Sunday, July 19, 2009

I have Breast Cancer

This blog is for those people who want to be kept “in the loop” in my journey with breast cancer. I know that many of you are prayer warriors and welcome information that can make your intercession specific. I hope that my journaling here will help you with that. Many of you are concerned and what to know what is “Going On” with me (us). My plan is to share information about what is happening medically, as well as spiritually and emotionally. I am not sure where this blog will take us (you and I), but my primary goal is to keep you in The Loop. I will try to not do the TMI (Too Much Information) but… I don’t know what your level of TMI is, and honestly each of you has a different level. So I think I will do it this way. At the beginning of each blog will be the Short Version, and then the Long Version will follow.

Short Version:

I have been diagnosed with Breast Cancer. We are still waiting for all of the test results to know exactly what we are dealing with. It appears I will most like have to do Chemo and Radiation. There are many decisions to make. I am not sure I have the courage and fortitude for this kind of journey. I would covet your prayers for us in the days ahead. Peace, Courage and Wisdom are high on my list of needs.

I am blessed by the number of you who have readily volunteered your support and concern. It helps tremendously to know I am not alone, I have all of you to pray for me and help if the need arises. I have no idea what is ahead of me and cannot predict what my needs will be.

The LOOOONNG Version:

Tuesday, June 9, 2009 I had my annual gynecological exam which always (in recent years) included a mammogram. That is the one thing I do to take care of me. I must confess I have never done self breast exams. I know, I know…. I should.

Monday, June 15th I got a call from Walla Walla Clinic’s Radiology Dept. saying that they needed to redo some pictures from the mammogram, could I come in tomorrow afternoon. I went thinking that the pictures weren’t clear enough and just needed to be redone. It became clear when we got there that was not the case. There was a smaller squeezer on the machine. I was informed that this was to get a clearer picture of a specific area and would be more uncomfortable. Instead of a general… spread out squeeze it was more directed pressure. Yep, it hurt. The technician can back from showing them to the radiologist and said “She want an ultrasound – right now” I took a deep breath and said… okay. While Radiologist came and looked at the ultrasound pictures and determines that a needle biopsy was needed – right now. I said …. Right now? Yes, unless there is a reason not to. Are you okay with that? I thought “ I am here… it will save another day and another trip, I am busy getting ready for camp so this will be the wisest thing to do. Get it over with!

Not a fun experience. I can’t say it was painful, but very weird thing to experience, mostly because they worked hard to get that biopsy, as they couldn’t get the needle to go into the “mass”. It kept bouncing over or under or around it. At least that is what I think was happening- I wasn’t watching… just listening. The main thought that was going through my head was “I sure wish Preston were here, that would be helpful .” They finally got what they could and let me go.

Friday, June 19th Preston and I are in Milton-Freewater do last minute errands getting ready for a week at Oregon Camp Cedarbrook. I got a call from the radiologist telling me that the lab results show highly suspicious cells but not enough to make a determination, and that I need to see a surgeon soon. Do I want to see him today or Monday? I told her “I am leaving tomorrow for camp and will be gone all of next week.”

“Well, then, you need to see him today. The Surgeon’s office will call you in 5 minutes to set up the time.”

I thought, “You are kidding, right? I really don’t have time for this. I need to focus on packing for camp. I have plenty on my mind preparing to direct camp, leading a staff of 39. Really, do I have to do this TODAY.” But we went (Preston & I) and met with the surgeon. We set up the appointment for the biopsy (so they could get a real sample) for Tuesday, June 30th Biopsy would go out for several tests to determine the type and what it was sensitive to.

I went to camp with the thought in mind that I had had this done 11 years ago and it turned out to be nothing at all so all was going to be fine.

Camp was great.

June 30thThe surgery went fine, Dr. was reasonably certain he got it all and he thought it looked suspicious. He suggested that we set up an appointment on the following Friday to get the results. (He forgot that it was a holiday weekend. J) I am telling you, the swelling and bruising were IMPRESSIVE and uncomfortable! I am not anxious to repeat that again.

