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Wednesday, November, 25, 2009
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False Cancer Myths Could Save Thousands of Lives. Also, Why Can't People Be Truthful?

Tracy10
08/09/08

I was one of those who believed that 70% to 80% of biopsies were negative so I decided not to undergo the biopsy feeling that surely such brutal treatment would cause cancer later if I didn't have it now, so why risk it for 20 percent.  I explained this to my surgeon in a letter.   He was nice and said if I changed my mind later he would still accept me as a patient (even though I surely drove him crazy with anxiety questions).

 

A year and a half later, I felt soreness under my arm and sometimes running down the side of my arm so I decided to check it again.   Again they recommended a biopsy.  I was still terrified of a biopsy so I phoned the main cancer treatment centre and they gave me a number of a psychologist in another hospital that could help with the fears.    When I phoned THAT number they said they couldn't help because I didn't HAVE cancer yet.  They could only help people who had cancer fears AFTER they had been diagnosed.

 

Then I booked another appointment with the original surgeon in the first hospital who understood me a bit and finally he sent in a nurse who socked it to me "brutally" the way I asked her to.  (I had told her that not only was I terrified of the biopsy but also of my own fears so I wanted the cold hard truth, with no hidden secrets.)

What a fantastic job she did.  I wish there were more nurses like her!     When doctors and nurses don't tell patients enough because they are more concerned about bedside manner and scaring the patient, they really scare some types of patients.  After she laid out all the gore, even giving me a website where I could see what could happen if I left it, I could relax more knowing she had been honest with me and hadn't hidden anything, so I agreed to go. 

 

In the end I was still upset though because the papers they gave me said the biopsy would take 1-2 days to heal and not the 2 weeks it did.   Why do those papers say 1-2 days?  I hate it when patients are only told things in the BEST light instead of also the worst so they are totally unable to "estimate" that the truth might be somewhere in the middle.  Now I became aware that even the cancer pamphlets they distributed were deliberately misleading. 

 

This also makes it difficult for people who work because they then have to turn around and ask their bosses for an "extended" period of absence and the boss gets upset too because the papers say 1 to 2 days.  They don't understand why the patient needs more, so the patient may have to go back to the doctor again to bring in another note.

 

Getting back to this most wonderful and amazing nurse, she explained that it was only a myth MYTH that 70 to 80% of all biopsies were BENIGN.  That was only the case for cancers that looked like cysts.  The reason cysts were biopsied was because if 30% were cancerous, they felt it was worth it.  


The shocker was that mine wasn't likely a cyst.  It was star shaped and most of those WERE cancerous.   If they had told me that a year and a half earlier I likely would've gone for the biopsy as I would've received enough scare AT THAT TIME to "jolt" me into having the biopsy.

   
Finally I went for the biopsy and they put it in the fastest RUSH basket possible.  They said it would take 1 to 10 days to get the results back.  Each day I waited in terror like a prisoner waiting for his hanging notice.   Every minute felt like an hour. 

 

On the 11th day I got my results back.   Wouldn't it be better to tell patients that most results come back in 5 to 15 days instead of 1 to 10?   When it doesn't come in by the 10th, then the patient is convinced something must've gone desperately wrong!   Maybe they were studying the samples longer!  Well, something was wrong.

 

It was DCIS but was slow growing.

 

While waiting the year and a half, I developed numerous other problems so I think the cancer may be all over the body by now.  On one test my platelets were low too.  The doctor said not to worry.  Forgot to tell you I also had lined up calcifications  a year and a half ago, which I knew about, but because I believed in the 70 to 80% myth I didn't pay much attention to that.  Also had a pituitary tumour which makes the cancer situation much worse because that causes cancer to "become organized" and head directly to the lymph nodes. 

 

Would you believe I currently also know of two others who have delayed breast cancer treatment for even longer than I have because they believed this myth?  I wonder how many other millions of women are also in this situation.   I wonder how many thousands will die because of their belief in this myth?

Women need to be advised much more about the results of their tests and they need to have them clarified.

