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Frequently Asked Questions
During those first few hours and days after being
diagnosed with breast cancer, you will undoubtedly have an overwhelming
number of questions that you need to have answered. Although many questions
asked of the One-on-One volunteers are very difficult to compile in a simple
list with responses, below are some questions that One-on-One volunteers
are often asked, and responses that may be helpful in dealing with the
confusion you are feeling.
The questions you will find below are grouped
into special areas. You may want to look through all of the questions by
scrolling through our list, or you may click on a specific area
of interest and go directly to questions dealing with those types of issues.
Emotional Issues
Before
Surgery/Immediately Following Surgery
Additional Treatment
Recovery
You can also get answers to your questions directly
from a One-on-One Volunteer by sending an e-mail
message. A One-on-One volunteer will respond to your request for
information as soon as possible.
Emotional Issues
The emotional issues you must deal with when
you are first diagnosed with breast cancer are some of the hardest things
you will have to face. Below are some questions you may find yourself asking,
along with information One-on-One volunteers have provided to many women
just like you.
Why me? Why now?
There really are no good answers to these questions.
But they are questions that each of us has contemplated and struggled with
throughout our own recovery. There is never a "right time" to have breast
cancer. However, finding the breast cancer now, as opposed to later on,
may in fact save your life. Breast cancer is most easily treated when
it is detected in its early stages. Additionally, dramatic findings in
breast cancer research and improvements in breast cancer imaging have tremendously
increased your likelihood of recovering from breast cancer. Breast cancer
does not necessarily mean the end of your life, but it may mark the beginning
of a new life, with a new perspective and a greater understanding of your
own strength and determination.
How do I cope with knowing I may die?
Breast cancer is a very serious illness, and
the reality of the situation is that despite advances in medical technology,
some women do die from breast cancer. However, a large percentage of breast
cancer patients, some with quite serious cases of breast cancer, have survived.
We encourage you to focus on the possibilities of recovering and not to
dwell on the probabilities that may not present an optimistic outcome of
the illness. It is extremely important to keep a positive mental attitude
so you can work with your doctor toward recovery.
How can I help my children understand what
is happening?
How you approach this with your children may
depend a lot on their age and maturity. Being honest and as truthful about
the situation as possible, without unnecessarily alarming the child, is
important. One approach may be to try and talk about breast cancer as a
challenge that you must face, not unlike difficult challenges that must
be faced throughout life. It is very important to reassure your children
that you are being taken care of by highly qualified, skilled professionals
who are doing everything they can to make you better. For younger children
who don't understand what cancer is, it is also important to explain to
them that cancer is not a contagious disease, and that they can not "catch"
it from you, nor did you do anything to "catch" it yourself.
How do I help my family cope with what I am
going through?
Communication can be a key ingredient to helping
your family. As in most families, you are probably accustomed to providing
emotional strength and reassurance for your family. However, during this
confusing time, it may be difficult to continue in that role. It is important
that you and your family stay focused on recovery and overcoming the challenges
you are all facing. Additionally, you should encourage members of your
family to talk about their fears, anger, or other emotions they may be
feeling. If they are not comfortable talking with you about their feelings,
there are other resources they can turn to for support. The American Cancer
Society provides information that may be helpful in this area.
Will my husband/partner find me unattractive
after surgery?
We find that the anxiety most men feel after
their wives or partners have had breast surgery is not because they are
necessarily less attracted to their wives or partners, but because the
men don't want the women to feel uncomfortable with their bodies, or to
feel uncomfortable in front of them. You need to share your feelings about
this and other concerns with your partner. Open and honest communication
is extremely important during this time. If you are concerned that your
partner may be having problems adjusting, there are numerous resources
you may draw from that can be of help. One good resource is the book "Man-to-Man"
written by Andy Murcia, actress Anne Jillian's husband, and Bob Stewart.
Your doctor can recommend additional resources.
Before
Surgery/Immediately After Surgery
At the same time you are dealing with the intensely
emotional issues discussed above, you may also have questions about Surgical
Associates, treatment options that are available, and how to care for yourself
after your surgery. Below are questions the One-on-One volunteers often
get regarding these concerns.
Do Surgical Associates doctors specialize in
breast cancer surgery?
