Starting Chemo in JAN 2007

Amera

Lynn, for what it's worth, I didn't have my surgery through Dana Farber but did go for a second opinion. The surgeon I saw was Margaret Duggin. She was very nice and very confident. I think she's the big cheese at the Faulkner so I assume she's pretty good. AND Esther Rhei (at BWH) was highly recommended by several profs at Harvard Med. Since you have some time you might want to see if you can get in with her.
Amera

NOLONGERREADINGORPOSTING

Well, I am definitely post-chemo in spirit but not in infections. Lovely nurse called this AM to tell me I needed more meds, but Doc had made a mistake in the daily dosage, so by the time the prescription got called in (2 PM) symptoms were back in full force. DH & I are going to hear a Brazilian concert guitarist tonite. I am psyched, gonna wear a pretty scarf tied to one side, but am worried about sitting through the show with a urinary infection.

DH took off work to help with the party, we've now got the house looking great...scrubbed, clean, with candles, daffodils and a fire ready to go for tomorrow. I am SO looking forward to this party!!!

Then it's plein air painting for me. I've got my pochade kit set up and all I need is sun and temperatures in the 60s.

Wish you folks could be here!!!!

Love to all, Mizsissy

Nancyab

Mizsissy,I still have 11 taxols to go. But so far so good, I'm going to a fish fry tonight. Never would of done that the day after AC! I love the pic, Looks like your cats all get along with each other. I am blessed in that respect also, although they don't much gather together. They each have their own favorite places. My hubby just got me this laptop since I was Dx and the PC has all my pics on it. I'll have to figure how to get them on my laptop. I love it so much I haven't touch the PC. I'm spoiled! I can sit outside with this, go from room to room. Love it!
Rebecca- your post made me laugh, I get sooo tired of dealing with people like that. So many people want to do the least amount they can at their jobs. I would of told her that I expect at least 10 bucks for doing her job. Geez, that info was right in front of her, no doubt!! ARRGGG!I have worked in customer service for years and I will go as far as I can to help. Even if they call the wrong number I'll get the phone book out and look up what they need. It takes no extra effort on my part and I was helpful not a pain in the %&*!
Buy yourself the best they have.

sharon56

Oh joni i love your scrapbook its doggone great , I have 2 dogs a newfy and a poodle . I work for a company here in Ont that prints scrapbooking stickers , I buy (did) and supervised the production control dept. Bought things like paper, ink , the dies that ccut out all those shapes . I still have my job , off on long term and keep in touch with everyone at work . Hubby works there too .... I will e mail your a picture of me and my dog (my old avatar)
The dogs are yes being unattended right now I have had my first taxotere and man it hurts me bones , ouch ouch ouch .... how long does this last no nausea , now achy bones . Its hurting my back hard to sit in one place . It looks like most of the rest of you have had this kind of pain with your AC regimes ? with taxol
Trusting tomorrow I do not feel so achy any suggestions ?
How long does it last ? I am thinking too that tax causes more fatigue ? Lynne , Caya I get the steroids too but by today they have worn off I have my Ativan ... we will see what happens tomorrow ..... Days 3 - 8 are have always been tough on me .

viddie

Hi all,
Mizsizzy, I love your cats. Have a great time at your party.
Lynn, I have an appointment with a breast surgeon at DF in April. Her name is Beth Lesnikosky and she was highly recommended by quite a few different sources.
Rebecca,
What a hassle. I am with you- take them to the bank and make them pay. I hate insurance companies. They keep refusing my rx's, and my oncologist has to jump through hoops to get them to accept them or she has to change them. They keep making it harder and harder. Like we need these hassles. I hope you feel better soon.
Amera & Lynn, A nurse from my insurance keeps calling me also. Must be a MA thing.
Joni, Mer, and everyone else with plans over this weekend, have a great time tonight and tomorrow night.
Viddie

Amera

Viddie, Beth Lesnikosky also works with my surgeon out of So. Shore Hospital. I've heard great things about her.
Amera

Lynn12

Viddie and Amera,

The PS is out of Beth Israel, so I'm not sure if DF docs will go to BE? I'll bring those two names with me next month and see what who he recommends for a breat surgeon, thanks for the recommendations.

Lynn

Lynn12

Good Morning Ladies,

Happy Saturday! Hope everyone is feeling ok today. We got about a foot of snow, then sleet and freezing rain on top of it. Poor dh has been out with the snowblower for a couple hours.

