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June 29 Appointment with family nurse practitioner for chest wall pain July 5 Bone X-rays series July 6 Phone call from PCC reporting abnormalities in ribs and pelvis. Recommended CT scan. July 12 CT scan July 13 Appointment with PCC. Results of CT scan show rib fractures and metastatic breast cancer in ribs, pelvis, and cervico-thoracic spine. Phone call from general oncologist recommending bone scan and follow-up appointment. July 15 Told brother and daughter Week of July 16 Told key colleagues at work, 2 close friends and other 2 brothers July 18 Bone scan July 25 Appointment with general oncologist. Recommended seeing his colleague, an oncologist who specializes in breast cancer. July 2 First appointment with physical therapist July 27 Told mother July 31 Bone biopsy Week of August 6 Began to tell more extended family members August Brain MRI for recurrent headaches August First appointment with breast cancer oncologist. Recommends molecular profiling of cancer cells from bone biopsy and starting Zometa to prevent further “bone events.” August 17 Dental evaluation before starting Zometa August 28 First infusion of Zometa August 30 Scheduled follow-up appointment with breast cancer oncologist, but canceled and rescheduled (after several phone calls) to next day because molecular profiling results not back August 31 Follow-up appointment with breast cancer oncologist. Decision to start carboplatin after reviewing lots of treatment options. Also met with genetic counselor. Week of September 3 Informed faculty and staff in my units. Informed college deans/directors. Also told colleagues in the community, eg, hospital board members. September 7 Pre-op appointment with surgeon for port placement September 10 Port placement September 11 Chemotherapy education with pharmacist September 12 First chemotherapy CT = computed tomography; PCC = primary care clinician; MRI = magnetic resonance imaging.
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