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Cancer Journey/ HEALTH

New Test Results Show Cancer

If you read this post, you know that I was told that there was no evidence of cancer that showed on my PET scan a week ago.  Well, Friday I got news that my chest MRI told another story.  One I don’t like.
My Caring Bridge journal entry below will fill you in…
Caring Bridge Journal Entry 12-19-10
I have put off writing this journal for 2 days.  It has been a hard couple days.

I had to call my primary care doc b/c my ear was starting to ache again.  I asked her nurse if my chest MRI results were in.   She was very hesitant and a bit weird, which made my heart sink.  I knew the results were not positive.  She said “I will have the Dr. call you”
This was Friday.  I waited all day, around 5 I finally got the call.

I am not NED (no evidence of disease) as they had told me and as the PET scan results showed.  

The tumor is still there, it went from 6 centimeters to 2.5.
There is a new lesion in the same breast, which is positive for cancer It is the one I said I had been feeling since about a month into treatment, it feels like a small BB and has not budged.

There is also “progression” in the “suspicious” areas of my other breast.  This was another thing I was aware of, I told my doc last appointment that I feel more nodular and lumpy.  This is why she ordered the scans before surgery.

There is also cellular changes in both breasts, as I understand it, they are changes that occur before cancer develops.

Needless to say, I am now VERY ready to have my surgery and wish it were tomorrow.

I have been praying often, that God would just keep the cancer contained to the breast area, and that it would not spread or grow anymore.

On a positive note, BOTH tests showed no enlargement of lymph nodes, nor did they “light up.”  That is good news, but again, confusing because of what I feel.  I don’t like that I was right about all the other areas that I had felt.  I feel 3 round marble size nodes under my left armpit.  Confusing. 

Bottom line, we won’t know what we are up against until the tissue is tested after surgery.

My doctor did mention the possibility of more chemo after surgery.  

I have an appointment with my Oncologist on Wednesday.  I am expecting to understand the test results better and have more of an idea of how we will move forward after Wednesday.  Or not??  We may not know anything until after surgery.

I struggled with this news.  It was hard to call family and tell them. We had all been rejoicing about the clear PET scan, so this shocked us all.  I loved that week of feeling light and free and having so many congratulate me with hugs and happiness.  

Honestly, I think if we had not been given the “all clear, you are NED” I think this news would be so much easier to take.  

I have been pretty teary, but still have had some great moments with my girls and Todd the last couple days.  Todd told me I was handling this well, that meant the world as I am trying to hold on to what I know is true, that GOD STILL HAS ME.  

We did not tell our girls. All they know is that the PET scan showed no cancer. We just could not bear to see them hurt right before Christmas and feel like it is not worth it until after surgery and we KNOW what we are up against.  If you see me in person, please be sensitive to that. 

Our sermon this morning was about the word “Immanuel” which means “God With Us”  That is what Christmas is all about.  God coming to be with us in the form of a baby, so that we could be part of His family.   My pastor said over and over “God Is With You!”  “God Is With You And He Makes Everything O.K.”  I sat there so still just absorbing his words, and I was thankful he was so repetitive today, saying those words in so many different words and ways, which made them sink deeper and deeper within my soul.  Thank you, Pastor Hsu.

No  matter what happens to me, He is still:
King of Kings
Lord of Lords
Mighty God
Lord of Everything 
IMMANUEL!!
PRINCE OF PEACE!

We are off to celebrate these very things, our first Christmas celebration with Todd’s side of the family.  It will be so great to be around family!

Cancer Journey/ HEALTH/ Spiritual

Do Not Fear


It was 2 days after being diagnosed with Stage 3 breast cancer.  I was sitting here at this computer, feeling in a daze, scared and numb.  It was early September, and it was raining outside with an  occasional clap of thunder.  I vividly remember a very large, loud  thunderclap.  It shook our windows and me, and I had this thought… “that is the sound of the power of God.”  I instantly felt a peace, knowing I was in the hands of the same God whose power is displayed in so many ways, including raging storms.  I felt like he was saying, “Amy, I am in this with you.  I will walk with you through this storm.”A song that we occasionally sing at church then popped in my head, so I went straight to YouTube to find it.  I found the above video, and I watched it at least 3 times, with tears streaming down, each time feeling more and more calm.  I love that song, and the chorus has played in my mind many, many times the last few months.

