My journey as a husband supporting my wife’s mastectomy decision
So a little history. My wife sister died of Breast cancer 25 years ago. It was a second occurrence for her. Now my wife was diagnosed 2 weeks ago. Single tumor 3.5 cm stage 1. Genetically negative. No other signs of any spread. Doctor said we caught it early and suggested a lumpectomy. Fast forward 2 weeks, countless doctor appointments and mountains of information. She has decided to go full tilt and do a double mastectomy. So 4 doctors and her husband suggest a conservative approach. All the research seems to put lumpectomy ver mastectomy on a level playing field and she is hitting it with everything.
Here is my dilemma , I don’t agree with her decision. I get she is scared and tired of 25 years of worry. I understand she just wants to get to the finish line. I just think she is making a rash decision and not looking at it objectively. And I get she is not really in a state of mind to make a clearheaded decision. I feel that is where I come in. I’m the stats guy. I’m the one who can look at things from a few feet back. My job is to be the rock through this. The support when her knees give out. Every time I try to talk to her, the claws come out and she goes into a full frontal assault accusing me of not respecting her body and her decision. That is not what I am trying to do. All I’m saying is a lumpectomy can become a mastectomy, but a mastectomy can never become a lumpectomy. It is a one way street. If two years from now she gets off the emotional roller coaster she can be making a life changing decision. She will never grow them back. She will lose nipple sensation forever. Without nipple sensation she will most likely never have another organism. She is giving up everything because right now she is afraid of the future.
Sorry to have rambled on but I just don’t know how to support something that I think is a fundamentally rash and wrong decision. Anyone insight is very appreciated.
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Wow, I regret most of this post so I deleted it. You obviously need help we cannot provide. PLEASE dig deeper into the 10-year plan for your wife. Are having breasts really that important if we're not feeding our babies? If I had to do it all over again I would have chosen the bilateral, instead of the 10-year plan that didn't work anyway!!! 15 years later (and nearly dying) I'm now in more pain from all the side effects and medications that I would not have had to take. No chemo, no radiation, no estrogen blockers and no cancer in the back of my mind 24/7. I'm happy to hear it's being discussed with the whole family but still leaning toward your wife's original decision - bilateral. She's the one who was by her sister's side daily for both cancers and watched her struggle in pain and sadly dies. I wish I could have those years back. I would be healthier and happier now. Many prayers for your family's upcoming journey.
Speaking as an English teacher, it is just fine to say "I." It is necessary in first-person accounts. I find it also takes ownership of thoughts and feelings in an authentic way.
@zeerj, I was diagnosed last July with a small HER2 positive and Estrogen positive tumor. I have not yet met someone with HER 2 diagnosis until just now when I read your post. I am going through one year of Herceptin. What has been your experience with Herceptin? My veins are small and nurses have difficulty getting a line in. So a few weeks ago I was given an injection of Herceptin Hylecta instead of the infusion. The injection was quick and easy but later my back experienced a massive flare of symptoms with a great deal of pain and stiffness. It has been partially disabling.
Would you mind telling me what your experience was/is with Herceptin and with tamoxifen?
I would be very grateful.
Thank you very much.
It's Creativity, sharing vs. the Ego.
Are you in a chat or group for family members who support the cancer patient? You may get a better understanding of what other spouses have gone through and how they dealt with the decisions made. You might consider counseling for yourself to help pull you through your dark days. Your wife is going to need you as a supreme support. It seems that she isn't feeling that from you because of your agenda. She was done talking about options; her sister had breast cancer; she may have been thinking that taking a day off to go to the beach might be a day she will need for treatment. I am "cancer free" at least in my body, but I will never be free from cancer. The demon will loom over me forever.
Good luck to you and your wife
Hello, I wish you the best! Did you do surgery, mastectomy? I was diagnosed last April with stage 2 as it has spread to lymph nodes. I had a port put in so no issues with veins. They started me with 6 cycles of herceptin and perjeta. The treatments were long as I was doing the cooling cap as well for hair loss. It would knock me off for about 11 days with bone pain especially lower body and nausea. During this period I would lose about 10lbs but would gain them back before the next infusion. They would give me the Neulasta with that as well. Had mastectomy on 9/27. I had some positive lymph nodes left. They removed 9 lymph nodes and 7 were still positive. Due to this, the dr wanted to do 14 cycles of kadcyla, going for round 6 on Tues. In addition, I did 15 rounds of chemo on the impacted side which happens to be my right side, last one was done 12/1.
