Posted By: MeierEce Don't know what to do!! - 09-05-2004 02:55 PM
Hello all. I need some advice and also I need to let out some of my feelings.

I had previously posting indicating some symptoms I have been having.

It all began around mid june when I developed a sore throat and some congestion in my ears and nose. With this came a slightly swollen gland on the left side of my neck. I went to my GP at that time and she felt around and because of the congestion she felt it was some sort of virus/ bacteria that my body was fighting off. She tested me for strep and it came back negative. She said to use affrin (sp?) for a couple of days. This seemed to clear up a bit of the congestions, but the sore throat was still there, though not as bad. She said that the anxiety I was feeling was because my wife is pregnant. Around the beginning of July i began to get really worried because the gland hadn't subsidded, but it also wasn't getting any bigger. I went back to her and she had two other Dr.s from the medical center come in and check to see if they were concerned about anything. They were not. So off I went, with the information of let's keep and eye on how you are feeling and check back with us in a little bit if any changes. After another week or so, when I still wasn't feeling normal, I asked for a referal to an ENT. Eventually After hassling with the appointment desk they were able to squeeze me in the following week.
Well around that time I came across this web site and found out a ton of new information. This heightened my concern about the lump on my left side. At this time i felt around a bit, and noticed a hard lump on my right side of my neck. Also I looked in my mouth a little closer and noticed that my right tonsil had a small bump on it that was light in color. This freaked me out.
I went to that ENT and he felt around a bit, and looked around and said , everything seems ok, and that we wasn't concerned with the swollen gland or lump and to come back in 4 months. (November) . So off I went. When I still wasn't feeling well, I called my GP and she said for me to go an Oral surgeon to have the throat Looked at and another ORAL cancer screening done. I did that and He didn't see anything out of the ordinary. But that he couldn't comment on the lump and that I should see an ENT.
When at the begining of the month of August I still wasn't feeling well, I got another referal to an Different ENT. This time I went to the HEAD and Neck Surgery Departmemt and one of the ENT's in that group of a Regional Hospital. They have a cancer center there and I thought this would help. Well this Dr. looked around and also felt around. He put a tube up my nose and then down the back of my throat to have a look. This time my wife came with me. He diagnosed me with Acid Reflux and alergies. He believed this post nasal drip in combo with the acid reflux was what was causing the pain in my throat. He didn't see anything abnormal, but to be certain, he ordered a CT for the lumps and then refered me to the department head to follow up with the results. I went for the CT and then the follow up. The DR. ( The head of the department) looked at the CT and didn't see anything abnormal. He felt around the lump on my left and said it was lipoma, and that the lump on the right side was a lymph node but felt normal in size and that he wasn't concerned and to Come back in

Earlier today i was out in the yard working and the pain in my throat was on my mind. I began to think about everything that has happenend in the last 3 months and I began to cry. I can't help but think that these things I am feeling (lumps, something in my throat) are something serios.

Well, here it is September and almost a full 3 months since I began to not feel well. I have been to seven Dr.s and none of them have been concerned with what they have found. Yet I have physical symptoms. When they find out that my wife is pregnant they seem to think that this is all in my head and that I am some sort of hypocondriak. However, this type of behavior is not ordinary for me. And if it all is my head, what don't they given me something for being a nut job!!

What can I do next? Boston is not too far for me, is it appropriate to call DF and ask for an appointment? Do I just wait this out? My issue with that is everything I read is early diagnosis is very important.

I don't know what to do. Any advice?
Posted By: Gary Re: Don't know what to do!! - 09-05-2004 07:20 PM
I have met other people who think they have cancer (when they don't) Please get some help. We really need to spend our time with people who really have it.
Posted By: JetAgeHobo Re: Don't know what to do!! - 09-05-2004 07:36 PM
Ok, after 7 docs and a CT scan you now know what it isn't. And the thing is it most likely isn't cancer. Doesn't help the fact you don't feel well though. You need to step back, get off the "I have cancer" mindset and try and find out what's really going on. One thing I've found out is you can get tunnel vision and start focusing on one thing and miss something else completly obvious. This could be a hard to shake or identify infection, allergy, who knows what, but sounds like they definately ruled out cancer.

Hope the docs can get your problem sorted out.

