I am 30 years old and was diagnosed with breast cancer, specifically invasive ductal carcinoma. Before my diagnosis, I didn't even know what that meant. Now I have been forced into a reality where I not only know what it means but my doctors appointments and daily thoughts are filled with other previously unfamiliar words like neoadjuvant therapy, metastases, HER2 and triple negative.

I started this blog in hopes that some of the information I share may be helpful to other young women in a similar situation. Rather than posting my day to day experiences, feelings and progress, I plan to share some of the things I have learned along the way. Being dealt this hand in life at 30 years old brings with it some unique issues and questions. Will I ever have kids? How will this affect my relationships with my husband and friends? What is my long term prognosis?

Through this site you may find that my way of dealing with things is a bit different. I want to be educated about my disease and take an active role in my treatment and recovery. I want to understand every part of my pathology report, what it means, and feel confident that my doctors are recommending the best course of action. At each stage in my journey, I have experienced challenges with finding answers to my questions and ensuring that the medical professionals treating me really understand who I am and why my way of dealing with this disease may be unlike other women. My hope is that people will be able to relate to my experiences, learn from them and find some comfort that they are not alone.

Saturday, 25 July 2015

Tests, Tests and more Tests...

In the days following my diagnosis, the phone was ringing off the hook with calls from doctors confirming appointments. Actually getting through the tests was the easy part, it was waiting for the results that was hell. Every hour felt like a day and weekends were the worst. During this time, trying to remain in a good frame of mind mentally is the most important part. This, however, is much easier said than done. I couldn't sleep but knew how important it was for my health so had sleeping pills prescribed by my doctor...this is something I would recommend. I hate taking pills (I don't even usually take Aspirin) but am so glad that I had them. 

Another thing that helped me was to take control of my appointments. This meant following up with my doctor regularly to ensure that all of the appropriate tests were being scheduled as soon as possible. My doctor's office has a policy that they submit the referral and only follow up 8 days later if the test has not been scheduled. For someone who has just been diagnosed this cancer, 8 days is an eternity...for one test, I just called the hospital myself to follow up. I would strongly encourage others to ask what their doctor's policy is and make their own calls if needed. Once a test was done, if they said the results would be available in 2 days, I was calling my doctor exactly 2 days later. Don't feel shy or embarrasaed doing this, it is your health and if you have a good doctor, they will understand. 

I can't stress enough how important it is to get a copy of all your tests! These have come in very handy along the way and I bring them to all of my appointments. There are also a lot of specific terms used, especially in the pathology report, that I researched afterwards as I found the doctor didn't clearly explain it or I needed more information. 

Here is a rundown of the tests that were done:

Ultrasound of breast and axilla
Mammogram
X-ray of clavicle
MRI
CT Scan
Ultrasound of uterus needed based on CT Scan results
Bone Scan

I found that the tests themselves were painless (other than a needle to inject the dye). I won't go through the tests in detail but did find that the following website was helpful in terms of learning what to expect: http://www.breastcancer.org/symptoms/testing/types

Wednesday, 1 July 2015

Why Me?

Chance of getting breast cancer in my lifetime -12.4%
Chance of getting breast cancer at age 30 - 0.44%

With these statistics and absolutely no history of breast cancer in my family, you can imagine how shocked I was to hear that I was 1 of 227 women (0.44%) that would be diagnosed with breast cancer at the age of 30. Like many others in this situation I'm sure, I watch what I eat, go to the gym on a regular basis, consume alcohol in moderation and have never smoked. As someone who had been planning this stage in my life since I was a kid, this is the last thing that I would have expected. 

It started when I woke up one night with a shooting pain in my chest. I felt a lump in my breast and scheduled a doctor’s appointment right away but thinking nothing of it, they were not able to see me immediately and my life was busy so almost 2 weeks went by before I saw the doctor. When she felt it, she was sure it was a cyst and sent me for an ultrasound. My first indication that something was wrong is when the ultrasound technician asked a doctor to come in and look at the images before I left the clinic. I was worried but they assured me that I would have the results within a few days. When I heard back from the doctor, she confirmed that a mammogram, second ultrasound and biopsy would be needed but assured me that it was likely not cancer as it did not fit the characteristics. After looking on the Canadian Cancer Society website, those characteristics / symptoms include:

A lump in the breast – the most common first sign
A lump in the armpit (axilla)
Changes in breast shape or size
Skin change
The skin of the breast may become dimpled or puckered. 
Redness, swelling and increased warmth (signs that look like an infection) may be a sign of inflammatory breast cancer.
Itching of the breast or nipple may be a sign of inflammatory breast cancer.
Itchiness is often not relieved by ointments, creams or other medications.
Nipple changes
Discharge from one nipple may be a sign of breast cancer

Other than a lump in my breast and armpit, I had none of these symptoms. I also read online that pain is more often a symptom of a non-cancerous (benign) condition so my case did not fit. Even though I was hoping for a positive outcome, deep down inside I knew what it was. Five days after the biopsy, my doctor confirmed it. 

What I Learned
The importance of surrounding yourself with immediate family in the first few days after being diagnosed. 
If you are unsure as to whether a lump you are feeling is abnormal, schedule a doctors appointment RIGHT AWAY.
• Push your doctor for more regular physical exams if you think it is appropriate. Right now the recommendation is every 3 years for women my age, which I personally feel is not enough.