Today we came to Vancouver for an appointment at the Cancer clinic expecting some kind of follow up treatment program plan. After we filled out many forms, then Ivan was examined by an intern (prior to seeing the specialist) we learned a few things (that I already assumed). Ivan had invasive ductal carcinoma/ estrogen receptor positive. (the most common kind of breast cancer)
The intern assumed the treatment would be 16 sessions of radiation during 3 consecutive weeks. The specialist was not enthused about this plan. She felt it wasn't required and was also worried as Ivan can't place his arms over his head. The radiation could be damaging and only has a 15- 20 % chance (or less ) of preventing the cancer from returning. Since it is his left breast that would receive the radiation she did have some concerns about his heart.
She felt Tamoxofin (a hormone that blocks estrogen) would be more beneficial. However since Ivan may still have the lupus anti-coagulant she worried it could cause blood clots. It is a hormone medication taken for 5 years after breast cancer surgery.
So after many hours and discussions, she decided she woul look into his medical records before making a decision. He may need to see a hematologist again to ensure he no longer carries the lupus anti-coagulant (we're not sure).
Dr. Weir was satisfied with his physical condition and plans to follow up as soon as possible.
So we are still in limbo with more medical appointments planned.
But Ivan is generally feeling well and is already swimming. The scar is healed and he has no pain from the surgery.
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