I have been pretty reflective all weekend after receiving such great news of a clear scan on Friday.  I’ve had a sense of awe, and calm, and extreme gratefulness.  As we were scurrying around getting ready for church Sunday morning, I was thinking how fear was almost non- existent all weekend.  What a much needed break! I then thought “I would love it if  ‘Do Not Fear’ was one of the songs we sing in church today!”  Sure enough, it was the second song we sang. As it started, I excitedly whispered to my girls, “It’s mommy’s song!”  They knew what I was talking about as I had played it for them and sang it with them.  I just could not stop smiling while singing, it was another kiss from my God who truly HAS been with me.  My heart almost burst.

Back to that stormy evening.  I kept watching this video, and I knew that He was not promising that I would live. Yes, I longed to hear that, but only God could know the outcome.  He WAS promising that He is with me, and that even in death, I am not consumed!  Because of what Jesus did on that cross I had HOPE, and I had the reassurance that I would be with Him forever, no matter what.

Raging waters are scary.  They take your breath away and cause panic.  They take all sense of control.

Passing through fire is painful.  Hot. Uncomfortable and at times unbearable.  It strips you.

I felt all those things in this battle with cancer.
I cried out many times in lament before my God.

He was there. 

He constantly gave me His Word through people, books, His book, and His creation.

I would not be overcome because HE HAS OVERCOME!
He has overcome death for me, so I can have eternal life.
Oh, how I long for life!  I want to live!!
I asked God to live, and He is teaching me what living really means.
He is teaching me that HE IS LIFE.
He is helping me understand that HIS LOVE IS BETTER THAN LIFE.


“Because your love is better than life, my lips will glorify you.” Psalm 63:3

When you pass through the water I will be with you,

And the waves they will not overtake you.
Do not fear for I have redeemed you.
You are mine.
(Chorus)
For I am the Lord Your God.
For I am the Holy One of Israel, your Savior.
I am the Lord. (Women: Do not fear.)
I am the Lord. (Do not fear.)
I am the Lord. (Do not fear.)
I am the Lord. (Do not fear.)
I am the Lord.
When you pass through the fire I will be with you,
And the flames they will not overcome you.
Do not fear for I have redeemed you.
I have called you by name.
You are mine.


Cancer Journey/ HEALTH

Am I Really Cancer Free??

Quick Update:
Praise God from whom ALL blessings flow!

I went in early this morning for a Chest MRI and a PET scan.  
My doc just called with the results of the PET scan, which is a very detailed scan, and there is no sign of cancer!  That is truly amazing, and I am so very, very thankful!!!
I am waiting to hear the results of the Chest MRI, but doc does not think it will show anything, since the PET scan was all clear.  We will still move forward with surgery on the 29th, as they want to get rid of all breast tissue to minimize the chance of recurrence, and they will still remove lymph node and test it.  They will test all removed tissue to make sure there are no cancer cells within that did not show up on the scan. 
I am really overwhelmed by this amazing news, and did not expect it, to be honest!!  I thought the best news I would get was that the tumor had shrunk and it was only in a lymph node or two.  I even thought I might hear that it had spread.  Starting out with Grade 3 cancer and a 6 centimeter tumor,  I just didn’t know what to expect, but it really is amazing that just 3 months later we are receiving such great news. 
What I did know, was that God is good no matter news I would get, and that He has been and would be with me every step of the way, no matter where the path would lead.  I was still very fearful, but at most times with a sense of peace, thanks to all the prayers that have gone up for me.  I am so thankful for your prayers, I can’t tell you how much they have helped carry me!!
I will keep you all up to date, especially when surgery time is here.
Love and blessings to you all!!
Cancer Journey/ HEALTH

Breast Redo’s & Nipple Tattoos!?!

I’m eager to see how much attention the title of this post will receive.  (snicker)

It is funny how having breast cancer makes it ok to talk about breasts and nipples in such a public manner.  I do think awareness is important, and since pink is not my most favorite color, I will participate in awareness by throwing out post titles that may make some do a double take.  Hee hee.

In all seriousness, I would appreciate any exposure you can give this post and my story.  It has been very concerning to me how so many people, including the medical community (especially the medical community), still do not think of breast cancer as a “young” disease.  I believe that is why I was dismissed so rudely by a surgeon when I expressed my concern for the lump I know I was feeling.  I did not fit the “typical” breast cancer patient.  I really, really want every woman to know that ANYONE can get breast cancer.

