Linda

Age at interview: 63
Outline: Linda was diagnosed through a routine mammogram with invasive ductal carcinoma in her right breast and a suspicious spot in her left breast. She had a double mastectomy and reconstruction surgery and takes an aromatase inhibitor. Retiring shortly after her diagnosis, she focuses on what is truly important—faith, family, and health.
Background: Linda is a 63-year-old White woman and mother who lives in a Southern city with her husband.
Breast cancer type: Invasive breast cancer

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Linda had long been vigilant about getting annual mammograms. At age 61, she was called back after a mammogram, and at first “it was no surprise,” because “it had happened before.” But this time they ordered a needle biopsy and a breast MRI. Linda knew what was coming, but she “wasn’t ready to hear” that she had invasive ductal carcinoma in the right breast and a suspicious lesion in her left breast. Cancer runs in Linda’s family; read more about Linda’s experiences with inherited cancer risk here. The sense that her breasts were “a ticking time bomb” quickly jolted Linda and her husband into action. Their “informed decision making” entailed weighing multiple expert opinions with her husband’s extensive online research.

Having decided on a double mastectomy and reconstruction, Linda no longer felt that her “life was careening out of control.” She did not need chemotherapy or radiation, but the surgeries she underwent were tough. For weeks, she couldn't lift herself “from a laying to a sitting position” or raise her arms above her head. Fiercely independent, Linda found needing help from others was frustrating. She is ever grateful to her wonderful support system. Her husband accompanied her to all her medical appointments. Her daughter came from out of town and “kind of moved in.” Her “sweet next-door neighbor” came over every day to fix and style her hair, as Linda says, “we'd play beauty salon… it was a wonderful gift.” Breast reconstruction surgery helped her feel “whole again.” She takes hormone therapy to reduce her risk of recurrence and has mastered going through her “second menopause.” Linda credits her primary health insurance and her supplemental cancer insurance for her amazing cancer care.

When first diagnosed, Linda was angry. Her body had turned against her and her “calls to God were not answered.” Then through her “rational brain,” she notes seeing that “God needed me to walk this breast cancer path.” It was not easy. About three months into her journey, pain and fatigue sunk her into a depression. Professional counseling, her abiding faith, and keeping a journal all helped. Recognizing her old life was not coming back, Linda embarked on her new path. She retired from a career in educational policy and re-focused her teaching and administrative skills into working as an advocate for a local organization that provides support and care for breast cancer patients across the income spectrum. She has developed deep friendships with other survivors through her breast cancer support group. Linda and her husband are enjoying their “second honeymoon,” spending a lot of time near the ocean. She focuses on what is truly important—faith, family, community and health.

Linda says friends and family were most helpful when they were completely there for her, and “took tasks off her plate.” Offers like, “call me if you need something” were not helpful, because Linda would never have taken them up on such a vague offer. For people just diagnosed with breast cancer, Linda underscores the importance of getting a second, or even a third, opinion until, “you’ve gotten the answers you need.” She hopes survivors find their new path based not only on what they have in common with others but also on what is unique about them and their own situation. Finally, she wants people who are on the breast cancer journey to know that “today, you are a survivor. Choose it.”

 

Linda’s husband is her partner in information seeking.

Linda’s husband is her partner in information seeking.

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[NAME] became a co-survivor. I didn't know it was called that at the time, but he took on that role so easily and so readily. And he was good at it. I told you he was an electrical engineer and he was a researcher, and he would be at the doctor's office. And the doctor started to talk about nipple saving surgery, and my husband said, would say, “I read about that.” You know? And I’m like, you know, “You did?” And here's why it's important to have a significant other, a husband, a co-survivor, someone with you at all times. And I'm just going to give you a little scenario. Doctors are firing away and they're talking to you, and they want you to take your pink vest, paper vest, and they want to look and see what's going on here. They are looking at your breasts. You're looking at your breasts, at your implants. The doctor's talking. He's pointing and you're trying to figure out what he's saying, and you miss a lot of it. And we would get back in the car and [NAME] would say, “Well [NAME] said, duh, duh, duh duh, duh.” And I went, “He did?” He goes, “Yeah.” [NAME] heard for me all the things that I missed, and he would write them down and we would formulate questions together. And he was with me every step of the way. He took me to every doctor's appointment.

 

Linda shared her experiences to help other women make up their minds whether or not to have reconstruction.

Linda shared her experiences to help other women make up their minds whether or not to have reconstruction.

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And we had a young lady who is 40 who was going to have double mastectomies come. And she, I said, “You want to go see what they look like?” And she said, “Yes.” We went to the bathroom. She said, “Could I touch them?” I said, “Of course you can.” She said, “Oh they don't feel like bowling balls.” I said, “No, they don't.” These are my implants. And she said, “They move and they're soft.” And I said, “Yeah, they are.” The only complaint I have about them is they're a little cold.   Silica gel is not a really good conductor of heat, so sometimes they're a little cold. But   so, show and tell is important. If you're looking at mastectomy scars, but you want to think, but you, you want to see what could be, you need to look at somebody else's who's done this. It's important.