Bob
Posted By: Joanna Re: Don't know what to do!! - 09-05-2004 07:55 PM
Meier, there are hundreds of people registered on this forum who would trade places with you in a New York minute! So start doing a Happy Dance that you don't have to go through what so many of us have. Concentrate on that new baby, who is going to need your love and attention. Whatever you have, it most likely is NOT cancer, so you have every right to be celebrating the good things in your life. Hug your wife, take a deep breath, and relax.
Posted By: Nicki Re: Don't know what to do!! - 09-05-2004 08:47 PM
Hi, Meier, I don't know very much about medicine and diseases, but I DO understand being anxious and reactionary these days! While my husband was getting through his first round of chemo, he had a very bad night with pain in his left arm/radiating down through the chest. I, of course, was near panic and insisted we get to the hospital at midnight. Must have been a pulled muscle, but boy, I was sure it was a heart attack. I do agree with Joanna - - concentrate on your wife, your baby and LIFE! You have a great ride in front of you smile
(I do hear that that acid reflux problem can be a nasty pain - hope you get relief soon)
Posted By: minniea Re: Don't know what to do!! - 09-05-2004 11:18 PM
Meierece,
It's a horrible feeling to think you have cancer. I remember the few days in between my biopsy and the day I was told it WAS cancer. I agree with Joanna, take a deep breath and feel blessed that after seeing 7 doctors that you are still being told it is NOT cancer. While there are people on here that have suffered doctors misdiagnosing them, most of us see doctors that are competent. I cannot imagine that 7 doctors could all be wrong, the odds of that just seem so slim.
It is very, very easy to make yourself believe that you are feeling something in your body. I remember when I was a young mother and I had myself convinced that I had multiple sclerosis. A young woman in the small town I lived in was diagnosed with this and for whatever reason my mind took off with it. I swore up and down that my toes and fingers were numb and tingly, that I was off balance all the time and that I was SO tired. I didn't have multiple sclerosis, I was depressed. I was 24, had four children 5 and under and thank God a female doctor I went to see picked up on it. Two months worth of a medication and I was fine. The stress of my life at the time was the culprit, not cancer.
I sympathize with what you are feeling and will listen anytime you need an ear.
Minnie
Posted By: DavidD Re: Don't know what to do!! - 09-06-2004 03:13 PM
I do agree with everyone who has commented about you seeing 7 Doctors and all coming up with the same diagnoses.........sounds like you do not have much to worry about in the Cancer department.
However, that being said it is not uncommon for a group of Doctors to be wrong as well. I am living proof of that. I was told by the Head and Neck team as well as my own GP that I was imagining the lump on the side of my neck.......it took me 6 months to convince them that I was not being over imaginative. Mind you it was not 7 Doctors but 4 was enough.
David
Posted By: michelle41 Re: Don't know what to do!! - 09-07-2004 07:33 AM
Allergies and acid reflux can be frustrating and uncomfortable, continue seeking medical care for those.

Consider asking your doctor about medicine for anxiety. I started taking an antidepressant and it has helped me cope with life.

Pick up a book about babies and child development and start to get excited about your new child.

We always have fear and what ifs. Cancer is scarey, but you have been thorough in seeking treatment/medical opinions. Continue routine exams, but I'd say with 7 opinions you are probably safe from cancer.

Wear your seatbelt. Driving in a car is probably a bigger danger.
Good Luck
Posted By: rosie Re: Don't know what to do!! - 09-07-2004 10:02 AM
Andy,

I don't particularly agree with some of the replies you have received here. It is true that all 7 doctors probably aren't wrong, but it can happen. DavidD's reply has merit. Also, if you check Uptown's posts, you will see that he had several doctors misdiagnose him. I think the thing that some of the people here have not considered is that even though you have seen 7 docs, not all of them were experts. The opinions of most GP's can usually be discounted when it comes to diagnosing oral cancer. They just don't see enough of it to recognize it. Even ENT's can miss it, esp. if you don't fit the profile and the tumor is deep under the mucosa. Base of tongue SCC is notoriously hard to detect in the early stages. That is why the survival rate on it is one of the worst for oral cancers.

I am not telling you to panic. I agree with the other posts in that you must try to get a grip on yourself and calm down. BUT I also feel that you need to be comfortable with the docs explanations for your pain, lumps, etc.

If you need one more opinion in order to have peace of mind, then I say go for it. Just be sure to go to "the experts" this time. Doctors at Dana Farber or, better yet, Memorial Sloan-Kettering should be able to set your mind at ease.

One thing that bothers me is that none of the docs have even done a fine needle biopsy on any of the lumps. That is a fairly simple procedure and while not foolproof, it could go a long way toward easing your mind. As far as the CT scan results, I don't feel they mean diddly. Heather's 3 cm tumor and 4 positive lymph nodes didn't show on a scan. An MRI or PET/CT would be a better indicator. Heather's surgeon now uses PET/CT's on a regular basis. Since losing her, he has changed some of his thinking on "the norm" for diagnostic procedures and treatment.

The bottom line is that this is probably not cancer, but it is your life and you must do whatever it takes to have peace of mind. Only then can you move on and concentrate on enjoying your life with your wife and baby-to-be.

