Complex emotions …. How to handle the overwhelm?

  • 7 replies
  • 498 subscribers
  • 245 views

Hello  

I was diagnosed with a grade 2 infiltrating ductal carcinoma of the left breast after a routine mammogram in October.  I’ve since had a lumpectomy and sentinel lymph node biopsy and am about to embark on a 5 day course of Radio therapy before Xmas. I have a painful hematoma under my armpit which is causing me more grief than the breast surgery and which my team are trying to reduce through aspiration, although somewhat unsuccessfully! I think ultimately time will reduce the swelling and therefore the pain and discomfort.

I was told somewhat matter of factly and abruptly at my recall appointment after my mammogram appointment by the radiologist doing a further ultra sound, that ‘yes, this is definitely breast cancer but it’s been caught early and they’ll probably take it out and you won’t have to have radio therapy or anything!’ I went into total shock at his words,  I realise now, and disassociated myself from the experience and overwhelm of the news, I’d gone to the appointment on my own thinking, somewhat naively and hopefully it’d all be fine, and there I was with a diagnosis of breast cancer, delivered unceremoniously and matter of factly like he was telling me I had a tooth ache !! 

Because I have repeatedly been told that it’s been caught early, how lucky I am, and that I’m going to be fine I am feeling extremely uncomfortable and guilty that I’m feeling so scared sometimes and traumatised by the whole experience !

 I do have a history of high anxiety and depression and having crashed off HRT and now taking Anaprozole (since my cancer was/is oestrogen and progesterone receptive (8/8)) I am managing all that this brings both emotionally and physically.  

I’m trying to be outwardly positive, sheltering my family members from the truth of how I’m actually feeling, which rantes from sometimes ok and positive, to sometimes downright terrified!.  My husband, with whom I‘m trying to be  honest about how I’m feeling is struggling to be supportive. Not being one to engage in empathy and emotional support, he is continuing as if nothing is wrong and accusing me of being ‘much more animated when talking about my illness than anything else these days!’ This hurt to hear, and made me feel like he was diminishing what I am (we are) going through at the moment, as well as guilty that perhaps I’m making too big a deal of what I’m going through!.  I feel extremely alone in this journey. 

Have others experienced similar situations? How have you managed the loneliness of the journey with cancer ? 

Writing this all down will help me sleep tonight so thank you for the space to do so  x

  • Oww dear @Sontibra I am sorry you find yourself here and sorry you are going through this the way you are....

    Hmmm husbands, partners I feel they do tend to brush it all aside, you might even hear the words 'you've had the operation, the surgeon told you "it's gone now"' - like it was a tooth you was having taken out!

    I choose not to tell one of the most important people in the world to me .... my dear mom (mom is over 90 and I could not cope with how I feel she would of thought as many do in my mom's age group that 'thats it' nor did I want the daily, even hourly 'how are, how are you feeling' - yet deep down I think mom may of handled it better than I think she would and 'the I've changed' weekly comment may of been avoided.

    It is a very lonely journey as you could be surrounded by a million people all routing for you - you, like me know it's only us that can handle how we feel and how we manage.  I told my long term friend (from school days) .... and that was the last time I seen her ..... so be prepared to loose friends and gain friends you didn't know you had - support is a strange one.  One reason I didn't tell was I didn't want to become 'that' and then 'me'.  Mentally I did not want to give 'it' any support.

    With regards to the 'hematoma under your arm pit' - I can't help wonder if this relates to your sentinel lymph node removal.  The reason I mention this, is that my operation was carried out in two separate places, one was the lumpectomy and the other was the sentinel lymph node removal...... my goodness me the 'sentinel lymph node' area caused my far much pain (I will clarify this in a bit)  than the lumpectomy.  The lumpectomy did not cause me any pain (as I can remember now).  The sentinel lymph node caused me a really strange pain - it was more a 'soreness a stinging feeling' a soreness that crept on and would get to a point that I did not know what to do - then the stinging/soreness would subside.  The area the sentinel lymph node is taken from is in the chest region about an inch or two from the arm pit......

    I wonder if your hematoma is where you had the sentinel lymph node taken from ..... if so I can only imagine how sore this must me - I'd be thinking you need pain relief and depending on how big - if they think this could absorb back into the body or would it be better drained (would draining ease the pain or increase the pain is my concern).

