tips for better mammogram?

[OakLeaf]

Hang in there red.

You didn't ask, but tips for a better stereotactic needle biopsy:

Ask for a sedative. And ask for a dosage that's strong enough to do more than keep you from chewing your b00b off to get out of the machine. If you're prone to back pain, it's even more important, since the sedative will act as a muscle relaxer, too. You'll be locked tightly into spinal extension for about two hours.

Bring an mp3 player with some soothing music on it. I can't guarantee they'll let you use it, but they let me, and I was hugely glad of it.

Don't believe what they tell you about pain and recovery. Compared to some of the surgeries they have to do, obviously a needle biopsy is quite minor, and that's the standard they compare it against in their minds; but it's still an invasive procedure on a very sensitive part of your body. Depending on how sensitive you are, expect it to be a day or two before you can wear a bra; maybe 3 days to ride a bike on smooth flat surfaces; a week to ride steep hills or major bumps, or to run; a good two weeks to do anything that requires a lot of reaching or rapid arm movements like aerobic classes. Don't let them send you home without a day or two's dosage of some decent pain pills.

The volume of your breast won't come back, but there won't be such a noticeable divot after a couple of years.

And please have a plan for what you will do if the biopsy comes back anything but clear. Hopefully you made those plans before you agreed to the mammogram ... basically the less emotional pressure you're under when you have to absorb a whole lot of medical literature, the better. Be aware that the results won't necessarily be binary; there are many types of abnormalities considered "pre-cancerous" that you might need to make decisions about.

Good luck - wishing you the best. ((((((red))))))

[redrhodie]

Thanks, Oakleaf. I remember your situation, and that it was really traumatic and painful, and that is part of why I'm reluctant to have this biopsy done, when it's pretty likely to be benign. I was hoping I wouldn't have to go down this road, but here I am. I think mine will be a fine needle biopsy, and the radiologist told my NP an MRI or ultrasound is not needed to guide the procedure, since it's so close to the surface they can feel it. He even said it could be done in my Drs office, but I'll have it done in the hospital. All of that leads me to believe it won't be that bad, but I'll plan on being laid up for a while, and it not being fun.

A friend of mine had a very painful biopsy last year, and a painless one this year, 2 different surgeons at the same hospital I'm using. I'll be opting for the second guy.

If it is something I have to deal with longer term, I will do whatever it takes, one step at a time. I watched 2 friends go through different treatments for different stages this past year, and I know that it's a huge thing to get it EARLY, which this is. I'm not giving this anymore thought than that right now, since it's too soon to worry.

[indysteel]

(((red))). I'll be thinking of you and hoping for a positive result and a speedy recovery.

And, Oak, thank you for your thoughtful insight as someone who may be in red's shoes sometime.

[Crankin]

Thinking of you, Red.
For what it's worth, I had a very similar situation when I was 32 years old! I had a fine needle biopsy done right in the surgeons' office, and I don't remember any pain or terrible after effects. I also had my first mammogram done at that tender age and the calcification ended up just going away. I know this was back in the dark ages of breast cancer care, but I was quite freaked out (my youngest son was only 1 year old) that my 2 little kids would be motherless, and it turned out fine.

[redrhodie]

Thanks, Indy. That means a lot to me.

It helps to hear that, Crankin. I like hearing incidents where it turned out to be nothing. My mind keeps going to that "what if" place, and that story keeps it in perspective.

I think things like this happen to make you appreciate life in a more focused way. I feel very loved right now, so that's the good that's come from this. It's almost tangible.

[indysteel]

I'm so glad you feel loved. How wonderful. You've had a tough year it would seem; your positivity shows a lot of grace.

[Grits]

Here is another "turned out fine" one, since they make you feel better! I had micro calcifications turn up in a routine mammogram. Radiologist recommended watching and waiting for six months, MD recommended going to see a surgeon, surgeon recommended a biopsy since the calcifications were in a duct and branched out. They did an image guided Mammotome (brand name!) needle biopsy since my calcifications were quite deep and could not be felt. I was told to wear a tight bra, which helped a lot, and only needed tylenol or advil after the procedure. I'm sure if a lump had been excised, I would have needed stronger pain relief.

The thing that bothered me the most was that I was lying face down on a table (which was raised HIGH and had a cut out in the appropriate place, sorry, TMI and unnecessary mental image), with my head turned to look right. I have some mild neck issues, and that position really started to bother me after a while, but they don't want you to move, and I kept thinking they were almost done, so I just suffered through it. The biopsy itself involved very little discomfort. Just the initial numbing.

I wish I had taken my ipod. That would have helped make the time pass faster.