opinion.
Seeing three oncologists in the same office is not the same thing as a new facility putting new eyes/perspectives on your situation.
The two I would recommend are Dana Farber in Boston and Memorial Sloan Kettering in NY.
I know you are exhausted, fed-up etc. etc. and I understand why you feel that way and totally respect why you do. Nevetheless, this is your life and a new medical oncologist may have a different perspective, have access to a clinical trial that your current physicians don't have.
You could be receiving the best medical advice on the planet now...I am not saying you are not nor am I criticizing anything that has been done.
Please try to gather up your strength and go to a NCCN hospital that is up-to-date on everything...and I am not saying your 3 oncologists are not but the world of a NCCN institution may offer a different perspective for you..
You are blessed with a long-term partner who clearly loves you and a granddaughter and a marvelous dog....and as you can see there are many folks here who care about you.
We are writing to encourage you because we have seen the unexpected..
My daughter telling me recently that she took a two mile swim...when I was with her as she went through chemo she could barely get to her bed to go to sleep..
There are no guarantees here but giving up hope does not help you in my opinion. I know you are struggling but please dig deep...maybe your dear partner can help you put your records together..can help you make phone calls to make appts. get stuff organized for you and yes it is all a giant pain in the butt....however the alternative truly sux...you impress me as a woman with too much love and courage in you to just call it a day...
I think you want to have more good days with your partner, your granddaughter, and yes, your dog...and you may have to go through many awful days first..but there may be a light at the end of the tunnel and a new pair of eyes may be the key to a different plan for you..
please try your best to find the joy in each day..it's out there and yes, somedays it may be almost impossible to find..but maybe it's there and you overlooked it?...maybe somedays it is just the wag of your dog's tail when s/he sees you...maybe it's an aria, maybe a short story, maybe just a line of poetry, maybe just a short warm I love you from your partner. savor what you can and try to be positive..
we are all here for you...keep posting and folks will respond as they have recently...of that I am sure...
in your corner,
Steve
Edited by steve - Sep 05 2009 at 11:25am
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
Jean, thank you .. that gives me some hope.. I keep wanting to say .. how can they say I can't be cured... who the hell do they think they are.. then I say .. they are the ones with all the experience... they do know.. but only God knows.. and I don't want to die.. I just don't want to be sick all the time, and need somebody to take care of me, or be the reason my family loses our home... oh there are just so many things to think about.. and I want to enjoy life.. but even today, we took a ride to a friends house, I havent been to her house in a few years... she is the friend that has been taking me to chemo... and it is a beautiful ride and she has a beautiful yard.. she is a landscaper and gardener... and I didn't enjoy any of it.. I wanted to, but all i could do is think about my situation.
My friend leaves in Nov for 5 months... she has been my stronghold.. and now my thinking is, like , well I can't find someone to take me to chemo all the time, (before there was light at the end of the tunnel), now what will I do to get there, and who will go with me to get results.. my partner can't take off that often... and I work at home, so I spend soooooooo much time alone.... and I am so scared......then I say why.... others go thru this.. others doi it on their own... I am so confused..
I appreciate everyones support./. please just bare with me for a while..let me cry on your shoulders and lean on you until I can figure this out. my love to each of you.. Autumn
Steve, My oncs work with Sloan... they are not affiliated with them, but they are on the phone with them and share patients histories for 2nd opinions, mind you ... my new path wont be in until Tuesday or Wed,, and the PET/CT will be sometime next week, so we wpon't know all the details for at least a week or so...
My partner is the best, however, she does not and has never ever understood a medical term in her life. If she goes to the Dr, she will come home and I will say, what did the dr say,., and she will say.. i got something with something.. she called in medicine.. and then I ask what kind.. Oh I don't know.. Don't get me wrong, she is not a dumb or stupid woman... quite the contrary... but she doesn't do medical or power tools (LOL)
She does not go with me to appointments, her philosophy is don't pay attn to it, and it will go away.. althouhg she knows this will not go away.. it is just not something she can understand/comprehend.
