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AlvaDeer, you forgot Ben Casey.

I can't begin to comprehend how messed up things are between your doctors and your insurance, as if you are just a name on paper to be shuffled around. I'm so sorry.
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Alva, So sorry to read your post. I hope that Kaiser capitulates and no battle is necessary and you receive the mastectomy. Is it possible for a lumpectomy to be done to make the diagnosis and proceed from there?

I hope everything turns out okay for you. (((Hugs))))
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Alva, so sorry about the frustrating communications you are having with docs. Yes, they are a "team" that is trying to drive your bus.

It made me think of a brilliant graphic that my BF sent me:

https://www.pinterest.com/pin/383861568209418837

I have this taped to my fridge.

Thinking of you often. Praying for you!
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The service that 'Care Team' is giving is TERRIBLE. Trying to catch a solid answer is like trying to catch bees.
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Alva I know I am kind of new here but you always are real and I felt a kinship with you the first posti read.
I abso lutely agree with you about the needle . I have been saying that basically ever since they did 'exploratory surgery's on my step father and came back with stage 4 cancer . EVERYONE seems to have stage ,4when they find it ...I smell a rat ..I'm very Leary of doctors and cancer as a result..not sure what I'd do .
But you obviously have a sound plan and I admire your confidence in your decision . I had kaiser insurance and am not surprised you may be going into a battle..I wish you the very best in these coming years I'm sure all of our hearts and prayers are with you . Thank you for sharing with us ,we love you !
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Step-by-step. I got this kids. Don't worry.
Just do know (and boy can LEA attest to this) being in the system is--well, being in the system.

Geaton, thanks. I accept thoughts, prayers, even votes for President. And in fact ANYTHING I CAN GET, hee hee! You know me. As the kids today say "It's all good". (until it isn't).

Beatty, this is the norm of it today. So many Chef making such a stew of things. Later when NO ONE has called you for a month they all say "But I thought the (breast clinic, surgeon, your PCP, the radiology dept, surgery) was on this!!!!"

You all know, those of you who ever read me, that I am big on telling people they just "want to be mad" so they don't have to be "scared". Ha ha. I am finding out it actually WORKS!!!!!!

Hothouse, yes, a "lumpectomy" in the form of an "excisional bx" that takes the whole lump is best hope now. Then dependent on histology I can convince them to lop off the rest of this breast and I will at last be all flat. A two-fer I was hoping to get done in one round. As it is I am an amazon, a uni since 6 years ago explant of a Frankenbreast that was troublesome for about 30 years. I am not a fan of reconstruction and I should have known better; I plead I was younger then and in a new one year new relationship. He has stuck, by the by. Proof he is one extraordinary man (in so many ways).

CX, this is just how it is and I am using all the catchwords I can on them. "Confused" about plan. "Afraid". "Anxious" Feel "alone". All the things Kaiser won't want particularly to see in their charts. "No one in charge". Etc. and blah blah. Ha they will be so sick of me they will get the breast and cut out my heart while at it. Hee. Whoops.

Graygrammie How COULD I forget Ben Casey. I quite crushed on him.

I will keep y'all informed. Meanwhile know I am doing OK and I have GREAT family support and understanding supportive friends. Couldn't ask for more.
Like I said, we ALL HAVE OUR STUFF. ALL of us.
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Alva , I know you will be persistent , hopefully they will see it your way . You can be very persuasive I’m sure . Hopefully your messages land in the right ears.

I’m almost 59 , but I remember Marcus Welby , my Mom watched the reruns when I was a teenager . James Brolin was so handsome ………….lucky Barbara Streisand ……..
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I liked “ I am having heavy metal armor forged to do battle with the medical system”. You go girl- I totally agree with having the full mastectomy and skipping all of their stupid preliminaries. Knowing that you already had it on the other side should be enough. You’re a tough cookie. I expect you’ll be around for quite a while. Just sorry you have to go through all this.
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Alva,

I watched Marcus Welby and Ben Casey.

I hope you will be able to sort this out soon. Sending love, hugs and support your way!
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AlvaDeer - you are indeed a 'dear' one to all of us. Just to clarify on your last response - yes my one and only sibling is the one I monitor now. Neither of us have the big C although it was in Dad's side of family. Sis has Alzheimer's - total shock and blind sided me and Mum (who was still living at the time). Working through it, excellent team. As for the potential visit of that big C, I hope it does not appear but still mindful. I take the approach we all start dying the moment we are born. Life is the gift and up to us to make the most of it. If we don't, it's our loss and the loss to those who might have benefitted from our presence. You as a nurse have certainly impacted the lives of many, and even though now retired you are burning up the keyboard with your advice on this forum. So thankful for your insight!
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AlvaDeer,

I'm so sorry that you're going through this.

I have a suggestion, but I haven't had the time to read all the posters' comments yet. So my apologies if I'm repeating what somebody else already suggested before my post.

