Sunday, June 10, 2012

Meeting Dr. Joe Muscato , Medical Oncologist



Okay we loved the oncologist. I'm to call him Dr. Joe. He's 60 something, and his wife is an oncologist as well. His wife is Dr. Mary because it was too confusing to have two Dr. Muscatos in the same practice. 

Robin is his nurse. She's a cute spunky woman 40 or so. She told me I will never have to suffer through anything. If a med they give me doesn't help my side effects, they will move on to the next. I'm to call them even at 2 am. She said the horror stories of vomiting out the gum you swollowed in second grade...doesn't have to happen if I take the meds and communicate my needs and side effects to them.

I only have breast cancer and the lymph nodes. No other place in my body lit up with cancer per pet scan.

Ct scan showed something on my spleen but it's not cancer. So I will have them find out if it’s something else that needs to be removed. Oncologist is satisfied it's not cancer but I worry it might be something else that a surgeon would want removed.

I start with chemo, 12 weeks of it. Every third week, I will have a dose of chemo on the Friday at the end of the week. 1st week is worse. 2nd week is better but I have to avoid people and crowds or wear a mask. Hmmm... yeah that doesn't screech "look at me! at all." The 3rd week I will feel more like myself and may be able to visit mom. He told me I will not be able to go to moms and clean her house from end to end. We won't have marathon shopping trips. But I can spend quiet days with my mother enjoying her company. I was afraid I'd not be able to spend time until this was over.

Then it all starts over. I am choosing Friday for my chemo day. And it will take all day to get the chemo. KJ will be coming with me.  Then he will be home with me on Sat and Sunday, which they tell me will be the roughest days.  The drugs I will be given will cause hair loss...nausea...lack of appetite...diarrhea and crushing fatigue. Dr. Joe told me, I will feel like a Mac truck fell on me and I will be content to leave it there. :) Lovely. I have to take a chemo class and be tested on my knowledge before I can start. But it should start in the next two weeks.

I will have three, possibly four surgeries. The first one should be this week.  I have awful veins for starting IV's so I'm having a port installed.  Probably next Thurs. but I gotta call Monday morning and confirm. Then I will have the mastectomy. I want an immediate reconstruct and Doc Joe said I could, but it will be up to the plastic surgeon whether he does it in the same surgery as mastectomy. I have to have an axillary dissection because of the involved lymph nodes and sometimes plastic surgeons are hesitant to do reconstruction with all that on the same day. I hope he will. We are also doing a complete hysterectomy, ovaries and all at some point. The gyn will NOT do that the same day as the mastectomy. I would rather have ONE massive surgery and recover at once. They want three copays (as in the hospital I mean).

So much for quick hmmm? All copays have to be paid in full before the hospital will schedule that surgery. Apparently the hospital had people getting these massive surgeries that they really needed, to save their lives. But darn it, they couldn't afford it and declared bankruptcy after they were healed of their cancers or such. So now this loving Baptist hospital considers cancer surgeries to be elective...(guess cause you can choose to die instead). And elective surgeries have to be paid before surgery will be done. Whew. Of course emergency surgeries they have to do and try to collect later.

I may have to have radiation, but maybe not. It will depend on how many lymph nodes have cancer. They believe there are three but they are not grossly abnormal. He said the axillary felt normal but we know it is not, because of the biopsy.

The best information that Dr. Joe gave me in this visit was a very simple statement.  There is no wrong way to do cancer.  You get through it however you find a way.  I would recall this statement over and over as people fell over themselves trying to tell me how "to do cancer."  You have to "stay positive"..."rebuke the cancer"..."eat lots of blueberries"..."stop using artificial sweeteners"..."you must rejoice in adversity"..."pray your way through"..."journal your journey"...  It got exhausting to feel like you had to do cancer the way that made THEM feel better.

I told him that I had been upset that I should have gotten the mammy in Jan and didn't cause of Mom's diagnosis. Then in May I was to have it scheduled, but there was a scheduling conflict with the hospital and then I forgot. So I was late getting my mammy.  He told me. "Tina, this cancer is very hard to detect by mammogram. Usually its because of some physical change..pain in the breast, the nipple retracts, a dip or dimple appears or suddenly the breast looks larger than normal. Your cancer showed up on mammy extremely early for lobular cancer and I doubt it would have shown up even in May. He said "You had the good fortune to schedule this mammy on a day the cancer decided to show up. I can't explain how it showed up even now."

Sniff.

Okay girls WHO do you think really scheduled this mammy EVEN if it was on my wedding anniversary? It was not just Good Timing. It was God timing! I could have gone another year thinking I had a clear mammy while this kept growing.  I think I should have new boobs around Valentines day and by Easter I will feel good as new.  Oh.  Did I mention the Radiology doc was not correct.  I have Lobular cancer, the same kind as moms.  :(  I learned that lobular cancer doesn't lump up.  It SPREADS out and adds bulk.  It is harder to feel.  Isn't that special?  All these years of doing self exams looking for a cancer lump and I get the kind that doesn't lump.  The descriptions Dr. Joe gave is how most Lobular cancer is detected.

