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Second Opinion Update Anniesantiago

Nov 1, 2008
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Portland, Oregon
www.caminosantiago2.blogspot.com
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Note from the mods: This is the third post from Annie. For earlier posts describing how she got here, look here and here.

So for those who are interested I had my 2nd Opinion appointment today with Dr. Nathalie Johnson.
It began on a VERY positive note, when I got lost and a kind lady helped me find the office, telling me SHE had gone through breast cancer 2 years ago and that "You're lucky to see her! She is the BEST of the BEST!" I've heard that over and over the past few weeks.

Anyway.. long story short, she first told me to "go walk the Camino! It will help you! "
She told me she didn't feel this is an aggressive cancer at all (different from the 1st opinion) which eased my mind.
She prescribed a drug, Letrozol to "starve the cancer" and cause the tumor to shrink while I walk. I've since discovered that Letrozol IS a type of oral chemotherapy - so I'm processing that.

I must decide in the next two days if I will have a lumpectomy or a mastectomy upon my return in April.

I'm leaning toward the double mastectomy (DM) with no reconstruction,
because I am 67, not 30, and really just want this to be over.

With a DM I would need NO chemo, NO radiation, with only a 1% chance of recurrence.

With a Lumpectomy, I would have to have several radioactive drugs intravenously, and would definitely have to have radiation afterwards for 4 weeks and I'm just not willing to put my body through that. In addition, the radiation itself can cause cancer. And after all that I'd still have a 4% chance of recurrence.

I feel my best chances of just getting on with life is to have the DM so that's where I'm leaning.

So.. I LOVED this doctor, and walked out happy.
She promised, by the way, to sing me to sleep during the surgery (she's known for that)

I'm still not feeling any fear, except for fear of the medication - it's strange, this journey - not sure why I need it, but here it is.

I have genetic testing on the 17th, then fly to Palm Springs to pick up Joe, then on to Madrid on May 4.
I'll start on the Frances, and depending on how tired the meds make me, may drop down to the VDLP if I feel like it.

HOORAY!
Hope to see some of you on the trail!
PS: Stopped by New Balance and picked up my new trail shoes today also! It was a good day!
 
Last edited by a moderator:
The focus is on reducing the risk of failure through being well prepared. 2nd ed.

mspath

Veteran Member
Nov 25, 2009
11,277
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allmycaminos.blogspot.fr
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Frances, autumn/winter; 2004, 2005-2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015
Annie,
All your digital friends and companions will be so pleased to read your upbeat news!
Now you are on a good way forward.
Godspeed and in the truest sense, Ultreia!
 

Kiwi-family

{Rachael, the Mama of the family}
May 3, 2012
4,007
10,560
Auckland, New Zealand
solowalk2020.travel.blog
Time of past OR future Camino
walking every day for the rest of my life
what wonderful next steps for you to take....all the best with your Big Decision (it feels like you have pretty much made it already).....should by some miraculous chance our paths cross in May/June, dinner is on me!
 
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kelleymac

Veteran Member
Sep 19, 2011
925
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61
brooktondale, ny
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March/April 2015, Late April 2016, Sept/Oct 2017, April 2019.
Hi Annie-- Hooray for your second opinion doctor! And thank-you for your post. You are brave and heroic, and I hope I can be like you, if I ever have to face cancer. You and your camino are in my prayers and heart.

Ultreia!

Kate
 
Jul 18, 2014
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Annie, Message me if you have questions about let Ron Ole. I have been on it for 3 years. It was prescribed for me to shut down estrogen production and decrease the likelihood of a re occupancy of my cancer. I’d be happy to share my experience with this med.....
 
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Bisnieta

New Member
Nov 3, 2019
20
80
USA
Time of past OR future Camino
(2021)
Great news! Letrozole is in the same class of hormone therapies as what my Mom is on, Anastrozole. Both are aromatase blockers (aromatase is the enzyme involved in estrogen production).

I have no clue why one of the two would be indicated for which patients, but I wouldn't fear either now, after my mother's experience with her estrogen blocker, the way I might still when I hear "chemo" which can be difficult, if not brutal, for many patients.

Sure, there could be side effects with these too (hey, there are side effects with some patients with anything, even aspirin!), but in my Mom's case she's suffered no ill effects in almost 2 yrs, nobody who didn't know she was on it could tell any difference, it's been easy as pie, she just pops a pill once a day.

