Decisions, Decisions…

Before I talk about what is currently happening, it’s important that I bring you  up to speed with what has occurred over the last month. I’ve provided a brief summary below for your reading pleasure. 😉

  • I was informed in February that my AST and ALT exam (commonly referred to as liver function test) returned with abnormally high readings. I was then asked to stop my medications temporarily, to give my liver time to recover from the side effects of the injections and oral medication I was taking.
  • I also had  a CT scan of the abdomen, full body PET scan and pelvic ultrasound. The recommended MRI I was scheduled for, had to be canceled because of the type of expanders I have had in place since the start of my breast reconstruction. Unfortunately, the MRI will have to wait until after my expanders have been removed.
  • In March, I received news that my AST and ALT bloodwork exam had returned within normal limits. Yay! 🙂
  • During this past month, I had also scheduled my surgery to have the expanders removed, and replaced with my final implants. I’m nervous, but at the same time excited to finally be changing out my expanders, for something I am told is far more comfortable.

As you can see, a lot has happened since my last post, which brings me to present day.

This past week I received a call from my doctors office and essentially, the recommendations based on all that has occurred, are as follows…

  1. Resume my Zoladex* injections, and begin taking the Tamoxifen* I had taken once before prior to my second journey with breast cancer.
  2. Have a hysterectomy*, and as a result, not have to have the injections administered every month.
  3. Not take anything at all, and assume the chance of recurrence.

So what are my thoughts on these options?

Let’s take a closer look…

Option 1

My doctor suggested this option because she felt as though I may have had a recurrence of cancer, as a result of my not having had the Zoladex injections, while being treated with the Tamoxifen. This may be true, which in turn makes it something to consider. The medication has worked for so many of the women I’ve had the pleasure of meeting, and it could be a way for it to work for me too.

Option 2

This is one I have strongly considered however, my plastic surgeon is not willing to do two surgeries at once since I have had radiation treatment in the past. My risk of infection after the surgery would be much to high for him to even consider the option. Once again, I’m thankful for physicians that tend to play it safe, because I personally didn’t even consider this consequence, when suggesting a 2 in 1 surgery.

With this being the case, I will unfortunately have to wait a year or so for the hysterectomy, because it’s something I would have to plan around my work schedule. After some additional consideration, I think I’d also prefer to close one chapter in my journey, before opening another. Having a complete hysterectomy at this age, with no children, will have it’s own emotional challenges to cope with.

Option3

After realizing that the choice to not take any medications, does not resemble my white flag of surrendering, I began to reflect on my current way of life. The side effects of the injection, as well as what I have experienced with the Tamoxifen in the past, is more than I am currently willing to tolerate. This may be a bit selfish, but it’s been very difficult to deal with daily pain and inflammation, memory loss, severe hot flashes, emotional ups and downs, and to top it all off, a decreased libido at the age of 33!

I did after all experience a recurrence, even though my chances then were said to be slim to none, so why make myself miserable now for something that might not happen, or could still happen even with years of treatment?

And just for the record, I don’t blame my doctors for this recurrence. There truly is no way a physician can ever guarantee that cancer will not return when undergoing treatment, and it would be unfair for me to put that kind of pressure on such an individual. I ultimately consider myself blessed to have such wonderful doctors taking care of me. 🙂

So after what I hoped to be the shorter version of all that’s occurred, this is where I stand today; Confused and very uncertain of the “right” decision to make.

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The only thing I do know in this moement, is that my gut is telling me to live for today, and to for once stop thinking about the “what if”.

In other words, perhaps no meds for now,  followed by a hysterectomy in the future. At least this way, I can enjoy a better way of life for the time being and than later, decrease the chances of recurrence with the recommended hysterectomy.

That’s all for now, but until then…

Stay tuned,

Elizabeth 😉

 

 

 

What are your thoughts?

I’d love to hear from you! Click Here to provide your feedback. 🙂

 

 

Helpful links

 

Information on Zoladex- http://www.drugs.com/zoladex.html

Information on Tamoxifen- http://www.drugs.com/tamoxifen.html

What is a hysterectomy?- http://my.clevelandclinic.org/health/treatments_and_procedures/hic_What_You_Need_to_Know_About_Hysterectomy

 

The importance of a good support system…

I thought I could handle it all. In fact, my main focus at the beginning of my journey was how I was going to balance having cancer with keeping a positive outlook around my loved ones. I didn’t want anyone to see me cry or to think I was weak and feeling bad for myself. It’s not that I didn’t accept this gift and find in it the opportunity for greatness. It was just that even though my mind was able to understand that logic, there was also the other side of me that was to proud to admit that I was in pain, confused, fearful and uncertain.

So many of the answers I had received still felt so vague. I didn’t know what my life would be like after surgery and what my treatments would consist of. There were still talks of other tests and possibly more surgeries after the one I was already scheduled for and it just made my mind wander. I researched as mush as I could and listed out the many scenarios but it got to a point that it all just consumed me. It was all I could think of and the things that once kept me sane were no longer apart of my daily routine. I was no longer running or training for any event. I thought to myself, “what’s the point of training when I don’t know what’s going to happen next?”

That was the second worse thing I could have done. Not only was I isolating myself while trying to build this image of strength, I was also keeping myself from doing the things I loved and that kept my mind and body balanced. With only a few days left before my surgery, I realized that I needed to embrace my support system. I had so many people who loved me and wanted to help in anyway they could. I needed to let them in and also learn to let go of that control I was still longing for. That’s one of the most important things my journey has taught me.

It’s okay to accept help from others. It is in no way a sign of weakness. Instead, it taught me to be humble. You can’t always go around life thinking you can handle everything it throws your way. Sometimes it requires assistance from those around you to get the job done. I reached out to my mom and partner for the most help but humbly accepted help from others as well.

From day one I kept everything in order. I had a copy of every test result, office visit, payment made, everything! I kept it all organized in a binder and to be honest, that too kept me sane. All of that organization was me still having a little control over a situation I had no control of. This was also a huge help to those closes to me. They would have all my contacts and appointments at the palm of their hand and the ability to answer any questions necessary without my needing to be there. I was letting them in and you know what? It felt amazing to know I could do that. To know I had such a strong support system backing me up and with me every step of the way…

Stay tuned,
Elizabeth 🙂

See you Monday for surgery! 🙂