I haven’t been on tamoxifen.
Also, I entered a vaccine study to prevent recurrence for her2+. I was qualified due to being on kadcyla. Did you have any spread of the her2 to lymphnodes? Wish you the best, feel free to ask me any questions you have. Like you, I was looking for her2+ folks when I was first diagnosed and there are some that have replied to a post I had looking for them. 🙂 I was looking for successful experiences especially during the period when I was on the emotional rollercoaster.
Thank you very much for your helpful reply. You have been through a lot.
Yes, I had a mastectomy in August. I was stage 1, with no node involvement. Therefore, I was told I did not need to do chemo (although most do), and I am doing only herceptin and tamoxifen.
Have you had any issue at all with the port? How is it to keep clean? Are you easily able to shower, etc?
Last question, have you heard of positive experiences with HER 2?
Thank you again and I wish all the very best!
The port is under the skin. I haven’t had issues with it. They flush it before and after infusion. The below link has replied for my post looking for her2 folks. Yes positive experiences. 🙂 my outlook and emotions have been positive since I learned to trust my medical team and knowing I’m getting the best treatment they can give me. Are you planning on reconstructive surgery? Mine will be around sept of 2023. Implants for now based on my surgeon’s recommendation since her2 is high risk and they don’t want me to go thru flap at this time. Even at times, I’m still pondering the idea of going flat.
https://connect.mayoclinic.org/discussion/her2-positive/
I have been reading your posts these past few days and the various responses. I wanted to tell you my perspective. I am just beginning radiation treatments. My diagnosis was made in September when calcifications were seen on my annual mammogram. The biopsy showed cancer. Before I knew anything about my cancer, my absolute first thought was that if mastectomy was recommended, then I’d want both breasts removed. I surprised myself, as I never thought I’d feel that way and was always stunned by women who chose that. I informed my husband immediately, along with the cancer diagnosis. He said nothing but I knew he was fairly shocked by both announcements. I also knew that his preference would be lumpectomy and not mastectomy, let alone a double mastectomy. That made me think twice about my preferences, and I did: my self-review reaffirmed my instincts and I knew my first preference was my comfort level. I also knew—and worried—-that I had to steel myself against what often happens in our relationship: that I might give in to his perspective to make him comfortable and happy. But I knew that this was not the time for that to happen. So, as I said, I steeled myself. Eventually the report came back and found that I was so very lucky: Stage 0, non-invasive DCIS. Of course that didn’t mean much to me at the time, but after extensive reading and meeting with doctors (both of us), I learned that a lumpectomy was recommended, plus with my large breasts, that I was a good candidate for bilateral mammoplasty reduction. I elected to do that—which I viewed as the silver lining on an otherwise not good situation. I am now 7 weeks post surgery and just beginning radiation. I read your posts and your anguish is palpable, and I feel for it. But it makes me recall my initial thoughts on learning about my diagnosis and worrying over whether I would be able to carry through on what I wanted and not cave to my spouse’s opinions. Fortunately, he listened and attended all doctor meetings, read material and never voiced his own opinion. And even though I view the mammoplasty as a silver lining, I don’t think he thought much of that either. But I can’t emphasize enough to you that persisting in focusing on your own preferences and anguish about your wife’s decision is not going helping and supporting her. You keep saying you are in this together, married 30+ years, etc. (we’re married 34 years). But in the final analysis, actual cancer is not striking both of you. I urge you to let go of your obsession with your opinion, and free yourself of that anguish. It will help you and help your wife perhaps more than you realize. I wish you both good outcomes from this.
@gpigford, since the new discussion titled "Dark Days" is a continuation of your intitial post, I have merged the 2 discussions together here:
- Lump vs mastectomy. Stuck between her choice and what I feel is best. https://connect.mayoclinic.org/discussion/lump-ver-mastectomy-stuck-between-her-choice-and-what-i-feel-is-best/
I've also added this discussion to the Caregivers group https://connect.mayoclinic.org/group/caregivers/.
I wish you and your wife the best and am grateful for the openness and frankness with which the members of the Breast Cancer Support Group have shared with you. May you find peace, love and intimacy with the treatment and life choices you face together.