Her team here at MDAnderson occasionally screens her for changes in bone density (a possible side effect) & what not, but so far so good. Her malignancy shrunk away & totally vanished within months & she required no surgery.

I don't blame you one bit for wanting to just get it the heck all over with & do a double M - I had a neighbor who did exactly that & I was happy to cheer her on as she did it, but hers was a different type of cancer & her family history with the same disease was not encouraging.

It just seems to me there's much, much more risk to undergoing a major surgical procedure than popping these little estrogen blockers - which, alleluia, your type of cancer is miraculously the very kind that can be helped by hormone therapy!

TLDR: Don't fear Letrozole, give it - & your camino! - the chance to let them both do their magic before you make any other decisions. I am so glad for you that you've got top notch care & that you are being given this option!
 
Ideal sleeping bag liner whether we want to add a thermal plus to our bag, or if we want to use it alone to sleep in shelters or hostels. Thanks to its mummy shape, it adapts perfectly to our body.

€46,-
Nov 1, 2008
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I'm really grateful for all the support I've gotten here.
I'm also blown away by how many pilgrims have traveled this same road, silently, (unlike me who has to shout things from the rooftops! 🤣 ) and all of the great advice I've gotten from those with experience. I can't thank you all enough.

Buen Camino!
 
Jul 18, 2014
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I can't thank you all enough.
You're welcome, Annie. We're doing for you what others did for us...and what you may well end up doing for now unknown others.
It's a very long chain of held hands...
 
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Stephen Nicholls

Steve Nicholls, Suffolk, U.K.
Jul 26, 2011
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Too many caminos to list in the permitted 100 characters!!
Bless you, Annie.
Enjoy your camino - I know you will! I wish I were able to walk another, but at 81 have had to call it a day.
My thoughts and prayers are with you. And this forum is supporting you beautifully!
A hug from cold England.....
Stephen. xx
 

Wild Irish

Member
Jan 4, 2020
31
68
Ireland
Time of past OR future Camino
2022
Fantastic news that you can continue on your Camino, I know you have huge things to consider but you sound so positive and upbeat! You're inspiring and brave and I'm looking forward to following your journey on the road, keep us posted in the meantime! Lots of love, Sophia 🤗♥️♥️
 
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Ideal sleeping bag liner whether we want to add a thermal plus to our bag, or if we want to use it alone to sleep in shelters or hostels. Thanks to its mummy shape, it adapts perfectly to our body.

€46,-
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Hola, Dear Annie so pleased you went of and got that second opinion. Too many time to many people take the first option and its not always the best one. My chemo is a target specific one and I am cutting it short one shot so that I have at least 3 weeks rest/repair before we fly out for Porto. Have a really , truly, "buen camino". As for surgery on return - go with the option that works best with your brain as well as your breasts. Much love!!;)🚶‍♂️🏃‍♀️🍸
 

Kathy F.

Veteran Member
Jan 21, 2013
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LOL, Annie. Isn't it great to make it to an age that the choice of a DM or not is so much simpler (not simple, just simpler). I haven't faced your decisions (yet, knock on wood), but you are my compadre. You do what you have to do. We are all with you. You give me strength.
 
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Ideal sleeping bag liner whether we want to add a thermal plus to our bag, or if we want to use it alone to sleep in shelters or hostels. Thanks to its mummy shape, it adapts perfectly to our body.

€46,-

peregrina2000

Moderator
Staff member
Mar 6, 2006
20,636
55,951
Champaign, Illinois, USA
And here’s my opinion about your second opinion. With a doctor who obviously loves life and her patients as much as Dr. Nathalie Johnson, at least according to the Oregon Encyclopedia, you are in about the best hands possible. What an amazing woman! And I am referring to both of you. ;)
 

LTfit

Veteran Member
Mar 6, 2010
3,538
9,459
The Netherlands
So good that you got that second opinion, she sounds wonderful! You and only you can make the final decision re the DM but as someone said, maybe wait until you see how this medication works? The operation is always there as an option.

Hope to see you on the Camino Francés.

Ultreia.
 
New Original Camino Gear Designed Especially with The Modern Peregrino In Mind!
Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
Hola, Dear Annie so pleased you went of and got that second opinion. Too many time to many people take the first option and its not always the best one. My chemo is a target specific one and I am cutting it short one shot so that I have at least 3 weeks rest/repair before we fly out for Porto. Have a really , truly, "buen camino". As for surgery on return - go with the option that works best with your brain as well as your breasts. Much love!!;)🚶‍♂️🏃‍♀️🍸
Thanks Mike, and best of luck with YOUR journey as well!
You're on my prayer list!
 