Sally:  Well as awful as this is, I am so relieved and thankful.  So glad you don't have cancer anywhere else and getting the hysterectomy should take care of the family history of Ov. Cancer, right???   So glad you don't have that!  I was so afraid your pet scan would be lit up, too.  That is amazing that they discovered your cancer.  Yay God!!!!!!!!!!!!!!!! I'll be praying the chemo isn't as bad as it could be.  I'm glad KJ will be able to help you on the hardest days.  I wish we could all come down and help you out!!

Danica:  Yeah what Sally said...when you are feeling up to it ms. Rosey.   I expect you to write a book on this whole experience. i'm serious. You have an amazing ability to take someone right to that moment. butt cheek boogie...my word! Coffee flew onto the screen!  i too wish were there to help you in a physical way. know we are praying for you!!! :)

Paula:  Praise God for exposing the cancer "at the right time".  Yet another sign that God is in control.  {{Tina}} Take care of your "cheek boogying" self.  Description: http://img.photobucket.com/albums/v423/tracy1973/hug.gif

Linder: Exactly what Sally and Danica said. I fully expect you to write a book, too. You've just added a new phrase to my repertoire: "butt cheek boogie." I laughed so hard that I cried. I had to stop reading for awhile because I couldn't see to read the rest of the post.  Someone from my church is a breast cancer survivor. She's a funny lady, too. The title of her book is Lessons from a Bald Chick. I wish like anything that I could afford to buy it for you. But you could write a book yourself. It would help others that will come after you through this journey

Maryland Crab:  Another godincidence!  I'm glad you got through it, I hate those mri machines, I nearly had a complete meltdown when I had to get one, I thought if I weighed 5 more pounds I wouldn't fit.

I'm so glad you're having compassionate care throughout all of this.  12 weeks.  Well, certainly no picnic, but that means how many times, 4?

Okay, line out the time table, are you getting the surgeries while going through chemo?  It's the port install first, then your first chemo friday... then what?

Still praying.

Rosey:  No surgeries during chemo. In fact if I had not had the arm pit involvement of lymph nodes, they would have done surgery first and then radiation.  Incisions don't heal during chemo and they want to attack any cancer cells that might be loose before they can land anywhere. It’s unlikely that I have circulating cells because even though the biopsy was positive in the sentinel lobe - the lymph nodes are not hugely enlarged. They are "upper limits of normal". So Doc Joe doesn't think it's been there long. Yes...four courses or approximately 3 months of chemo. Then I have to wait til my blood levels are normal. When my blood tests show I'm no longer radioactive ;) they can move to the mastectomy.

It gets trickier here. If I'm still relatively healthy and if the main surgeon and the cosmetic surgeon will play nice, I might be able to have the mastectomy and the reconstruction at the same time. I guess there are territory issues here. The gyn and the other surgeons apparently do not play well together. I asked about one massive surgery and he raised his eyebrows. Have I told you this or was it my sister? He said that would be a horrendous surgery and recovery. I told him yes...but it was ONE horrendous surgery and recovery. Instead of three. It was like the difference between bobbing a dogs tail all at once or doing it inch by inch. ouch

He told me IF I found three surgeons working together we could discuss it. And we had 5 - 6 months to find some. But that I should keep in mind that I could be talking 3 surgeries 6 weeks apart.

Does that make you feel tired?  My last chemo SHOULD be early November. If I have to wait a month for the blood to clean up...I have to decide if I want surgery right before Christmas and have to recover through the holidays OR wait til early Jan for the chop and shop.

Fighting Cancer gets easier 
when you trust your doctors


Butt Cheek Boogie!


August 8, 2010

I'm sorry, I thought I was going to be able to send out the highlights last night by text to be posted on the bb for me.  My phone is basically dead and I have to get moving quickly on something here at home. But I will post highlights and add detail or ask questions.  KJ and I have to get the house ready for chemo and move some furniture today. Here ya go.




Pet scan - traumatic. For someone with slight claustaphobia anyway. I was tied up with sheets to immobilize me and then conveyered into this three feet wide tube. augh. This fellow in the photo is not cold.  They wrap and tie and pin you to that table.  Actually the reason is so you don't move during the scan.  They mummy wrap you and tell you to RELAX!  But when you do relax your muscles, you find you are so tight inside your mummy case, that you don't have to struggle to remain still. Your arms and legs are supported in position by the mummy wrap.  Inch by inch that skinny table you're lying on moves through the big donut.  