July 6th we met Monday, (It was a holiday weekend) and even then they didn’t have the full report. They did know it was cancer…. but not much more. At this time we learned that there are 3 factors that are measures to determine the stage, treatment and future. (Bear in mind this is what I remember from a very shocking, numbing meeting.) They are T for tumor , N for lymph nodes, and M for Metastasis. He said because my tumor was 1.5, we caught it early - this made the T a T1 on a scale of 1-4 The M and N are still up in the air and need more tests and to determine that. So we set up another appt for Friday the 10th to hear more details. By the way the Dr was quite surprise at the bruising and stated that it was a good thing to wait until after his vacation to the Grand Canyon to do further surgery. This surgery will be to go deeper on all the margins of the previous biopsy (to make sure they got it all), and to check lymph node J Sounds lovely huh! I am not looking forward to that!

The surgeon told me there was a great group of Breast Cancer survivors who meet monthly and handed me a gift bag of gifts from them. I was surprised by my reaction to that. It went something like this.

“I don’t want or need another group…let alone that one. I don’t need whatever is in that bag. It is NOT for me. But this I know: My family, my church family, my God are going to be my support group. “

I was not the one who brought the gift bag home with us… Preston did. I didn’t even what to touch it! It seemed repulsive. I suppose I may change my mind as this journey progresses. When I finally brought myself to look at what was in that bag (about 1 week later) I was not helped by it at all. I don’t mean this to sound harsh or trivialize the heartfelt concern of these survivors I have not met, but it seemed silly, trite, cheesy. I suppose that might say something about where I am in processing all this new information. I wonder what I will think about it in 6 months.

On the 10th we got the written lab results. Here is a summary what we know so far.

Not Hormone receptive

Measures 1.5 x 2.2 x.1 cm That mean that the T is now T2

Looks like infiltrative lobular carcinoma associated with situ carcinoma, lobular in situ carcinoma

This type apparently is not easily picked up by regular mammograms… so the MRI may pick up more and may find some on the other side.

Grade II/III

Pathologic Stage: pT2 pNX pMx ( x mean unknown) I don’t know what p is (possibly, possibly)

There is much more on the lab results pages…If you are interested in more details ---just ask.

So now we are waiting for the results of the MRI and the other biopsy tests which they didn’t have the results from yet on the 10th.

It has been challenging to keep my mind from imagining the worst, anticipating the worst. I have my ups and downs with the emotions. I have found that keeping busy, and having projects to do or something to look forward to have been very helpful. Right now I have several good sized projects I need to work on….so don’t be coming up with any of those for me ;). I do want to hear about what is going on in your lives. Focusing on mine is not very uplifting or fun. We will get thru it and come out on the other side. I am trusting God to be with me daily, and provide exactly what is needed for that day.

Our next Dr appointment is Monday, July 20th to learn more good news about test results.. Further surgery is planned for Thursday, July 23rd.

7 comments:

Elaine Butler said...

We learned with Mom's cancer surgeries that in situ is good news. Means it is contained in the ducts, hasn't escaped out into the rest of the breast tissue. We will be praying.
Cousin Elaine

AMMCA said...

Aunt Arlene,
There is so much that I could say, but I feel that right now OUR PRAYERS are WITH YOU is all I need to say.

Love you,
Aaron & Marriah

Kendra Joy said...

Mom, thanks for having the courage to be honest and "out there" with this blog.

I love you.

Anonymous said...

Arlene,
I appreciate reading all the details.....so keep them coming. Your educator's detail shines through and fills in the empty spaces in my understanding. God has gifted you in articulation! We'll look for your next post to know how to pray more specifically. I have lots of time to pray this week.........the docs just came through and looks like we're here for another 24 hours.....which was not unexpected. Love, Livia

Unknown said...

I am not a "blogger" but this is a great way to get the information I want without bugging you when you may not want to talk about it. Thanks for this option. I will keep checking it to see what today brought.
God Bless
Granella

Ally said...

I love that you started this blog so we can all keep up with what's going on. Thanks for this comprehensive account of what's been happening. I can understand your reaction to the gift bag and I will also be interested to hear if your feelings about it change as you go through this fight. Love to you and prayers for you.

A-Bab Movie Reviewer said...

I so admire your courage, Arlene! Thank you for all of the information. I appreciate it and am thankful to be kept in the loop. Love to you!

From Suzanne