    I don't know if you had the 'two operations at the same time - carried out through one access area' or 'if the surgeon operated in the two separate areas' - I only mention this as if you only have one operation site you might note be aware of where the sentinel lymph node is and why I suggest this could be the cause of the hematoma and more so any intense pain (if you have two sites then you would know where the sentinel lymph node area is) (hoping I'm not saying anything that you already know).

    I do hope you have managed to get some sleep - if not, or at any time look out for the thread called 'AWAKE' - it's the place we all tend to go when feeling down, not able to sleep, have worries, questions, etc.... we do even share jokes, I'll attach a link to the the thread - drop in whenever you feel the need.  In the meantime I am sure there are many others on here that are or have gone though very similar.

    Sending you a big virtual hug and wanting you to know 'all your feelings are normal - you are not alone' xx

    https://community.macmillan.org.uk/cancer_types/breast-cancer-forum/f/general/128753/awake/2101399

    I'm hoping this makes sense - only my mind says one thing and my fingers type whatever they like x
  • Thank you so much   for your lovely response,  im sorry that you too have gone through similar experiences to myself.

    I did indeed have two different access points .. one for the lumpectomy and one for the sentinel lymph biopsy and yes, you’re absolutely right, it’s the lymph glad site which is causing me the most grief! It is exactly as you describe it ! I’m taking lots of pain meds and it’s easier in the morning than after a day of wearing clothes !! I get to about 5 pm and wish I was a naturist !!! I’m sure it will calm down at some stage … just painful as it goes through the motions ! 

    It is strange how we feel about telling everyone, and our relatives .. I opted for the just tell everyone and it then prevents the Chinese whispers .. some people have disappointed and some have been unbelievably kind. Some have sent flowers and been noticeable by their physical absence !! 

    Like your mum, my parents are aged, in their 80s and so, like you I didn’t want them to worry and think they have to keep asking me how I am … and yet the person I sometimes yearn for most is my mum .. but my mum of many years ago when she had the energy, strength and the ability to take the pain away ! 

    thank you for the link to Awake .. I shall take a look and visit …

    Hope you have a really good day

    Cherry blossom

  • Hi Sontibra,

    Sorry to read your concerns. Cancer is a huge worry no matter size , grade, treatment plan. It shocks us all. I think it's the uncertainty, the unknown and we all think worst case scenarios. I couldn't even say the word when first diagnosed without crying. May this year. My anxiety was through the roof.

    I'm her2neg, erpostitve, prpositive.. I've had op, chemo and radiotherapy now on Letrozole for 5 years.

    I don't need to see consultant anymore just 6 monthly bone flushes and my hormone suppressants.

    Everyone says oh that's great that's you better. Eh no I think to myself my mental health is shot to peaces. I still experience aches and discomfort in the area under my arm where they removed my sentinels and discomfort at the lumpectomy site. My anxiety has turned to asking myself if they've missed anything, is it back. Then my rational brain kicks in and reminds me I have had treatment and am on preventative treatment now.

    I am assured once life moves on I will disassociated pain and cancer return. I'm not sure. It doesn't matter where you are in you recovery or type or treatment. The word cancer stops us all in our tracks and increases our anxieties.

    Please be kind to yourself, unless you've been through it you won't understand the real fear and anxiety it causes. Our partners, family and friends don't know how to cope or what to say and at times say the wrong things which make us feel worse. Or avoid us altogether. On this forum I know people understand what I'm saying as they've experienced it.

    I'm glad people say I look well and am better, however, how I look and feel don't always resonate with this.

    Please be kind to yourself, pamper yourself and I hope they get the haematoma under control soon xx

  • Thank you   PrayCherry blossom  it's so true that unless you have experienced something for yourself, you have no real understating of what it’s like to have the diagnosis of Cancer, and the sometimes irrational thoughts and narratives which go through your head.  