At first I had to pray.....Lord don't let this squeeze me to death. I kept repeating under my breath, "My father does not give us a spirit of fear. My God did not give us a spirit of fear.  My God did not give us a spirit of fear..."   It helped and once the thing moved and my head cleared the tube structure, it was better. If you tell them you have any claustrophobia at all, they send you in feet first so your head comes out first. Then I was okay.




There was music in the background...50's, 60's classic rock and had to keep stopping myself from booging with the music.  At one point the Dude (Mike) asked me  "Ms. Rosey?  Are you flexing your buttocks?" 

Gee is my face red?


"Ummm yes Mike. I'm afraid I was doing a butt cheek boogie to the music".

Who KNEW they would see that?

I heard at least five people in that glass cubicle erupt into laughter while Mike got on the horn...laughing mind you... to tell me to try to control myself. As I left, Piper showed up to tell me I could butt cheek boogie on down to the waiting room where my husband was waiting. Will I ever live that down?

-----------------


Fighting Cancer gets a little less scary
 when you find something 
to have a gut busting laugh over!








Tests Tests and More Tests


August 5th

So Mandy from Dr. Etters office called to set me up with a Pet scan. I had to be on clear liquids from that point on. I asked her about the fact I had already taken my diabetic meds. Without food I would be crashing by 2 pm. She told to tell everyone that I was diabetic and would need food as soon as I cleared the exams I needed to be NPO for.

My friend Joyce drove down 30 miles to take me to the hospital...then 30 miles the other direction.  She is such a joyful help!   I told her about you guys and your pink bracelets and she teared up. She wiped her eyes, exclaiming "that is so sweet! I want to wear your bracelet." KJ later said "I guess we are buying a lot of bracelets."

So first I met Piper in Nuclear Medicine (or is it Nucler medicine if you're from Texas?)  Piper was the technician who would draw my blood, mix a radioactive isotope into it and then re-inject it into me. I asked if I needed to take any precautions, toileting, microwave ovens...spider bites anything at all? She laughed and told me I was fine. It was the "nucler terrorist" who put out warnings that my urine was radioactive or that I would glow in the dark until I passed it through.

Piper told me she was 4 years out from her own cancer diagnosis. She couldn't tell me I would be fine but that I will be given the best fighting chance. Both she and her dh were diagnosed with cancers on the same day. Friday the 13th. (Can you even imagine?  Forget it's the 13th!  Let's talk about ON the SAME day!) She said they are not superstitious but they confess to getting anxious every Friday the 13th. :) She introduced me to Steve, a ruggedly handsome man who would be doing my bone scan. I was relieved to be told I did not have to disrobe for any tests...unless I wore Madonna's metal bras. (No worries there, although there have been times I've thought I needed one to hoist these girls up where they belong!)   Steve was that handsome cowboy, rock climber, skier look kind of guy.



photo courtesy of
http://www.roblangimages.com/




He had one of those althletic builds that came from real activity, not just strutting around in a gym. He actually DID physical exercise...well based on the width of his shoulders.  (This isn't Steve, but this was the kind of he handsome that was.  I'm grateful Steve was fully dressed.  I couldn't have taken this for a 30 minutes scan) I would have to wait two hours before Steve could run my bone scan.  That is to give the isotopes time to absorb throughout the entire body.  I laid on the table with a plate running over me. He had one of those thick dark molasses syrup kind of voices.  And when he said "Tina can you twist your head to the right?"   I thought "Steve..speak to me in that voice, I will twist my head upside down." :)





So in the meantime I'm sent up to CT scan waiting area where I must wait for the next 1.5 hours, I had to start drinking contrast mixes in a strong concentration of raspberry crystal light. So strong in fact, I am quite certain my teeth are still purple tinted. Steve left me in the care of Kathleen. She was a magnificent black woman with awe inspiring hair. Her hair was perfect, finger curls dripping down from her scalp. I couldn't help but eye it and wonder how long it takes to reach a style like that.  It was similar to this chick right there  --> I recently had another visit to CT for another exam.  she did not have the magnificent curls.  I inquired about her curls and she began to laugh.  "Oh Child, that hair is a wig!"  Well it was a magnificent wig, I wonder if I could have pulled it off while I was bald?  lol   Sure enough, the next time I went in for another test, the curls were back.

She was informed of my diabetes and my need for food as soon as I could eat. She promised to keep an eye on me and had a single size apple juice on hand. She took my pertinent information and was very interested when I spoke about my lap band. I explained I could not guarantee drinking down the contrast in 10 minutes.  But I'd do what I could. She was very curious and asked a lot of questions. It was kind of fun.  It was nice to talk about something not related to cancer.  (Again, when I went back a year after this for another CT scan, a much thinner Kathleen was waiting for me.  She gave me a hearty hug and told me she had gone on and had a lap band procedure herself and had lost 50 lbs in 4 months.  Good for her!)