Ideal sleeping bag liner whether we want to add a thermal plus to our bag, or if we want to use it alone to sleep in shelters or hostels. Thanks to its mummy shape, it adapts perfectly to our body.

€46,-
Nov 1, 2008
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Keep walking and kick its ass!!
Funny you'd say that!
Years ago, I was working in a local hospital in the oncology ward.
I realized right away, watching patients, that cancer is a mean machine and in order to beat it you have to be meaner than it! You also have to be positive!

I DO plan on kicking its ass.
I want another 30 years of this awesome life!
 
Ideal sleeping bag liner whether we want to add a thermal plus to our bag, or if we want to use it alone to sleep in shelters or hostels. Thanks to its mummy shape, it adapts perfectly to our body.

€46,-

TaijiPilgrim

Active Member
Oct 25, 2014
458
982
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Camino Frances (2011), Camino Frances (2015), Camino Ingles (2017), Camino Muxia (2017), LePuy(2019)
Thank you for starting my day with very good news. May more good news come your way and on your way. BTW, how did you do with New Balance insoles? I saw you mentioned trainers, but not insoles. Which NB shoes? :)
 

lt56ny

Veteran Member
Jul 28, 2012
4,735
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Bucerias, Mexico
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2024 Aragones, Madrid, Portugues Coastal
Funny you'd say that!
Years ago, I was working in a local hospital in the oncology ward.
I realized right away, watching patients, that cancer is a mean machine and in order to beat it you have to be meaner than it! You also have to be positive!

I DO plan on kicking its ass.
I want another 30 years of this awesome life!
Who knows maybe more!
 
Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
Thank you for starting my day with very good news. May more good news come your way and on your way. BTW, how did you do with New Balance insoles? I saw you mentioned trainers, but not insoles. Which NB shoes? :)

I LOVE the New Balance Motion Control inserts for my feet.
However, I was sad to find out New Balance has discontinued them.
So I'm going to search the internet for a pair today.
If I can't find them in my size, I"ll wear the ones I have which I just bought in August.

I bought the same shoes this year as last year.
I love shoes on an SL-2 shoe last.
They have a narrow heel and a very wide, deep toe box.
This year, I think it was the 840v4.
I'll look later and update if that's wrong (they're upstairs right now)
They are running shoes, not trail shoes, but I love them.
 
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The 2024 Camino guides will be coming out little by little. Here is a collection of the ones that are out so far.
Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
Who knows maybe more!
Very possibly!
I had several aunts who made it past 100.
One lived to be 105 and was active up until the day she fell, broke her hip and they refused to let her go back home, which broke her spirit . :(
That did her in, not the broken hip.
I've always been a little P.O.'d about that.
They should have let her go home. She was cooking, and cleaning, and doing just fine up til then.
 

Ernesto.IT

Active Member
Oct 7, 2013
214
413
Italy
Time of past OR future Camino
2012, 2013, 2014, 2015, 2016, 2017, 2018
So for those who are interested I had my 2nd Opinion appointment today with Dr. Nathalie Johnson.
It began on a VERY positive note, when I got lost and a kind lady helped me find the office, telling me SHE had gone through breast cancer 2 years ago and that "You're lucky to see her! She is the BEST of the BEST!" I've heard that over and over the past few weeks.

Anyway.. long story short, she first told me to "go walk the Camino! It will help you! "
She told me she didn't feel this is an aggressive cancer at all (different from the 1st opinion) which eased my mind.
She prescribed a drug, Letrozol to "starve the cancer" and cause the tumor to shrink while I walk. I've since discovered that Letrozol IS a type of oral chemotherapy - so I'm processing that.

I must decide in the next two days if I will have a lumpectomy or a mastectomy upon my return in April.

I'm leaning toward the double mastectomy (DM) with no reconstruction,
because I am 67, not 30, and really just want this to be over.

With a DM I would need NO chemo, NO radiation, with only a 1% chance of recurrence.

With a Lumpectomy, I would have to have several radioactive drugs intravenously, and would definitely have to have radiation afterwards for 4 weeks and I'm just not willing to put my body through that. In addition, the radiation itself can cause cancer. And after all that I'd still have a 4% chance of recurrence.

