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Medical Forum / Diseases and Disorders / Breast Cancer / December 2003

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I don't know 'nothin'

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Pat - 02 Dec 2003 17:41 GMT
After finding an unusual lump in the boob, I went to the local quack, he
referred me to an ultrasound lab (regional hospital)....who sent back to him
a recommendation of a direct needle aspiration.....
Now, living in the 'country' of West Australia......I have read reports that
more country women have mastectomies than city counterparts............NO
F##king wonder!!!
Without jumping the gun here, I may not have anything to worry
about....but.....even trying to find a local (albiet regional hospital) that
even knows what a needle aspiration is???   Hell, my right boob is not
aspiring to have a needle plunged into it?  But surely the folks in the
medical proffession should know???  Buggered if I do???
I have to find my way to the Capital city....see where statistics are made?
After 6 phone calls (STD), each one no more productive than the last....I
have still yet to find and make an appointment for this 'aspiring' thingie?
But...your group and messages are inspiring......and I will make an
appointment, somewhere, somehow?
Pat
J - 02 Dec 2003 18:15 GMT
> After finding an unusual lump in the boob, I went to the local quack, he
> referred me to an ultrasound lab (regional hospital)....who sent back to him
[quoted text clipped - 13 lines]
> appointment, somewhere, somehow?
> Pat

http://www.breasthealth.com.au/livingwithcancer/wa.html
Support Groups - West Australia (hopefully have some tips for you as to where)

They or the folks here will tell you whether it's best to go right to a
lumpectomy.
So watch for other replies.
J
J - 02 Dec 2003 18:22 GMT
> After finding an unusual lump in the boob, I went to the local quack, he
> referred me to an ultrasound lab (regional hospital)....who sent back to him
[quoted text clipped - 13 lines]
> appointment, somewhere, somehow?
> Pat

There's a 1-800 free number here
http://www.breastscreen.health.wa.gov.au/content/contact.asp
more contacts here
http://www.breastscreen.health.wa.gov.au/content/resources/resources.asp
http://www.nbcc.org.au/
http://www.isourcedirectory.com/hospitals/ "click on search hospitals, then
diagnostics
J - 03 Dec 2003 10:25 GMT
> After finding an unusual lump in the boob, I went to the local quack, he
> referred me to an ultrasound lab (regional hospital)....who sent back to him
> a recommendation of a direct needle aspiration.....
> Now, living in the 'country' of West Australia......I have read reports that
> more country women have mastectomies than city counterparts..

I'm unclear as to why no one else has replied.  Perhaps the language you're
using?
Here's why I mentioned lumpectomy (I think that's what Tim calls a surgical
biopsy)..maybe he could clarify
http://tinyurl.com/xiaa
Ask about the pros and cons here, if the above isn't clear enough.
J
Tim Jackson - 03 Dec 2003 13:13 GMT
> > After finding an unusual lump in the boob, I went to the local quack, he
> > referred me to an ultrasound lab (regional hospital)....who sent back to him
[quoted text clipped - 4 lines]
> I'm unclear as to why no one else has replied.  Perhaps the language you're
> using?

What is the question?  There is no explicit question in the post.

The main implicit question is where to find a breast surgeon in West
Australia.  I can't help there.  Maybe one of our Australians could point at
a source of information.

A secondary implicit question might be about fine needle aspiration, what is
it and why do we do it.  Basically they stick a syringe into the suspect
area.  If it is fluid filled then they drain the fluid.  If it is solid then
they examine the small sample of tissue that adheres to the needle to see if
it is cancerous.

My favourite support site, www.cancerbacup.org.uk, has this to say about
fine needle aspiration:

"This is a quick, simple procedure which is done in the outpatient clinic.
Using a fine needle and syringe, the doctor takes a sample of cells from the
breast lump and sends it to the laboratory to see if it contains any
malignant cells. This technique may also be used to drain a benign cyst. As
the breast is sensitive the needle aspiration can be quite uncomfortable.

Sometimes (especially if the lump is small) a needle aspiration may be
carried out in the x-ray department. The doctor uses x-ray or ultrasound
guidance to make sure that the exact area of the breast is sampled with a
special needle. Your doctor will discuss with you which type of needle
aspiration you may have. "

As to why more country women have mastectomies, I suppose I could theorise
at length but not contribute very much.  Possibly because mastectomies are
easier and require less post-operative support.  Country women probably
aren't too keen to make daily trips to a big and no doubt distant hospital
for the radiotherapy needed in conjunction with breast-conserving surgery.

Tim Jackson
su-texas@webtv.net - 03 Dec 2003 15:51 GMT
Choices:  Mastectomy

At this time (when cancer care is still so primitive &
Pharma-controlled), it seems best to have the breast removed when
there's cancer.  

Otherwise, there is a much greater risk of cancer's developing, in the
breast tissue that was left.

---------------

Surgeons

It's very important to use a surgeon who knows what they're doing.
[Unfortunately, many surgeons in Texas & Louisiana (USA) don't seem to,
partly because of poor training at medical schools, ... partly because
the govt's quality standards are not being enforced, ... partly because
our insurance companies continue to pay these docs, no matter how poor
quality or harmful their work is, ... & partly because we can't sue].

Personal Experiences:  A bad surgeon can cause serious physical damage &
injury, & can cause some major (ongoing, debilitating, & expensive in
$$$) health problems, ... & then they'll walk away snickering/laughing
at you, for being such as "sucker"/fool to trust them, & with your money
in their pockets.  [These are the common narcissistic & antisocial moral
disorders, & are typical of the worst in basic/primitive human nature:
the sick needs & greeds.]

It's very important to find a competent surgeon, who knows what they're
doing, & who is willing to do a good job for you.  This can be
difficult.

------------

Witnesses

It's also important to have someone go with you to every appt (to act as
a witness), ... & to stay with you in hospital (to protect you, to see
you get meals, to act as a witness).

When a witness is present, the doctors & nursing staff might choose to
behave better.

Susan, Su_Texas  my opinions

PS  Choosing Hospitals

I've heard, that the hospitals are so bad here in East Texas, that women
entering them to have babies, can leave with Hepatitis C, serious staff
infections, etc., ... the kinds that last a lifetime, & cause problems &
difficulties constantly.

------------

Be careful.  And ask many questions.
 
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