{comforting my youngest after our “head shaving” party.  I have orange marker on my head thanks to my middle girl who wanted to “autograph” my head:) }

ANYONE.  

I  know women who have done an incredible job with eating healthy-grinding their own wheat, raising chickens for organic eggs, eating all organic, take their vitamins–and STILL GOT BREAST CANCER.

I know of women in their twenties who were marathon runners who have DIED FROM BREAST CANCER.

I know women who are so spiritual and close to God, who are FIGHTING BREAST CANCER.

ANYONE CAN GET IT.

I admit I was shocked to find out that I had it.  Our family has been on a journey of embracing a lifestyle of health, especially when it came to the foods we eat.  I am the first to admit I placed way too much faith into healthy foods and vitamins/supplements.  I still think these things are extremely important, but I do not place my faith in them anymore.

I have been so blessed to have so many wonderful women read this blog and form such a great community around me.  I care deeply for all of you, so I’m gonna get bossy:

1. DO YOUR MONTHLY CHECKS

2. IF YOU FIND SOMETHING, GET IT CHECKED & INSIST ON FOLLOW UP.

This does not mean you need to go right to a mammogram.  An ultrasound is an easy, painless, non-radiation way to check out any type of lump or bump.  If you are told you have a cyst and there is ANY change, get rechecked.  I wish I would have.

A second opinion is always a good thing to do…another thing I wish I would have known and done.

I will get to the “Breast Redo and Nipple Tattoo” part of this in a minute, by sharing one of my journal entries from my Caring Bridge site.

But before I do,

 Will you please, please share this post with the 

women in your life?  

Blog.   Email.   Tweet.   Facebook.   Del.icio.us.   Stumble.

 

If my story can help another woman realize the importance of self breast checks, and of insisting on good treatment and second opinions, it would just be THE BEST.  

Thank You!!

 

{**The following is an entry from my Caring Bridge journal.  If you would like detailed updates on my health, please visit my Caring Bridge site by clicking here.}

 

Today we met with my plastic surgeon.  It was interesting:)  It was nice to come out of an appointment feeling like we were able to talk about things that are not life and death.  Less serious, more light.  I am really excited that I do not have to go through the process of fills, (a hard implant that is used to stretch the tissue and is gradually filled each week, then replaced with a permanent implant) as they will be doing a “Veritas Collagen Matrix” type reconstruction.  It is a saline breast implant in conjunction with a soft tissue implant called Veritas Collagen Matrix.  Basically, they form a pocket in my muscle which holds the implant, but because of how the chest muscle is formed, the implant is not covered at the bottom.  They use the Collagen Matrix material to create a sling to hold the bottom of the implant, and it will also create a nice “fold” under the implant.   The collagen they use is from a cow (ew), all the cellular material is taken out of it, and it ends up taking the form of whatever tissue it is put on, which in my case is chest muscle.  It is pretty cool that my body just takes over the collagen and it will eventually turn into my own tissue.  There are no rejection issues due to the removal of all the cells.  That is the best I can do as far as explanation 🙂 

 My surgeon has been doing this type of reconstruction for over 5 years, and is very positive about the results.  I am limited as to how big we can go, but as doc said, our goal is not Dolly Parton.  Ha!  Although he did say if Dolly Parton is something I would like down the road, this implant will help stretch the tissue and replacing it with a larger one would be possible, just not right away.  I assured him I did not want Dolly Parton…
A month after healing, I will have a short, out- patient surgery for nipple reconstruction and when that is healed, I will get them tattooed with pigment.  Yep, I said TATTOO!!  Who woulda thunk it, huh?  I am not the tattoo type, but when I saw pics of the results, I quickly became the tattoo type!!  
Ok, moving on…



I’m starting to really appreciate this little break I have, with chemo behind me and surgery to come.  I am starting to feel more “present” with my family as my ear is healing and I am feeling stronger.  My counts were perfect on Monday, praise God!

Friday is a big day of scans.  My insurance company DID approve of the PET scan-another huge praise!  I will be getting the PET scan and another breast MRI.  I am nervous about the results.  I wish I could just switch those nerves off, I get butterflies when I think about it.  It will be nice to know just how much chemo worked and see if anything shows up with my lymph nodes or anywhere else in my body. EEK!  Darn butterflies…

More posts on my journey:
Information On My Upcoming Mastectomy
How Cancer Is Teaching Me To Dance
The Gifts Of Cancer
Thoughts While Being Scanned
“I Have Cancer”
What I Read When I Am Afraid

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Cancer Journey/ HEALTH

My Continued Journey With Cancer

**This post is an update from my Caring Bridge journal.  If you would like detailed updates on my health, please visit my Caring Bridge site by clicking here.
Your comments caused tears to stream down, but head, heart and smile to be lifted up!  Thank you!!