I feel my best chances of just getting on with life is to have the DM so that's where I'm leaning.

So.. I LOVED this doctor, and walked out happy.
She promised, by the way, to sing me to sleep during the surgery (she's known for that)

I'm still not feeling any fear, except for fear of the medication - it's strange, this journey - not sure why I need it, but here it is.

I have genetic testing on the 17th, then fly to Palm Springs to pick up Joe, then on to Madrid on May 4.
I'll start on the Frances, and depending on how tired the meds make me, may drop down to the VDLP if I feel like it.

HOORAY!
Hope to see some of you on the trail!
PS: Stopped by New Balance and picked up my new trail shoes today also! It was a good day!

Note from the mods. For part I of Annie’s story, go here. Part II is here.

Hi Anniesantiago, so glad you are keeping your spirit up and that you are making the right decision, I am sure James will look after you on the camino as HE did with me. I was 58 when I was diagnose prostate cancer and I had to choose if to live with it and to die with it or to let them remove the prostate and live practically castrate, I decide for the later one.
Since I have walked all the different camino and (keeping my finger cross) it has not come back. I am now 73, walked over 13.000Km since and this April I will try to. walk from John O Groats to Rome, again to pay my respect to Peter.
Hope to see you around so we can compere notes.
Buen Camino Pilgrim.
 
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MaineSally

MaineSally
Mar 15, 2018
176
486
Freeport, Maine
Time of past OR future Camino
Cam Frances SJPDP to Santiago ('17): Finisterre ('17); Muxia ('17): Camino Portuguese ('19)
So good to hear from you with an update and the immediate course of action from a health care provider you trust, and find comfort and connection. Her encouragement to hit the Camino has to be the best medicine as part of the first course of action...a gift if you will. You’ll have a force from this forum surrounding you with love and well wishes every step of your way. My very best to you Annie!
 
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The one from Galicia (the round) and the one from Castilla & Leon. Individually numbered and made by the same people that make the ones you see on your walk.
Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
Hi Anniesantiago, so glad you are keeping your spirit up and that you are making the right decision, I am sure James will look after you on the camino as HE did with me. I was 61 when I was diagnose prostate cancer and I had to choose if to live with it and to die with it or to let them remove the prostate and live practically castrate, I decide for the later one.
Since I have walked all the different camino and (keeping my finger cross) it has not come back. I am now 73, walked over 13.000Km since and this April I will try to. walk from John O Groats to Rome, again to pay my respect to Peter.
Hope to see you around so we can compere notes.
Buen Camino Pilgrim.

Thanks Ernesto!
Happy to meet another warrior!
Buen Camino to you!
 
F

Former member 49149

Guest
Funny you'd say that!
Years ago, I was working in a local hospital in the oncology ward.
I realized right away, watching patients, that cancer is a mean machine and in order to beat it you have to be meaner than it! You also have to be positive!

I DO plan on kicking its ass.
I want another 30 years of this awesome life!
This one I have to reply to. Almost 20 years ago I returned to the scene of a crime: a second chance learning centre where I had worked before, and am still doing a little bit of work there. Anyway, two lovely women were recovering from treatment from cancer. They are still trotting around, against the odds, because their attitude would match yours: so positive, so upbeat. It is not easy to say what turns the tables, but certainly it has to help if you refuse, as you are doing, to turn your face to the wall. You know you have a candle with your name on it, Annie.
 
Technical backpack for day trips with backpack cover and internal compartment for the hydration bladder. Ideal daypack for excursions where we need a medium capacity backpack. The back with Air Flow System creates large air channels that will keep our back as cool as possible.

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Carol06

Active Member
Jan 15, 2012
299
423
Mangawhai , New Zealand
Time of past OR future Camino
Frances (May 2012)
Frances (May 2015) all going well and with my husband this time.
So for those who are interested I had my 2nd Opinion appointment today with Dr. Nathalie Johnson.
It began on a VERY positive note, when I got lost and a kind lady helped me find the office, telling me SHE had gone through breast cancer 2 years ago and that "You're lucky to see her! She is the BEST of the BEST!" I've heard that over and over the past few weeks.

Anyway.. long story short, she first told me to "go walk the Camino! It will help you! "
She told me she didn't feel this is an aggressive cancer at all (different from the 1st opinion) which eased my mind.
She prescribed a drug, Letrozol to "starve the cancer" and cause the tumor to shrink while I walk. I've since discovered that Letrozol IS a type of oral chemotherapy - so I'm processing that.

