OpenHealth Q&A

Get answered by medical professionals

Understanding My Grandmother's Breast Cancer Care

9/4/2025, 10:50:22 PMMale25-34

My grandmother, who is 82 and generally enjoys good health, recently underwent a surgical procedure to remove a small growth from her breast. We have just learned that it is cancerous, specifically ductal carcinoma in situ (DCIS), classified as Stage 0. The medical team plans to perform an additional procedure to ensure that all cancerous cells have been eliminated, followed by a course of radiation lasting between four to six weeks. I have several questions: 1) What are the prospects for her full recovery? Should I interpret her optimism as genuine, or is it possible she’s downplaying her condition to shield me? 2) What can she anticipate during the four to six weeks of radiation treatment? Will the experience be particularly challenging for her? Given the distance since I live across the country, should I consider coming home to support her? I might be able to arrange time off work or manage remote work duties. 3) How do healthcare providers determine whether to opt for radiation as opposed to chemotherapy? Is this a standard approach in such cases? Your insights would be greatly valued, as I’m trying to remain calm in this challenging situation.

ArthritisInternal MedicineEndocrinology

Answers (1)

Cony

9/4/2025, 10:50:39 PM

OpenHealth AI

Your concerns for your grandmother's health and well-being are understandable, and your support during this time is important. Let's address your questions.

1. Prognosis and Optimism

Ductal carcinoma in situ (DCIS) is classified as Stage 0 breast cancer and is generally regarded as non-invasive, which means it hasn't spread beyond the ducts in the breast. The prognosis for full recovery is very positive; many women with DCIS go on to lead healthy lives after treatment. Your grandmother’s optimism can be genuine, but it's also possible she wants to shield you from worry. Encourage open conversations, and if she wants to discuss her feelings, be there to listen.

2. Radiation Treatment

During the four to six weeks of radiation therapy, your grandmother will likely attend appointments several times a week. Common side effects can include fatigue and skin irritation at the treatment site, but many patients tolerate it well. It may be beneficial for you to return home to support her, especially if she experiences side effects that require assistance. Your presence could provide her with comfort and reassurance, and help manage any daily tasks she may need assistance with.

3. Treatment Options

Radiation therapy is typically the standard treatment following surgery for DCIS to reduce the risk of cancer recurrence. Chemotherapy is usually not indicated for DCIS because it is a non-invasive form of cancer. Decisions on treatment are based on numerous factors, including the characteristics of the cancer, the patient's overall health, and medical guidelines.

Next Steps

  1. Encourage Open Communication: Talk to your grandmother about her feelings and provide reassurance.
  2. Consider Visiting: If possible, plan a visit to support her during her radiation treatment. This could help ease her experience and strengthen your bond.
  3. Stay Informed: Ask her healthcare team about what to expect during radiation and any specific care needs she may have post-treatment.

Your supportive presence can have a significant impact on her emotional well-being as she navigates this treatment journey. If you have more questions or need further clarification, please feel free to reach out.

Related Questions

A Mysterious Illness That Resembles Strep Throat

As an 18-year-old college student, standing at 5'4" and weighing 140 pounds, I maintain an active lifestyle. I do not smoke or have any preexisting health issues, aside from the vitamins and supplements I take daily. Approximately five days ago, I began to feel unusually fatigued and achy. Within just a day, my symptoms escalated to include a high fever reaching between 101°F and 102°F that ibuprofen couldn’t seem to alleviate. I experienced extreme tiredness that kept me bedridden all day, along with a persistent headache and intense throat pain, which was compounded by swollen lymph nodes and the familiar white patches often associated with strep throat. Having dealt with strep throat before, I recognized a need for antibiotics. Two days into feeling unwell, I visited an urgent care facility for an assessment and received a rapid strep test, which unfortunately came back negative. I recalled a previous incident where my rapid strep test also indicated a false negative, only for the culture sent for further testing to confirm the presence of strep bacteria. Given my symptoms and the findings from the examination, the healthcare provider prescribed Cefdinir, as I am allergic to amoxicillin, despite the negative rapid test results. The antibiotics proved effective, and I felt nearly back to normal, leading me to believe that my culture results would also come back positive for strep, suggesting a recurrence of my previous infection. However, I received the culture results yesterday, and to my surprise, they came back negative for strep. While I lack medical expertise, I’ve been led to believe that false negatives in cultures are exceedingly rare. Now, I find myself puzzled about what kind of bacterial infection I might have had if it wasn’t strep. Any insights or information regarding my situation would be greatly appreciated. Thank you!

ArthritisCrohn's DiseaseEndocrinology
Male25-34
1 minute ago

Bleeding Concerns with IUD and Yeast Infection Treatment

I’m a 20-year-old female, standing at 5’4” and weighing 155 pounds. Hello everyone! Approximately three weeks ago, I had the Kyleena IUD placed, and everything felt fine afterward—I can still feel the strings. I noticed some mild spotting that was brown for about a week, followed by my menstrual period, then continued with light spotting. Recently, I suspect that I might have developed a yeast infection, which I am currently addressing using Monistat 7. I applied the first dose yesterday. To clarify, I am certain that I am not dealing with a sexually transmitted infection. However, I’ve observed an increase in bleeding, significantly more than what I’ve experienced before. The blood appears to be light red, and I would compare the amount to the lightest day of my period. I could comfortably go an entire day without needing to change my pad, though I still do it for hygiene reasons. Is this a common occurrence? Most of the bleeding took place this morning after I woke up, coinciding with the Monistat cream leaving my body. Under what circumstances should I seek medical advice regarding this issue instead of waiting to see how the treatment progresses?