 

Linda learned to manage the side effects of her hormone therapy, though it was challenging.

Linda learned to manage the side effects of her hormone therapy, though it was challenging.

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I've been on aromatase inhibitors, which are drugs that stop the production of estrogen in your body. It sounds easy. It's not.   Your body craves estrogen and your body continues to make estrogen, but you're taking drugs that shut that estrogen production down. So, you'll notice changes, not as severe as what chemotherapy patients have, but I did lose hair and I did, my hair got very brittle and   you can't see it today, but my hair’s naturally curly, and so I got a lot more curls. It changed texture.  Your skin will change. You'll feel differently about yourself.     I have some times when my husband says it looks like PMS, but it's not. It's just your body without   estrogen. So, there's lots of side effects, but you learn how to   I say that I'm a master at managing side effects. It's what I do now.

 

Linda improved communication by sharing a list of written questions with her care team.

Linda improved communication by sharing a list of written questions with her care team.

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I had so many questions that I would type them up, a copy for the doctor, copy for me. But many times, when a doctor comes in the room and they see you with a whole list of questions, they would immediately just scoff. And so, what I did was, I would hand my questions to the nurse or to the doctor and I would say, "These are questions I have. Could we go through it?" Well, now I've given the doctor control of it, and he would scan it and he or the nurse would answer my questions. And I left there each day feeling that I had gotten everything I needed to know.

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My reconstructive surgeon looked at me, he said, "Can I keep this copy?" And I said, "Of course. That is your copy." So, this was a way that I, I felt like I was working and collaborating with my doctor to get answers that I needed.

 

Linda describes a costly laser treatment that helps some women.

Linda describes a costly laser treatment that helps some women.

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So, that whole first year, I would go into the oncologist every three months and I literally would say to her, “What do you suggest I do? OK. This is what's occurring.” And my poor husband's sitting there and I'm just blurting this all out. And I'm telling her, “This is not fair. This is not fair.”

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And so finally, that third time in office, she leaned back in her chair and she said, “Have you ever heard of Mona Lisa Touch?” And I went, “What?” I said, “Write that down for me.” So, she did. She wrote it down on a prescription pad and she handed it to me, and she said, “This is something that is fairly new-, new to our city, and there's only a handful of doctors who are doing it.”

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It's a laser procedure that makes tiny little laser holes in your-, the walls of your vagina, which causes immediately-, it irritates it. It causes it to immediately make—it sends a lot of blood and it makes new tissues because it's got more blood flow to it. So, you irritate it and then it begins to heal itself. And in the healing, you get this new result.

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So, I went ahead and had the three treatments done. Now, your insurance will not pay for this, but it was worth every penny that we paid. The first treatment, you have to go eight weeks, and I really didn't see any change at all. Talked to the doctor about it. She said, “Not uncommon.” We did the second treatment. By the time I got back to her, I was like, “Hey, this is pretty good.” By the time I came back after the third treatment, I told her, “Guess what? We're having a little honeymoon here.” And she was delighted.

 

Linda found it hard to accept that she would never get her old life back.

Linda found it hard to accept that she would never get her old life back.

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I kept saying to my husband, “I just want my life back. I just want my life back.” Because I felt like my life was careening out of control and I had lost some of that control. I felt like I probably had lost all of it, and how was I ever going to get this back. How was I ever going to be able to fight this cancer if I didn't get some manner of control? And what I finally came to realize was that I was never going to get that other life back. I was now on a different path and that it was up to me to walk that new path, and yes, my life would change, but I would stay the same or maybe I'd be even better. I don't know. It took me a long time to say that, so that's why I'm telling other people. So, if you have those feelings, you'll understand that it's okay to say that. But just find your new path.

 

Linda describes how her “sisters in scars” showed one another how they look after surgery.

Linda describes how her “sisters in scars” showed one another how they look after surgery.

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And sometimes we call ourselves sisters in scars. And we actually have had a lot of fun as people do their reconstruction. We play show and tell. There's a bathroom that's not too far down the hall from where we meet at the church and we go and we play show and tell. Everybody wanted to see my tattoos, and then another girl got tattoos and we wanted to see hers. And we had a young lady who is 40 who was going to have double mastectomies come. And she, I said, "You want to go see what they look like?" And she said, "Yes." We went to the bathroom. She said, "Could I touch them?" I said, "Of course you can." She said, "Oh they don't feel like bowling balls." I said, "No, they don't." These are my implants. And she said, "They move and they're soft." And I said, "Yeah, they are."

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But, so, show and tell is important. If you're looking at mastectomy scars, but you want to think, but you, you want to see what could be, you need to look at somebody else's who's done this. It's important.

 

Linda found she wasn't ready for a large group, or one where people were talking about recurrences.

Linda found she wasn't ready for a large group, or one where people were talking about recurrences.

