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Re: Two sad cases -->larger picture From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Jun 12 08:59:03 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Graham: "Re: Two sad cases -->larger picture" Previous message: ainsron: "Re: Subject: RE: New Peril Is Seen in a Blood Pressure Drug [First Trimester Exposure To ACE Inhibitors]" In reply to: Joanne Bulley, MD: "Re: Two sad cases -->larger picture" Next in thread: Gail Graham: "Re: Two sad cases -->larger picture" Reply: Gail Graham: "Re: Two sad cases -->larger picture" Reply: Jamie: "Re: Two sad cases -->larger picture" Path: Invasive Ductal Carcinoma All her docs - including her psychiatrist are on the issue of throwing the baby out with the bath water: get the lumpectomy and sentinel node done and go from there. I had a 20 minute chat with her. Her big problem is a "friend" who told her how horrible the sentinel node bioosy procedure was and she is "done" with having medical folks tell her "there will be no pain" and then being in pain. We had the big talk about the fact that with the diagnosis the CANCER needs to be removed and we talked about short term goals and long term goals. I am going to see if patients I have who have had the Sentinel Node procedures done at our hospital and at the tertiary care hospital can tell us about the procedures and whether they are willing to talk with another woman who needs to go through it for peer support. I will then call her and see if she would be willing to talk to others who have had it done. And we will work from there. Joanne At Sat, 10 Jun 2006, Joanne Bulley, MD wrote: > >With this patient - I have not seen her for about 18 months - she >scheduled the mammogram prior to her appointment with me. > >She had called us to ask about the sentinel node procedure and was all >worked up because she had heard it was a pretty nasty procedure. My >receptionist called the folks who do it - got the low down and then >chatted with the patient. > >So ... Ihave some serious counseling to do. > >I agree with you, Joe P., the pendulum has swung and is (for some >patients) swinging too far when they want the FIRST lkine of therapy to >be "naturopathic". > >We are talking about CANCER here - not episiotomies. > >Joanne > -- Joanne Bulley, MD Keene, NH, USA Sunshine! Next message: Gail Graham: "Re: Two sad cases -->larger picture" Previous message: ainsron: "Re: Subject: RE: New Peril Is Seen in a Blood Pressure Drug [First Trimester Exposure To ACE Inhibitors]" In reply to: Joanne Bulley, MD: "Re: Two sad cases -->larger picture" Next in thread: Gail Graham: "Re: Two sad cases -->larger picture" Reply: Gail Graham: "Re: Two sad cases -->larger picture" Reply: Jamie: "Re: Two sad cases -->larger picture"

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