I must decide in the next two days if I will have a lumpectomy or a mastectomy upon my return in April.

I'm leaning toward the double mastectomy (DM) with no reconstruction,
because I am 67, not 30, and really just want this to be over.

With a DM I would need NO chemo, NO radiation, with only a 1% chance of recurrence.

With a Lumpectomy, I would have to have several radioactive drugs intravenously, and would definitely have to have radiation afterwards for 4 weeks and I'm just not willing to put my body through that. In addition, the radiation itself can cause cancer. And after all that I'd still have a 4% chance of recurrence.

I feel my best chances of just getting on with life is to have the DM so that's where I'm leaning.

So.. I LOVED this doctor, and walked out happy.
She promised, by the way, to sing me to sleep during the surgery (she's known for that)

I'm still not feeling any fear, except for fear of the medication - it's strange, this journey - not sure why I need it, but here it is.

I have genetic testing on the 17th, then fly to Palm Springs to pick up Joe, then on to Madrid on May 4.
I'll start on the Frances, and depending on how tired the meds make me, may drop down to the VDLP if I feel like it.

HOORAY!
Hope to see some of you on the trail!
PS: Stopped by New Balance and picked up my new trail shoes today also! It was a good day!

Note from the mods. For part I of Annie’s story, go here. Part II is here.
That all sounds so sensible and positive. Go girl!
 
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David with new Kit!

Active Member
Jul 10, 2019
555
1,451
England, UK
Time of past OR future Camino
2019, 2021, 2022
Eh!, What do you mean "For those of you who are interested?" Oh my goodness, we are ALL very interested, we are all shouting out for you, timidly opening your post to find out how you are doing.

You are very positive, no doubt inspiring too, with the way you are dealing with this and approaching it - I'm definitely impressed by you 😘

You get my vote ✔
 
Down bag (90/10 duvet) of 700 fills with 180 g (6.34 ounces) of filling. Mummy-shaped structure, ideal when you are looking for lightness with great heating performance.

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LesBrass

Likes Walking
Aug 8, 2013
1,848
5,963
Perigord - France
thenwewalked.com
Time of past OR future Camino
yes...
... Madrid on May 4.

I'll start on the Frances...
Hope to see some of you on the trail!

Annie I’ll be in Roncesvalles on the 6 May 🚶🏼‍♀️😁🥾

... unlike me who has to shout things from the rooftops! 🤣 )

Buen Camino!

But don’t forget that your words are now here for others to read... the quiet ones that need to hear voices like yours... the strength and courage and positivity... it will help to get them through their first days and weeks ❤️

Bravo Annie and so glad the news is so good ... Buen Camino pilgrim ❤️
 

KJFSophie

My Way, With Joy !
Jan 24, 2018
625
2,738
Massachusetts, USA
Time of past OR future Camino
2014, 2015, 2017, 2018, 2019, 2022
I'm really grateful for all the support I've gotten here.
I'm also blown away by how many pilgrims have traveled this same road, silently, (unlike me who has to shout things from the rooftops! 🤣 ) and all of the great advice I've gotten from those with experience. I can't thank you all enough.

Buen Camino!

Shout if you need to ! " What cannot be put to words, can not be put to rest", so if you need to say it out loud to make peace with it all...I, and many others are listening.
I like your new second opinion. And I like your tentative plan of starving that beast then pulling it the hell out of your body. I've done the same. It doesn't belong inside of you and needs to go. If it's any support, I got rid of it too ( although at a younger age, had a tiny bit of non-artificial reconstruction ) If it were today, I'd say the hell with it...backpacks fit better!
 
Down bag (90/10 duvet) of 700 fills with 180 g (6.34 ounces) of filling. Mummy-shaped structure, ideal when you are looking for lightness with great heating performance.

€149,-
Nov 1, 2008
11,038
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Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
Annie I’ll be in Roncesvalles on the 6 May 🚶🏼‍♀️😁🥾



But don’t forget that your words are now here for others to read... the quiet ones that need to hear voices like yours... the strength and courage and positivity... it will help to get them through their first days and weeks ❤

Bravo Annie and so glad the news is so good ... Buen Camino pilgrim ❤

Oh! Maybe we can have coffee in Pamplona or Puente la Reina?
I arrive in Pamplona on the 5th - will stay two nights and start walking (slow) on the 7th. I bet you'll pass me!
 