Now I have to go through some really horrible things before surgery.  Again I'm in total shock and disgust that they didn't tell me this beforehand.  I thought that once the biopsy was done, all I would have to do before that was go for surgery and that would be that.   Even people with anxiety don't want to be treated with kid gloves, like children.

 

I wish medical people wouldn't constantly make things appear so "cushy and soft" because when patients find out it's not that way at all, they feel really deceived and it's so much harder to deal with. 

I think that if you asked most cancer patients about what they were most upset about regarding their entire cancer treatment they would tell you that they weren't told the cold hard truth!     Patients WANT to be told BOTH sides, not just the pretty, beautiful fairy-tale outcome.  Worse yet, when they don't get that fairy-tale outcome, they don't want to be told, "Well yours must've been an exception" because it won't take long to find out that they have been lied to once again.  

What a horrible blow it was to hear the tone also, after the biopsy results came in, "Surprise, lady, now wait until we tell you about the extra butchery you must now undergo "before" the surgery which will be booked within a few weeks.  We thought we would keep that a secret from you until after the biopsy was done." 

 

OK, so they didn't say that but they may as well have.  I'm in shock and am scared to death and want to run once again.  When they keep patients in the dark it makes them think they are still hiding another 10 more butchery surprises in a row.   

I wish patients were allowed to sit on "boards" that discuss their treatment instead of being treated like donkeys who must only be shown a carrot on a stick.   When they aren't included, they also feel a bit like lab rats, and it makes them wonder what the doctors are planning behind their backs once again.

 

Although I can also understand the fears of the medical profession not wanting to scare patients, I wish they also understood why so many cancer patients become so angry, fearful, and distrusting.

 

There are two types of people I think:

One type needs to think positively because they can easily handle the blows if they are negative.  Life has often come easily for them and they have learned to handle things well.

 

The other needs to think negatively because they know they can't COPE with things that are worse than expected.  They are aware they don't handle shock as well as the first group, and that it can take them months to recover from shocks that would take the first group only a week to recover from.  In other words, their negative attitude a form of protective self-defense that "PREPARES" them so they can more easily cope.  When they aren't allowed to cope in this way because they are expected to think and behave like the first group, it's really a blow.

 

Maybe cancer people know a lot about cancer but I wish they knew more about people.   If I had been scared enough right from the start, and they had let me know that what I believed was only a "myth" I might not be where I am today.So if any cancer specialists are reading this, I hope you tell all your patients the difference between cancers that look like cycts and star shapes.  That's probably the most important thing you could ever tell them.   Thanks.

 

 

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Answers (3)
PJ Hamel
PJ Hamel
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PJ Hamel is happy to be alive. As always.
Author, breast cancer survivor

Writer, mother, wife, volunteer, and survivor: PJ Hamel joins the...

Saturday, August 09, 2008

Wow, Tracy, you've had a terrible time. I'm SO sorry your exprience with the medical system has been such a challenge. I wouldn't paint it with such a broad brush, though; I don't believe your experience isn't that of everyone, or the majority.

 

We're not medical professionals answering questions here; and we're very careful not to make diagnoses. We always suggest women get ANY breast change checked out by a doctor. I'm sorry you didn't get that original biopsy. Every reliable source I know indicates that up to 85% of lumps that are biopsied are benign, and I don't believe it's a myth, as your nurse told you. And many reliable sources say that a biopsy doesn't cause the spread of cancer. That said, if you're advised to have a biopsy - my advice is, you should have one. It's the one sure way to tell if you have cancer.

 

I hope things improve for you going forward. Keep in touch here - hopefully we can be helpful at some point. Good luck - PJH

Phyllis Johnson
Phyllis Johnson
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Inflammatory Breast Cancer Survivor

Phyllis Johnson grew up in Silver Spring, Maryland. Parents of...

Saturday, August 09, 2008

Tracy, I'm so sorry that you have had such a difficult time with the medical system.  As you point out, people respond differently to medical information.  I'm the kind of patient who wants everything explained in detail.  Not everyone is like me, so I've learned not to expect doctors to read my mind.  When I meet a new doctor, I explain my preferences.  I've found most doctors respond pretty well to this.

