Do You Do If You Find A Lump In Your Breast?
Since the subject matter of
breast cancer involves extensive discussion I propose to write two books on
this subject. This first book addresses the concerns of people who have found
lump(s) in their breast(s) and what they need to do. Let us tackle the problem
one step at a time and get it right from the beginning.
At CA Care we ask you to go
and see your doctor and get your problem diagnosed first. And if it is cancerous,
we take the position that you need to go for a mastectomy (remove the whole
breast) or lumpectomy (remove only the lump). This is exactly what any doctor
will also tell you to do. So why do you need to read this book then? You can
get it all from the doctors you have consulted! But the similarity ends there.
As a patient you expect your
doctor to explain everything you want to know before he/she proceeds to cut you
up. But in reality this never happens. At most you are given 10 minutes to
consult your doctor. What can you learn in 10 minutes?
Ina, the lady who we shall
be talking in great detail in this book went to see an oncologist. She was given
10 minutes. The doctor did not even look up to see her. He looked at the
medical report and keyed in some data into his computer and then rattled out
some number. Ina was not impressed or happy. Her husband said, "He talked
about money first." Much of the consultation was about the cost involved
and Ina was left with little time for questions that she wanted to ask. This
consultation cost RM106.
Our distant relative,
the late Corrina had pancreatic cancer. She consulted the "best"
oncologist in town. The conversation lasted about 10 minutes. The oncologist
asked, “Oh, you stay in Sea View. What are you working as? Do you buy health
said, " He asked me to lie down. Checked here and checked there. He
saw the scans. He put on his computer and showed four patients. One was a
miracle case – he survived 6 years with no sign of cancer coming back. He said
there are 3 types of people that he treated. The one type is completely cured.
The second type is in remission and the third type is just wasting his time. He
is suggesting that I am type that is wasting his time. He said, “I can’t cure
you.” But he asked me to go back and think and decide. He then said, “I can
start you on chemo. Chemo is every week, for 8 times. (My husband) asked about
the side effects. He replied, “Nothing.”
If you only have 10 to 15 minutes
with your oncologist – and have to pay SGD 700 (about RM 1,774) for that – you
probably need to be more organized before meeting him – so as to get the most
of his valuable time. Unfortunately, what you want from your oncologist
differ greatly from what your oncologist wants from you!
from me, all these information and guidance you need cannot be found in the
hospital setting! Over
the years, I have seen how
faces full of anguish and fear turned to bright smiles after consulting with
us. What is more, we do this without any charge!
Now, I thought I would help
many more people if I put my thoughts into a small "how to" guide
In this book, I take you
through this first part of your cancer journey, one step at a time. In Chapter 1,
I tell all patients, "Don't panic." Let us go through your problem
In Chapter 2, I ask you to
go and find out if the lump is benign or malignant. Most of the time, the
doctor would want you to do a biopsy first. "Do you need to do a biopsy?"
is discussed in Chapter 3. If the lump is big, there is no reason to keep it in
your breast – irrespective of whether it is cancerous or not.
In Chapter 4, I explained
why you should not keep the cancerous breast anymore. There are situations when
you can save the breast by doing a lumpectomy instead of a mastectomy. I explained
these procedures in Chapter 5.
In the event that losing a
breast is beyond acceptance, you can consider breast reconstruction surgery.
Get a plastic surgeon to "make" you a new breast. This is explained
in Chapter 6.
I hope the information in
the first part of the book would be enough to provide some comfort and guidance
on this first part of your journey. Also with this information you are better
prepared to face your doctor and would be knowledgeable enough to be able to
ask important and sensible questions.
Then in Chapter 7, it is
time to put your knowledge into action. I addressed the issues of how to find
the "right" doctor – and where? For those who have to pay the medical bills
from their own pockets, I teach you how to "save" some expenses. You
may benefit from my practical advice. Imagine, a mastectomy done in a certain
hospital by a certain surgeon costs 9 times LESS than if you do the same
operation in Singapore, or two or three times LESS if you do in other "normal"
What comes after surgery is
discussed in Chapter 8, the last chapter of the book. Surgery is just one
"small challenge" you have to go through. The next "bigger
challenge" is yet to come. In Chapter 8, I discuss one possible option
which you may wish to consider if you don't want to go for chemotherapy or
radiotherapy. Unfortunately this is a big issue to tackle. Since I intend to
make this book small enough for you to be able to read within a few hours, I
shall leave the issue of chemotherapy / radiotherapy for my next book.
I am aware that most of you
do not have the time to read too much while you are under such a
"stressful" situation. So, I have tried to be precise and concise in my
This book will give you some
advice that you need to at least keep you calm and get you through the first
step of your cancer journey.
I am also aware that I have
to keep up with this age of modern information technology. I have made the book
available in both Pdf or ePub formats which can be down loaded into your hand
phone (iPhone or Android), iPad, and tablet besides your computer. So this book
can be read with just a click of a button wherever you are – even in the
waiting room while waiting to see your doctor.