She is also of the mind that I do chemo until I decide I can't anymore, and then stop it.. when I am ready and she will support me...so I can't complain, but she doesnt understand the sickness , etc that goes with chemo.. because she hasn't been there like most of us. But she loves me, and cares for my every need, but she can't be with me 24 x 7. well enough rambling.. thanks again..
BTW for those that have asked, I am on an anti depressant, and I am also taking ativan while I have been in treatment this time.. although he only allows me 2 1mg tablets a day... I think I am going to have to talk to him about that..
Autumn, I was on anti depressants and I have to say they didn't begin to help my fight depression. What has worked hugely for me is the 8,000 IU of Vit D3 that I've been on since June. It has kicked the depression right out the door and I'm all the stronger for it.
Please try the D3, it's something you can do for you and will help you take control back. And btw, the best onc team will be the first to tell you they don't have all the answers at any given moment, your answers haven't arrived yet, your book hasn't yet been written, so take a 2nd try and enjoying your friend's garden, don't let cancer close your eyes.
Autumn, of course the day trip didn't feel right and light. That is to be expected. You have a lot on your plate!
Right now you don't see how you are going to do all this. It is clear from what you wrote that logistically, there is a big problem: how do you get to chemo, how do you deal with this without your friend, who is leaving, how do you handle the side effects...
But there are options. It sounds like you need a medical advocate. This person would help you with medical choices, help you pick another doctor for a second opinion, help you get social services, which, by the way, you are probably eligible for. www.CancerCare.org (1 800 813-HOPE) has grants for transportation costs and other things. You just need to fill out a short form and fax it in. If you go to a major cancer center, they have medical advocates in house who can guide you and help you get services and transportation. When you call a major cancer center, tell them what is happening. They will likely refer you to an advocate who can help you figure out what to do on a step by step basis. When I went to a large oncology practice here, they had an advocate that changed everything for me. Same thing for MD Anderson. You need a better support environment that helps with these practical matters.
You are feeling overwhelmed, we all do. It is more difficult for you because your partner doesn't know how to help you maneuver through all this. Getting your records together is detail work and time consuming; getting records is a major pain, but doing it will give you an added benefit. It will empower you. Okay, so if you don't get everything, don't worry about it. Just get most of it. You will compile a notebook or file with all your "stuff" and films. It means you can do your own research, and go for second opinions without feeling like you have no control or understanding of what is what. You will remember the questions that you need to ask that somehow slip away in all the chaos.
MsBliss and Autumn
Don't get too down about putting all your medical files together. I know exactly what you two have gone thru, including the depression. I was literally butchered during my mast. Some how my left elbow was broken and my right rotator cuff torned, both requiring more surgery. I also developed 2 infections requiring teo more surgeries, the wrong implants were placed and had to be removed, more surgery, the 1st PS, also screwed up on my fills, the expander slide under my arm, he continued to fillit, yep - more surgery to remove the stretched skin. (bottom line 10 surgeries in 2 years.)
Now I am getting ready to sue and absolutely have to get all these medical reports in order to present to an attorney. (I am no longer in practice but would want to touch this case). Some days I just want to cry, but have no more tears left. In fact this weekend, I am going to paint the kitchen, to avoid working on this task all weekend.
We are here for you, Autumn, and may God bless you and watch over you, Jean
IBC/TN 6/07 Lymph, Chemo, Mast w/rec, chemo, 2 infect surg, exchg (2x) redo rec (2x) 4 new tumors esophagus, colon, chest, mouth, (10/11- 5th SUV7)"Activity" in spine hip
Autumn, Hi, it's Linda. First let me say, although I was only diagnosed in late Feb and have one horrid taxotere left (on the 9th of Sept), which I am totally dreading as it has just about demolished me, while I still have to work full time (am a widow) and raise my 14 yr. old grand-daughter (which is also no easy feat!). Then I go on to rads for 6 weeks, which HAS TO BE BETTER than all the chemo and it's horrid side effects. I have had them all, unfortunately, including neutropenia after each AC and even a week in the hospital. I am exhausted, I am depressed with my triple neg diagnose, which I try so hard to be positive about, but fail each time, and greatly fear when my treatment stops completely. I admire your strength and courage to have even gotten this far, I'm not sure I could have done it, and I sincerely mean that. That being said, I can well understand how you could want to just end this crap once and for all and let nature take its course. I have already told my family that I don't think I would ever be able to go through this again, should it come back. They are shocked and admonish me when I say that, but they have no idea what we go through. But this is the worst of times for you - everything is scattered all about you as are your feelings. It's as devastating as when you were told your first diagnose, only you had a bit more innocence and hope at that time.