I'm headed to the kitchen table to get all our tax stuff together..woo hoo!

Hope everyone has a nice day!

Lynn

Lynn12

Oh, and Happy St. Patricks Day for those who are Irish (I don't have a drop of Irish, but dh does)

Lynn

IowaCindy

I had Taxotere number 2 yesterday.

Dr. B. was out of the office so I saw the nurse practitioner.She's very kind and gentle, almost too kind as the time with her brought me to tears. She's concerned about the side effects that are starting to show. I've got numb fingertips - peripheral nueropathy. I've had some twitchy muscles in my legs and head, including my eyes. According to her, these kind of side effects, if they're going to manifest, usually come later in the course of treatment.

She tried to contact Dr. B. but was unable so she consulted with another oncologist in the office. That doctor was unwilling to order a change in my treatment of dose dense Taxotere. He doesn't know what Dr. B. considered in planning my care.

After some discussion with Natalie, we decided to go ahead with this treatment. I've been to the pharmacy this AM to get a new script filled for the muscle twitches - Mirapex. I'm to call her if I identify any other problems.

I also have a new prescription for Effexor, an antidepressant. It's been prescribed to help with the hot flashes that have started, an off-use benefit. (It's a lovely thing to be slammed with menopause in the middle of all of this. I told her that it's nearly a crime to cause a woman to go face first into menopause and give her treatments that cause her to be intolerant of the taste of chocolate!) The NP also wants to me to take it for the anti-depressant benefits. "Cindy, everything that's happened to you has been out of your control. We unfortunately add to all of that with the effects of your treatment. Take this to help with your mood. It IS situational and you will have a new, normal life. We need to help you get there." (This is what made me a little teary - her kindness.)

I haven't noticed that my mood is 'depressed', my tears are no more frequent than I've had since I found the lump in September. But Amy, my eldest daughter, teases me that I'm more snappish since I started the Taxotere. More sassy towards others. So I'll take the Effexor and hope for cooler nights sleeping and wait to see if my mood changes.

My lab results were good. I lost another 1/2 pound this week. The NP cautioned me to keep fluids in as best I can.

The question is what will Dr. B. decide to do. The NP said she may change my last two treatments to a lesser dose of Taxotere to be given once a week for three weeks and then off a week - times two. Overall, I would receive more Taxotere but the theory is it will be easier for me to tolerate weekly at a lesser dose. ???? I don't know.

I'd like to think that Dr. B. will say enough is enough. But from her words and demeanor in previous appointments with her, I think she's going to want to finish out with this - somehow. Maybe it will mean a switch to Taxol.

I'm trying not to upset by the possibility of NOT finishing on April 13th like originally planned. I knew that there was a possibility something could interrupt my schedule. I wanted to be done before my birthday.

Oh hell, who am I kidding? I just want to be done.

I'll be talking to the doctor's staff on Friday when I have more lab work, if not before. I'd like a call from the NP or someone to tell me if I'll have my currently scheduled treatment on the 30th. I think Dr. B. will have me come in so she can evaluate my progress for herself.

So today I'm discouraged. But I've been up and out running a few errands before the Neulasta tomorrow kicks me in the butt.

IowaCindy

Enjoy the celebration and let the love flow!

Lynn12

Quote:

---

After some discussion with Natalie, we decided to go ahead with this treatment. I've been to the pharmacy this AM to get a new script filled for the muscle twitches - Mirapex. I'm to call her if I identify any other problems.

---

Cindy, let us know how it goes with the muscle twitches. The first 2 tx I didn't have this se, but this last one was a doozy with muscle twitches. 2 weeks later, I'm still getting them and plan to discuss with my onc next week.