Rainbows & hugs, wink
Rosie

P.S. I didn't want to get a feud going on the forum, so I have sent you a private e-mail with more info. Please let me know if you don't receive it.
Posted By: MeierEce Re: Don't know what to do!! - 09-07-2004 11:15 AM
Thank you to those of you who have posted I appreciate it. I certainly don't mean to waste anyones time with my concern over my health. I wish the best for all of you.

Rosie,
I had asked about a needle biopsy, and I was told that the lump I has was not big enough for one. My question is how big does a lump have to be for a needle biopsy? If I had to say the largest lump I am talking about is approx 1 inch.
Posted By: Uptown Re: Don't know what to do!! - 09-07-2004 12:41 PM
MeierEce,

I can certainly understand your anxiety and I am with Rosie on this one. If you need peace of mind, go to an expert and put this thing to bed before it destroys you. In my case, I had no symptoms or reason to go to the doctor other than a lump under my chin that eventually grew to the size of my thumb. I could see it in the mirror. I went to 4 different doctors for 7 months because I could barely turn my head in one direction. I chose the wrong doctors and just wasted my time and theirs. Finally, I went to a plastic surgeon because of the knowledge they typically have with all the nerves in the face and neck. I asked him to remove the nuisance from my neck. He wanted me to see an ENT for a workup for a second opinion. After going almost monthly to doctors I chose to just have it taken out. My wife was with me and had a hard knot on her neck to so we scheduled mine in the hospital and hers in the office. After surgery the doctor felt I had some type of bacterial infection in the lymph node and suggested the puss-filled gland was tuberculosis. On the following Monday it came back as metastatic Squamous Cell Carcinoma. I then had more tests and it clearly showed up on the tests. I even went back to a panoramic xray from the dentist and could see the cancer that my dentist didn't notice. I covered it with his staff as well in case it comes up in the future.

My point in all this is that I had no symptoms and eventually had a piece of the lump available for biopsy and then there is no question. Going repeatedly to doctors who have to guess is not your answer and based on the tests they have performed, I would imagine they would have found something by now. Get a biopsy of the lump and get on with the rest of your life. I can sense from your post that you are not convinced and even CT scans, MRI's, etc., will not give a 100% diagnosis. The lump is bothering you, get it checked. End of story (I hope).

In the meantime, do not waste all your waking moments worrying about what isn't. Even if you turn out positive with cancer, you have wasted an inordinate amount of your time. Your fears will only propagate more paranoia and more things to worry about. Spend time enjoying this new life you and your wife are bringing into this world. There are so many fascinating things surrounding creation and birth of a child and you may be missing out.

I believe any moment of any day I can concentrate really hard and realize my throat or neck hurts to some degree. I prefer to fill my time with other things so I don't notice it or I would be a basket case. Fill your thoughts with positive things and stop thinking about the lump all the time.

Just a few suggestions and lots of free advice!

Ed
Posted By: Mark Re: Don't know what to do!! - 09-07-2004 07:27 PM
Meier,
Lots of arm chair doctoring going on here. Since we are not able to make a diagnosis, we can only relate to our own experiences. While good intentions are the basis for these posts I find it disturbing to blow off your symptoms.

Like Rosie I say go for the trip to Boston. Of course I have no reason to know that you have been misdiagnosed but I am likewise still bothered by a lump of 1 inch and the other things you have said. A lump that size is certainly large enough to biopsy. All of the scans you have had have a finite resolution. In other words they are not perfect. I sense your anxiety, and for that reason get it checked again until you are sure and until those symptoms go away.

That said, I want to share the possibility that some of this anxiety is related to the fact that you are stressed about the baby (perfectly normal, I've had three). I will also suggest that since you probably have never spend a lot of time feeling around in your neck, that you will find all kinds of "lumps". It is best for you to find a doctor you can place your utmost trust in, and then believe them. If that means a trip to Boston, pack your bags.

Take care and keep us posted You aren't wasting my time.
Posted By: Sabrina Re: Don't know what to do!! - 09-11-2004 07:41 PM
Meier

I completely, absolutely, and totally agree that you should get a needle biopsy. It will give you the piece of mind your urgently looking for.

That being said, right after radiation concluded, I had a hard lump in the back of my neck. I freaked out, and I was positive it was cancer. Turns out it was my body freaking out over all the fun and games in itself.

Regardless, it just doesn't make sense to skip a needle biopsy. It's available, I assume relatively painless, and it'll calm you down. What's the harm?

Sabrina
Posted By: MeierEce Re: Don't know what to do!! - 09-13-2004 12:49 PM
I figured I would post a quick update. I am having the lump biopsied on Wenesday. I will let you know what comes of it.
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