Response
Elizabeth

updated:2005.9.2
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Introduction:
Please, tell us your first name, gender and your age and maybe a short discribtion about yourself, family, profession, where you live......
Answer: My name is Elizabeth Bowman Finkelstein. I am a 48 yr. old Female, married to Jesse 27 years this August, but "sweethearts" since High School. We have known each other 33 years. We have two grown (or out of the home!!) daughters, 21 and 23. The youngest is our "perpetual student" and volunteer as she begins another Bachelors in Music. (1st in Psychology) The oldest has been married 2 yrs. herself to a College "sweetheart". He is to begin Law School, and though ill at times, she works quite hard teaching and managing high end yarn knitting boutiques, in the textile arts, is going for a special type of "Master" in knitting cert., w/ the goal of ultimately finishing a degree, but in the Arts, or at an Art School. I/we are so blessed and proud of them. My Husband is a humble, but nationally known Corporate Atty. and A uthor. I began as a straight A cololege grad., then a yr. at Harvard Grad., but I must have "known" my life would turn in an unhealthy direction, as I was "bitten" by the bug, after a young marriage, to have childrn. I spent years working, teaching, tutoring, For. Lang., also at DuPont Children's Hospital in Child Life. I had always volunteered, but after becoming sick, that is how i, until now too weak, have occupied myself. I have taken courses through the years, mostly Literature, to keep my mind active. I have relocated from Philadelphia area to Southern Florida, while my Husband continues to commute. He, and my "puggie" are my Soulmates.

Diagnosis:
1. How was your cancer detected?
Answer: After a 1996 (surprise: had never heard of it) dx of MyG, antibody neg. (though tested only on 1st well known antibody), but Tensilon positive, a "classic case," needing Mestinon to breathe, live, large doses., I was given initial CT Thorax, told there was some extra fatty tissue, but not to worry. There was also "something" on my kidney, they decided not to biopsy, and a small cyst on my liver. Then in Nov. 2001, after many years of ICU hospitalizations unable to breathe, I was CTd again, w/ report saying thymoma must be ruled out, and that there was left chest lymphadenopathy. (In hospital NHL was first dx, though w/ planned biopsy not yet done).

2. Did you feel any kind of pain or did you notice a change of your body?
Answer: May I reserve the right to answer all of these questions once I have found out what my proper diagnosis is? I was a nonsrugical candidate given a cervical (non sternum) surgical removal with no pre or post treatment. Everything was done incorrectly in 2001
3. Do you know your staging?
Answer: I am still learning it could be 2A to 4A or 4B (what Ive been told most recently)

4. Do you have a family history of cancer?
Answer: My father died of colon cancer age 53. Multiple members of my family have had cancer. I had pre cancer of the endometrium and a full hysterectomy in my 30s

5. Did you have any kind of surgery before?
Answer: I had more than I could possibly list here. The last was my partial cervical thymectomy in Dec 2001, other than multiple biopsies and hysterectomy and 2 C sections
Treatment:
6. What kind of treatment did you receive (be as specific as possible)
-surgery (was your cancer invasive? which organs where involved?)
Answer: I am still awaiting information as to what kind of treatment if any remains fromme

-chemotherapie ( name the chemo and write down how many rounds you received)
Answer:

-radiation (what dosis did you receive)
-or a different kind of treatment
Answer:

Where there any kind of side effects involved in your treatment?
Answer:
7. Feelings - Emotions
What was your feeling when you heard your diagnosis?
( The answer to this question might be very helpful for all new patients!)
Answer: I was scared particularly because of lymph node involvemnt. I did not realize the seriuosness of it however. Now I feel betrayed. It is avery long story that I will explain later. My husband is typing this as I lie quite fatigued and sleepy.

How did you feel during your treatment
- For example: During chemo you might have felt nausiated
Answer:

8. What was the most difficult part during your treatment
Answer:

9. Where were you treated (name the hospital with the full adress )
Answer: I was handled incorrectly by FoxChase Penn and Jefferson in Philadelphia. I am visitng Moffitt cancer center but eagerly await the opportunity to meet Dr. Loehrer and have requested an appointment with him. They say I should hear in 2 weeks

10. If you can recommend your doctor let us know his/he r name.
Answer: All I can say is that I am eternally grateful to Sue and Joe, Thymoma.de and the opportunity to see Dr. Loehrer. I have not had the privilege of meeting anyone whoknows about thymomas. I even visited Sloan Kettering once, but they always sent meto surgeons due to lung nodules, pneumonia, etc post partial thymectomy, and I have never been a surgical candidate, so i have been continually radiated (not radiation treatment)

11. What tip could you give a new patient?
Answer: see Dr. Loehrer. Do not waste time. Read everything on thymoma.de . Contribute and become a member.

