She says, "I am familiar with lymph glands...but I'm not familiar with hilar. Where and what are those? So I am tactless enough to ask, what will the cancer moving into the bones do/mean? Is this unusual or par for this kind of crap? Are you in pain from any of that? I know the chemo is doing a real number on you.... God Chris, I know it's been said again and again, but this is all so unfair. I wish I were out there and could help you and yours in some way. My love and thoughts are with you.."
Hilar lymph nodes are around your lungs and trachea. The lymph nodes are trying to keep the breast cancer cells from moving into other organs, like lungs and liver and brains, so they are doing their job - but they get bigger as they try to fight cancer. (Poor immune system, it never gets a break.) There's now enlarged lymph nodes along my collarbone, down along my trachea, and a couple of other spots where they are doing their level best to contain spreading cancer cells. The human bod is an amazing thing.
Bone metastases can be nasty because they can apparently get very painful. Mine are currently small enough that I wasn't really experiencing any pain, and we caught it fairly early. Here's a cool thing - bones are being eaten up and replaced all the time. Osteoclasts and osteoblasts, respectively, remove old calcium and make new. Who knew? The drug I'm taking (not chemotherapy) partially blocks the osteoclasts, so the bone makers get to work overtime. Chemotherapy kills the cancer cells, osteoblasts come in and make me some new bones.
Breast cancer tends to be "responsive", which means a high percentage of people have their cancer go away or decrease from a lot of different kinds of chemotherapy. I still have many choices, including some new ones, Gemzar and Xometa, and then heavy metals like platinum, and thalidomide, or I could repeat adriamycin. All poison, basically, so all have side effects, and that's the yucky part.
Sweet pea, everyone has to die of something. I will probably die younger than I want to, but doesn't everyone? OK, my grandmother was 94, and I think she felt as though she got fair innings. My mom was 61, and certainly we didn't think she got her fair amount of time. We are just all hyperaware of it in my case because I have a nasty, chronic, incurable and ultimately fatal disease. But it's also just scary because our culture finds it scary. Cancer is loaded with societal mythology, way more so than heart disease, even though heart problems are more common. Part of it is that from about 1940 when cancer started to get more common, until about 2000, cancer death rates were climbing - so it's still considered a death sentence, when it's really not, any more than HIV is. So for our parents' generation, it was something people whispered about.
And don't get me started on the pink ribbon brigade. The message that if I had just been perky enough and pink enough I would have "beaten" my cancer is not, shall we say, a useful message. There's 130-some odd women with metastatic breast cancer in my online group, and to a woman, as far as I can tell, we all HATE breast cancer awareness month. We are the invisible survivors - not members of that club. But nobody dies of stage two breast cancer. Everyone whom it kills, dies from metastatic cancer. Makes you wonder why only 5% of the research money is spent on this stage. Follow. The. Money. Astra Zeneca is making a fuckton of money on, you guessed it, tamoxifen. Prevention? Hell with THAT, when we can make money off of those lucky 1 in 7 women who will have breast cancer in their lifetime.
begin rant - If you give money to a cancer charity, PLEASE make sure they discuss prevention in their propaganda, NOT a cure. If they only talk about a cure, dig down, and I'll bet you they are at least partially funded by a drug company, and insurance company, or both. Susan G. Komen is. WhyMe? is. Thank you. end rant
We, American adults, are still more likely to die of heart disease than anything else. Canadians, interestingly, are more likely to die of cancer. US is 1) heart disease, 2) cancer, and 3) diabetes. Canada is 1) cancer, 2) heart disease, don't ask me why. Differences in the health care systems, I suspect. Here if you can afford it, you can get more and fancier cancer care, and the US has a slightly lower death rate, something like 29% as opposed to 32%. Most first world nations hover in the low 30% for overall death rates from cancer. But a diagnosis of heart disease isn't nearly as scary as cancer. Why? The illness, not the disease. Our ideas and beliefs about cancer, not the actual fact of cancer and cancer treatment, or survivability.
I don't plan to croak any time soon. Think of it as diabetes, something that is being treated, and the treatment is sort of nasty, like I'm sure dialysis is. It's not exactly parallel, but it has similiarities.
Love to all,