teachers working during chemo

Hi, I am a teacher and would like to hear from others who have taught during their chemo. I am doing cytoxan and taxotere x4 then herceptin for 1 year.

My dx is IDC  er-, pr-, her2+   1.5cm  0/11 nodes.

I had a really easy time with the first treatment and could not imagine sitting at home using sick days if I feel the same way. It would be great to hear from other teachers further along with the CT regimine. 

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Comments

  • Misty1
    Misty1 Member Posts: 272
    edited July 2008

    hi,

    I think I posted a reply to you about this when you put a message in the other section.  I will be curious to hear what others have to say.  I am an elementary teacher, so I am not sure I want to be around all  of those germs.  Also, I have not gotten a wig yet; I don't want to look too different to the kids.

    Misty

  • HensonChi
    HensonChi Member Posts: 357
    edited July 2008

    Hi,

    I am a teacher and I am also on chemo.  I will have 3 done by the time school starts.  I have been quite sick with it for the first few days and then I feel better. I started my first one without them knowing I was Her2 and then they switched me to tch.   I suspect I will have to be absent some days.  I don't know how I am going to do the herceptin for a year.  I teach middle school and wonder what the kids will say about the wig.

  • irishbrae
    irishbrae Member Posts: 15
    edited July 2008

    hensonChi- I will have done three by the time school starts also. I did #2 today I'm wondering too about the wig thing. I buzzed my hair last night  but left about 1/4 so I'm still not sure what I'll look like bald. I'm tempted to explain it the first day and wear a bandana type cover instead if my principal will let me. I teach high 11-12th grade. (Maybe a little easier to deal with than middle school ages).

      Do you have a really good wig, or do you think they will be able to tell? 

  • towens88
    towens88 Member Posts: 26
    edited July 2008

    I am also an elementary school teacher and I have chemo #3 tomorrow.  I am usually sick and very tired during the 1st week after chemo.  I have decided to take a short-term disability.  I personally can't imagine teaching and taking off so many days due to chemo. I will also have to have radiation immediately following chemo.  I am also a single parent taking a big cut in pay, but I have to listen to my body.  I would love to know what other teachers think.  Stay strong and try not to worry about the wig!

  • HensonChi
    HensonChi Member Posts: 357
    edited July 2008

    Hi,

    I have a wig that my friends say it is "ok".  Maybe the middle schoolers are so self involved they won't even notice lol.

     towens-How did you go about taking short term disability?  Was it a hard process?  I am also sick the first week so far.

  • oldlady
    oldlady Member Posts: 87
    edited July 2008

    My kid's Latin teacher had breast cancer for years including the years that my child was her student.  Unfortunately the teacher ultimately lost the good fight, but she definitely fought.  She was an awesome teacher despite her absences.  Many of her students scored very high on the national Latin exams. I also knew this teacher as a fellow quilter. She continued to participate in our guild as well as teach.

  • Texgirl
    Texgirl Member Posts: 211
    edited July 2008

    As a former school health nurse...I would encourage you NOT to work. You and I both know what these kids come to school with !!

    It isn't the fact that you still "feel " good it is the fact that your immune system is compromised and at a low point and your risk for developing a real problem  is quite high. I remember that my instructions were to stay out of crowds and away from small children (that weren't my own) .

    I guess that his is one of those issues where you have to judge the risk for yourself..is it really worth it ?

  • MsKarin
    MsKarin Member Posts: 647
    edited July 2008

    irishbrae,

    Ok, I'm not a teacher but I am a 1st grade paraprofessional. I too am on T/C. last treatment tomorrow, yippy!

    I had my 1st treatment May 28th. I was determined not to let the chemo keep me from missing the end of the school year with my kids. My hair was really long. So as not to shock the kids with hair loss I started wearing a beaubeau (http://www.4women.com/) with my long hair hanging down.  During week of fallout I pulled back in ponytail under beaubeau. They never noticed.

    As for all those GERMS 1st graders have I took all precautions. Before I go on I did receive the neulasta shot so my counts were never done very long. The school nurse gave me a box of face masks. If someone looked like they might be getting sick I wore a face mask and pretended to be Dr Karin. In an elementary school this was easy and fun to pull off. The kids (whole school) played along. They all just thought Ms Karin was being funny again. As for my class they knew.

    This year we had a bunch of needy kids that really needed to give or receive daily hugs. Once I started chemo we changed hugs to the sign language sign for I love you. To help remind them we took the song can't touch this and changed it a bit. The children would sing can't touch her and I would sing can't touch me.