1- Have the needle biopsy. If it comes out negative then you don't have to do anything but CELEBRATE!! (My mother went to Italy for 2 weeks when her needle biopsy came back negative!) (When my own needle biopsy came back negative I went on a cruise!) Think about how you'd like to celebrate if a needle biopsy came out negative! (And yeah, the needle biopsy hurts, but not that much. You can get through it.)

2-*If* the needle biopsy comes out positive, don't wait, schedule the lumpectomy or mastectomy right away. And, since the biopsy gave a cancer diagnosis, Medicare should approve coverage for the surgery you choose. Take the money you save for a self-pay surgery and do something wonderful with that money.
Also, I think the idea of an 81 year old woman getting elective major surgery isn't a good idea - especially if you don't have a diagnosis.

Regardless, wishing you good health and happiness. Hoping that whatever you choose to do works out well!
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@ LostinPlace. Thanks so much for your input.
Ex RN here. I think that we ALL (three docs) agree this is almost certainly malignant. There are signs. I could go into them, but not here. Include irregular borders, etc.

I don't believe in breaching a malignant tumor and leaving it in. Histology takes, they tell me, at least a week. Many core needle samplings (the kind they want to do) leak and or hemorrhage into the tissue of the breast. A tumor, unTIL it spreads, keeps its cells together. To my mind, once it DOES spread it's cells out, whether through time or being poked, those cells can spread in the lymph system and throughout other healthy flesh.

I wouldn't be doing chemo at my age. I wouldn't be doing radiation at my age (as you will see if you read everything I did the cancer journey once already on the right breast). I can't afford spead IF I can prevent it. A big if, as you will know.

I prefer that this tumor be removed intact and then tested. If they would like to do that in two steps I am fine with that, tho I would prefer removal of this breast that after 35 years has decided to start making tumors (whether benign or malignant) in fact. And will try to get that done in any case.

I already wrote about tumors being jabbed with core needles and spreading "SEEDS" of the cancer in some testing done on kidney and prostate. It's rare, and studies on women seldom done interestingly enough. I choose not to risk this.

I appreciate your input.
When we face down cancer we make the best decisions we can make for ourselves, then spin that old roulette wheel.
Again, appreciate your input. I will be shocked if this baby comes back benign. I have dealt with benign tumors and fluid cysts before.
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AlvaDeer,

Thanks for your reply, and for taking the time to explain more about where you're coming from. As an experienced RN, a breast cancer survivor, and a very smart woman you're highly informed.

I just hope (along with the rest of this forum's participants) that you don't have cancer, after all. Assume you are healthy until proven otherwise, is my motto. In my case, I had 2 doctors, a mammogram and a MRI diagnose breast cancer. I went to Stanford Medical Hospital for a second opinion and more tests (including a biopsy). Stanford couldn't detect any cancer, so I had to go back to Stanford every three months for over a year to repeat all their tests, just in case they missed something. This happened in 2005. I've had no incidence of breast cancer since then. False positives happen.
Although I'm not saying that this is what's happening to you. I can see your logic about removing the breast intact.
I feel strongly that everyone has the right to choose, and
I'm 100% supportive of any decisions that you make, along with the many, many others that wish you well.
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@lostinplace
Lost, you kind of gave me a giggle.
Everyone who has seen the Alien is kind of thinking they KNOW what this is.
The docs often do.

Then there is my nature. I am a pessimist and always was. It kind of has served me well in all truth. You see, when things come back "bad news" I kind of shrug and get on with it with a sort of "thought-so" attitude. And when they come back "good news" I am ecstatic!
So I seldom go into that shocky place of bad news bringing me any kind of major shock.

I am real pragmatic.
I recognized that the first bout 35 years ago, given it was in two nodes already, might indicate the end was coming.
Hon, after THAT, EVERYTHING is gravy! Know what I mean?
81. Like I said. No one will write any obit saying I died young and beautiful. Social Security has wasted already a whole TON of money on me. And there a ton of things I fear more than cancer. Dementia is one. ALS. There's tons of more difficult "sentences" out there.

I will let you know one way or the other--all of you.
And I would just love to hear "I TOLD you so, you idiot!"
Again, thanks for your best wishes and advice.
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Alva, wishing you well. Your decision sounds absolutely sensible (not that you needed a stranger's nod). Just to let you know, your common sense, RN opinions always resonate and educate. I will look forward to reading them for a long time to come.
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I TOLD you so, you idiot! 😀
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We have Kaiser, too. Their TV ads boast about care coordination, but I think that's basically to attract young healthy enrollees--who don't need it. In fact, it seems to me that Kaiser primarily targets the young and healthy who don't utilize much healthcare--and cost less, of course. Kaiser bought out Group Health in WA State some years ago. Since then, it's evolved into "corporate" rather than patient-oriented care, IMO. My husband was employed at the old Group Health for 20+ years so I'm probably stuck in a bygone era.

