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Old 06-29-2007, 03:36 PM   #1
Chelee
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Angry Surgeons office keeping my results from me..

I've had a on-going problems with a LARGE seroma in my rt side of chest. HAD to pressure my surgeon recently to get him to have it drained. I had the *orignally* US of seroma on 6-6-07. I had requested a *copy* of that report from day one. (Told DAILY its in the mail.) Not.

Ended up having it drained a wk later. Then I started requesting BOTH reports...the orignally US...& the results of the stereotactic guided biospy/draining. (Again, told daily there in the mail.) So I told them yesterday I am *coming* down there & will pick them up in person. I *finally* got them both. I'm NOT happy. Both reports has a BIRADS 2 rating which I know is most likely benign. I'm not worried about that. But recommenations on BOTH reports from TWO different places said to FOLLOW-UP with US's of BOTH breast in 3 months. (Remember, I am a stage III'er with positive nodes & NO radiation.)

Shouldn't they have TOLD me I had a BIRADS 2 rating on BOTH reports...& BOTH recommended me to have a follow-up ultrasound in 3 months. Its already been 24 days & they did NOT call me & set-up an appt to discuss these findings. Nor did they even mention what was found on the reports when I called. I spoke with my surgeons main nurse almost daily over this 3 wk period. Isn't there some kind of law that they HAVE to *inform* you of your test results & follow-up?

I *wouldn't* even know about any of this had I not marched down there in PERSON to pick up these reports. Let alone I had been a bit stressed *wondering* what was found in the fluid they removed? I wanted the path report on it to make sure NO malignant cells were found. What YEAR were they going to tell me any of this if at all? Do they have a RIGHT to keep this from me? They had the results back in two days...the paper is dated. I feel like they TRIED to keep this from me. Seems my surgeon should of had me come in to see him?

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 06-29-2007, 08:02 PM   #2
Bev
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C. As survivors, I agree we want our results and we want them now. For my past 2 mammos at the time of scan, they have told me things look fine. Then I receive official notice 2 weeks later(smiley face). You'll know if your'e in trouble if they hold you up for repeated scans. Where thet first missed my C on mammo felt very third world, Where I go now is almost like a spa.

Birads 2 shows nonmalignant things like cysts to be watched.

So I agree they shouldn't leave you hanging. But for now it looks like you are OK. Bev
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Old 06-29-2007, 11:55 PM   #3
Chelee
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Bev, Thanks so much for your reply. I am not at all worried about the BIRADS 2 rating. I am just mad that I called almost daily for "3 wks" to get the reports sent to my house. Was told over and over there in the mail. Talked to the nurse almost daily and NOT once did she mention the results to me...or that I should be followed-up in 3 months with *US* on both breasts. I have a *right* to know...and not months later.

I've had lots of pain & burning in both sides so I wanted the results and they knew it. I just feel its my business to know if they rated it a BIRADS 2 on both tests. And I had a right to the path results of my seroma...and not a month later.

Thanks again Bev.

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 06-30-2007, 05:20 AM   #4
Sheila
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Chelee
There is no excuse for such a wait....I never leave the hospital until my mammo is read and the radiologist comes and talks to me....maybe this isn't standard for everyone, but where I go, it is standard for anyone with a history of Breast Cancer. We have enough stress in our lives without waiting for test results.....have you talked to the Dr. or office manager...or better yet, get your reports directly from the hospital....bypass the Dr. office. You should be able to get them from Medical Records within a day of having the procedure...it is your privledge as a patient.
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is fighting some kind of battle."



Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 06-30-2007, 01:56 PM   #5
Andrea Barnett Budin
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Location: LAND OF YES! w/home in Boca Raton, Florida Orig from L.I., N.Y. Ever hovering IN THE NOW...
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Exclamation Dear Chelee

Hard not to take this PERSONALLY. I so understand. Of course, you are entitled to your records. And better, faster treatment in general! Sounds like your surgeon's office is mismanaged and overwhelmed. My internist, whom I love, has the same issue. I have mentioned to him that 15 urgent messages to him, from 8:30 AM went unanswered more than one day (during my husband's Shingles and complications crisis). He heard me. The situation still persists. I can't deal w/such an office.

The only way I got through was when I called my daughter and said, I'm not thinking clearly (been 3 X to emerg rm in 1 wk with Paul's issues). What can I do? Do they have a "prompt" that says IF YOU ARE A DOCTOR OR A HOSPITAL...? Yes. Push it! But -- I'm NOT a doctor or a hospital. You've called 10 X and no one has answered your call for help! Push the button. So I got up my courage and did! And they didn't even question me. They put me straight through. To a live person, not a machine.

You can't work w/an office that is so messed up they don't give you your much asked for results, you have to go in to procure your results in person. Medical records is virtually non-functioning in that doc's office. His nurse is utterly inefficient or maybe too backed up. Not your concern. You need responsive docs and efficiently run offices. Anything less is unacceptable. So, Chelee, don't take it personally. I honestly don't think they are keeping your results from you. They just don't know which end is up. Pathetic excuse for a doctor's office. Can you switch surgeons from here on? Get great references and move forward. You deserve the best of care!

Cancer patients are generally treated like royalty I have found in my 12 yrs of experience. That's what you should have, not further agitation. We have enough to contend with. Be good to yourself, Chelee. We all love you. Sending healing energy your way, honey... ANDI BIG hugs!
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Andi BB
'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 06-30-2007, 07:04 PM   #6
CLTann
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The slow or no response to a patient is inexcusable. Perhaps a fax machine will resolve the slow mail procedure. Tell the nurse that I am waiting for the report by the fax machine and I need the report for a second opinion.
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Ann

Stage 1 dx Sept 05
ER/PR positive HER2 +++ Grade 3
Invasive carcinoma 1 cm, no node involvement
Mastec Sept 05
Annual scans all negative, Oct 06
Postmenopause. Arimidex only since Sept 06, bone or muscle ache after 3 month
Off Arimidex, change to Femara 1/12-07, ache stopped
Sept 07 all tests negative, pass 2 year mark
Feb 08 continue doing well.
Sep 09 four year NED still on Femara.
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Old 06-30-2007, 08:32 PM   #7
Chelee
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Shelia, My feelings exactly...that there is NO excuse. I've never had problems like this getting my reports from my surgeons office. The only thing that's changed is he knows I am not satisfied easily with words like "probably benign". I always push for more tests so I feel like they CHOOSE not to tell me thinking I would request a MRI of both sides of my chest. (Expensive!) They like to save money. I have a good relationship with his nurse...or I use too. She *always* got me my reports or read them to me over the phone. This office has NEVER done me this way...it was intentional.

Next time I won't leave until I get them in my hands if I have to sit there all day. To add insult to injury they made sure I got them in the mail the day AFTER I went down there and picked them up in person.
That was no accident. They wanted to cover their butts in case I made a complaint...then they could say they DID mail them. Argh.

Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 06-30-2007, 08:43 PM   #8
Chelee
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CLTann, I never thought of telling them to FAX them to me. That is a good idea. They change their stories all the time at this place. Once they told me they *couldn't* mail them or give them to me UNTIL I came in to see the surgeon in person....that is was the ONLY way they could give me the results to any of my scans/tests. Then the next time he didn't have too. It always changes! They can't remember what they tell me from one visit to another. Thanks CLTann.

Chelee
__________________
DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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