    I used a lot of common sense and washed hands a lot. Watched what I touched and didn't touch. If it was something that might have made it into someone's mouth (like chewing on a pencil) made sure I used Purell.

    Our security guard had colon cancer the year before. He was on a really rough chemo treatment. He worked the whole time.

    As for what to do for you head covering, does your school have days were the whole school dresses the same in some way? Like hat day, backwards day, sports team day, bad hair day etc.? If so before the school year starts get it approved and organized through the proper channels to have scarf or bandana day during the first week of school. It helps to bring everyone together to help you feel connected and not separated. Here is a woman named Gail and fellow staff members at her school. She is also a High School teacher. Picture is from

    http://www.4women.com/testimonials.php

    If you go to the link and click on picture it will enlarge so you can see it better.

    Enjoy the day, Kari

  • zap
    zap Member Posts: 2,017
    edited July 2008

    Hi:

     I also received cytoxan and taxotere 4x but not herceptin as I am not triple neg.  I taught 8th grade English and the kids were just great.  They knew I had BC but  got over it very quickly and it was at the opening of a new year, of all things.  I am older and I had several of their siblings, so they knew me.

    I never worried about germs, although maybe I should have.  I had my chemo on Thursday  after  school.  I was feeling fine on Friday ( I am not sure why but it didn't kick in until Saturday) and so went to school.  I was sickly (very) on Saturday and Sunday and still rocky on Monday.  I took off Monday (4 days total sick days).  I was actually okay with the chemo.  I spent money on a very good wig.  I then went through  the radiation which I tried doing during the lunch hour.   That got too hectic, so I switched to after school.

    I  will not tell you it was the best year of mu career and that I wasn't tired a lot, but I got through it.  I had an agenda that I was determined to get through it.  I would not encourage anyone to be stubborn as I was.  It is  just such a personal thing.

    Good luck.  If you teach older kids, they will be fine. As someone mentioned, older students  are so worried about their own looks and status, that the teacher is of little concern as long as she is a good teacher and does her job well.  They also pretty much know how to use a tissue and wash their hands often!

    Good luck!

    Susan 

  • HensonChi
    HensonChi Member Posts: 357
    edited July 2008
  • HensonChi
    HensonChi Member Posts: 357
    edited July 2008
  • Shirlann
    Shirlann Member Posts: 3,302
    edited July 2008
  • HensonChi
    HensonChi Member Posts: 357
    edited July 2008

    Wow this place went crazy this afternoon.  Someone let a child in the room and everything was all messed up.  Ok everyone my school starts in less than a month now...August 21...then I have my third chemo the next Tuesday.  I hope I do well with this second one!

  • mzmiller99
    mzmiller99 Member Posts: 894
    edited July 2008

    I was thrilled to see this thread.  I haven't started any treatment yet as I had to have a re-excision last week.  I teach kindergarten, I'm 61, and I came home exhausted everyday last year.  I'm terrified that I'll never make it through whatever treatment I end up having. I don't want to let down my kiddos by being a less-than-best teacher.  Your posts give me some idea of what I'll be facing. Have any of you had chemo with stage 1 invasive ductal, intermediate grade, no nodes cancer?  I'm worried that because my margins weren't clean, that I'll wind up with chemo, as well as rads.

  • vhqh
    vhqh Member Posts: 535
    edited August 2008

    I'm not a teacher, I am an intake investigator in a maximum security prison.  My office is in the cellhouse and we have our medical isolation cells just across the dayroom from it, most of our isolation inmates are there because of MRSA or other contact type bugs, not airborne diseases such as Tb.  My job includes interviewing 1-5 new arrivals in prison every day, these are inmates who just came in from the county jails within 24 hours of the interview and trust me, schools have nothing on the bugs and germs floating around in the county jails.

    I worked through chemo, only had one bout with a flu virus that was ciruculating throughout the community, onc did not appear to believe the chemo was a factor in it, I was getting neulasta from the beginning and my counts stayed within normal ranges the entire time.

    If you want to work and you're not already getting neulasta or something similar, I would talk to your onc about maybe starting it, it worked for me.

  • mommy3abm
    mommy3abm Member Posts: 221
    edited August 2008

    HI all!  I signed a contract to teach fifth grade this fall.  Onc advised me that if we wouldn't go bankrupty and if I wouldn't lie in bed at night upset that I wasn't teaching then he advised against it due to the risk of infection and the exhaustion.  He said it is doable if I had to or was dead set on it.  But, given that I am lucky enought to have the choice, he said no. 

  • mzmiller99
    mzmiller99 Member Posts: 894
    edited August 2008

    Hi, mommy3abc,  I am so torn about going back.  I teach kindergarten and always have lots of hugs and kisses, runny noses, etc.  I'll see the rad onco on Wed.  Maybe she'll help me decide. 

