Sunday, June 17, 2007

The Mix of Confusion and Horror after Breast Cancer Diagnosis

A young, almost 50-year old friend of mine called me the other day saying she has been diagnosed with pre-cancerous breast cancer. She had had a benign lumpectomy several years ago and her mother had died within 2 months of diagnosis of breast cancer that had metastisized to her lungs. Needless to say, my friend was shocked and scared.

I referred her to Mary Wilde, MD, Director of Scripps Polster Breast Care Center that I mentioned in an earlier post.

She called me back a few days later to tell me she had had a Mamo-test. I could tell she was in that state of After Diagnosis Confusion and Horror, magnified by her mother's experience and death.

I realized I hadn't written much about that time because it is just such an awful period. I didn't know what the right thing to do would be. Should I really have a whole breast removed??? Is that the right thing to do if I have DCIS, Stage 0? Who would know? I had read the literature about how there were too many mastectomies being done, that doctors were too eager to do them, etc. Then there was the issue of the right breast. There were little spots showing up in the MRI that may be "false positives". I had read enough to be somewhat paranoid about whether doctors would do the "right" thing.

I would go to a doctor's appointment and we would talk about whatever I was there for and then when I would get home, my partner (now my husband) would ask me about it and I wouldn't be able to remember what the doctor had said. Finally, I started taking a tape recorder with me to the appointments. Surprisingly, many doctors didn't want me to tape record the appointment. When I asked why, one of them said something odd like "people who tape record the session don't listen carefully in the session so they don't ask questions. They think they will listen to the tape of the session." Frankly, as confused as I was, I accepted this silly answer and did not insist on recording the session.

Taking it one day at a time was the most helpful, but not easy. I tried to "stay present" in my confusion and despair, but it was difficult because it felt like I would feel that despair forever. I guess that is how I feel hearing my friend talk about her situation and where she is in her process.

I have to say that the despair does pass at least on the surface. I cry easily when I talk about it, so I don't know that it is really gone. I'd love to hear from other breast cancer survivors and their experiences after they were diagnosed. If you know of someone, please have them email me or 'comment' here on my blog.

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