I was frustrated because I learned I was NOT having a pet scan. Insurance said "we won't cover a pet scan by itself. You have to have a CT scan and bone scan first THEN we will pay for the PET scan." What a racket. I wanted to call Kelly and let him know that little tidbit. My cell wouldn't work. Nuclear medicine is a cell blocked area. So I had to find a public phone to call him. But oddly that I couldn't call or text but I kept getting this message..."senior class for seniors 2010 requests to pair with you. Do you accept this pairing?" I hit no. It popped up immediately again. I hit no. For the next hour my phone was repeatedly assaulted by some pervy senior 2010 wanting to mate with my phone. It exhausted my phone. Literally. It sucked my cell battery down like a 10 cylinder engine sucks in gas.

So I'm sitting there waiting and someone walked into the room with great purpose. Most people moved quietly and reluctantly into this area. Not this man, so I could not help but look up. The words burst forth from my mouth..."Pastor Chuck!"  He stopped so suddenly he nearly skidded and whipped around and exclaimed "Rosey! How are you?"  I had to ask him, "How did you know it was me?  He laughed and said "because you're the only one left who still calls me Pastor Chuck."


Pastor/Chaplain Chuck

Chuck had been my pastor 13 years ago in a struggling church. He was the minister who said in a sermon "When someone extends compassion to you in your time of need, be grateful. For compassion is learned. It is born out of the personal pain in which we learn how to extend compassion to another." It was so powerful to me I have never forgotten those words.  He is a very special friend.  Our little church wasn't doing well and eventually the district and shut down our little church.  

So Pastor Chuck was looking for a job and I told him he should look into the chaplaincy full time. He asked why. I told him I had never met a man with a greater capacity for compassion and thought it could be God's calling on him. He applied at a hospital that week and was hired immediately. He's been there 12 years now. So it was Chaplain Chuck who walked into the waiting room.

He hugged me and asked if my diabetes was worse. I shook my head and took a big breath to say it out loud for the first time to someone who was not in the medical field. "No. I have breast cancer."

He turned white and gasped out. "So do we!"

Now isn't that sweet?  His wife J, a gentile woman now has cancer but he included himself in the process.  Later when I shared this with KJ and he nodded. He agreed that while I have the actual breast cancer it impacts his own life so intimately that he feels WE have breast cancer. He plans to use that terminology as well. If WE can be pregnant. WE can have cancer.

Chuck tells me his wife is a new diagnosis...Me too. She had a biopsy last Tuesday and was told immediately, they suspected cancer. Me Too! I told him it was our wedding anniversary and I had no clue there was going to be anything but celebrating going on. 

His wife, J is going to the same surgical group and she's seeing oncologist Mary Muscato. I'm seeing oncologist Joseph Muscato.  It's a husband and wife team. We both have our first appointments this Friday.  J was told to expect chemo first before surgery. I was told it MAY be before surgery.

 Chuck explained that she was told that doing surgery first required waiting 6 weeks for chemo to start.  The incisions had to be totally healed before doing chemo. So this weekend, I'm going to order a chemo hat.  I will need something to use before I get these precious handmade ones you are working on.

Since then I have learned how important 
it is to wait those six weeks.  I hear the horror stories
 of women whose doctors started chemo just 10 - 14 days
after a mastectomy or lumpectomy.  Those poor dears
 wind up with incisions that rupture, infections, or incisions
 that won't heal properly because the doctor rushed and the chemo
disrupted the immune system!

We are preparing for something to start soon anyway. Chuck was on his way to see another patient. So he hugged me and I told him I'd be praying for them and getting in touch with Jane since it looked like we might be "breast buddies". He said they'd pray for us and that was good. Praying for someone else helped keep us from wallowing in our own dirt. I thought that was poetic.

Kathleen brings me my next quart of contract to drink. I told her I was going to the gift shop. Big disappointment. It's remodeling and all they had was cards and flowers. Not a way to kill an hour, but I found my cell worked in the main lobby. So I called KJ and told him about Chuck and Jane.  And I got cold. I mean Really cold. My fingertips turned blue and felt icy. I kept looking around to see who opened an air vent and saw nothing. I finished the call and walked back to the waiting room and sat down. I immediately started shaking and chattering so hard, my feet literally were bouncing on the floor. 

Kathleen rounded the desk, took one look at me and said "oh honey, you are having a reaction! Hang in there I will be right back." Her comment made me realize I was shaking like KJ does with HIS IGG reactions.

This kind of reaction, called "rigors" is defined as the sudden attack of severe shivering accompanied by a feeling of coldness ('the chills') and is associated often with a marked rise in body temperature. It may be described by patients as an attack of uncontrollable shaking.   Enquiry should be made about:

  • Symptoms suggestive of local infection, particularly respiratory infections, urinary infections, biliary disease, and gastrointestinal (GI) infections.
  • Recent surgical procedures.
  • Any relevant past medical history such as rheumatic heart disease.
  • Recent foreign travel.
  • Medication and allergies.

