Tag Archives: CT scan

When Breast Cancer Comes Back, Part 2

MaryBright-Darci 2

Mary Bright, right, shares her story with Darci Strickland of WLTX News 19.

In 2015, DHEC’s Mary Bright wrote a blog post about her fight against breast cancer, the most common cancer among women. In late 2017, Mary learned that almost two years to the day that she had rang the bell as cancer free, it had returned. She shares her latest story in a two-part blog series. Today: Part 2 of 2.

By Mary N. Bright 
Public Information Director 
DHEC’s Division of Emergency Response, Nuclear Response and Emergency Environmental Surveillance

If I’m Stage IV, what are my chances?

No one can say.  What I have now is considered a “chronic disease,” like diabetes.  I will be tracked and tested and treated every time my numbers increase or drop.  Unlike diabetes, this disease will eventually kill me.  It probably won’t happen in the next hour or day or week or month but one day it — or possibly a cause related to it — will claim my life.

I will be tracked for the rest of my life; every six weeks if things are going poorly and every three to six months if things are going well.

And I still have no idea how this happened and, sadly, modern medicine hasn’t entirely pinpointed how it happens either.  I told myself to get over the “Why?” question.  I didn’t see the point when facing the daunting gauntlet of the new treatment regimen.

‘I had become the bubble girl.’

Last time it had been eight five-hour infusions every other week for four long months; the first four were a drug called Adriamycin, also known as Doxorubicin, which isMaryBright nicknamed “the red Devil” for what it does to the body.  It kills everything; not just cancer cells but healthy cells and — in my case — white blood cells.  For me, it brought crushing exhaustion and debilitating pain that seemed to ooze out of my bones. But the worst part, the part that actually kept me out of work, was the consistent drop in my white cell count.  Every time I received chemo, my white cell count would drop to 100 or less.  A healthy human’s white cell count is anywhere between 5,000 and 10,000.

I had no immune system.  I couldn’t be around people at all.  My doctor ordered home confinement.  I had become the bubble girl. I even had to wear a mask around my husband in case he brought germs home.  For a self-admitted workaholic, it was torture to be stuck at home with no contact with anyone and no work to keep me occupied.  Daytime television is not what it’s cracked up to be.

‘This time around, the drugs are much more tolerable.’

The last four chemo sessions were a drug called Taxol, which my chemo nurse Jackie told me was usually better tolerated.  The pain began to lessen and the exhaustion eased up, but my white cells stayed low even with injections of Neulasta, meant to increase production of baby, germ-fighting white blood cells.  I quickly realized I wasn’t tolerating it as well as we hoped.  I woke up in the middle of the night and went to the bathroom. When I came back I felt something on the bottom of my left foot.  It felt like one of those little stickers that come off produce.  I grabbed the “sticker” and yanked. It wasn’t a


Click here for more information on the Best Chance Network.

sticker.  It was a chunk of skin from the bottom of my foot.

In just a few hours since I had gone to bed, the skin had begun peeling back from my palms and soles of my feet.  It looked like dozens of little curly Q strips that had separated and were already dry and stiff.  My fingernails that had already turned black from the Adriamycin where now separating from my nail beds; the tip of the nail extended halfway back into the nail bed.  I actually pulled out medical tape and put it around each finger until I could see Dr. Wells the next morning.  He told me to cut my nails down as far as I safely could and use the medical tape to help re-attach the nails to the nail beds.  Losing a nail would cause a wound that could lead to an infection.

This time around, the drugs are much more tolerable. One is called Carboplatin; the other is Gemzar.  I’m slated to have eight infusions spread out over almost six months. The first Wednesday I went in for an infusion that lasted about two hours; the next Wednesday another one for another few hours. The two sessions amounted to one infusion.  Then I had a week off while my medical team checked my numbers.

‘I’m aware that this will get worse this time’

As long as my numbers were within the desirable range, I’d be allowed to continue on with the next two sessions for my next infusion; then another week off for testing.  This is my routine until we complete eight full infusions.  I should be done sometime near the end of April; after that surgery and the six weeks it will take to recover.  We’ve decided to remove both breasts completely.  The chances of recurring breast cancer are pretty small if you remove as much breast tissue as possible.  We’ll be able to remove about 90-95 percent; you can’t remove every inch without cutting into the muscle below it.

While early into these chemo infusions, I can already feel the difference.  There is less constant pain.  It’s more like spasms in my breasts, legs, hands and feet; even my fingers lock up unexpectedly.  I spend a lot of my off-time massaging my muscles to keep them from locking up.  I have patches of joint ache and neuropathy; pain, tingling and numbness in my hands and feet.

