Sad day marker #2 – Stage 1 Breast Cancer
Left side, 6mm, 8:30 7cm from nipple
Age 42
Related Post: cancer
May 5, 2015 Tuesday
Must Do List:
1. Surgeon appointment-20150505, 1130
2. Oncologist appointment-20150507, 1300
3. Cardiologist appointment-??
4. Surgery dday-??
5. Radiation treatment dday-??
6. Post surgery recovery-2 weeks
7. Back to work
Other ToDo:
1. Audit financial status
2. Figure out what to do with the extra car
3. Cancel scheduled vacation ??– 20150509
4. B’s trip??
5. Cost of B’s trip??
6. Reschedule vacation??
7. Read Gift of Imperfection
8. Read Living and Loving after… 1 chapter/day
9. Read Invasive Breast Cancer
10. Learn/understand what is Lumpectomy 6:30
11. Learn/understand what is Radiation Therapy
12. Learn/understand Treatments of Breast Cancer :30
13. Learn/understand Biopsy
14. Types of Breast Cancer
May 7, 2015, Thursday
Must Do List:
1. Meet Oncologist, Dr. Darren M. Kocs, MD
– He explained 6mm, 7cm fn [I was wrong in imagining 7cm. It is a linear distance from nipple and not the diameter of the affected area.
– He explained stages of cancer, Stages 1,2,3,4 [4 highest and deadly and nothing you can do but make life comfortable]
– He explained our case is tentatively at Stage 1 based on the initial screening and biopsy.
– He won’t be able to declare stage# until after surgery which they will do during the surgery, the procedure is they will inject a radioactive ink to the cancer cell area and to find the main lymph node, the main lymph node is the subject of biopsy per medical guidelines and previous findings. [Read more…]
– He said that breast cancer is 90% random and 10% genetics. “Patient did not cause the cancer theory”.
– Genetic testing will be done today called BRCA testing. This will determine if the case on hand is genetics. [Read more about BRCA]
– Treatment with positive BRCA = Lumpectomy+Radiation OR Mastectomy, for this case the two choices are equal. Some “super paranoid” patient will opt out for Mastectomy for peace of mind. [Read about myopic loss aversion] and replace “investing” with “health”. We are afraid to lose “in the future”. We are afraid to get sick in the future “so we go for Mastectomy” even if the chance is 50/50.
– Patient told Dr. Kocs about the month long vacation starting this May 10th, Sunday. He explained it’s ok to go on vacation for a month. A 6mm cancer will not exponentially grow in 30 days. Also the BRCA test will take two weeks.
– He asked if there is a need for anti depressant to the patient. Patient said yes and prescribed [Xanax], an anti depressant.
2. Brainstorming in the lobby
– Patient will continue the month long vacation
– Patient will keep the extra car payment [reason still unknown to caveman, I don’t want to speculate. but…]
– Patient will pickup stuff at my house to execute final package
– Patient will call BRCA office to authorize auto approval if testing cost exceeds $100.00 per warning of the office nurse.
3. Patient at Costo with wife
– Patient now smiling a little bit. Still processing all the good and bad news firing in all direction in both emotional and physical realm.
4. Dinner with Patient and my wife at PF Chang Chinese restaurant.
– Observation of patient – is now smiling a little bit. GAF score I think is 70 [Read more about GAF Scoring]
– Discussed treatment options. No decisions made yet.
– Discussed emotional treatment, need to build emotional strength to stand alone and send a message to the world that the losses are only a small percentage of the whole life.
– Discussed my Age 42 Heart Attack and patients Age 42 Cancer diagnosis.
5. Post dinner session
– Drop off Xanax prescription to CVS Pharmacy
– Pickup items at the house
– Pickup filled prescription
– Had a long conversation at patient’s house driveway.
– GAF score now around 80 per her determination after reading the GAF Table . See page 9
– Low scores in Psychological – 70 and Ancillary –80 but overall is around 80 ish. I’m at 90 because I am a cardiac patient.
– Patient is Type1 Personality per my evaluation, her house is very nice and super clean and all perfect and very nice. Imagine going inside a hotel room, that’s is how I feel upon entering the house. Outside of the house also resembles “Perfection”, no weeds at all, it makes my house looks like so “imperfect”. I shared my point of view on “being perfect”. We don’t need to be. Personality Test
– My counsel:
a. life is not all perfect, allow things to be imperfect
b. we don’t always get what we want, accept anything in front of you – good or bad
c. letting go mindset, if the event is not actionable, flip to the next page and move on, don’t dwell.
6. I ordered her a cancer guidebook from Livestrong. Cancer Guidebook . I only paid a $5.00 shipping, material was free.
May 8, 2015, Friday
1. Sent patient the Hillsong Acoustic presentation in YouTube [View Video]
2. Sent email
Please do the following:
1. Read one chapter a day and reflect
2. Apply what you learned.
3. Be committed to healthy living [emotionally and physically]. I’m still on Chapter 3 and I kept reading it over and over to truly understand why betrayal hurts so much.
“the greatest revenge is living well.” After intimate betrayal, “living well” means healing, growing, and creating a value-filled life. p35 Living and Loving
May 8, 2015, Saturday
1. Patient texted me with “I’m feeling ok, thanks to Xanax’’”.
2. Googled “Xanax” and learned that it “slows down the movement of chemicals in the brain”. Patient needs CBT, Cognitive Behavior Therapy to go with antidepressant.
Plan:
1. Pickup from home at 0330, May 10th
2. Drop off to Austin Bergstrom Airport
3. One Month vacation until June 6th 2015
4. Pickup Austin Bergstrom Airport on June 7th
5. Resume treatment plan
Notes to TeamCebu:
1. Ensures that patient enjoys vacation. Try to raise the GAF score to 80-90
2. Ensures that the patient does not connect to original cause of problem. Delete means delete, zero effort, zero contact. Be aware that the “source” is in town.
3. Let the patient know that she is not alone on this