Next time Mr. Rosey is getting infused and complains of being cold, I will understand how he feels. Kathleen came right back and started tucking these wonderful heated cotton blankets around me. I loved her in that moment. She told me I would be fine and this happened to some people. But it would get better. And it did. The bouncing reduced to jitters then shivers and then plain chilled over a 30 minute time frame.

Then TJ came out to get me. TJ is cute in a boyish way, he's chubby, friendly, and he laughed easily. He was medium in height and I couldn't help but notice he had his hair cut the same as my son's, a 1/2 inch buzz.


He took me back and pulled blood out of my iv to check the levels of contrast. I swear it was as purple as that raspberry crystal light they had me guzzling. TJ was also very curious about lap bands and as he injects this tube and that one he's asking me for details. I go to the scan room and was VERY relieved to see a short tube I had to go through. Perhaps only two feet in width as opposed to a long cylindrical coffin I expected from internet photos. Tj got me situated and starting running scans. Four in total.

But there seemed to be an eternity between each one. I'm praying "Oh Lord, please let these be clear. No cancer anywhere else. Please."   In my mind's eye,  I saw his monitor screen lighting up like Christmas trees while he shouted for Dr. House to "come to CT Stat!"   I could see all of Dr. House's crack medical team bent over the monitors asking each other.."What the heck is that?" as they pointed at the bright blobs on the screens.

When TJ came back out to start the IV flowing for more contrast. I told him...You know it's pretty terrifying how long it takes between pictures. He asked me why? So I told him, "because I'm terrified you're finding cancer from my nose to my big toes and you're in there consulting with specialists from all over the country."

TJ chuckled and shook his head. "No Rosey," he said..."95% of my time is spent on paperwork. Charting what I do and what you did." Then stroking his barely bristled chin he said to me..."It might be a good idea to let patients know that when I explain what will happen. At least to newly dignosed cancer patients anyway."  I agreed it helped me chase Dr. House all the way back to Hollywood knowing TJ was just doing non Hollywood type paperwork.

The ct scan was finished and TJ helped me back to the waiting area where Kathleen was watching for me. She held in her hands a box lunch and explained she had ordered me an express lunch and I was to sit and eat it before my bone scan. :) I hugged her, and whispered to her my thanks and told her that her care and compassion made this easier to get through. The poor woman welled up with tears, called me a "oh you sweet thang" and gave me another hug. Then she shooed me away.

In the hall way TJ grinned and with a sideways glance asked "where's my hug?"  "Ha!" I laughed.   I told him that Kathleen gave me heated blankets but HE took them away. He laughed and then escorted me back to handsome Steve in Bone scan. I did thank TJ for taking me the whole way or alas.."I'd be wandering the halls like a newborn fool." He asked what was the difference between a newborn fool and an old fool. I told him an old fool should know better and was just pitiful. A newborn fool was just clueless and confused.

Steve told me to eat the lunch. I was his last appointment and he would wait for me.

Now there is a trick to eating when you have a lap band. You have to eat slowly. If you eat too fast or too much you will yak it back up. So I ate half the sandwich and a couple of the baked lays. Then I reported for my scan.

I had overlooked another factor of at least MY lap band. It likes to burp.  I can't explain it scientifically. How I see it, is that food lodges in the lap band pouch and as it softens and digests a bit, pieces of food drops through the band into the empty lower part of the stomach.  My theory is that as the food drops a small amount of air/gas is floated up the pouch and into the esophogus. It's a tiny little burp that most people aren't aware of. But it happens constantly as the food mushes and falls.

I had not counted laying down for the bone scan. (Every photo I ever seen of bones, they all have been standing upright...except in that show "Bones", where they are in pieces around a room.)  So I had to lay there while rugged handsome Steve is moving in and out. And the lap band is gurgling, it's bubbling and I can't burp the bubbles up and out from a laying position. It's not long before Rugged Handsome Steve tells me we are done and unties my feet. (to keep them in one position during the scan). He helps me sit up and like a ricochet in the Grand Canyon here it came...bbeeeerrrroooooouuuuuppppphhhhh!

He did not even crack a smile but asked "Good lunch"? Ahhhh could you just hate that? I told him lap bands like to talk after a meal. He just smiled, nodded and took my IV out.  I think he was just humoring me.

No one had warned me that these tests would make me feel like my blood had been replaced with lead. Or that St. John and I would be inseparable for several hours as I eliminated those contrast chemicals.  I was only a block or two from home when the bubbling started a lot lower this time.  I duck walked to the door, but by the time I got in the door I had lost control of the mess.  (Contrast fluids CAN cause sudden, intense and projectile diarrhea.  Fun huh?)  Luckily I was wearing pants that contained the problem but a shower was a must have.  I tossed everything into the washer.  Then I curled up in a fuzzy blanket and for the next 4 hours I remained very intimate with St. John.  KJ brought me home some soup and when I got up...it was to go to bed.