All I wish for you to do is lean on us, as broken as we may be ourselves, we will hold you up as you decide what the best course for you to take will be. It's just too early for you to throw in the towel until you know what your options are, and as other posters wrote, there are several much easier chemos that can be used this time around. I will respect your choice, whatever it may be, and be there for you, no matter what. I wish I was geographically closer to you, to be there in person for you.
It's also very frightening for you at this moment in time, with no particular game plan handed to you yet, just your mind wandering back to what you have already gone through, and don't want to go through any longer. I don't blame you, not sure I could do it three times over either. With your partner going away for 5 months - that is also a very threatening and scary thing to have to deal with, and am sure that is also adding to your stress right now. I just hope you will take it one day at a time, one step at a time until all possibilities have been addressed.
We are here for you - 24/7. I wish you peace and serenity as you decide which path you will take.
Love,
Linda
Linda - diagnosed at age 62
Diag 2/23/09 IDC 1.2 cent. IDC right breast,Stage 1, Grade 3,0/1 nodes - Triple Neg
4 DD AC every two weeks, 1 Dd Taxol, then 3 Taxotere every three weeks - rads x 33
Brenda, there is no reason for you to be "out." I think you just misunderstood our responses to Autumn, who clearly doesn't want to die, but also doesn't want to continue living on ugly nasty treatments with no freaking guarantee of anything.
Please come back. We all need each other through this sh*tty disease we all have.
Linda
Linda - diagnosed at age 62
Diag 2/23/09 IDC 1.2 cent. IDC right breast,Stage 1, Grade 3,0/1 nodes - Triple Neg
4 DD AC every two weeks, 1 Dd Taxol, then 3 Taxotere every three weeks - rads x 33
all, I spoke to CTCA today, thank you Caryn. I am going to go there for at least a 2nd opinion. They don't want me to have my onc start a new chemo regimine this week, they want me to go there as soon as possible, and get my treatment from them. That is the part I don't like.. having to go to Phili every week... and for all the tests and stuff. so I don't know what I am going to do yet.
but if I can find someone to drive me to Phili, and stay with me the 3-5 days... they I will go for the 2nd opinion, and maybe decide to have treatement with them. They said, if I have a treatment with them, but then I am too ill to keep going there, they can work with my Drs here, but if I don't have treatment with them, then they can't.
It is a very hard decision, the hotel is only $ 45 a night there, but still.. . that is money I don't have. BTW someone said I may qualify for assistance, trust me we don't. I am still working and I make a fair salary, it is just everything has been put back in our home... so all we have is the house and that is not paid for. We have no savings.. and lots of bills.. especially now.
I just don't know what do to, I don't want to have to travel for treatment... I really don't.... if I can get the same chemo here that CTCA says they would give... why not stay here... I know they do other stuff.. holistic, massage, accupucture, meditation.. etc... but I am not really into that stuff anyway... thoughts ??? Thanks
Autumn, the hospital I go to has a little cottage that has 5 rooms, they are $15 a night per room. Perhaps there is something like that they can make available to you.
Also, circumstances changed for me this week and the resident social services person that works with my onc office has suggested going to the Susan Koemen site, she also filled out a fax request form for me that goes to them and they have a limited abiliy to financally help but can offer up to $400 she said in the form of coupons, say to Safeway.
Every penny counts as you know. And the financial burden is terribly real so if there is a social worker available to you inside your doctor's office, see if they can help out.
Autumn - here are some numbers that may be a help to you from the Komen Board. Please check out this link - there are numbers to call for transportation, lodging costs, and even financial aid from Komen. Let us know what you find out. Perhaps if you can't call, a friend might be able to call some of them.
