Feeling a bit grumpy and ungrateful.

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Hi folks,

I had my LS mastectomy without reconstruction a week last Tuesday (on my birthday fgs!) There were two tumors at 10 o'clock 21mm and 3 o'clock 11mm so mastectomy was my suggested and chosen route. Chemo & radio were not considered necessary - mastectomy would be followed by 5-10 years AI drugs. (I've already decided to have the other breast removed in a few months for peace of mind & to reduce chance of another cancer growing)

Drain out & dressing off on 7th day - bliss! Showered, hair washed and a walk in the fresh air, I felt like a new woman Stuck out tongue winking eye

I knew that the first few looks in the mirror were going to be scary and unleash all types of emotions BUT my main reaction has been anger. I look like I've been butchered. It's not neat, it's not 'straight' and it's not flat insofar as there is a bump top right which according to my lovely BCN is likely to be permanent. (It's not post-op swelling nor fluid build up). I can't help but think that if I'd had it done privately it would be much neater and flatter - how bloody ungrateful am I??? (I had hysterectomy done on insurance 20 years ago & it was so neat)

Today I got the results of the pathology - breast removed - clear margins around both tumors - 2 lymph nodes removed both clear, no spread. Excellent news right? I was practically jumping for joy.

Then ......

-  'it is suggested' presumably by the MDT that I have one week of daily radiotherapy (no reason given as to why)

-  the larger tumour is going to be sent to America for testing to see if I'll benefit from chemo (it's available on NHS and will ensure we're not missing any treatment that will prevent recurrence)

I've already told them that I will not have chemo (many reasons but my mental health is the main one) and that I won't even be taking the AI drugs (hypersensitivity to many meds). I just feel they're throwing everything they can at it so that I don't 'challenge' them if/when recurrence happens. I can & will turn down further treatment especially now with such good pathology results. I'm just really pi**ed off that I'm being made to feel ungrateful even stupid in not going along with this 'pathway'  that they put every patient on these days.

Rant over, sorry for long post x

 

  • Hi Ste59

    It's great that there is no spread.

    It's up to you whether you want treatment or not so you shouldn't be made to feel ungrateful for turning down the treatments they suggested. You are perfectly entitled to rant and write a long post so no need to apologise for it.  We all understand. They want to give you the radiotherapy to catch any stray cancer cells that may be in your body but as your lymph nodes were clear that's unlikely to have happened.

    Wishing you the best of luck with the future.

    Best wishes

    Daisy53

    Community Champion Badge

  • know someone with a similar result and is very unhappy with a bump, had a very hard recovery too. she has advocated and they said they will try to revise it for her. don’t give up, and also i assume they suggest extra treatment because they expect you to live more than 5 years.

    Ranting is allowed and the shock I am sure is devastating. and as Daisy says all treatments are your choice. you are also still healing, my lumpectomy swelling is just now shrinking 2+ months later.

    now breathe (hugs)

  • I am sorry you are in this situation and obviously it’s your choice whether to accept treatment or not. I would just caution that a good pathology report and clear lymph nodes are no guarantee the cancer hasn’t already spread or won’t recur. Cancer cells can also travel via the blood stream as I found out to my cost. I have metastatic cancer from an 18nn tumour with clear margins and with no lymph nodes involved. The cancer is in my liver and I am now classed as incurable with very few treatment options. I did have chemo and radiotherapy so treatment is not always a magic bullet either, but I am not sure how I would be living with myself if I had declined them and was sitting here now wondering if they might have made a difference.

    I really doubt the NHS put people through a treatment pathway in order to avoid future challenge. They do it to improve the likelihood of the best outcome. 

  • I'm so sorry Coddfish, you're going through so much and I'm moaning about being offered treatment that's giving me every possible chance to prevent recurrence.

    The hospital where I'm being treated has a dreadful reputation and, on a personal level, their incompetence killed my mother at 63 and their negligence (confirmed by coroner) killed my stepmum who died of sepsis following a fall which broke her arm. Recent introduction of 'pathways' have reduced treatment  for all kinds of ailments to the following of computerised flow-charts that require little human/expert intervention. These pathways also aim to prevent mistakes, challenges & court cases. I'm sure the MDT do put their expertise on the table when discussing people's treatment options but I'm equally sure that they follow the pathway and offer everything that the pathway suggests 'just in case' without consideration of patient's circumstances and also the cost. That is why they are quite 'happy' in some ways for you to decline the treatments. They need to provide me with facts & figures (evidential & estimated) in order for me to make an informed decision.

    Hugs to you xxx