When evaluating statistics, you might find it helpful to think about them in terms of people in a room.  If you have five people in a room, 80% is four out of the five.  Imagine the doctor said, "All of you have a lump that needs to be biopsied.  I know from past studies that four of you probably do not have cancer, and one of you probably does."  Usually most people would want to know if they were the one with cancer.  Second guessing how the doctor should have explained things to you or what should have been done is not useful now, but as you go through treatment, you are going to have other decisions to make about what treatments might work best for you, so you might try this way of visualizing stats. 

Angi
Angi
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Angi is is excited to be considered an EXPERT!
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Hi, my name is Angi. I'm 35 now and I'm a TWO time Breast Cancer...

Saturday, August 09, 2008

I'm sorry, but I have to chime in here.....

Tracy, you are going off of YOUR experience, and I'm sorry it was a bad one.  But EVERYONE'S experience IS different, just as their cancer & treatment.  We each recieve DIFFERENT medical advice and care.  That's why it is the patients responisbility to become better informed and educated about their cancer and the recommended treatment.

The first time I was told I had cancer I was alone in a room and the dr said you have cancer and have to have a mastectomy, handed me a tissue and walked out.  I was much too naive then to even think about leaving and seeing another dr. - so I went through with a procedure I had no clue about.  I am a lot wiser now and would never tolerate that level of service from a doctor.

What I can tell you is that the numbers are not myths.  They are actual case study outcomes.  Our whole medical system is built on research, and that is what they found to be true during the course of their research - but like I said, each case is different.

You mentioned that your tumour showed to be star shaped on your mammogram.  Mine was that way as well - it was a near perfect match to that printed in the mammogram pamplet, so when the radiologist showed me it, I knew immediately that it was cancer before he ever even told me that I needed further testing ASAP.  Also you mention calcifications, which can be an indication of a precancerous condition (my sister has calcifications and has to have mammos 2x a yr).  Waiting a year and a half most likely did not cause your cancer to spread, as it was in situ and not invasive.  A simple test of your lymphnodes can show if it did in fact spread, but if it was slow growing the odds are against it.  I had a very aggressive grade of cancer that was invasive, and one little cell that was left behind after a mastectomy continued to grow over the course of 3 years and caused a recurrence in my chest wall, yet my cancer did not spread any further.  Again testing can be done to prove this - if not a lymphnode test a PET CT Scan can show an area with a cluster of suspicious cells that can be used to determine if it has metastized or not. 

Most cancer treatment is delayed a bit.  Testing takes time.  I found out in March my cancer returned but did not start radiation until mid-June.  It is quite common for a delay as setting up a course of treatment is very detailed and specific.  Cancer does not just ravage the body over night, it can take years to form and grow.  It has been my experience now as an educated patient that I am always told the worst possible scenario for everything - the doctors have to disclose if complications from a procedure can result in death or peirced lung, etc., otherwise they would face malpractice suits.  That's why it is always important to listen to what your doctor says, read the waivers and ask questions before just signing them. 

I do mandate my board of physicians.  Each of my doctors is informed and a part of my care, they all consult with one another, tell me the plan, then I either approve it or walk away.  If a doctor is unwilling to work with your other doctors, that's a trait you want to avoid - as they are most likely the ones who will dictate your care to you and not consider your thoughts on it.

I'm sorry that you had a bad experience, but you're making a broad sweeping generalization about research, facts, techniques, and our medical system as a whole. Your experience is in the minority.  But I think that you have let your emotions get the best of you.  Doctors should not have to SCARE a person for them to get treatment, that's not how it works.  They advise you what needs to be done and either you do it or you get another opinion.

As PJ said - We're not medical professionals answering questions here; and we're very careful not to make diagnoses. We always suggest women get ANY breast change checked out by a doctor.

We are simply here because either we've had it or have it and we want to help others - plain and simple.

 

I hope your future experience is a lot better than your past.

Good luck!

Angi

Cancer is NOT a DEATH sentence!

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