Yes, breast cancer has always been an important
part of Surgical Associates. Nearly one-third of all visits to Surgical
Associates are for breast evaluations resulting from abnormal screening
or diagnostic mammograms, a clinical breast problem, or consultation for
previously biopsied breast cancer. Surgical Associates doctors have also
played a pivotal role in the development of the Saint Francis Breast Center,
an important national resource for breast cancer care. In our doctor
profiles, you will find personal and professional information on
each of our doctors, which may help demonstrate their expertise and commitment
to breast cancer care.
Is a lumpectomy a treatment I can consider?
In some cases, breast conserving surgery called
a lumpectomy may be an alternative to removing the breast, called a
mastectomy. Your doctor is the best resource for information regarding
treatment options that are available to you.
What is reconstructive surgery?
Reconstructive surgery involves reconstructing
a breast mound after the breast has been surgically removed. The reconstruction
is done by a plastic surgeon who can use various procedures to reconstruct
a breast. If you feel you may want reconstructive surgery, it is a good
idea to talk with your surgeon prior to having your breast cancer surgery.
Reconstructive surgery can sometimes be done during the breast cancer surgery,
or it may be conducted anytime after your surgery.
How long will I be in the hospital
The length of your hospital stay will vary, depending
on the type of surgery you have. The average hospital stay following a
mastectomy is one to two days. You should discuss this with your doctor,
who can give you a better idea of how long your hospital stay may be based
on your individual needs and care required.
If I have to have a drainage tube, how do I
take care of it?
If you are released from the hospital with the
drainage tube from your incision still in place, your doctor will carefully
explain how you need to care for it and any precautions you will need to
take to avoid disturbing it.
Do I take my bra with me to the hospital? What
do I wear home?
You will wear your bra to the hospital on the
day of your surgery. However, you will not wear your bra when you go home.
You may want to purchase a camisole-type garment that opens in the front
and can be stepped into rather than pulled over the head to wear home.
They are available at some of the specialty shops that have breast prosthetic
products. It may be necessary to wear a very loose blouse or top that does
not disturb your incision or bandaging. Your doctor may prescribe a prosethetic
bra which is specially fitted for you later in your recovery. Often, these
prosetheses are covered by medical insurance. Talk with your doctor and
also with your insurance company to see if they will cover these special
needs.
Additional Treatments
Often, women are concerned about treatment such
as chemotherapy and radiation therapy which they may receive following
their surgery.
What is chemotherapy like?
There are many different kinds of chemotherapy,
and different individuals will experience different side-effects from different
drugs. New chemotherapy drugs have made chemotherapy much more manageable
than it was in the past. Your oncologist, part of the breast cancer treatment
team, will be able to address your questions about common side effects
patients have to specific drugs, and advise you on ways to help you cope
with or reduce side effects throughout your own treatment.
Will I have burns or scaring from radiation
treatments?
There are a number of variables that can influence
the burning and scaring effects from radiation, including the type of radiation
treatments you are having and the type of skin you have. You should discuss
your concerns with the oncology radiologist, who is part of your breast
cancer treatment team.
Will I loose my hair?
If you are having chemotherapy as part of your
treatment, you may lose your hair. The extent of your hair lose will depend
largely on the types of drugs you are receiving and your reaction to those
drugs.
Recovery
There are also many questions the newly diagnosed patient often has about the process of recovery.
Will I be in pain during recovery?
The pain following surgery varies greatly with
the individual, depending of several factors, including your tolerance for
pain and the type of procedure that was performed. Most often, women refer
to what they are feeling during recovery as discomfort, rather than pain.
When will I be able to use my arm?
Talk with your doctor about specific recommendations
regarding using your arm after surgery. Most
often, your doctor will encourage you to use your arm while you are still
in the hospital, with some restrictions on lifting.
How will I know if something is wrong after
the surgery and during recovery?
If you feel something that is happening during
your recovery doesn't seem normal, or if you are experiencing discomfort
that is disruptive to sleep or other activities, you should call your doctor.
One of the most common problems women experience after going home is an
accumulation of fluid in the incision area, which may need to be drained
by a doctor.
Will I ever get feeling back under my arm?
Sometimes after breast cancer surgery, there
will be numbness under your arm. The majority of women do regain feeling
in that area over time.
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