Lynn

skyedivine

Hi comradettes, thought I posted this morning but I guess it didn't show up. Viddie, I hear you on the husband-being-around thing. I'm very spoiled with my alone time. Vicky I do have 3 taxols left to do, with the first one this Monday. Joni, much sympathy on your water tank explosion. You'd think we could get cut a break from normal disasters. My week has been pretty disastrous. My husband's surgery went well, and thanks to all who asked, but the day before that I had a ruptured ovarian cyst and had to spend the night in the hospital getting IV Demerol and antibiotics. Then had to beg to get discharged so we could get dh to different hospital for his surgery. I was still in pain and very fatigued from the TX but managed to get him and me both home by 8 pm, then this morning had to go out to get him more painkiller. I've been having a lot of the leg pain and cramps, besides, so I'm not a big fan of the Taxol thus far. DH is in an arm cast and cannot drive, I have a feeling this will not be my favorite birthday ever. I'm craving beets so I have a feeling my red cell count is down. Feeling behind in the posts here so I won't reply to everyone I'd like but Rebecca, I also hope you spent it all. - skye

skyedivine

Just realized that sounded confusing; my first Taxol was this PAST Monday. Mizsissy we will all expect a post on your party. Hey my hair is definitely growing back. One of the nurses called it "chickie fuzz." - skye

Caya

good evening ladies,

I've had a busy weekend - my eldest daughter came home from university- next weekend is her 21st birthday, so we had a family dinner at my brother's house last night (Friday) - I ordered a cake from a bakery that puts your picture on the cake - it came out unbelievable - I emailed a picture of my daughter at age 8 months, they scan in into the computer and put in on the cake (totally edible) -this of course was the hit of the evening. I can't believe my baby is going to be 21 - also some old dear friends came to visit tonight for cake and coffee (they brought the cake, I made the coffee) - I almost think I am back to my "real" life - but then I remember...
shorti, iowacindy, lynn - thanks for the info on taxotere -I am really worried about the neuropathy, I had those muscle twiches last month - remember Lynn, we talked about those "jolts" - not looking forward to it, but then again, just 3 more chemos to go, all taxotere, then I start Herceptin for a year, probably sometime in June - anyone else in the group Her2+?
skyedivine - I certainly hope you and hubby are feeling better -
and rebecca, I agree with the rest of the gals - spend every last penny of the $2500. -
caya

NOLONGERREADINGORPOSTING

Good Morning Gals,

Whew...what a party, I am totally exhausted but it was worth every minute. The original idea was a real easy-going come as you go potluck type of occasion, but I ended up with a formal sitdown dinner. Don't ask me how!! Parties have a way of taking on their own character. (The last party I did here I wanted to be more formal, and I never got anyone out of the kitchen!!!)

I decided to do a roast beef, because it meant just putting a slab of meat in the oven and forgetting about it, and then got the idea of doing a real oldfashioned Yorkshire Pudding to go with it...which BTW, puffed up beautifully, and then some do-it-yourself strawberry shortcake. So by time we were all done we were skidding around in cholesterol...

It was an eclectic group..some people from my church, some neighbors, some artists. My minister (Episcopal), an 84 year-old former pediatrician and medical prof at the Univ hit it off especially well with my art teacher, a Turkish Chinese fellow (Moslem) who entertained us with some exciting stories about how his family escaped being murdered by the communist warloads in the cultural revolution. He had us spellbound, you could hear a pin drop while he told his story.

The party was more work than I bargained for...before & after. I think next time I celebrate the end of the illness I'll take a vacation, but we got the house all spring-cleaned and looking better than I ever remember, including my studio, a great environment for Spring recovery.

Don't have time to now to respond to YOUR posts, because I'm off to church (I can't get out of THIS Sunday, not after keeping our minister up late when she had to prepare her sermon!!)...but I'm looking forward to catching up when I get back...

Love to all,

Mizsissy

Rebecca

Goodness Skye that is awful! I hope that you and your husband are feeling better soon.

I think that it is easy to forget how hard this is for the HUSBANDS..it sounds like we have had several husband-disasters, and I almost feel like they are starting to break under the strain. I know that MY husband is really starting to show emotional cracks. He paces the halls at night (as I know I would do if I were not so wiped from my treatments and my eternal cold). I try very hard to reassure him and help him when I can. Once a day (at least) I kiss him and tell him that I could not do it without him.

Well anyway...here's to all the great guys and other family memebers that are helping us through!

Thanks for all all the cncouragement ladies regarding my insurance fiasco. I intend to buy anything and everything that my insurance company will cover. I do not need all that stuff, but I intend to take anything I do not use down to the Cancer Society and donate it. That way I can FORCE my insurance company to help people that need it, and turn a negative experience into a beam of sunshine for someone less fortunate than me.

I am glad that your party was such a smashing success Mizsissy. Make sure you get some rest today to recover.