LesBrass

Likes Walking
Aug 8, 2013
1,848
5,963
Perigord - France
thenwewalked.com
Time of past OR future Camino
yes...
Oh! Maybe we can have coffee in Pamplona or Puente la Reina?
I arrive in Pamplona on the 5th - will stay two nights and start walking (slow) on the 7th. I bet you'll pass me!
I would love that ❤️ I hope we can. I’m walking to Estella... so a fair few days where our paths can cross. I’ll be sticking pretty much to the stages. I can keep in touch ... fingers crossed. X
 
The one from Galicia (the round) and the one from Castilla & Leon. Individually numbered and made by the same people that make the ones you see on your walk.

laineylainey

Veteran Member
Aug 20, 2016
979
1,567
Fermanagh Ireland
Time of past OR future Camino
started in 2012, hooked ever since.
So pleased you are keeping us in the "news loop",Annie. l personally feel a bit concerned when the updates don't appear. I also admire your courage about your decision about a DM. Having never been in your situation, I wouldn't consider it appropriate to comment. Only you can decide what looks, feels, sounds best for you. What is great in the meantime are the doctors and information you are receiving as well as the advice and stories from other very brave forum members. But it is still your decision, your journey. Please continue to show the rest of us by your story, how grateful we should be, moment to moment, day to day, thank you so that.
 

Delphinoula

Veteran Member
Jan 30, 2019
683
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C. PdC 2018 Finisterre Muxía 2018
C.Franconia 2019 C.Algeciras Sevillia 2019
Swabian C. (2020)
All the best you brave ones out there.

If you have no words I will talk for you.
If you have no tears I will cry for you.
If you have no legs. I will walk for you.
If you have no song I will sing for you.
If you have no vision I will see for you.
So you see there is nothing you can not do, because I will be there for you.

A poem from my time when I served with patients.
 
Ideal sleeping bag liner whether we want to add a thermal plus to our bag, or if we want to use it alone to sleep in shelters or hostels. Thanks to its mummy shape, it adapts perfectly to our body.

€46,-

Bagobev

New Member
Jul 11, 2017
25
49
Time of past OR future Camino
Lisbon to Santiago (2017)
So for those who are interested I had my 2nd Opinion appointment today with Dr. Nathalie Johnson.
It began on a VERY positive note, when I got lost and a kind lady helped me find the office, telling me SHE had gone through breast cancer 2 years ago and that "You're lucky to see her! She is the BEST of the BEST!" I've heard that over and over the past few weeks.

Anyway.. long story short, she first told me to "go walk the Camino! It will help you! "
She told me she didn't feel this is an aggressive cancer at all (different from the 1st opinion) which eased my mind.
She prescribed a drug, Letrozol to "starve the cancer" and cause the tumor to shrink while I walk. I've since discovered that Letrozol IS a type of oral chemotherapy - so I'm processing that.

I must decide in the next two days if I will have a lumpectomy or a mastectomy upon my return in April.

I'm leaning toward the double mastectomy (DM) with no reconstruction,
because I am 67, not 30, and really just want this to be over.

With a DM I would need NO chemo, NO radiation, with only a 1% chance of recurrence.

With a Lumpectomy, I would have to have several radioactive drugs intravenously, and would definitely have to have radiation afterwards for 4 weeks and I'm just not willing to put my body through that. In addition, the radiation itself can cause cancer. And after all that I'd still have a 4% chance of recurrence.

I feel my best chances of just getting on with life is to have the DM so that's where I'm leaning.

So.. I LOVED this doctor, and walked out happy.
She promised, by the way, to sing me to sleep during the surgery (she's known for that)

I'm still not feeling any fear, except for fear of the medication - it's strange, this journey - not sure why I need it, but here it is.

I have genetic testing on the 17th, then fly to Palm Springs to pick up Joe, then on to Madrid on May 4.
I'll start on the Frances, and depending on how tired the meds make me, may drop down to the VDLP if I feel like it.

HOORAY!
Hope to see some of you on the trail!
PS: Stopped by New Balance and picked up my new trail shoes today also! It was a good day!

Note from the mods. For part I of Annie’s story, go here. Part II is here.
At 67, I am a twenty year cancer survivor who also had DM without reconstruction. I have never regretted my decision. When asked about how I felt about losing both breasts I always replied, "It wasn't much fun but it is not like losing both hands." Everything is relative.