Towards the end of my last treatment I had to use a cane to get around safely; at age 40.  I’m aware that this will get worse this time, because chemo treatments are cumulative and get worse as you endure more of them.  I haven’t lost my hair yet; last time it started failing out after two weeks.  But that is a side-effect of both of these new drugs so I’m not holding out hope.  Hey, I’ll save money on haircuts, shampoo and conditioner, so that’s not so bad.  Like last time, I can smell better than most bloodhounds.  I swear, it’s ridiculous how keen that sense of smell has become.  My sense of taste comes and goes and I’ll probably lose it again.  No nausea yet and my nails and skin seem intact for now.

Once again some incredible good has come from even this horrible situation.  My white cell count this time is hanging tough so I can still work.  The sanity that brings is indescribable.

‘Blessed to be surrounded by the most loving, caring and amazing people’

I once again see how I have been blessed to be surrounded by the most loving, caring and amazing people.  They ask me everyday what they can do to help.  I actually feel bad when I only say prayers and make me laugh every chance you get.  I don’t have a lot I MaryBright-Darci (2)need just yet.  My husband has become my personal chef, making me my favorite meals to make sure I eat and keep my strength up.  The outpouring of support, prayers and well-wishes has brought me to tears.

Don’t get me wrong; I wouldn’t turn down a winning lottery ticket or as my husband says “a box of hundred dollar bills” because the treatment is far from cheap and every visit or treatment results in another co-pay or balance due.  I certainly understand what is meant when I hear that most American families are one major medical event from bankruptcy.  One of the things I was looking forward to with the two-year anniversary was the end to major medical payments and a chance to pay everything off and start saving for a house again.  But that’s not quite on my mind right now nor is the reconstruction I would need after the double mastectomy.

On the positive side again, I have had so many sweet wonderful people volunteer to come sit by my side as I receive the infusions.  As wonderful as their offers are, I have turned every one of them down, including my husband’s.  For me, to keep focused during this new fight, I need to just put the blinders on and “headphones in” and push through each one while I work through emails and work projects.  I worry that if I break my concentration I won’t regain the strength I need to make it through them all.

‘To all my fellow survivors, keep fighting’

I am convinced I will make it. As my Dad said when I told him about the diagnosis, “OK.  That’s not ideal.  Now what are we going to do about it?” I’m my Daddy’s girl.  When these things happen, take time to sort through the feelings and the devastation. When you’re ready, stand up and fight.

I’ll make sure to let you all know how it’s going and whether we win this round too.

To all my fellow survivors, keep fighting… as long and as hard as we can to squeeze every moment of joy, happiness and love out of this life.

It’s worth it.


When Breast Cancer Comes Back, Part 1


Mary Bright, right, shares her story with Darci Strickland of WLTX News 19.

In 2015, DHEC’s Mary Bright wrote a blog post about her fight against breast cancer, the most common cancer among women. In late 2017, Mary learned that almost two years to the day that she had rung the bell as cancer-free, it had returned. She shares her latest story in a two-part blog series. Today: Part 1 of 2.

By Mary N. Bright 
Public Information Director 
DHEC’s Division of Emergency Response, Nuclear Response and Emergency Environmental Surveillance

There are four words no cancer survivor ever wants to hear: Your cancer has returned.

It’s something all cancer patients know is a possibility, but after the first fight you try to be positive that you’ve kicked it and you’ll never have to face those four life-altering words.

For me it happened in November, almost exactly two years to the day after I rang the bell signifying that I’d completed my six-month grueling expedition into chemo, surgery andMaryBright Bell radiation treatment.  As I sat down in the familiar leather seats in the infusion room, I thought about how ironic it was that two years prior I had rung my bell on the day before Thanksgiving.  Now once again, on the day before Thanksgiving, I was settling in to begin chemo all over again.

‘I was looking forward to getting it out’

It had only been five months since I had undergone a CT scan that cleared me to have my port removed.

That little titanium port had saved my veins from being blown out two years earlier, when I sat through eight torturous rounds of chemo.  The chemo that, at times, made me want to climb into a deep, dark hole and wish the world, one filled with unbearable pain and exhaustion, would go away.  While the port had been surgically placed to help save my life, I was looking forward to getting it out.  I told myself once my oncologist, Dr. Wells, gave the OK and we could take it out – that would be the signal that my life could begin to return to normal.  With a clean CT scan, and once we passed my two-year anniversary, that tiny piece of titanium could go bye-bye.MaryBright

Then, in early October, less than two months shy of my two-year anniversary, my bra began to pinch and hurt on my right side.  I was having pain spasms that were increasing in frequency and painfulness.  I swapped my normal bras for sports bras for a few days and it felt better; but only for a week or two.  Then one day, just before Halloween, the pain returned and the skin of my right breast felt “thick” to the touch.  The color was a light spotted pink like I had a mild, splotchy sunburn and, oddly, despite the previous lumpectomy, my right breast was looking fuller and sitting higher on my chest.