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And so there's a lot of things you can do for yourself, and I wasn't doing any of them. And so, one of the suggestions that I had gotten a packet from a hospital was to attend a breast cancer support group meeting. So, I made the reservation to go. It was at the hospital where I had been, had my surgery, and my husband took me that day. And there were 45 women there. It was a huge group, and many had very compelling stories. As a matter of fact, four of them were there because they were having recurrences. It's very, very difficult to talk to someone who's having a recurrence when you're just three months out of your mastectomies. I'm not ready to think about that. Scary. And I was on the top row of this huge lecture hall, and I turned around, and there was a young lady sitting behind me. And she introduced herself, and she said, "Deer in the headlights?" And I said, "Yes." And she said, "It's a big group." I said, "Yes. Don't think I'll be back."

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I left in a panic and found my husband. It had come too close. It was too close. And I, I went home, and I cried most of the way home. And I told my husband I would not be back. This had done nothing for me but make me scared and frightened.

 

Linda made her own informed decisions, including that she would follow all of her surgeon’s instructions.

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Linda made her own informed decisions, including that she would follow all of her surgeon’s instructions.

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I wanted informed decision making. And I didn't think it was a bad thing to seek a second opinion or even a third. And if it makes you comfortable, do it. And if the first doctor is not happy with it, you don't need to be there. If you have a doctor that won't answer your questions or a doctor who just says, “Don't worry about that” and you're worried about it, go find you another doctor. And that’s, there are many, many very qualified doctors. But I think that you join a team. I looked at, my breast surgeon, my reconstruction surgeon, my oncologist, and my primary care doctor were my team. And I wanted all information shared with my primary care. It took me a while to get that done, but I wanted them to have it. And they were, of course, exchanging information. But I felt like I joined their team. I was a member of that team, and I had questions and I wanted answers. And of course, my reconstructive surgeon said, you actually had to sign a piece of paper that said that you would do exactly what [NAME] told you to do to get the best outcome. And you know what? Buddy, I signed that thing and I did everything he said to do because I'm a rule follower anyway, but I wanted the very best outcome I could. And that was something I could do. Even though I didn't like a lot of it, I did. And I was my own advocate. I had been an advocate for children with disabilities for most of my career, and I know how to advocate. But information, for me, was power, and I wanted informed decision making. And if you're not that kind of person, that's OK. You go with what's comfortable to you. But I just needed to know, and so that my decision, when I made it, was made with, about my particular cancer and my situation was the best for me. And I got, as soon as we made it, I got peace.

 

The pink ribbon connects Linda to other survivors.

The pink ribbon connects Linda to other survivors.

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What's your feeling about the pink ribbon?

Well, this is going to sound a little bit trite, but I liked the slogan that Susan G. Komen used the last two years of being more than pink. Pink is great, but we are more than pink. We are survivors and the battle that we fight and is important to us to come out as survivors, to share our stories, and to wear that pink ribbon. But we are so much more. And I believe that. So yes, I support that. I, I have worn my T-shirts that say, survivor 2016 on the back. And I will have, my daughter and I went to Universal and Disney World, and I had people, didn't realize that they were looking and people would touch me and say, “congratulations. You're a survivor.” And, or you'll have people say, like I'll wear my hat that says, “Fight like a girl” and it has a swoosh, pink swoosh on it. And they'll say, “Are you a survivor?” And I say, “Yes, I am. Two and a half years.” And she'll go, “Five years.” “22 years.” It's amazing. It's wonderful. It, it's like, I'll be walking on the beach and someone will, I'll have my hat on and somebody will stop me and say, “congratulations. Just wanted to let you know I'm a survivor.” And I had a man stop me in October and said, “I had liver cancer and I'm a survivor.” It's the club you never really wanted to join. I think I told you that the first time we spoke. I've realized that, but after you get in, you meet wonderful, wonderful people who are doing the same thing you did. And so, there is some strength in, in that companionship.

 

Linda realized she has to live her new reality.

Linda realized she has to live her new reality.

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I kept saying to my husband, “I just want my, my life back. I just want my life back.” Because I felt like my life was careening out of control and I had lost some of that control. I felt like I probably had lost all of it, and how was I ever going to get this back and how was I ever going to be able to fight this cancer if I didn't get some manner of control? And what I finally came to realize was that I was never going to get that other life back. I was now on a different path and that it was up to me to walk that new path. And yes, my life would change, but I would stay the same, or maybe I'd be even better.

 

Linda suggests alternatives to talking about other people’s cancers.

Linda suggests alternatives to talking about other people’s cancers.

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People are very different. And I've come across this especially with people who are in grief situations. You don't know what to say, and I learned that, finally, with my cancer that it's just better sometimes to say nothing. You can say, “I'm here.” You can say, “I'll sit here with you. I'll hold your hand.” Sometimes that's better than saying, “Well, you know, my best friend's sister had breast cancer and she just went through this, and she did duh, duh, duh, duh, duh.” I want to tell you that   all cancers are different. Your cancer is very different from the next person's and if you don't want to hear that and you don't want to hurt people's feelings, you should just say, “Well, I am so happy that she's doing well” and move on with your conversation. You don't have to listen about to everyone's aunt or uncle or whoever had cancer because all cancers are different and you need to focus on yours.