I am doing MUCH better emotionally right now.  Up. Down. Up…Down>:)
LOL 

Our meeting with the surgeon went REALLY well.  I’m canceling my appointment with the second surgeon I was going to meet with. He is in the same office as the surgeon who misdiagnosed me, so I was not looking forward to going to that building!  Now I don’t have to.

Dr Norris really was wonderful.  He is the surgeon who did my port surgery, which went well– my scar looks really good!  He has a gentle confidence about him.  The only reason why I considered someone else is because a friend of mine who is a nurse said she didn’t think he did many breast surgeries, but she was not sure.  I asked how many he has done, and he said he sees at least 2 breast cancer patients a week!  He is an older gentleman so that is a lot of experience!!  I feel really good about it and at peace, so God answered prayer, for sure!

My official surgery date is  Wednesday, December 29.  

Procedure– bi-lateral mastectomies.  Left-modified, right simple. 

 He will do an 
sentinel node dissection, which is what I wanted to hear.  There are more long term side affects with a full axillary dissection, this was good news. 

I will have ONE step reconstruction! I was so pleased to know that they do that here in the Midwest.  I was lead to believe it was only a procedure that was done in bigger cities. 

 I WAS gearing up for a filler implant that is rock hard, that would be filled every week for about 3 months to stretch the muscle, then another surgery to place the implant. NOT GONNA HAPPEN!!  
Yay.  I am so excited.  They will put normal implants in the day of the surgery.  They use a material called Alloderm, a regenerative tissue “processed using LifeCell’s proprietary technique to remove the epidermis and cells that can lead to tissue rejection and graft failure.”  –from their website.
They make a bra like structure under the implant, which allows one to skip the whole “stretch out the area with gradual fills” process.  I don’t know much about all this, I have an appointment with my plastic surgeon on the 7th, and will get more info.

Another piece of good news is he didn’t not think that I will need radiation.  He said if the cancer was attached or went into the chest wall, then I would.  It would be every day for 5-6 weeks, so needless to say, I was not looking forward to that.  My oncologist may have a different opinion, and really, you never know what is happening inside until surgery, so there is still a small possibility.

Honestly, I feel excited but apprehensive.  

IF they don’t find cancer in the lymph nodes, then it is surgery, healing, and ON WITH LIFE!!  

That sounds amazing because I was preparing myself for months of fills and radiation!!

I’m a bit apprehensive because that just feels too “best case scenario” to  me.  I guess I’m just pretty nervous about that darn swollen lymph node.  We will get the results of the dissection 3-4 days after surgery.  I don’t know what they would do if it was positive for cancer, I’m guessing more chemo?  more surgery?  I will  have to look that up…

Signing off with an apprehensive excitement…

Cancer Journey/ HEALTH

A Rambling Update On My Health

{below is from my Caring Bridge journal.  
For consistent health updates, please visit my Caring Bridge site.}

I’m gonna start with some good news…not that I have any bad:) Yay!

We got the results back for the BRCA 1 gene test, and I tested NEGATIVE!!  I was so very excited about that!  BRCA 1 is a test for a gene mutation that runs in families that significantly increases the risk of breast and ovarian cancer.  I was very worried for my 3 girls and my mom/sisters if this test would have been positive.   What an answer to prayer!

It was great to see my doctor today.  She was very pleased with how the tumor area felt.  She is thinking the remainder of what we feel may be scar tissue, not tumor!!!!    She cannot say this for sure, but she seemed pretty positive.  Super exciting!

The lymph node area that has been concerning me was felt by her.  She was only able to feel one and some swelling.  I’ll try to explain what she said…

She said on one hand, she is concerned because that one lymph node has not changed.  IF it contains cancer, that is not good…we want to see change.  BUT, she said that the MRI showed the lymph node as being swollen, but no “activity” yet, so it could be that it is not cancer and just a lymph node that I have had awhile that for some reason has been swollen.  Also, because I have felt different changes, (lymph nodes seeming to swell then go down within a few days,) that would be another sign that it is not cancer. She said that cancer would tend to stay consistent, grow, or significantly shrink from chemo…not come and go.  I asked her if it is very common for people to just have swollen nodes under their arms that just hang out for awhile, and she said it is very common.  Cool.  I’ll take it.