Just a tip in case you are interested: I have worn the typical, ridiculously expensive, silicone prosthetic breasts for years. I mean really, how can a pair of fake boobs and a bra cost $1000, insurance covers it but it is just gouging. But I digress.....I have found even the most light weight prosthetics to be hot and heavy. So after an extensive on line search I found very inexpensive light weight foam forms ( $10 a pair) and mastectomy bras from a company called Athleta and I am going to use them on my next camino. I find the bra and forms to be very comfortable and will likely never where silicone again. There is always the option of "going flat," a bit of a movement these days, but that looks better on some folks than others and is of course a personal decision.
I wish you well on your journey, your pilgrimage will fill your head with warm and happy thoughts, just what we all need.
 

Paula TO

New Member
Apr 18, 2017
15
35
Time of past OR future Camino
CF SJPdP to SdC 2021
Ingles May 2023
I’m not a frequent poster here, but just wanted to wish you well, Annie.

Like the previous poster, I too had a double mastectomy three years ago without reconstruction, and I have zero regrets. I am 53, and perhaps might have felt differently had I been in my thirties.

I had to wait a year after radiation before I could consider reconstruction, but by then I was used to being flat and content to stay that way. Especially when told that reconstruction on my radiated side would require taking some muscle from my back. And the implants would have to be replaced every 10 years. I was concerned that might affect future hikes, if I now had back pain as a result.

I didn’t bother buying silicone prosthetics, and just bought mastectomy bras that had gel and foam inserts. Then I worked my way down to a smaller cup, and now I just buy plain bras that have the place for foam padding to be inserted, and I put three bra pads in each side. It’s not sweaty, it’s lightweight, and just enough to make my clothes look less weird. Also, it’s a much more economical option.

I take Tamoxifen now, which had some side effects but all were manageable.

I wish you all the best. Buen Camino.
 
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Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
At 67, I am a twenty year cancer survivor who also had DM without reconstruction. I have never regretted my decision. When asked about how I felt about losing both breasts I always replied, "It wasn't much fun but it is not like losing both hands." Everything is relative.

I wish you well on your journey, your pilgrimage will fill your head with warm and happy thoughts, just what we all need.

Thanks so much for your post.
It helps a LOT to hear from folks who have gone through this.
I love your quote and am going to steal it!
You are absolutely right, everything IS relative!

Regarding reconstruction, I won't do it.
I've pretty much decided to go flat and love it!
There is a group that makes "knitted knockers" for people- I may or may not try those, but I'm pretty much a minimalist at heart so probably will be more comfie just going flat.

I had a funny moment today when I worried whether or not the surgeon would miss the tumor if it shrinks while on Camino. It's not in the middle of my breast, but more under my arm right at the edge. I think I'm going to circle it with a felt pen to make sure she finds it! :😆:

Anyway, looking forward to getting over this danged flu I picked up and getting onto the Camino.
Thanks again for everyone's support.
Annie
 
Down bag (90/10 duvet) of 700 fills with 180 g (6.34 ounces) of filling. Mummy-shaped structure, ideal when you are looking for lightness with great heating performance.

€149,-
Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
I’m not a frequent poster here, but just wanted to wish you well, Annie.

Like the previous poster, I too had a double mastectomy three years ago without reconstruction, and I have zero regrets. I am 53, and perhaps might have felt differently had I been in my thirties.

I had to wait a year after reconstruction before I could consider reconstruction, but by then I was used to being flat and content to stay that way. Especially when told that reconstruction on my radiated side would require taking some muscle from my back. And the implants would have to be replaced every 10 years. I was concerned that might affect future hikes, if I now had back pain as a result.

I didn’t bother buying silicone prosthetics, and just bought mastectomy bras that had gel and foam inserts. Then I worked my way down to a smaller cup, and now I just buy plain bras that have the place for foam padding to be inserted, and I put three bra pads in each side. It’s not sweaty, it’s lightweight, and just enough to make my clothes look less weird. Also, it’s a much more economical option.

I take Tamoxifen now, which had some side effects but all were manageable.

I wish you all the best. Buen Camino.

Thanks Paula, for posting.
I'm shocked at how many women have taken this "journey!"
Zero regrets sound good and that's what my plan is!

