The horrible part about being told you "might" have cancer, as I was told during my ultrasound [see my
Original post] is all the testing and waiting that you have to go through.
Here are my experiences during the diagnostic phase of this journey.
On January 22, 2013 I went in for the biopsy. I work for a University, and the Doctors we go to are part of a teaching program. This has its benefits and drawbacks. We see some of the most advanced researched physicians in the country who are constantly working on new research. But sometimes we get to deal with the Resident Students, and . . . well, here's my story.
The Surgeon that I met with already had my Ultrasound results, but she has some great state of the art equipment to do an Ultrasound Guided Biopsy. Mr. Breeze was with me, and got to see that solid mass that had everyone so worried. I asked her what she thought, and while she wouldn't say without the pathology results, she did say that it was a rather large mass. She also found some enlarged lymph nodes which she also wanted to Biopsy. She did the lymph nodes after numbing the area, and there was a quick sting, but no problems. The resident student got to do the Biopsy on the solid mass. It was large and should have been easy to find, but she struggled with the skill to watch the ultrasound and guide the needle in me. She did get a core sample from the mass, but it was in an area that wasn't numb and I jumped when she fired the shot that grabbed the piece of sample. The surgeon was shocked that I was in so much pain. She wanted to get a few more samples, but I couldn't handle it. Luckily they got a good sample with what the resident had done.
For the next three days, I put ice on my poor bruised breast, and paced the floors waiting for the results. Finally on Friday I got a call from the doctors office, it was confirmed I had
CANCER. We scheduled an appointment for me to come in on Tuesday to go over the pathology report. On Tuesday I got into the surgeon office. Mr. Breeze and Baby Breeze had to come with me, I and I was thankful to have my family there for support.
The pathology report showed that I had IDC [Invasive Ductal Carcinoma]. I have the most Aggressive form of breast cancer [N3], and it had spread to my lymph nodes as well. It was determined I was a Stage IIIA. From there were learned that I was ER+/PR+ and HER2-. Basically my cancer feeds off the estrogen and progesterone in my system.
The surgeon set me up for a number of test, so that we could move forward with the next steps. I introduced her to Baby Breeze and told her that I would do anything for the chance to watch my little guy grow up. She gave me a hug, and told me they would do everything they could.
On Friday February 1st, I met with the Oncologist [Dr. Priya]. She was wonderful. As I mentioned in my first Cancer post, we had a heart to heart. I was willing to go through hell for a year, so that I could be a Mom to my little guy. We decided to start with Chemo first to shrink the tumor, which was approximately 3.5 cm by 2.25 cm. She wanted the results from a number of tests to ensure the best treatment and to make sure the cancer had not spread into other parts of my body.
So off I went. On February 4, I had a PET scan. This test looks for hiding cancer cells in my body. I got there early, which was good, as I was on the wrong side of the hospital and had to walk all the way around to the other side. I got checked in, and they put an IV in my right hand (my left arm was not usable, as it was bruised from the blood work they did on Friday). I had to fast for this test, and the technician checked my Glucose levels (91 - just perfect). They then injected me with radioactive isotopes and glucose. I had to lay in the dark for 45 minutes and then they took me to the PET machine. It is similar to an MRI machine, except that it is more donut shaped, and can scan the whole body (or in my case "eyes to thighs"). The hardest part was having to hold my arms above my head for 45 minutes without moving. Overall, that was easy, so I drove home and got some work done.
At 2 PM I left for another hospital, where they scheduled me for a Breast MRI. For this test, they put an IV in my upper right arm, and injected a Contrast material (consisting of metals). I had to lay face down for 45 minutes of clicking MRI torture! :) There was one set they had to do over and then I was done. I was told I shouldn't fly, as I would have difficulty with the TSA with the amount of radio-active material and metals in my body. They probably would have thought I was a walking bomb. But they did give me a card that stated, "This person poses no risk to the public. The release of this patient is allowed by the U.S. Nuclear Regulatory Commission and meets that required regulations of the State of Ohio." Ha, ha, ha . . . for some reason I found that funny, and I was glad to see that I had been approved under the Nuclear code.
On February 5, I met again with Dr. Priya. She had already received the result from the PET and MRI the day before. Based on that information she came up with a Chemo treatment for me. She also saw two spots on my right breast from the test results, and she recommended getting another biopsy on the right side this time.
So the chemotherapy schedule was set for:
Chemo every 3 weeks on A/C [Adriamycin and Cytoxan]. I would do 4 treatments of these drugs.
Then we will start every week for 12 weeks of the drug Taxol.
February 6th, I had a my first surgery ever! [Seriously I have never been in the hospital for me]. I went in to have a Port installed. If you have to have chemo treatments, I
highly recommend having a port installed to save your veins and it is MUCH less painful to sit there for hours of chemo treatments. For the surgery I had to fast for 12 hours prior to surgery. No food or water all day!!!! I was scheduled to check in at the hospital at 3 PM and my surgery was scheduled for 5 PM. My mom came with me. The waiting room was packed. I was the last scheduled surgery of the day, so they quickly got me registered, and gave my mom a pager that would tell her when I was switching rooms and when I was out of surgery. Soon I was led back to the room where I got into my gown, and they got my IV started. I spoke with the surgical nurses, anesthesiologist (they put me under for this surgery), and my surgeon. A Breast Cancer nurse came and sat with me and talked for at least 45 minutes, and went through all kinds of information and gave me a huge bag of stuff. But the time she was done they were ready to bring me back to surgery. I remember being wheeled into the surgery room, and then the next thing I recall was being wheeled back to the prep room. I was told the Port installation went well, no complications. I was restricted from using my right arm for 48 hours, no showers, and to take a Vicodin even if I was not feeling pain (so no driving either).
I had to show that I could eat and drink before I went home. Those tiny graham crackers they handed me, were the best things I had ever tasted! :) I was hungry. I spent Thursday and Friday working from home. I was able to get a lot of paperwork organized and keep up on my emails as I could sit at the computer for short periods of time.
On February 13, I had another test called a Muga. This was an imaging test of my heart to ensure that it was strong enough to handle the chemo treatments. The prep was similar to the PET scan, and once again I had to have radio-active isotopes and carry a card that said I did not pose a risk to the public. Luckily I have a good strong heart.
The next day, I was scheduled for another ultra sound and biopsy, this time of my right breast. My surgeon was out of town, so I was sent to another doctor. I told her about my horrible experience with the first biopsy, and showed her the horrible bruises that I still had. She said I should not have felt that much pain, and made sure that I was numbed well in the areas she was going to biopsy, especially since one was up against the chest muscle. Wow want a difference!!!! She was able to get a number of samples, and other than hearing the compression sound (like a loud click) I barely felt anything. One of the spots disappeared as soon as she stuck the needle in it, so we guessed that one was a cyst and the other area of concern turned out to benign [sure now I get a cyst and benign tumor].
After all that testing I was finally scheduled to start chemotherapy on February 21st, but I will put that in a separate post as this one has gotten long. If you are going through the Cancer Journey, I hope these post are helpful to understand some of the process. You will get through it, one day at at time.