Hang in there Joni! Like you NEED more stress right now.

Hope you all have a great day today! My mom is coming to visit and she is going to watch the kids for a while this afternoon so that DH and I can go to a poetry reading (a good friend is headlining the event)

skyedivine

Good morning friends,
Rebecca, I misread one of your words due to morning blurry eye and think I may have accidentally coined a new word for what we do for each other...
"oncouragement!" I don't know where I would be without it, either. I do think you are right about the strain on husbands, too. I remember when my dh had his diagnosis and I had to be the strong one and caretaker, all the while dealing with the shock and trying to understand everything. It's not easy.
As for me, I'm trying to figure out how much of my SE problem was from the Taxol and what was from the ruptured cyst, it's hard to sort out.
Caya, I'm also HER2 and will be having the Herceptin infusions for a year after the Taxol is done, or a total of 54 doses, plus the rads. I was just realizing that I don't even know when I would ever have a treatment-ending party because it doesn't feel like it's going to end, really. My onc says get used to him because he will be there for a long time. Well, my mom and sis are coming to inspect how I've survived the past week so I must go wash my face and change my hat. I told them bring pizza. :-) Skye

viddie

Hi all,
Skye,
It must have been quite scary being checked into the hospital overnight, knowing you had to get your husband to another hospital the next day. I do not how you did it! Luckily you were able to drive. That experience took unbelievable strength.
How are you feeling? Is your cyst okay? Do you have pain pills that can help you with taxol s/e?
Luckily you are both home now and recovering. How is your husband? I hope both of you are able to have a nice relaxing day today.

Cindy,
Is the mirapex working? My husband takes it for restless leg syndrome and it does help him. I will be getting taxol weekly for 12 weeks. My oncologist says I should have less side effects taking it weekly. I know you expected to finish earlier, but if you have less s/e, it might be worth going a little longer.
Pills can be our friends right now, and maybe we should let them while we need them. We all will be over this stuff soon, and we will look back and be glad we took all the help we could get to get us through as best we can. Hang in there.
Mizsissy, I am glad your party was a success. Now you can have a fun relaxing day today.
Rebecca,
Have a fun day at your poetry reading.

Caya, I am also her2+ and have a little longer journey on herceptin- until April 2008. Luckily they have herceptin for us.

Have a nice day,
Viddie

meliaanne

Good morning all,
Skye, I hope you feel better soon, and your husband too. What a miserable week you had; I am so sorry. I am triple neg so haven't learned much about herceptin; is it an infusion like the others? Does it have side effects that are uncomfortable?

Mizsissy, glad your party was fun. I just want to go away for a few days when my treatments are done and take walks, read, try to heal my spirit a bit.

Rebecca, I admire you for fighting back and finding such a kind solution to a frustrating problem.

My kids are home and we are immersed in wedding planning for our daughter's Oct wedding. It's lots of fun and a great distraction. My son is very quiet and I need to take a walk with him and find out what he is thinking. He has had the hardest time of the three kids as he has trouble talking about feelings,unlike his two sisters who talk nonstop.

Hope everyone's day goes well.

Melia

Rebecca

Melia

I forgot to thank you for the tip about Vitamin D and mouth sores! You were right on the money...they were gone within 48 hours. It was also VERY soothing when I applied the gel, much better than that horrible "magic mouthwash" which just about made me gag. YECK

NOLONGERREADINGORPOSTING

Finally some time to catch up, I wouldn't exactly say the party was a "smashing" success, more like an exhausting one, but it was an important marker for me, a line to cross. It was really nice to be in church today for the first time since chemo started. I met one lady who smiled and patted me on the back and told me she was treated 15 years ago for breast cancer that had spread to 13 lymph nodes. And she hasn't had a sign of recurrence!!!!!! Nicest thing I've heard in a while!!

IowaCindy, Caya, Lynn and the rest of you on taxotere, I am very sorry to hear about your neuropathy. I didn't have anything like that on taxotere, except once when I was taking a bath and I got a feeling like I might be losing a little muscle control in my extremities, but that passed. Going through menopaues while on chemo must be a nightmare. I strongly recommend getting going on SRIs ASAP because they can really help. They've worked wonders for me.

Nancy, I had no idea that Taxol was once a week? How does that go? Do you have a Day 3 and Day 4... How tolerable is it?

