I do not believe that I am alcoholic for a number of reasons:
- I never have a drink before 5:00 PM...yea, yea, yea, I've heard the joke...east coast time
- I never drink alone
- I mostly confine my drinking to Friday and Saturday nights with a group of friends
- I usually do not drink more that 2 or 3 glasses of wine in an evening
- I do not see my aggressive efforts to get that group of friends together religiously every freakin' Friday and Saturday nights as cause for concern
So I spend a lot of time considering the impact of this bad news on my risk of recurrence, or more candidly, on my risk of dying within the next couple of years. I think that I have been aware of studies that indicated that there is an association between breast cancer and alcohol consumption for at least the last ten years. I never did much in response to this knowledge except feel guilty every time I had a drink. In fact, it was my guilt about drinking over the holidays that inspired me to do a punishing breast self exam on January 2, 2011 that got this blog started.
So it's no surprise that I am certain I got breast cancer from alcohol consumption. You would think that this theory would put the kibosh on drinking, and through chemotherapy it did, mostly because I couldn't stand the taste of it then. Sadly, once I finished chemotherapy, my taste for alcohol returned.
So I thought it might help to analyze here, in this public place, my risk of recurrence in connection with my alcohol consumption. A fairly pessimistic estimate, I think, of my risk of recurrence is about 20% (my doctor tells me it is more like 8%, but I think he's just trying to cheer me up.) According to the latest study, drinking an average of 10.0 to 19.9 g of alcohol per day (6 to 12 drinks a week) results in a 22% increased risk of developing breast cancer. Although my average consumption is lower than that, I will continue with the worst case scenario approach. So adding the additional risk of .044 brings my personal risk of recurrence up to about 24%. So what do you think? Check out the new poll on the right. A couple of additional considerations to keep in mind as you place your votes:
- there is no evidence yet that discontinuing alcohol consumption lowers risk
- if I can't drink, life isn't worth living
- the anxiety that I feel with each drink might increase my risk of recurrence
- I am NOT an alcoholic
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