Linda - diagnosed at age 62
Diag 2/23/09 IDC 1.2 cent. IDC right breast,Stage 1, Grade 3,0/1 nodes - Triple Neg
4 DD AC every two weeks, 1 Dd Taxol, then 3 Taxotere every three weeks - rads x 33
Autumn, wow. I didn't know they do massage. Is it covered by insurance? Anyway, if you aren't into it--then don't do it. But the supplements, you need to hear what they have to say. It can help turn the corner in conjunction with medical intervention, and it can make the recovery from any treatment easier.
You may not qualify for government aid, but the bc organizations provide small grants and little doses of aid to help the "working poor". Check them out.
I am here to tell you that they offer massage (had a wonderful one recently), Reiki, Chiropractic, Naturopathic consults, Physical Therapy, nutritional consults, and pastoral support and it is all included. So, if your insurance will pay for CTCA, then it will include everything that they offer.
I have to say that I'm spoiled going to CTCA. (Last week, my chemo session was running very late because I needed an additional infusion and I wasn't going to be finished until 10 pm. My caregiver needed to drive home and so they sent me home -- about 45 minutes -- in a stretch limo.) They are completely patient centered. When I've had to go to other hospitals, I expect that treatment and then remember where I am. LOL
I think your suggestion about going to BC organizations is a great one.
Caryn
Orig dx 6/03 - St.2a, IDC
gr.3,0 nodes, TNBC/BRCA1+
7/07 St 4 mets to nodes/lungs. PACA/Rads NED 11/07-10/08
Lepto mets 10/08
Rads for 4 brain tumors 4/10.
Leptomets return 6/10
CarynRose, thank you for your response. if I lived near a CTCA I would be there in a heartbeat. The place sounds amazing. Massage, wow. Every visit to my naturopath is about $150, and the supplements are incredibly expensive. Sounds like the office visit is covered, but I'm guessing the supplements are a separate cost?
Autumn, here is a short section of transport and lodging aid available. It is from the Susan G Komen website: There are so many places to check, the following list is just a partial, but the central listing at will provide more of other types of assistance.
American Cancer Society’s “Road to Recovery” Provides local transportation to and from cancer treatments. 800-ACS-2345 (800-227-2345) www.cancer.org
Air Charity Network Provides air travel to treatment centers. 877-621-7177 www.aircharitynetwork.org
CancerCare Offers financial help for diagnostic
work-up, transportation to and from treatment and childcare when a
parent is having tests or treatment. Provides information about
specific prescription drug assistance programs. 800-813-HOPE (800-813-4673) www.cancercare.org
Corporate Angel Network Provides air travel to treatment centers. 866-328-1313 www.corpangelnetwork.org
National Patient Air Travel HELPLINE Provides air travel to treatment centers. 800-296-1217 www.patienttravel.org
Raquel’s Wings for Life Provides air travel to treatment centers. 940-627-1050 raquelswingsforlife.com
Lodging Assistance American Cancer Society’s Hope Lodges Provide lodging for families during cancer treatment. 800-ACS-2345 (800-227-2345) www.cancer.org/docroot/subsite/hopelodge
Ms Bliss; the social worker was the one who told me that there would be coupons for places like Safeway. Apparently the form has to be faxed by a social worker such as mine, then a foundation member calls the patient and discusses what is available and what they can offer. This just happened on Friday so haven't had a call yet, but will let you know.
CTCA will pay for all of Autumn's travel. They'll fly her in if she wants, or send her by train if she wants. The only cost that she'll have to put up is $45 per night for either a hotel room (at the Radisson nearby, and then take the free shuttle to the hospital) OR new dormlike rooms (with their own bathrooms) that they have upstairs in their own building. The latter is more convenient.
Cheers,
Caryn
Edited by CarynRose - Sep 06 2009 at 2:24pm
Orig dx 6/03 - St.2a, IDC
gr.3,0 nodes, TNBC/BRCA1+
7/07 St 4 mets to nodes/lungs. PACA/Rads NED 11/07-10/08
Lepto mets 10/08
Rads for 4 brain tumors 4/10.
Leptomets return 6/10
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