Skye..sounds like you had an AWFUL week, how are you now? BTW, how did your interview go in Ann Arbor? When does it air?

Melia, thank you for those kind words the other day. My understanding is that Herceptin doesn't cause hair loss or other severe side effects, though it can cause flu-like symtoms in some women.

Robbin Jaye...we are wondering about you and where you are in your decision making. That was so sad that it took you a month to see a doctor because of bureaucratic problems. Hopefully, you can get over this hurdle with the oncotype test. Our friend Mrs Shea is also in a similar position; she couldn't get the oncotype test and is going to go ahead with 4 infusions of AC. I just don't know about trusting gut feelings. I was sure I would NEVER get breast cancer, then I was sure it had to be such a minor type of cancer I would not need chemo, I even had my surgeon and radiologist convinced. When I had the oncotype test I felt it would confirm this; instead, I had a very high score and it convinced me I needed chemo. So I'm glad I took it. Now I don't know if I've done enough chemo. Anybody else in a similar situation?

BTW, Mrs Shea has had quite a bit of turmoil in her life..a lot to deal with. She hasn't posted here for a long time but I hear from her almost daily. I wish she'd come back and post here, so we all could relate to what's going on with her. But she's a very strong lady and I think she's going to be fine.

Hey Dar, how does it feel to be a week out!!! Hooray Amera, you're up next, isn't your *LAST INFUSION* on Thursday?!!!!

Viddie, Mer, Jan and everyone, thanx for the compliments on the kitties...we love them inordinately.

Shorti, I've started making some studies...beautiful picture. Also..I've been looking through this thread to find out more about your colon...was the tumor removed? Or are they treating both the breast and colon together? Sending prayers for a full and complete recovery!!!

Where is Nandy? After that last bad reaction I am *VERY CONCERNED* about her most recent infusion. Has anyone heard from her?!!!

Love and my best wishes that everyone has a good week, a great week!!! Last night (at the party), several women told me that women who have support groups tend to do a lot better than women who don't, so let's keep the mutual prayers going. They really work!

Mizsissy

Caya

Viddie - I will be on Herceptin probably until June 2008 - I don't finish chemo until May 10 ,2007, my onc. said he would wait about a month to start Herceptin - he will redo my MUGA scan and then start I am guessing mid -June 2007, which would bring to May/June 2008. So I'll be right there with you.
Mizsissy - your party sounds lovely. I know what you mean about taking on too much - you don't realize it when you plan it, and then this or that happens, and then wham - I have done this over the past few days - I went to visit my brother at his new condo, dropped my daughter at a friend's, ran to the grocery store to pick up a few things, unloaded the groceries at home - then I'm exhausted. I hate this - in my real life, I'm a doer, a cook, a baker, etc. but now I am letting people do things for me . They want to, so I am taking all offers. A member of my choir group is bringing over lasgana and sslad for dinner tonight, and I am looking forward to it.
Rebecca, I agree about the husband issue. Mine is handling all this, but it is very difficult, I can't let go too much with him as he can't take it - as I've posted before, he suffered a brain aneurysm in Jan. 2006, and even though he has recuperated well, emotionally he is a little different and can't take too much stress. So I can't gripe or cry too much with him -
that's about it for now girls, hope everyone is feeling okay today, a nice sunny Sunday (albeit cold) here.
all the best
caya

vlfr

Hi Everyone,

Mizsissy, it does sound like the party was worth the effort. And what a nice way to finish up. I'll have to keep that in mind.

Shorti, I don't know the se for Ativan maybe that is making you fatigued. The taxol hasn't been bad on that account. I still take a nap everyday though.

I've had 5 taxol/braxane treatments and have the numbness for the first time. It doesn't last long and I would have thought my feet were asleep if I didnt know that is what it was. Someone else at my chemo clinic also started the numbness after 5 treatments.

Cindy - the glucosamine chondroitin that the chemo nurse recommended has helped with the achy muscles and joint pain. The reason I know it is helping is that I ran out and didn't have any for about 3 days. Wow, what a difference.

Im going back to the surgeon tomorrow to have my tumor sized by ultrasound. It has definately shrunk to the point that the onc cant measure it well from the outside. Im hoping to get a better idea of when my surgery will be (probably May) and I'll find out if a lumpectomy will be possible. Im happy to be getting some answers but, Im feeling a little anxious.

