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Getting information from other women who are breast cancer survivors can be very valuable. Also, take comfort in knowing that there are many of us who HAVE survived this disease ( there are 1.8 million breast cancer survivors in the United States today). These women can give you candid information about their own experiences with physicians who provided them care and treatment when they were diagnosed. It is best to talk with someone who has been treated fairly recently, though, because treatment modalities change. For example if you spoke to someone who had a mastectomy 7 years ago she would tell you that she spent several days in the hospital and suffered with nausea and vomiting and a lot of pain. Physicians who have chosen to continuously improve care for women battling breast cancer will make changes in their surgical care to prevent the side effects that women in the past had to overcome. There are various types of surgical treatments for breast cancer too and you will find that the experiences women share with you based on the type of surgery they had will also vary. The results also vary dramatically between hospitals and individual doctors. Do not expect the good results from one hospital to translate into similar results at others.
For example, women having mastectomies or lumpectomies with lymph node removal and not having reconstruction at the same time should describe an experience free of severe pain and absence of nausea and vomiting. However the reported rates of nausea and vomiting in most hospitals in the country exceed 85%. Several years ago, Johns Hopkins pioneered improvements in anesthesia management and other peri-operative surgical care so that the majority of our women patients can awaken from this type of surgery and feel relatively normal from a physical perspective. Our experience at Hopkins since 1995 has been that women undergoing one of these two procedures without reconstruction feel well enough to go home the same day. The emotional aspects of this disease and its treatment cannot be underplayed. We want patients to focus on addressing their emotional needs as a priority and not have to worry with feeling ill from surgery. If you find that previous patients you speak to are describing unpleasant experiences from their surgery, then you might want to get more information before selecting the same doctor that they chose to see. There are other important services to ask former patients about, such as the ease and speed of reaching a health care professional after you go home.
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