     Also, I need advice on whether to send a letter to my parents explaining the circumstances.  I live and teach in two small towns, and many people in each town know that I have bc.  Has anyone else sent letter out?  I want them to know that I'm going to be fine and will be there as much as possible during treatment, as I've heard several parents are already concerned about their little guys not having a smooth start to school.  Shoot, I'm worried,too, but i just don't know what I'll be able to handle.

    Susan

  • Magellan2007
    Magellan2007 Member Posts: 11
    edited August 2008

    I teach K,1, &2 and am now on my second chemo oc AC. Aside from the fact that my young students are normally a trial on my immune system, I am really wiped out for three or four days after. It takes a week for my white blood cell count to return to normal even with Nupigen. (which makes my bones ache) This time , I also developed Thrush which makes eating and drinking seriously difficult. Unfortunately, the long-term disability I hoped would help me has not been granted. If I am denied, I'll have to go back in September no matter what.

  • Magellan2007
    Magellan2007 Member Posts: 11
    edited August 2008

    I teach K,1, &2 and am now on my second chemo oc AC. Aside from the fact that my young students are normally a trial on my immune system, I am really wiped out for three or four days after. It takes a week for my white blood cell count to return to normal even with Nupigen. (which makes my bones ache) This time , I also developed Thrush which makes eating and drinking seriously difficult. Unfortunately, the long-term disability I hoped would help me has not been granted. If I am denied, I'll have to go back in September no matter what.

  • HeatherBLocklear
    HeatherBLocklear Member Posts: 1,370
    edited August 2008

    Hi all,

    I'm a college prof who simply had to teach one summer session in order not to lose my house. I had my last two (out of a total of eight) chemo treatments while teaching freshman comp. Believe me, those young students have as many sniffles, rashes, and assorted other worrisome health issues as younger kids! Also, writing courses require a lot of one-on-one contact, bending over students' computers to help them with their essays, tutoring them in my office, etc.

    I was very lucky to have a Teaching Assistant who would administer a quiz on my infusion days. The following day either she or a colleague would sub for me so I could recuperate. Then I would teach on day three, have the long weekend off to rest (our university closes on Fridays in summer), and be more or less back to normal on Monday.

    Now I will have surgery on Aug. 19, and start the fall semester on Aug. 25. I count on being in the classroom from day one.

    In other words, with a bit of help it can be done, but it's tough. I'd recommend getting some help, if at all possible, the days immediately following chemo.

    Hugs,

    Annie

  • Rob
    Rob Member Posts: 15
    edited August 2008

    hi everyone,

    A co-worker 4th grade teacher 3 yrs ago had bc.  She did most of her treatment during the summer. She missed about 10 weeks of school. During the year, she wore a turban.

    Oct 07, I was dx and  Nov, before my surgery, we told the kids that I had bc and answered any questions. I've alway been healthy, so to miss a day would be a noticable thing for my students. When I had  surgery I missed 5 days -the most at one time. 

    I started cytoxan and taxotere, late Dec.  I had a cough after the 1st and 3rd treatment, and did take a few days off after the 3rd more to rest  from the cough. Had a few other se but nothing that I felt I couldn't  work. My white count was alway good during chemo.

    My students (6-8 grade special education, mostly LD) were very understanding and curious.  My 8th graders were the most comfortable with  asking questions, wanting me to take my wig off.  With them, I could take the wig( later headwrap) off.  They occasionally asked if they could feel my hair as it came in. I recall one day, I couldn't open a bottle of gatorade, one immediately jumps up and offer to open it for me.

    So working with kids is do-able. Everyone is different. My neighbor just did chemo with cytoxan & taxotere. She felt so miserable that they changed her chemo.

    May I did  radiation and missed the first period every day and occasionally the 2nd period. I just kept the assit principal up-to-date when I would miss more than 1st period.

    I must add that my administration was very good in working with my situtation. I had told my assist principal when I dx, the principal was gone that day. Next day I went to talk with him, we sat down in his office and I noticed he was wearing a pink ribbon.

    I didn't hesitate to ask co-worker for assistance if I needed.

    Hope you do well.

     Rob

  • mzmiller99
    mzmiller99 Member Posts: 894
    edited August 2008

    Rob,

    Thank you for sharing your story.  I guess each of us will respond differently to the treaments and it's impossible to tell until we get into them whether or not we can keep up with the rigors of teaching.  I'm keeping my fingers crossed!