‘The next day, I got that call’

I had an appointment the next week for my fall follow-up so I mentioned it to my oncologist.  He immediately sent me downstairs for a mammogram.  A quick scan showed no changes in the density of the breast tissue so I went back upstairs to be re-evaluated.  At that point, I was presenting symptoms that resembled mastitis, a painful infection/inflammation of the breast tissue.  The other likely option was lymphedema; an overproduction of the lymphatic fluid from my arm that filled in the void areas in my breast after surgery.

Two rounds of antibiotics later, the color and swelling were down but not gone.  Dr. Wells wanted an MRI to ensure tiny diffused cancerous cells weren’t hiding in the voids.  So Nov. 6, about three weeks after the first symptoms, I went in for a chest/breast MRI.

The next day I got that call; Dr. Wells wanted me back in for a biopsy.

‘Yep, my cancer’s probably back.’

The MRI showed “spots of interest” on my right breast and inflamed lymph nodes on my left breast and in my lungs.  I knew that meant the cancer was probably back, but no one really wanted to confirm that guess until they had test results.  The Thursday before Veterans Day I went in and had six areas biopsied; three in the right breast and three in the left.  A member of the medical staff asked foreshadowing questions and made comments that I assumed meant they knew what they were looking at — questions like whether we had removed my port yet.  I said “No, I still have my port,” but brain said, “Yep, my cancer’s probably back.”

I was home the next day, Friday, for the state holiday when I got the results; all six samples were positive… déjà vu all over again.  That’s exactly what I had been told the first time.  Only this time my routine breast cancer had comeback with a vengeance.  Instead of forming a solid tumor it hid in voids between the layers of my breast tissue making it harder to detect.  My “routine” breast cancer, for reasons we may never know, was acting like a much more aggressive type of breast cancer known as triple negative.  Triple negative is the most aggressive, the fastest-growing and deadliest form of breast cancer.

Triple negative breast cancers make up about 10-20 percent of all breast cancers; in about 34 percent of patients cancer comes back.  On average, it reoccurs within about 2.6 years.  Mine came back just shy of two years.

‘My cancer had spread to other organs’

Just like before, everything went into fast forward again.  I had a PET Scan that Saturday to see if any other areas of my body contained cancerous cells; then a bronchoscopy the following Friday (to determine if the inflamed lymph node in my lungs was positive for cancer or just inflamed from a recent hacking cough).  The lung spot, about the size of a quarter and in my lower left lung, was cancerous.

My cancer had spread to other organs. I was diagnosed as Stage IV.

Before I could even comprehend what was going on, I was sitting down to the first portion of the first round of chemo on November 22, the day I had expected to celebrate my two-year anniversary of being cancer-free.

How had this happened?  Why had it come back?  My cancer was supposed to be curable, after all. I was reassured of that. I could be cured and, in essence, walk away with only this minor detour from my life.

What didn’t happen with me that would have helped me? There are a couple of things I can remember.

‘The sad truth of it is… there is no good answer.’ 

I remembered being told that given my age on the first diagnosis – 40 years old –chemo might push me into early menopause.  I remember thinking, “OK, one less thing to worry about.” I wasn’t planning on kids after 40. My periods did stop about six weeks into chemo, but about five months after I stopped chemo, I woke up and it was back.  I told my oncologist and he seemed


Click here for more information on the Best Chance Network.

a tad surprised but told me that occurs for some women, usually those with excess estrogen production.  He recommended I start a drug called Tamoxifen (to reduce estrogen production) and seriously consider having an Oopherectomy (removing my ovaries) within the next year, since that’s another place where estrogen is produced.  I couldn’t tolerate the drug so we tried a different one, Letrozole, which wasn’t any better.

That’s when we decided to go ahead with a full Hysterectomy and Oopherectomy.  Since we were “going in” it would be better to take out the uterus, fallopian tubes, cervix and anything else that could cause any of the “silent” feminine cancers in the future.

‘What was this new diagnosis going to mean for me?’

But was there anything else we missed?  No.  So what had happened?

The sad truth of it is… there is no good answer.  Sometimes, as my oncologist said, people with no family history and no genetic mutations simply develop cancer.  It’s an unlucky roll of the dice.

What was this new diagnosis going to mean for me?  For my future?  For my family?