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Tuesday, June 29, 2010

Saw The Surgeon

I think this guy got his medical license from a Cracker Jack box or something.

What a most wonderful visit!! (NOT)

He started out wanting to know why I take the medication I take and I told him. He proceeded to tell me they never should have attempted to fuse my SI joint because "everyone's sacrum moves like that" (over 30 degrees of movement, very unstable)

According to him family history does not count in breast cancer, neither does the changes to my breasts, the calcifications noticed in 2006 should have been biopsied (no one mentioned it). No mastectomy because my reasoning for wanting it isn't good enough, and the above statements.

Lumpectomy only on Tuesday the 6th.

Would consider a mastectomy if a genetic test shows I have the gene (even though the gene and family history don't matter re: chances of developing cancer as he said earlier in the visit), and if lump is cancer then they will do a mastectomy.

According to him needle and core biopsies never have a false negative either.

Not a fun visit. Doctors really hate it when a patient comes in with ideas of their own and he is, apparently, one of those.

End result after crying from pure frustration: July 6th, complete lumpectomy to biopsy whole lump (which I requested and he didn't like but followed along on this point at least). That's pretty much it.

Came home, cried, went to bed. Apparently wanting my best chance at preventing breast cancer is not a good enough reason for mastectomy, the American Cancer Society lies to people, and everything I know is wrong. Lovely visit with a doctor *sigh*

So today I called one of the local oncologist centers and spoke with their nurse (the one who answers patient questions and such). After the way the surgeon so adamantly refuted everything I had been told, or read about breast cancer, I was confused and wanted answers. I wanted to be sure that my information was correct just for my peace of mind. So I called an oncologist office, I figure since they are the cancer treatment doctors they would have accurate up to date information regarding cancer. Yes family history does matter. If you have a first line relative (mother or sister) who had breast cancer, it increases your chances of developing BC. For me, my chance is very high because ALL female relatives had BC diagnosis, before menopause, and all died of BC on both biological mother and father's sides. The gene does count in increasing BC chances but apparently there are several additional genes that are being researched as possible contributors as well as the BRCA I and II. Yes enlargement, thickening of tissues (making it harder to diagnose possible spots on mammogram etc.), and calcifications in a person with family history can be "pre-cancerous changes" and/or precursors to cancer. (all of which I have) The nurse I was speaking with called this surgeon an "idiot" and I laughed. She then told me that despite prophylactic mastectomy being my best chance, I probably won't find a surgeon willing to take the chance on doing it until cancer actually shows up. She also recommended having the genetic test done because it would carry more weight with a surgeon and might tip the scales in favor of mastectomy since the surgeons are refuting an extensive family history are "not enough".

My primary care doctor's office called this morning to set an appointment for me to come in and discuss my thyroid test results, so while there (Next Friday the 9th) I will ask them to order the BRCA genetic blood test.

So at least I know that my information is accurate, even if my surgeon doesn't believe it to be. It is nice to know I'm not nuts LOL

All this stress, and today's lovely rainy weather, is driving my pain levels up pretty dang high. So its been a rough couple of days and it doesn't look like its going to get any better for a little while.

(This post will be duplicated on my stitching blog)

1 comment:

  1. Hi Missy it sounds like you have been having a really rough time!!! Good on you for standing up for yourself, this dude sounds very intimidating and patronising. A truely scary time for you, my thoughts are with you and good luck for next week.


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