I was in bed by 8:00 pm and it wasn't a school night.

It's finished. Well this is, but I have some venting to do. I have to get busy on something and I will pop in through the day to tell you about my "thoughtful one moment and then snarling butthead the next moment" hubby.   Oh and my sister who is so thoughtful to share with me how God is showing HER comfort in my health crisis. grrrrrr

Nell: Well Tina, while the topic is not a favorite of anyone here, you sure do know how to tell a story!! I find it interesting how God is bringing you and J together through this journey. I do pray this will be a blessing to all of you. I just love Kathleen! Will you see her again? When do you get all the results?

Paula: I agree with Nell. You can already see God's hand in this and that is such a comfort. Don't forget that when things get tough. (Not that they aren't already tough) It sounds like there are some amazing people working in that profession. I know for me, it matters tremendously how the doctors and nurses treat me. I'm so happy that you had a good experience. Rosey - Be thankful it was a burp and not air of another kind. hehe

Meeshia: It is always amazing to me that from the prayer perspective; we pray for God's presence and protection will be surrounding you through every step. And then to hear how He does provide that does nothing but make me smile and make my spirit sing. I suppose it comes from not being able to be there, that we pray specifically for those tender hearts people to be with you every where you turn. But to really hear that God is providing that (like I'm really surprised?) is totally amazing. It does not surprise me that God brought you to meeting your past pastor or that he brought tender hands and heart from Kathleen.


I can imagine you can write a book just on your lap band alone with all the strange thingof any of it! :) I'm sure that must add some comic relief in moments that could be much harder without the interruptions.  I'm sure that the waiting is what will get to you over the next few days. Do you know when you will have your doctor's appt. for them to give you the results of all of these scans? to be honest, I've read all your texts/posts but I can't remember if you did tell us when your next appt. was. I'm thankful that you talk to us and let us know what is going on. Thanks for making your fingers tired. I hope that it is soothing to your spirit as you type us updates.

Linderlou: While I hate what you're going through, I sure love the way you talk about it. I have a crush on Steve and I want to hug Kathleen. I laughed so hard when you talked about how your lap band reacted to your lunch.  I just love that God brought you back in touch with your former pastor and his wife. You'll be able to help each other through it. Maybe KJ is acting the way he is at times because he's so worried.  You're in my prayers, sweet Rosey!

Rosey: I understand what KJ is going through. He understood exactly what Chuck meant when he said "We have breast cancer too." We had several talks last night. K's been reading on the Susan G Komen site. One thing he got upset about was reading about the emotions and stages. The disagreement we had on Monday was over me not being "positive" enough. He said I acted like I was convinced I was going to die. I lost it because at that time I was terrified that I was going to die. Not necessarily of breast cancer…but of breast, ovarian, colon, uterine, brain and bone cancer all at the same time. I've been terrified. Now I've moved through that a little and accepting that is more likely that I just have breast cancer. But he was going on and on about having to be positive.

SGK website said theres no scientific proof that state of mind affects the outcome. It can make a difference in coping, but not survival. But he read that the pressure for the newly diagnosed to "Stay Positive for everyone else" causes more anxiety because they feel they can't even do breast cancer right. And we are letting loved ones down by not singing and clapping along with the breast cancer fight song. lol I had to agree with the article. I feel so much pressure to "have cancer the way they want me to". Then he read the stages of a diagnosis and we could see how I have been experiencing them. He spent a time weeping and talking through HIS fears, worries and boy howdy don't you know THAT was fun! But I needed him to do it because by hiding his fears from me, we couldn't address them.

Having cancer is exhausting
 with all the unknowns 

August 2

While these posts have been copied here intact, it was this day that I found the words of my friends were becoming so precious to me.  So I decided to copy their comments to me as well.

Thanks Tracy, for your gift.  I got the package today.  I like the Snood style hat.  Apparently I need sleep caps and those are the cheapest I have seen.  I'm a little freaked by how the costs are mounting up. Doctors want their full copay in advance.   Ok.  But when they schedule you to see 4 doctors in a week...those copays add up. I wanted several caps and KJ told me I might have to settle for two...one to wear and one to wash.   But the costs are mounting.




It's bad enough to lose your boobs, your hair, your eyebrows and lashes.  Did you realize you even lose the PUBES?  Not that I'm going to miss it that much, leg or pit hair either.  But I feel like I'm losing the Rosey Diva here. sigh sniffle. It's been an emotional day.

Anyone who sees hats, scarves chemo accessories for cheap, please post the link.

