Well these last two weeks have been pretty crazy.. between moving, my last week at my job, a conference and the MRI mix-up, I'm wiped out! In fact, I'm wishing I didn't start my new job until Wednesday, but it's too late for that now.
So the MRI results came back last Monday. The nurse at the surgeon's office called and said it looked good. I asked her to fax me a copy and when I read it, I realized immediately that it was not me! It talked about last mammogram and MRI being done in 2005 and a lumpectomy scar from 2005. I called her back and she called the radiology office and when she called me back she said they were going to re-read it. The tech and the radiology office suggested it was just a mix-up in dates, since the mammogram date was 02 Feb 05 and mine was 20 Feb 08. I told the nurse that there was too much wrong with the report for that to be the issue.
On Tuesday, there was a potluck for me at work and I was talking with a couple people about the mix-up and quite a few recommended that I get a new MRI done at a different location, because even when it's re-read, how do I really know they are looking at my film? So, I started getting a little nervous about the whole thing, talking to a lot of people, making phone calls. I called the surgeon's office back and told them that I wanted the surgeon to call me to discuss this. I called my doctor and left a message asking for her opinion. I also called the radiology office, asking to speak to the radiologist. That one did not work, because they don't let patients speak to the radiologist, and I needed to go through the referring physician. I knew that was not a fight I was going to win, and since I was already dealing with a tension headache, I let it go.
On Wednesday, the nurse called again to say that the results came back and she would fax me the report. I asked her if she was comfortable that it was my report. She said yes, but I wasn't really trusting her since she missed the first one on Monday. She did admit to me that she only gave it a quick glance before she called me, but that did not really make me feel better. I asked her to have the doctor call me to discuss the report and the mix-up. Now, he only works 2 days a week, Tuesday's and Thursday's. She said he would probably call me on Thursday.
Thursday morning rolls around and I'm at my conference all day. I did not sleep well the night before, so instead of sitting in on all the lectures (I was a seat-warmer anyway, which wasn't needed, because we had a good turnout), I helped out with registration and questions. I called the office again to find out if I could get an approximate time when he might be calling me back. My phone was on vibrate, and I usually miss those calls. I was told that he was in clinic all day and would probably call between patients. Unfortunately, I did not hear from him on Thursday, and was getting annoyed and had pretty much decided that if he can't bother to call me back, then I did not want to be his patient.
On Friday, he finally calls and apologizes for not calling me sooner. He said he wanted to be sure that everything was correct and he had reviewed all of my films with the radiologist to be sure that everyone was on the same page. He said that the mis-read MRI was not me at all (no kidding!), and that he was comfortable that the new report is my MRI, based on the fact that he reviewed all of my films and reports with the radiologist and that I have the distinction of having more than one area of concern.
I asked him how often do these kinds of things happen and he said it was the first time he had seen it. He said that the radiologist had put the films up on the screen, for some reason had stepped out of the room, and when he came back, someone had pulled up another woman's MRI, and didn't close it and didn't tell him that it was there. I asked the doctor what quality control measures HE takes to make sure he's reviewing the correct films. In other words, if I hadn't requested a copy of my report, when would he have caught the error? He said that when I would have come back in to discuss surgery, he would have reviewed all of my films, starting with the first mammogram, and would have seen pretty quickly that the MRI report was incorrect. All of that being said, and after my discussion with him, I felt much better about the situation and did not feel like I needed to get a second MRI.
The MRI itself shows the tumor and the area of calcifications, and a third, previously unseen area under the areola. The MRI was not able to determine whether this new area or the calcifications area are malignant. Based on this information and the location of all the areas, he feels that a lumpectomy is still feasible.
I asked him how often he sees more than one suspicious area and he said in about 10% of patients. I then asked him about the research that came out that I heard on the news about women who are overweight and tend to have more aggressive tumors, and whether that article would change his approach. He said that there is a 95% chance of no recurrence if the areas are removed via lumpectomy and there are good negative margins, and radiation therapy is completed.
I still haven't made the appointment for the 2nd opinion. I was waiting for the MRI and result, etc. I did get a call on Friday from the doctor at Swedish and I'm going to call them back on Monday. I'm also going to see a doctor at SCCA who was recommended to me by a vascular surgeon who I used to work with at Madigan, who is now at Harborview. Also, his mother had breast cancer and eventually died from it, so he's another great resource for me and I trust his opinions and recommendations.
I have finally made the move from Olympia to Tacoma. I'm living across the street from my sister, which is awesome. Also, we just found out that she's having a baby boy and that is so exciting. Little Benjamin is due on my birthday in July! I love my little house. It's funky and old with a green kitchen floor and avacado countertops and fridge. My sister and I will carpool to Seattle every day and when she's on maternity leave, I'll start taking the bus or the train.
My new job starts Monday and I'm so excited to be working for the UW and in a great position.
These are the good and positive things that counter the bad ones and help keep my head on my shoulders. As my chiropractor said, I'm not in denial about what's happening in my life and I'm dealing with it in a good way. My body is not absorbing (too much) all of the stress I'm putting it through. I've been reading Eckhart Tolle's "A New Earth" and am working really hard on not feeding into the ego, and sinking into depression, but just letting it all go to the Universe. I have a friend who goes to Al-Anon (something else I want to do.. to sort out the remnants of my ex-husband), and she has a little stone with the saying, "let go and let god." I like that. Although, in my case it's "let go and let the universe." That's what I'm striving for in my life. Not only in dealing with breast cancer, but in dealing and living in my whole life.
Happy Easter!