12. What bothered you the most during your treatment?
Answer:

13. What helped you most during this period?
Answer:

14. How're you feeling today?
Answer: I hope I will be able to answer these questions in greater detail in the future
15. Tell us a bit about your check-ups?
- Where do you get your check-ups
- How often do you go for a check up?
- What do they do at your check up?
Answer: Again this remains in the hands of those who will treat me in the future. Phila betrayed me to the point that the 2 surgeons in myprocedure called theother a liar. If I could do anything it would be to correct the line of oncologistswho seem to believe thymomas are lymphomas. I have wasted many years being tested for lymphoma (even though this can very much be associated with thymomas. You need to find a doctor you trust and who understands your every symptom, lab result, slide etc. Anotherthing I do not have besides my husband is family support. If you have family you are blessed. I do have wonderful friends as well.
16. How do you feel before you have to go to a check up
- Are you nervous, relaxed .....
Answer: I am always terrified about what will be found wrong with me next. There is very much wrong with me. I have Dr phobia and I cancel more appointments than I make ( a mistake). I will not be cancelling an appointment with Dr. Loehrer(!!) and I have found a good group of small town doctors in Florida (they are the ones who made up for and diagnosed themistakes made by the Phila doctors).
17. What do you do to make this time as easy as posssible?
- For example: You take a friend or relativ with you
Answer: My greatest pleasure is to help other people, to help my family, and to believe there are reasons for everything.
18. Do you take any precautions to prevent the recurrence from cancer?
Answer: I try to have a healthy diet, used to execercise when I was strong, use medically approved forms of complementary medicine, mine are tame, as in fish oil, milk thistle or reflexology
19. Have you made significant changes to your life after you got cancer?
Answer: No. I feel as if I have been living with cancer since I had a cousin in childhood with a brain tumor. It seems to be one person after another. I worked for hospice when I was healthy.
20. How 're you feeling about the disease
- are you optimistic about outcome from your cancer
- are you more afraid that it might return
Answer: At this point I would like to be optimistic but I don't know if I should be. I also like to be realistic. Sue is an amazing inspiration. Just seeing her picture on the site does so much for me
21. Status - how is your progress?
ie. chemo didn't work, don't want to do surgery or radiation since it is too invasive at this point.
Answer: To be seen

22. Ideas/recommendation ...
Answer: Never let anyone tell you that you don't know your own body. Never let anyone tell you nothing is wrong when you know there is. Never neglect to educate yourself in the attempt to avoid being a "hypochondriac."(What my Mother called me :o(
23. Leave your e-mail adress in case you want to get contacted from other thymoma patients.
I would appreciate any contact from anyone, particularly if mistakes were made in their case, but I'm happy to talk with anyone: bocaburton@aol.com. If there is a delay in response it is because I am in the middle of trying to get treatment.



Dear Sue or Joe,
It's beyond this for me I have been told, but in explaining to those who ask me in my small family (who are trying to "figure out what happened," looking back at the beginnings of my case) (and thank you..Did I tell you I see Dr. Loerher on Aug. 2? You told me to go 4 yrs. ago..My loss and mistake that I did not go, trusted what was wrong, sadly),

What is the difference between an "encapsulated thymus" that has spread from thymic area, or a thymic "mass" that has spread, or an just an encapsulated "thymus", or "thymoma," (for example, "benign thymoma") when staging seems to depend on not only tissue pathology (often said on your site, nci.gov, oncolink, etc. as almost indistinguishable at times from "normal thymic tissue," e.g. epithelial) AND where the growth goes, so to speak? That is, again, when staging seems to be said in certain thymoma types to be combination of tissue pathology AND where thymic tissue goes, or must be "cut surgically from"? The question is how does one stage a growth, and are those terms different or similar (above in quotes).

(I should explain my Mother heard surgeon say something different from what was in report, among so many differences. I, of course, was in recovery, and my Husband and I were told, read, etc. different as well. The hem.onc.'s who saw me this year, sent me to Moffitt (not yet done, and we do not want to stay here, as they do not seem to see as many thymomas as Dr. Loerher, plus they, now, on CT see neoplastic, etc. in lungs..The situation 4 years later is entirely difft., but my family remembers 2001.)

Please forgive me if this is confusing, but terms in different places I mention above seem to be used ALMOST indistinguishably. I know my surgical report, the pathology reports, and the tissue itself, the growth, which I am bringing, along w/ films before, after, records, everything requested, to Dr. Loerher, will describe in good enough time my own situation, as Dr. Loerher sees it..but my Mother, Brother, etc. ask questions I do not know how to answer. I am not seeking a medical opinion from you; but I believe I read we may email you? I was hoping if you all are too tired, do not want, etc. to describe such to us, (please forgive me for bothering you if so) that I might be directed by you to a definitive "source," where I could then temporarily send my family, until Dr. Loerher sees me.
Thank you again for everything.
Elizabeth and Jesse Finkelstein