    I am so used to supporting and caring for others, putting their needs ahead of my own.  I can’t help feeling a little disappointed that, when I need support for something which gets the reaction it does when people hear you're having treatment for the C word, people aren’t quite so keen or able to support you back in a way which is useful and/ or helpful.  My rational brain understands that they don’t know what to say, that they too are scared of what might be, and just want it to go away, relieved when they hear it’s been taken out and, for them, that it’s gone then !!   I also appreciate that they too have their own worries, lives, fears over and beyond what I’m experiencing and this journey can become extremely absorbing, making you become very self focussed.  My irrational, fight, flight or freeze response, which is being triggered immeasurably at the moment due to hormonal changes and imbalance, anxiety and fear, causes me to flare, to cry, to feel sorry for myself and to lash out verbally at those I love, who I think could be doing a better job of showing they care. 

    It’s a very heightened emotional time isn’t it ! More so than I could have ever imagined.  I’m trying to take the learning out of all of this because there MUST be some positives to take out of all the chaos that is going on at the moment !!! 

    thank you PrayCherry blossom

  • Hi  , lovely messages from the fine folk here. Just wanted to pop in and add my support. Cancer is a very big deal whatever form it takes. But it seems that only those who’ve had it actually ‘get it’ so this forum is invaluable. Also I think lots of us play down the enormity of the cancer diagnosis to family friends, I certainly did. I always put a positive spin on it, emphasising that it was small, early stage, very treatable. Maybe for myself as much as anyone else? But inwardly churning, anxious and lonely. It made a big difference finding this site and eventually plucking up the courage to post a comment after lurking in the sidelines for a while! It must work for me as I’m still rattling around the site 6 years post diagnosis! 
    I have also benefited hugely from meeting other cancer folk face to face. I finally went to my nearest Maggie’s centre (an hour’s drive away) a year down the line, and that was really wonderful. Just to be told ‘there’s no need to pretend here’ was huge. I signed up for a 6 weeks of ear acupuncture sessions which really helped with the Anastrozole induced hot flashes. And I met 2 lovely ladies who I still meet up with. I also do a weekly cancer rehabilitation exercise class which I love, as much for the coffee afterwards as for the exercise. 
    Sorry for the long ramble! Just to add …. I also had a large haematoma which seemed to be there for ever but it did re absorb eventually. Sending love and a big virtual hug, HFxx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • Oh and just to add, if you’re anywhere near London, there’s a lovely place called Future Dreams House near Kings Cross. It’s for anyone affected by breast cancer. They do online stuff as well as in person. I’ve been to several sessions as it’s about an hour away for me. Xxx

    HappyFeet1 xx
    Don’t be afraid to cry. It will free your mind of sorrowful thoughts. – Hopi
  • Hi Sontibra. So sorry to read about what you're going through. 

    A bit about me, for background ...

    I had a lumpectomy last year, two lymph nodes removed, radiotherapy and Letrozole / Exemestane. My cancer was caught early by a routine mammogram. It was a very common type of breast cancer. It was very treatable. 

    After I finished treatment, my mental health was fragile (it still is). I went along to a Maggie's Centre and found a lot of support and understanding - as well as endless cups of tea and free biscuits !

    I told a counsellor there that I felt bad because I wasn't coping, even though my cancer journey wasn't as hard as a lot of people's, who seem to cope better.

    I was gently encouraged to think differently. No one wants to be told they have cancer. It's shocking news. Everyone has their lives turned upside by it. All your plans for the year fly out the window, and you find yourself traipsing from one hospital appointment to another. At best it's not normal; at worst it's traumatic. 

    As other folk have said here, unless you've been through this, it is hard, if not impossible, to understand the impact cancer and its treatment have on our mental and physical health, long after "the main event" is "over."

    Someone at the Maggie's Centre in Edinburgh said they would like to start a course for family and friends of cancer patients. She would like to try to explain a bit about what it's like, to help people offer better support to their loved ones, and to look after themselves better. If partners were better at talking about it with their friends, perhaps they would be less stressed. 

    I'll try to send you a link to a well-known article by Dr Peter Harvey. 

     https://community.macmillan.org.uk/cancer_types/head-neck-cancer-forum/f/updates/277285/after-the-treatment-finishes---then-what-by-dr-peter-harvey 

    Meanwhile, let's be kind to ourselves and give ourselves a pat on the back "just" for getting through each day. 

    Sending you virtual hugs Hugging