    Susan 

  • acar209
    acar209 Member Posts: 5
    edited August 2008

    My mom went  through 6 chemo treatments and did not lose her hair, her hair  just got thinner, she read from a booklet the American Cancer So. gave her about staying away from hair conditioner and to go to a wig place BEFORE she could lose  her hair so that they could best match her a wig to how she has her hair now.  she got the wigs but never needed them.

  • suemed8749
    suemed8749 Member Posts: 1,151
    edited August 2008

    I am a high school English teacher - went back to school last week, and the kids returned Monday. I started chemo last April and had tx on Tuesdays, took the rest of the week off, then returned on Monday. I never caught any colds or had any problems with infections during that time, but I was glad to be able to finish up in the summer. This week, I've been surprised by how many of my students from last year have stopped by to give me a hug and check up on me. I have 3 wigs - red, blonde, and brown - that I mixed up sometimes last year, and the kids gave me positive feedback on them. The teacher next door said she started to cry watching them walk up to me last year the first day that I wore a wig - they were so sweet and complimentary.

    It can be done! Find a good sub you can count on, let the kids know as much as you're willing to share (I've said before that I know my seniors spent most of my first day back from unilateral mast. wondering which one I'd hacked off), and hopefully things will work for you.

  • Bookworm
    Bookworm Member Posts: 13
    edited August 2008

    I was dignosed last August. It was only my second year teaching high school English. I had no sick days my first year. I felt like I had to work.

    I took off for appointments: 4 rounds of AC, 4 rounds PAx, Ten days off after my masectomy, and then I had 33 rounds of radiation. I used up all twenty of my sick days for the two years. I was approved to take all the days I needed from the "School Sick Bank". I took one out and it was to see my son run at WI State Track. It was worth it, he is a state champ. He told a reporter that I was his hero :}

    One of my sisters provided me with a fridge in my classroom so I could drink nonstop to get the chemo out of my system. I had multiple bottles of Germ-X to keep my hands clean. The kiddos were good about not caughing around me. They broaught in cards and treats the first month or so. The teachers provided a meal-a-week to help out on the homefront.

    I did not even get a cold, which I think is a miracle considering I taught all winter with 130 kids a day. 

    After a friend cut my hair to 1 1/2 inches, my two children shaved it all off a week later. I wore caps and scarfs all winter. I felt more comfortable. My students loved to see my bald head. I even had my teacher photo bald headed. Everyone said I had a nice shpaed head! When the hair came back in it was so soft-like a little kittie. Some of my students-these are high school kids-loved to touch it. I think we all learned emphathy. 

    I had a great sub who filled in for me when I was gone. I scheduled appoints for Friday-sometimes Thursday, so I would have all weekend to recover. Somehow I made it.  

  • lewisfamily503
    lewisfamily503 Member Posts: 621
    edited August 2008

    Wow--there are a lot of teachers on this site.  Could it be the stress?  I teach music k-5 at a public school.  I didn't have to do chemo, but one of our 2nd grade teachers did.  She had her chemo on Thursdays after school, took Friday off and was usually back the following Monday.  She seemed to do fine with it.  She did lose her hair and had a wonderful wig.  She has had two bouts with her cancer (in a ten year span), but she is doing great now!  Good luck with your chemo.  You will make it!!!

    Anne 

  • mzmiller99
    mzmiller99 Member Posts: 894
    edited August 2008

    lewisfamily503

    We have had so many bc ladies at our small school that we have often wondered the same thing!  It would be interesting to know if there have been any studies done on the incidence of bc among teachers.

    Susan

  • lewisfamily503
    lewisfamily503 Member Posts: 621
    edited August 2008

    mzmiller:  I have done a little internet research on this topic and found this link:

    http://envirocancer.cornell.edu/BCEResearch/Teachers.cfm

    According to this Cornell University study, teachers ARE at a higher risk for breast cancer!!  All I know is that in my district, there have been many women with breast cancer.  I have taught at 8 different schools over the course of my career and there have been women with breast cancer at every school.  The good news is that most of these women are still alive, but we have lost a few.

    Anne 

  • mzmiller99
    mzmiller99 Member Posts: 894
    edited August 2008

    Anne, thanks for the link.  I'll check it out.

    Susan

  • irishbrae
    irishbrae Member Posts: 15
    edited August 2008

    Well after a 3 day workshop with about 50 fellow teachers from my school, I've decided to go the scarf route. My colleagues were sooo supportive. My 16 year old daughter and her friends have made me feel really good about it. Several of her friends will be in my chemistry classes. They like to rub my head. I have treatment #3 Monday and then teacher workdays Tues-Fri. The kids come the following Monday. Then only one more treatment in early September.

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