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I haven't written for a while... I just couldn't get myself to do it. I think I have officially crossed over to the dark side, as Yoda would say. I guess that sounds a little well...dark. Truth is, I have been struggling with the deepest, darkest depression I have faced yet. I have spiraled to a new all time low.

This weekend was awful. I think I had what some would coin a "nervous breakdown". I couldn't stop crying or cope with anything. My Mom (bless her heart) came up for the week to help with the girls and give me a break. Waiting for the biopsy results and then deciding what to do was far too much for me this time around. It was far too reminiscent of a year ago. I still haven't decided what to do.

As for the biopsy results, they were negative. They showed scar tissue and connective tissue...which I guess is basically scar tissue. There were no malignancy cells found, in fact, there was no breast tissue in the sampling what so ever. I was relieved...but then again, the first biopsy I had showed no malignancy and I was full of cancer.

I talked explicitly with my oncologist about what to do. He explained several options. We could watch it closely for growth or change with mammogram, etc. I could get a PET scan, which is a metabolic test, which lights up tumors in the body. However, it can also light up infection, inflammation, etc, and could show a false negative because I just had a 6-stick needle biopsy. Or they could do a MRI of the breast and look for a mass that way. Thing is, we already know there is a mass there, we just don't know if it's wise to trust the biopsy given my history of "misdiagnosis".

I am good friends with my doctor and his wife and I flat out asked him what he would recommend if it were his wife. He showed great difficulty answering, but said he would recommend a total mastectomy. I guess I was kind of floored by that response. Floored, but find of relieved. I don't have a problem with a mastectomy because of the great reconstruction they can do. The problem I worry about is the PAIN! I am still in pain from the lymph dissection and lumpectomy, not to mention the radiation...I worry about recovery. I just want to be recovered. I still fell like I haven't totally recovered from this whole damn thing and I don't want another setback. I know...real reasonable of me.

I CAN'T go through this "drama" and fear the rest of my life. My mental health can't handle it. Do I take a chance and watch it? Do I chance that it is cancer and letting it stay and grow in my body for months? The kind of cancer I had was very aggressive and do I take the chance of it metastasizing somewhere else in my body? Is a boob really worth that chance? Do I go through all the tests (which are also VERY expensive) and agonize over the results? Do I get a PET scan? If it comes out negative...fantastic. If it lights up just a little then we are obligated to figure out why. Do I get a total mastectomy and reconstruction? And if I get a mastectomy...do I do a double because they reconstruct them to look the same. So if I get surgery on the other side wouldn't it make sense to just get that one cleared out as well? Frankly, surgery makes the very most sense, but I just don't want to go through it and I don't want to deal with it. I just want to pretend I am just fine and move on. I am sick of cancer. I am sick of worrying about cancer. I am sick of freak'n CANCER! SICK, SICK, SICK!!! UGHHHHHHHHHHHHHHHH!!!! I can't handle this!

So there you go...in a nutshell. "Nut" being the key word here! And to those of you who have leant much love and support through cards,emails, and chocolate...thank you so very much. Your thoughtfulness has meant the world.

What a Day...

What a day. I went in to see Dr. Shull my oncologist this morning for a check-up. I had found another lump in the same breast I had cancer in before. So in I went. You know, there's a thin line out there between being concerned and vigilant about your health and becoming a hypochondriac. Hopefully I will find the middle. Dr. Shull did a breast exam and he said there is definitely a lump there. It was difficult to differentiate whether it was scar tissue or a new tumor growing. I hadn't felt it before and it started worrying me the last several weeks. I was just paranoid and didn't want to "deal" with it! Stupid I know. There are a lot of mixed emotions involved in this cancer crap.

Anyway, he told me what I didn't want to hear...and that was to get an ultrasound and a biopsy if the radiologist felt it was warranted. So off we went to the Imaging Center. Just plug'n away at that deductible! We filled the doctor and tech there out on what had happened the first go-round with the false negative biopsy and the whole "oh it can't be cancer"...oh just kidding it's stage three killer cancer". They were very concerned and did what I thought was a very thorough job with both the ultrasound and the 6 stick biopsy (which is freak'n tender tonight).

We were able to ask a lot of questions and our concerns were addressed. He explained cancer can grow around the scar tissue in a linear fashion concealing it's self since generally cancer grows in lumps or round like masses. He was concerned about that being a possibility. The lump/hardening is right above the top part of my breast scar. Hopefully it's all scar tissue and they will just have to watch it extra carefully for any change or growth. It was just all too reminiscent of this time last year. I started feeling the same. My breast starting hurting. I started feeling fatigue, and I was in the hospital getting these tests done. It was a dejavu I hated experiencing.

Anyway, I have so much more to write about, but it's midnight and I have got to go to be three hours ago! I'll write tomorrow.