I sense that my PCP (she's my 4th in 9 years after my long-time physician left following the buyout) really has little idea of who "I" am. I'm just another old woman with age-related issues. Mostly that's O.K. since I'd actually prefer to avoid the medical industrial complex--until I need EOL support--except for occasional app'ts. and necessary Rx's, but stuff happens in old age that may change that. The current system doesn't always instill confidence. Also, it now takes a MONTH to get a doctor appointment, likely thanks to COVID.

I hope that being a long-time RN will help you find a doctor who RESPECTS and will listen to you--and be your main point of contact. MUCH less frustrating.
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Somehow I missed your post, I am sorry to hear this, but I know that you've got it under control. Just a minor inconvenience!

Sending hugs and support your way!
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@MeDolly:
That's why I posted it as "a spot of bother". An expression out of the UK I have always loved it.
There's even a book titled "A Spot of Bother" by one of my favorite Bristish authors.

UPDATE meanwhile.
Appointment for January 25th with surgeon to discuss excisional biopsy.
Our stumbling block or point of argument and travail will likely be that I want the WHOLE TUMOR (quite small) removed. Not carved into like a slice of turkey meat and left to seed itself while they convince themselves it is malignant and they will/can remove the breast.

Seems a bit like the simon-says game to me. But that's how it's done in the Kaiser system. And that's where I am at the moment.
Meanwhile taking a week off from thinking overmuch about this.
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Much good luck, Alva.

My 41 yo daughter had a core biopsy Monday, awaiting the results.
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Alva, I recently had a small (benign) tumor removed, intraductal papilloma, and the term they used was excisional biopsy even though they took it out entirely. Beforehand when I saw the paperwork that said what procedure I was getting I questioned the surgeon and she said it was the term used nowadays for lumpectomies, where the entire growth is removed but not the entire breast. I find it very confusing to use the word "biopsy" in this context!
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Barb,

Hoping that your daughter’s results of her biopsy will be benign.
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Barb, good luck. As you will know, and she will know, most are benign. These days they pretty much know when they do ultrasound (and or MRI) what they are looking at and how worried they are. Most results are benign.
Newbiewife, yes, most excisional bx in the case of the breast means removal of the entire mass, tho in some cases they may not, so good to get cleared up just what their plans are ahead of time. For me I am wishing entire breast went as if positive (and it sure looks so) then will have to go BACK again for mastectomy. At 81 won't be doing radiations and for lumpectomy they always do. Won't be doing chemo again either at my age. Pretty much will just lay the cards out on the table and give it best game. I went through cancer once. So I am pretty clear there are worse things to "go of". Congrats on your negative outcome for sure!
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Imo, it's a whole lot more than a spot of bother and/or a minor inconvenience when biopsies are being taken for cancer, no matter how strong we women are or think we are.

Alva, my thoughts are with you next Thurs (and every day) as you wade thru the muck and the mire of the KP system. I'm right there with ya, sister.

Barb, prayers sent that your daughter's biopsy comes back soon and that it's negative.
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Perhaps, Chris. But it's such a LOVELY expression.
The book I read was by the guy who did the book with the autistic protagonist, The Curious Incident of The Dog in the Night-Time. Mark Haddon. THAT book was masterful, and A Spot of Bother was fun. A family story. Or story of a family.
As to me, at 81 I had better look at most things as a spot of bother, because they pile in one after another, with varying degrees of bother. Hee hee.
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Keep us posted, Alva.

You’re an inspiration for the rest of us how to do 80.

Hugs from Florida!
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Thoughts to Alva & Barb's daughter that any news is the good news type.
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Bummed to hear this- Alvadeer. My thoughts are with you hoping that you get your desired outcome. I work in healthcare and part of my job is dealing with insurance/payor denials. Daily battles with Kaiser and others is my bread and butter. Sometimes we win. Hopefully kindness will prevail in your case. Keep us posted.
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AlvaDeer,
So sorry to hear you are having to deal with this. I think you are right about not doing the needle biopsy for the reasons you describe. I had a similar situation and choice with a kidney. My doc was against the biopsy because of the risk of “seeding.” With your history why risk that - it is a very legitimate concern. I hope your insurance company supports your needs and considers that not being proactive could cost them more. They don’t need to know what covered treatment you will or will not pursue. Maybe the $ consideration will make them see it your way. Anyway, I always enjoy your posts and answers. Best wishes.
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Alva, I sort-of know a young man (his mom and I met on a Disney forum years ago and became FB friends, it is her son) who played the role of Christopher in a community theater version of "The Curious Incident of The Dog in the Night-Time." He is neuro-divergent himself, so playing this role was perfect for him. Parents who advocate for their children can make a huge difference in their lives. After he had a life-changing seizure somewhere around five years old, doctors said he'd never communicate and never be able to relate. Mom homeschooled him, discovered his talents, enrolled him in singing classes first, then in theater, and he blossomed. He is now eighteen, has his own IMDb page and is a disability advocate. His role as Christopher was pivotal for him, so many more doors were opened to him as a result of that community theater production. Just had to tell you that since you mentioned the book.
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