Sally: you know, Tina.....they do make wigs for other places than your head.  You could always get a merkin.  lol



Paula:  NEVER!  Your Rosey Diva is mostly your attitude and sense of humor.  {{My Forever Diva friend}}

Rosey:  Sally! You lie. Seriously. I have seen false eyebrows and eye lashes.   But is a merkin what I think you mean?  I have to google that.  And then that begs the question why? lol That's a shave I won't miss.
Sally:  oh yeah, that's what I meant   isn't that hilarious?  merkin  

Rosey:  Oh my goodness. It's true! That was to funny.  Ginny and anyone else who have asked about my favorite colors....of course I love deep ruby red, rosey red and pink. I like black, off white and blues. I love those black yarns that have multicolor specks. And those ombre yarns would make pretty hats too. So ummm... I guess that about covers the color wheel. I guess orange, kelly green and school bus yellow would be nos. lol

 Nell:  that is truly disturbing.......why???? who????....nevermind, i don't really want to go there again! Leave it to you Sally!!!

Paula: Too bad the Merkins are so expensive or you may have received a nice gag gift from me.  lol  Oh and Ewwwwwww!

Sally
:  The only reason I know about that is b/c they were featured on Sex and the City, (gross) and I never watched it, but at the time it was on, I was on a huge scrapbook message board and they all started talking about it.  And I just found it hilarious and disturbing 

Danica:  Why did I click that.......ewwwwwwwww gives a new meaning to locks of luv ~ lol





Dealing with cancer is easier with the 
support of good friends.

Saturday, June 9, 2012

Telling the Kids



 Last night we called James and told him we needed to talk to him. If they could meet us at Wendy's, we'd buy them dinner. I told him to bring Mandy with him. They met us and came in. Kelly went up and bought their dinner. We tried to let them have their meal without ruining it for them. As he wound down, James looked up and asked "So this is about grandma isn't it. She's gotten a lot worse." 

Kelly looked at him. My eyes were already filling with tears. I so did not to tell James. Kelly told him, "no son. This is about your mom. She had a mammogram last week and she has breast cancer." I felt James slump against the back of the bench, as if he needed the support. "This is for certain?" I nodded. Wow, my voice seems to stay hoarse these days. I cleared my throat and answered. "I have had the biopsy and it's positive for cancer."

He frowned and asked. "Did you find a lump?" I shook my head and told him it was supposed to be a routine yearly mammogram. Kelly couldn't stand it. "It appears that we caught it early. But mom is going to have to have chemo. And she has already decided to have a double mastectomy."

Both James and Mandy turned to look at me. "I am. I'm not going to risk being told I have cancer a second time. It might be different if there was NO family history, but since we are full of cancer risks...this is one I'm getting rid of."

I glance at my son and I can see the tears that are silently dropping off his nose. He's barely holding it together. Seeing his pain is ripping out my heart. We explain that I have some exams to have done and I'm working on finding a surgeon. But right now, there's just not a lot of information. I explain that while his Aunt Trish knows, I am not telling Becky or Mom until I have more information. Grandma is going to take this hard, so I want to give them as much information as I can.

James agrees. Grandma is going to be very upset. I told him his grandpa is probably chewing on God’s ear right now. With a shaking voice, I recount one of the conversations dad had with me during his last year. He’d told his story again about how he prayed, “Why me God? And God answered, “Why not? Why are you any more special than any other person? Why would I let my son suffer for the Kingdom but deliver you from yours?” He was quiet a moment and added. “You know, it doesn’t really amount to anything, but I made a pact with God.”

Really? I answered. Look at you, you’re still standing. He chuckled and got serious. “I told God, I’d see this cancer thing right to the end, but I wanted my girls to be spared from cancer. I don’t want you girls to go through this. There’s just to much cancer in this family.” I smiled at him and told him I really understood. But he has been fighting, been so brave and strong. We were learning so much from him despite his cancer. He blinked his watery eyes and asked, “So what’s a man gotta do to get some supper in this joint?” The moment was over.

James nodded and answered, "Yeah, I guess grandpa might have a harder time than even grandma." I told him it was going to be hard for momma because she has this cancer. She knows what I am facing. And she is going to hate that. But dad? I was a daddy’s girl.

Mandy tells me it’s a nice story. But she was really sad this was happening this way. I tell them I will need all their support in the coming months. I have yet to find out how much cancer I have. Our best scenario is that this is only breast cancer. Inwardly I fear that inside me are more bombs yet to land.  K keeps interrupting me, stating there's no reason to think this is anything but breast cancer.  He's right.  No reason.



Cancers killed my father, my aunts, and in a long reaching finger – is now killing my mother. But I can’t tell them this. K. gets so agitated when I mention how scared I am that there's more cancer. I look at my son and his silent tears are killing me.  He's looking away, and I recognize the stance and face I know so well.  He's trying not to break down.  He's trying not to cry, he's trying to be brace.  He's not the only one.