Vicky

Nancyab

Mizsissy, So glad you had a nice dinner. Sometimes those formal sit down dinners are the best because we don't do it as often and everyone appreciates the extra effort. I'm sure your friends were thrilled!
As far as the Taxol goes, I believe I get a lower "more tolerable" dose doing it weekly. Although as of yesterday I have felt awful. The body aches are here and it hurts so bad just to walk to the bathroom. I have pain killers I have taken a few and manage to sleep a little. I have a different feeling of nausea I think due to the pain. It's not like the AC nausea where eating is a scarey thought.
It's like a bad stomach ache. I took a very warm soak in the bath and that felt good. It has been a quiet week end and my DH had a relaxing time too. He needed it. I hope I get a day or so without pain before the next taxol on Thursday. The hot flashes are icky, I feel like I'm on fire. I don't like being forced into menopause.

MrsShakur

Hello ladies sorry I haven't been posting, but as Mizsissy has explained a lot has been going on in my life a straight downhill dive face first. As mizsissy has explained to you I have decide to due the chemo 4 AC's but I forgot to mention to mizsissy that I gotten a call from the lap that does the oncotype dx test, my oncologist set it up with working with the sergeon and both of them got them to do it, don't know how, but won't look a gift horse in the mouth. Well the lab explain to me how they go about it getting paid and that I didn't need to worry about ever owing them. The only thing that I would have to pay is my $12 co-pay.

The thing I'm worried about is it was order until the beginning of last week Tuesday or Wednesday if I recall right and it takes about 10 days the lady from the lab stated so the test results won't be ready until Friday or Monday the latest. But I'm schedule for surgery on Tuesday to have the port put in and I see my oncologist on Wednesday afternoon. What am I going to do? I don't want to delay this treatment in case it is necessary but if it isn't than I would have had surgery for no reason.

Another question is I read some of these post of women who had the AC and it doesn't sound like it is all that easy to get through.

Well another worry that's weighing heavy on my mind is after my first surgery to have the lump remove and tested, my husband decided he wanted to separate and after we found out about the breast cancer it wasn't brought up for a while. But he came to me one day and said he wants a divorce and from that day on my life has been a whirlwind, he keeps giving me mix signals, he states he wants a divorce and than when I bring it up because he won't talk about it, he avoids the conversation, but will state nothing has changed. Because this is my first marriage and I've only lived in VA for a few years I looked up the procedures for a separation and divorce in VA, he seen it in the history and got disturbed by it. Makes no sense to me. I'm lost and feel so alone. I have no family really most of them are deceased.

My 15 year old son got into a fight and they made him the bad guy and charged him for defending himself with a crime that if got sent to adult court would be 20 to life. Had to hire a lawyer with money I didn't have.

My husband is freaking me out with all this at worst time of my life.

My father-in law is dying and he lives in Florida.

I can't afford the town home we rent alone, so I will be force to move at the worst moment.

My life as I knew it is gone and the life I know now is making my heart hurt, my soul weak and created a gap in my soul.

I wanted to share this with my sister, because there just was no where else to turn.

Lord give me the strength.

Mrs Shay

NOLONGERREADINGORPOSTING

Chey,

I am SO GLAD you are getting the oncotype test. If there's any good and safe way for you to avoid chemo, I want you to have it. It will make all the other problems easier!!! Please let us know the results as soon as you have them!!!

RobbinJaye...hope you're making progress on this front too. We're looking forward to your news!!!!

xxxooo Mizsissy

NOLONGERREADINGORPOSTING

Nancy,

I do hope you get through this chemo safely and that somehow things are bearable. Bubble baths are always wonderful.

There was something special about the sitdown dinner; when someone talked, everyone listened. It was very civilized!!!

You take care!!!! xxooo Mizsissy

Amera

Mrs. Shey, one thing to keep in mind is that you can start chemo without a port. Many women don't have one. My surgeon said that you need to be 10 days out of chemo before they will do the surgery, but that it can be done after you start. You can have the first one just using your veins. I have had all my AC treatments without a port so it is doable. Good luck.

Amera

NOLONGERREADINGORPOSTING

Hello Chey,

I agree with Amera...I had ALL MY CHEMO without a port and it worked just fine. You don't need it. Especially for just 4 infusions.

Mizsissy