Here's How It Really Is

I received a lot of feedback from my last post. Thank you for your concern. Many have responded to me about not having to "put on a happy face" all the time. Let me assure you that is not the case. This whole thing has sucked, sucked, sucked. I am scared to death and I worry daily about getting cancer back and it taking over my body. In fact, I found another lump and I am going to the oncologist
Thursday. I am terrified. I cried the entire day yesterday and coped out and went to bed when my husband came home. I just couldn't cope anymore.

My husband spoke with the claims adjuster with the malpractice insurance yesterday and they aren't willing to settle this out of court. I was so angry. So very, very angry. We have hired two top attorneys in our area who specialize in medical malpractice who agreed a month ago to take our case given they won't settle. They believe we have a strong case...which we do. The insurance company stated they don't believe the first lump I found (and sought care for) and the tumor were of the same. Can you freaking believe that! It was in the same place, same quadrant of the breast. EVEN if it wasn't (which it WAS)...follow up treatment which is standard of care, and a mammogram would have found the aggressively growing tumor. What a slap in the face.

What makes me so angry is the fact that when I kept going to the doctors saying something was wrong and they wouldn't listen to me...I felt crazy. They even referred me to a psychiatrist for the "depression"...which was fatigue, idiots! So when they called yesterday and said that same thing, I was so overwhelmingly angry...it made me feel "unheard" and "unvalidated" all over again. I was told to go home and run my sore breast (full of stage three breast cancer) under hot water incase it was mastitis. Mastitis my ass...I hadn't nursed in over a freaking year! Had I not gone to another doctor…I would be DYING or already gone.

I am not sure how to deal with all this anger and grief. I am doing everything I know how, everything I teach everyone else as a mental health worker. But, when it's yourself it's different. I know I just have to deal with this and go through it, but it's painful. Emotions are painful.

I will write more about my appointment with my oncologist on Thursday. I've been afraid people will think I am just being a paranoid hypochondriac. I decided I don't care. I can't worry everyday that this lump is nothing, especially when the symptoms feel the same as the first go around. I also worry about the money and having to pay yet more medical bills. My husband put it in perspective that my life is more important than money...and I need to address my health. I still worry about the money, but I will go, even if I have to get yet another $2,000 cat scan.

I feel so hopeless right now. I feel alone. The ironic part of all of this is how hopeless I feel and yet how terrified I feel of having cancer again. My children are really the ones who are getting the shaft. They don't get a "whole" Mom. I do the best I can, but I feel limited and preoccupied. That makes me so sad.... because I love them so very much. Brent too. He is a great husband, so caring and loving. For that I am incredibly lucky.

Hopeless

Tonight I am feeling so hopeless. I have been in a dark hole for over a month now and I can't seem to climb out of it. I feel like I am scratching at the sides and keep slipping down further and further.

I am worrying about dying from this damn cancer. My husband has been working on my case regarding the "failure to diagnose" against the women's clinic. He told me after MUCH prodding the actual statistics of reoccurrence I can expect due to "their" failure to treat when I first went in, compared to what it is now. IF they would have treated me when I first went in there was roughly a 12% chance of a reoccurrence. Now it is 47%. 47%. 47%. A Freak'n 47% chance I will have to go through that hell all over again. A 47% chance it will get me next time. That really scares me. Had I realized this, I may have strongly reconsidered having the double mastectomy regardless.

I feel like giving up. I feel like throwing in the towel and giving up. Why be healthy? Why do everything I can...there is almost a 50% chance it will just come back and consume my body. Glass half empty huh. I just don't have the energy to be positive and fight. Everyone tells me to "be positive", "keep fighting", "it will be alright"...I know it's all meant well...but, as the wise words of a fifty's song once said..."it's my party and I can cry if I want to".

I know this is morbid and dark but I love the song by "Three Doors Down", Here With Out You Baby. And should I meet an early demise I want my husband to sing it at my funeral.

Here With Out You Baby
Three Doors Down

A Hundred days have made me older,
Since the last time I saw your pretty face.
A thousand lives have made me colder
And I don’t think I can look at this the same.
But all the miles that separate
Disappeared now when I’m dream’n of your face.

I’m here without you baba,
But you’re still on my lonely mind
I think about you baby,
And I dream about you all the time.

I’m here without you baby
But you’re still with me in dreams
And tonight it’s only you and me.

The miles just keep roll’n
As the people lead their way to say hello.
I’ve heard this life is overrated,
But I hope that it gets better as we go.

I’m here without you baba,
But you’re still on my lonely mind
I think about you baby,
And I dream about you all the time.

I’m here without you baby
You’re still with me when I dream
And tonight it’s only you and me.

Everything I know, and everywhere I go.
It gets hard, but it won’t take away my love.
And when the last one falls.
When it’s all said and done.
It’s get hard!
But, it won’t take away my love.

I’m here without you baby,
But you’re still on my lonely mind
I think about you baby,
And I dream about you all the time.
I’m here without you baby
You’re still with me when I dream
And tonight it’s only you and me.

And the Oscar for Leading Actress in a Dramatic Series goes to Dana Hyer Whiting in "Crazy with Cancer". Applause...........eye roll