I stand up rather abruptly and tell KJ we need to go. The truth is I needed to go, to run away from this pain. The raw anguish on the faces of my kids were razors to my emotions. I couldn’t hold it together very much longer.

We hugged tightly, and I climbed into our little Mazda pickup. I loved that little truck. It was comfortingly familiar in all this new landscape. I leaned my head back and whispered to K. That was hard, I told him. He agreed. We pulled away.

Months later Mandy would tell me that when we drove away, James grabbed her in a fiercely tight hug and they cried together on that ever darkening concrete parking lot outside the of Wendys.


Having cancer would be easier 
without having to cope with the emotions 
of everyone else.


Scared



July 29th

It very comforting that I have all my friends praying for me. I plan to add anyone with unlimited texts to my phone. So I can do an update and get a hold of everyone. Then Kel can take my phone and by choosing WOW or church, send surgery updates or chemo updates without having to look up all of you...or trying to figure out how to use my touch screen web. The man is totally flummoxed by how to move the screen with his fingers. lol

I'm trying to think of things I can do now to prepare for this. Anyone know what I should be doing?

I do think I need to find sports bras. I had one good one. Shaking around my brain is some memory that you need to wear tight bras.  I'm going to hate the period of time between mastectomy and reconstruction. Assuming the insurance company lets me do that.

I have told my youngest sister. She just had a lumpectomy in May and is under treatment for ca. prevention. Her's was a benign cyst. I thought she needed to know first so she could tell her doctor that her risk just went up. They may decide to be more aggressive.  I chickened out.  I told her by text. She's a crier.  I'm a companion crier.   If I see you cry, I lose it.  I knew we'd never get past "I have cancer" if I actually spoke to her. :/  There is a lot of resources online on how to tell your family, spouse and children.  KJ was there, so he guessed it before I said a word.

My younger sister knows that I plan to tell mom after I see the surgeon. She offered to tell mom if I can't get there before I have surgery. I so don't want to tell her.  Mom had breast cancer twice.  The first time, she had radiation.  The second time was not long after my "big fall".  I wasn't up and about yet.  She had a double mastectomy that time.  Now I think I have told you that her liver doctor believes that Tamoxifen destroyed her liver.  There was never any blood work drawn to see how well her liver was doing.  Her cancer doctor waved off the discussion telling mom it had nothing to do with anything at all.  The liver specialist is adamant that this is what caused mom's NASH syndrome.  (Non Alcoholic Scoliosing Hepatitis.)

Today's news is that I'm having a pelvic ultrasound at 3 pm. I really need my aches and pains to be related to ovulation and menstruation.  I don't know I can handle hearing again "there's something we need to take a closer look on".

That's the irony. I'd asked to have a pelvic ultrasound every other year. This summer I started having pelvic aches on one side or the other. It usually showed up at ovulation or a couple days before AF. But it was time to get this checked. The breast exam was a second thought...well while you are scheduling the pelvic, let’s do the mammy.  I'm very nervous.  The pelvic discomfort is why I started all this.  I guess I should be grateful.  I just cannot muster up any gratitude right now.  I'm mad at God and don't want to speak Him right now.

Called my doctor yesterday and asked for a script for Atavan while I go through these things. I'm very anxious. So I will be taking one beforehand.  I took one before bed. It's the lowest dose. I couldn't tell it did anything. But we will see. I need them to let KJ into the exam with me. I will cry and plead for compassion if they say no. Not to be manipulative but because I'm holding it together, but only just.

James is off today. So Kel feels after this appointment we need to swing by there and tell him. Pray for him....and me to get through this. But you know my concerns there.

Those of you who have ordered pink bracelets, I'm honored you'd wear the bracelet for me. I will look for one too so it will encourage me to speak up and encourage women to schedule their mammy regularly. I used to do it every April. Then it got to just "sometime this year. So in '08 I goofed around and got it done in Nov/ Dec '08. Then last Dec...The wheels came off KJs job and we were stressed and I kept saying this winter. I'll do it this winter. That was this last winter.  So here its 7 months later than it should have been.

I just found a metric ruler and I find a cm is not as small as I thought. Its darn near a half inch! I kick myself and think it’s my own darn fault that it's spread to the lympths. I let it grow. In my defense, I did do self-exams and always thought you would be able to feel any tumor. Apparently if it's at the back of the breast tissue you won't feel it until its way bigger. She did tell me I wouldn't have detected it for 2 more years’ cuz of where it's at.  I learned later that one of the stages of coping with a cancer diagnosis is fear and then guilt.  I guess I can check those off my list.

So everyone over 40...promise me you will get your mammy done.

Have I mentioned how scared I am?  Kelly doesn't want me to talk about my fears.  I think it freaks him out to consider the worst case scenario.

 

 Fighting Cancer is harder when 
you aren't allowed to be real about your feelings