Crohn's DiseaseInternal MedicineEndocrinology
Male25-34
1 minute ago

Chronic Joint Pain Since Childhood

Since I was eight years old, I’ve endured intense and persistent pain in my joints. Initially, the discomfort was primarily in my knees, characterized by a sharp sensation right beneath the kneecap. As someone on the autism spectrum, I often visualize a strange, soothing thought: the idea of removing my kneecap and using an ice cream scoop to relieve the pressure underneath it. My parents sought help from several medical professionals, all of whom attributed my symptoms to growing pains. I even underwent cancer screenings at the age of nine because doctors felt my level of discomfort was excessive for mere growing pains. At school, I frequently had to wear dual knee braces. When I turned 14, I had a CT scan, but the results were inconclusive; doctors continued to insist it was just growing pains. At 18, I had an X-ray that also revealed nothing abnormal. Now at 20, my joint pain persists and is progressively worsening. My hands now ache in addition to my knees, and on particularly bad days, the pain radiates down to my ankles, making walking and sleeping almost impossible for half the week. The discomfort has entirely hindered my ability to work. My family and I strongly suspect that I may have some form of arthritis, but I struggle to convince the medical community of this due to my young age. My father, who suffers from arthritis himself, often empathizes when I express my pain, telling me, "that sounds familiar." I have broken down in front of numerous doctors, pleading for assistance, yet I consistently leave without answers, only to be scheduled for more scans that come back normal. The medical care I have received thus far has been far from satisfactory; for instance, I was prescribed eye drops that nearly resulted in serious damage to my vision when I consulted an eye specialist. This is just one of many frustrating experiences I’ve faced. I feel completely overwhelmed and in agony, and I have no way to reach out for specialized medical help since my only means of transportation is my father, who is also afflicted by arthritis. I feel lost and in deep pain without a clear path forward.

ArthritisInternal MedicineEndocrinology
Male25-34
31 minutes ago

Seeking Guidance on Persistent Chest Discomfort After Extensive Testing

I'm a 43-year-old male, standing at 5'11" and weighing 180 pounds. My journey began around March to April of 2025 when, despite regularly hitting the gym four times a week, I was struck by severe chest pain along with frequent belching and a tight feeling in my diaphragm. At times, the pain became so intense that I feared it might be a heart attack. **Medical History:** In May 2019, I received a diagnosis of **PVS** and have since been under the care of a cardiac electrophysiologist. Upon experiencing these new symptoms, I consulted my EP, who conducted an EKG right then and set me up with a 7-day heart monitor. The results showed no irregularities. Subsequently, I was directed to a cardiologist, who carried out both a **stress test** and an **echocardiogram**, both of which yielded normal findings. Afterward, I returned to my primary care physician, who speculated that my gallbladder might be involved. An **ultrasound** was performed but revealed no issues. I then requested a **chest X-ray**, which also came back normal. My PCP then considered the possibility of a **hiatal hernia** and referred me to a gastroenterologist; unfortunately, that appointment took almost **five months** to materialize. In the meantime, my symptoms persisted, prompting me to cease weightlifting and switch my focus to **cardio and running**. Surprisingly, these activities didn’t exacerbate my symptoms, though the chest pain remained constant. When I finally saw the gastroenterologist, they suggested an **upper endoscopy**, which took another roughly three months to arrange. During this procedure, I was diagnosed with **Eosinophilic Esophagitis (EOE)**, a condition I had not previously experienced. The doctors also placed a pH monitoring device for acid reflux assessment, which indicated **no unusual acid exposure**. Following this, I began a treatment plan that included a swallowed steroid inhaler and an increased dosage of **omeprazole**. Sixty days later, I underwent another endoscopy, which showed that the EOE had largely resolved, with minimal residual symptoms. Unfortunately, my chest discomfort persisted without any improvement. It has now been about **a year** since these issues emerged, and I still have not found substantial relief. A recent chest MRI completed at a dedicated imaging center revealed no abnormalities. I entertained the idea of **costochondritis**, but again, the MRI did not support that hypothesis. The only minor relief I find comes from consciously pulling my shoulders back and expanding my chest. I continue to experience discomfort around my **diaphragm** and tenderness in the area of the **xiphoid process**. My PCP prescribed a steroid pack, which was somewhat beneficial for the pain but failed to alleviate the pressure or constant discomfort. At this juncture, I feel quite lost and uncertain about my next steps. I would greatly appreciate any insights or experiences from others who have faced similar issues. Additionally, if there are any physicians here willing to offer advice, I am open to traveling to find the answers or relief I'm desperately seeking.

FibromyalgiaThyroid DisordersInternal Medicine
Male25-34
41 minutes ago

Understanding Mild Uncomplicated Diverticular Disease

I am a 29-year-old female, standing at 5'7" and weighing 130 pounds. Recently, a CT scan revealed that I have mild diverticulitis. About a week ago, I experienced significant discomfort, particularly in the pelvic region, along with pain in my right leg and hip, and some mild discomfort on the left side. After undergoing a CT scan, which confirmed the presence of mild diverticular disease, I was surprised that no one from my medical team provided any follow-up or acknowledged the condition. My blood tests returned normal results, and I was discharged without further information. While the pain subsided after about three days, it has unfortunately reappeared four days later. Is this something I should be worried about? What does this mean for me? I had a colonoscopy around 11 months ago, which indicated no issues.

Crohn's DiseaseCOPDInternal Medicine
Male25-34
51 minutes ago