So there really is no real answer until surgery is done and nodes are removed and studied. I am gonna try to quit worrying about it.  I had no idea how easy it is for me to worry until all this cancer crap!

Because of the lymph nodes being a bit moody and her ability to feel what I have in my other breast (small, pebbly area), she wants to do another breast MRI before surgery.  It will just ease both our minds and let us know if it is FOR SURE surgery time without any more chemo.  She seemed very positive about everything and reassured me, and said to not let this MRI worry me.  I’ll try to obey.  MRI is around the 10th.  She also ordered a pet scan, just to revisit the rib area where there was some question.  She said our type of health insurance is known for being very stubborn and not approving of pet scans, so she was not very positive that they would approve it, but wanted to try anyway.  If they say no, we will do another bone scan and compare the results to the one before.  I’m already dreading the scans..I don’t like scans.  At all.  Ick.

Hmm, what else…

Surgery target date is the week after Christmas–double mastectomy with lymph node dissection–we won’t have a specific date until I meet with the surgeon, nurse is mailing me the consultation date…

Last chemo is this coming Monday–THAT IS SO EXCITING!!  I feel so blessed that there won’t be any more sessions added on (at least we are pretty sure, MRI/PET scan will tell us for sure) Praise God for tumor shrinkage!!

Doc said she will not know about radiation until after surgery.  It all depends on things like margins, how many lymph nodes (if any) etc.
Radiation scares me (not actually getting it done, but long term effects).  I hope that it will be clear that it is NOT needed!

I will be meeting with a plastic surgeon to talk about type of reconstruction.  There are a few different options, but being as thin as I am, I don’t know if I would qualify for using my own tissue (they take it from stomach or back flank area).  It is looking like implants may be for me!  I DID gain about 4 pound these last 3 weeks, which made me quite proud:)  I have been paranoid about getting too thin through all of this chemo stuff.  My church has done a great job of keeping me fed with regular meals.  So thankful.

Oh my goodness I feel like I’m just jumping from one thing to the next, I hope this is making some sense!  I’m hungry and ready for dinner so I’m rushing!!


I guess that is it for now.  If you have any questions you can ask me in the guestbook section.  I think I covered everything we talked about…I think.  

I’ll end with a prayer request.I have a cold that kickin’ me! It makes me really tired!  It is throat, nose and chest.  No fever—yay—but I really would like to be well by Monday chemo.  I do feel like it is movin’ through pretty fast, this is day 3 and I feel better than I did last night.  My girl had it last week, guess I shouldn’t have kissed on her so much…



Cancer Journey/ HEALTH

My Very Own Custom Designed Support Bracelet

I had to let you all know that there has been an awareness/support/prayer bracelet designed specifically for me!  So very cool.  I was so touched when my friends told me about endeavour of theirs.  I can’t tell you how great it is knowing that there will be people walking around wearing something specifically to support me, and it is especially cool as it is a reminder to pray for me.  What a priceless gift!

I have such awesome friends.  The friends responsible for this project are all friends that I have not seen since I was 12 years old!  We have reconnected through facebook and their friendships have meant the world to me, despite the virtual nature:) They looked at stores and could not find the perfect bracelet (they know I like some pink, but not an overabundance!), so they asked Tammi of Beads And Books to design a support/awareness bracelet specifically for me!  I received it in the mail and love it.  It is pretty in the pictures, but REALLY pretty in person.  Tammi sent one for me and 3 small ones for my girls.  So thoughtful!

From Tammi’s blog, Trying Less, Trusting More:

Two friends asked me to design an awareness/support bracelet, using their ideas and the color preferences of the patient. This will then be made available to the friends and family of the patient, if they want to purchase one to wear until she is in remission.

I’ll donate the first one to the patient, and it will be exclusively sold on my website (not linked to any other sites where I sell)  and, eventually, retired. In addition, for every eight bracelets sold, I’ll donate another bracelet to be given in accordance with the patient’s wishes, thus providing for some individuals who would like to wear it and show support but have a financial hindrance.

If you are interested in purchasing one, please follow this link to a page designed specifically for the sale of the bracelet.  They are $10 each + $2 for shipping.  There are 4 sizes,( xs, s, m, and lrg).
  

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