I'm on Lazatrole for 5 years unless it begins bothering me but so far, so good.
I think I'll just go flat. I don't have to go to an office, and I don't go "out" so I think I'll be just fine.
Jeans and teeshirts are my go-to wear now, so that probably won't change.

If any of you who have had DMs have any after- or before-surgery advice for me, please PM me.
I've read a bit on forums - bought the comfie DM pillows for recovery, drain-pockets to hold the drains up, am looking at a foam wedge for sleeping, know I won't be able to drive for a couple of weeks, but am wondering more about things like how long until I can reach cupboards above my head or wear a backpack. I'll stay at my eldest son's house for a week - he's a surgical nurse, so can help with the drains.

Just one more doctor's appointment to have DNA testing before my Camino, then I'm off to Spain.
Looking forward to walking the gorgeous countryside, fresh squeezed OJ, and all those ensaladas mixtas!

Thanks to EVERYONE for their continued prayers and good wishes!
Annie
 
Very light, comfortable and compressible poncho. Specially designed for protection against water for any activity.

Our Atmospheric H30 poncho offers lightness and waterproofness. Easily compressible and made with our Waterproof fabric, its heat-sealed interior seams guarantee its waterproofness. Includes carrying bag.

€60,-
Mar 12, 2019
25
98
Kingston, ON Canada
Time of past OR future Camino
Sept. 14 - Oct. 28/18 CF
All the best Annie, you seem to have done your homework and it sounds like you have the right doctor for you. The Camino will recharge your batteries and those vistas and the pilgrims around you will keep you grounded.

Take Care, Cathy

I am always a week late in my replies but get to things eventually.
 
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Ideal sleeping bag liner whether we want to add a thermal plus to our bag, or if we want to use it alone to sleep in shelters or hostels. Thanks to its mummy shape, it adapts perfectly to our body.

€46,-

Turnstone

New Member
Feb 13, 2020
5
17
Germany
Time of past OR future Camino
Camino Frances (Sept/Oct 2020)
Dear Annie,
I am a new forum member, found your story while researching for my first Camino in September.
So I am another woman who went through breast cancer two years ago. After chemotherapy I needed to decide on a lumpectomy and radiaton or a mastectomy and went with the mastectomy. I would have done a double mastectomy and just go flat but health insurance didn't cover that, so I got instant reconstruction with a silicone implant.
One advice I can give you, try to find a good physiotherapist who works with you as soon as possible after surgery. I have my full range of motion back, but I met many women who didn't, mostly because they didn't get proper physiotherapy. I was able to walk around almost immediately after surgery, but it took about 2 months until I was able to carry a backpack again.
My best wishes for you. You seem to be a strong person so don't let this stop you from anything!
 
Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
My best wishes for you. You seem to be a strong person so don't let this stop you from anything!

Thank you! Good advice!
And congratulations on your healing journey too!
 
Down bag (90/10 duvet) of 700 fills with 180 g (6.34 ounces) of filling. Mummy-shaped structure, ideal when you are looking for lightness with great heating performance.

€149,-
Nov 1, 2008
11,038
23,324
71
Portland, Oregon
www.caminosantiago2.blogspot.com
Time of past OR future Camino
2006 to date: Over 21 Caminos. See signature line
Quick Update:

The hematoma from my biopsy has gone completely down.
The Letrozole seems to be shrinking my tumor. I have to search for it now.
The only side effect so far is a bit of tiredness and occasional night sweats.
I can deal with that.
Surgery is still scheduled for April 23 - double mastectomy - once I return from the Camino

I am able to carry my pack with no problems (tried it out here in the desert)
We leave March 4 and will begin walking the VDLP from Zafra (where Joe left off) on March 7.
We've made reservations where we can and are REALLY getting excited about walking.

Praying for sunshine as I don't want to carry too much weight.

HOORAY!
See you on the trail!

PS: Also just (literally at 2 pm) got back results from my DNA test and results are all negative, which is a very good thing. Onco score is zero. Did I say that? I'm feeling pretty darned blessed!
 
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alexwalker

Forever Pilgrim
Jul 1, 2009
4,360
19,765
Norway
Time of past OR future Camino
2009-2022: CFx6, CP, VdlPx2, Mozarabe, more later.
You are some tough woman, Annie! If it is of any comfort, you are in my thoughts. The VdlP is a fantastic journey, as you know, having been there, as I too have.Enjoy without fear. I believe & hope all will be well for you.

Buen Camino & Ultreya!
 
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