Anyone starting Chemo in August 07?

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  • wackyjackie
    wackyjackie Member Posts: 669
    edited January 2009

    Thanks so much for all your thoughts and prayers. 

     Nash, I will tell her that to make her laugh.  She is a very strong person.  I just hope it is a false alarm.

    Lilith, my thoughts and prayers are with you, your Mom and Dad.  Weeks?  That's stressful.  Hope you feel better soon.

    Harley, I hope you are right and the doctors are extra cautious. One breast had a cyst and they aspirated it, but they don't like what they see on the other side.

    Hugs to all,

    Jackie

  • Harley44
    Harley44 Member Posts: 5,446
    edited January 2009

    Jackie,

    Still keeping you in my prayers...  Let us know when you know something, k?  Still hoping it's just a false alarm.

    Lillith,

    Sorry that it is the same story... hurry up and wait... and worry.  I'll be thinking of you, and keeping your family in my prayers, too. 

    HUGS
    Harley

  • katoMato
    katoMato Member Posts: 645
    edited January 2009

    Hi Ladies -

    Nash, my "neuropathy" (if that's what it is) can't be from Taxol, b/c i didn't have it. I had T/C and rads, period. And, yes, I"d write a letter to crazy onc rather than just tell the girls in the office. I was advised to do that with an ob/gyn i was leaving. It's professional courtesy, and old onc may transfer some records to new onc. I didn't write the letter because I have no courtesy, and I'm a chicken. I loved this ob/gyn, he delivered my children, but he was a GUY, and i'm not talkin' menopause with a GUY, duh.  I don't care WHERE he went to school, or WHAT documents are hanging on his wall, HE DON'T KNOW NOTHIN' unless it's HAPPENIN' TO HIM. So now I have a girl gyn.Cool

    June - I thought the Lyrica commercials were for sleeping disorders.  And, yes, DH and I "cleared the decks" of  "guests" (that I gave birth to...) It was fun, and over too soon, but New Years was GREAT because DH and I sat and READ, while I did my son a favor and did his laundry so he could go out. I'm tellin' ya - it was one of the best New Years Eve's we've ever had. I LOVE getting old!

    Lilith - Yes, I'll be praying for your mom. I'm glad she's feeling better (relieved?) after the tests were done. It does seem a long time to have to wait for results, though. Be careful of that cold you have. I know two people last month who had Walking Pnumonia...so watch it.

    DeAnn - Snowshoeing???? How fun!!!! (for someone much younger, limberer, and energetic than me....Laundry and Reading seem to be my chosen activities of late.)

    Jackie - And I'll be praying for your sister, too. What was happening on the other side that they didn't like the way it looked...? Where does she live, back east near you? (Access to good medical care is why I ask...I know you were happy with your team.)

    ok, ladies. I need to get to work. It's 44 degrees right now! In the Desert! BRRRRRRRR! Someone hand me the snow shoes. Or at least a sweatshirt.

    I will be praying, gals.

  • nash
    nash Member Posts: 2,600
    edited January 2009

    Hi, girls.

    Jackie--I've been thinking about you and your sis all morning, and prayed all during my morning walk. Big, big hugs to both of you.

    Kaye--did you have Taxotere? Taxol and Taxotere are both taxanes, and they both cause neuropathy. Thanks for the input on the letter. I'm holding off on anything this week, b/c the bone scan report isn't in the system yet, and I'm still haveing massive problems with the MRI approval. Finally had to call an outside consultant who works with my DH's work's insurance broker, and whose sole purpose in life is to sort out insurance problems. What a way to make a living. I'd go mad. Anyhow, it's frickin freezing here, too.

     Lilith--glad your mom got through the biopsy OK--wish they'd get the results faster, though. Nothing worse than waiting.

  • wackyjackie
    wackyjackie Member Posts: 669
    edited January 2009

    Thanks girls for all your concerns.  I knew I could come here and feel better.  My sister lives in New Jersey, but up north.  It's only 45 minutes away but she is closer to NYC and she will use different doctors than I did.  All the doctor said was he sees "something" that definitely needs to be biopsied(is that even a word?). 

    I have one question for all of you.  I say she should push for an MRI.  She has much smaller breasts than I did, but they are dense also.  My tumors were never discovered from a mammo, u/s or digital mammo.  Finally when I had a bilateral MRI they discovered them.  Her doc is telling her she doesn't need an MRI because he sees it on ultrasound.  I say get it anyway but I wanted to check out your opinions. 

    I'm afraid to be too pushy or scare my sister but as we all know....doctors don't always know best.  I would appreciate any input. 

    Hugs and love to all,

    Jackie

  • wackyjackie
    wackyjackie Member Posts: 669
    edited January 2009

    Oh, and Nash, I did tell her that she's not welcome to our party.  We don't want any newcomers under these circumstances and just because we all made it seem so easy (because she knows about each and every one of you from me) she still can't come.  She did laugh at that.

    Thanks

  • nash
    nash Member Posts: 2,600
    edited January 2009

    I'm glad if I could make you and your sis laugh a bit, Jackie. I always found humor helped me and my mom get through all this crap.

    As for the MRI, I think she can probably forgo it at this point, b/c like the doc said, he can see the spot on u/s. If the biopsy is positive, then definately get an MRI. If it's benign, then push for an MRI at a later date as part of her regular screening. Right now I think she should just go forward with the biopsy--sort of a one step at a time deal.

    JMHO. What do the rest of you guys think?

  • katoMato
    katoMato Member Posts: 645
    edited January 2009

    Yes, Dr. Nash. I concur.

    Anyone else care to comment?

    PS...Harley, when do you go on your cruise? And why do you get so many cruises when I don't?

  • lilith
    lilith Member Posts: 543
    edited January 2009

    What Nash says is reasonable. The good part of the MRI is to be able to see better, and to identify spots that otherwise aren't visible. But if the doctor sees the spot on U/S, a biopsy will defilitely provide the additional info required

    Now, the interest of an MRI would be to see potential OTHER spots? maybe. Definitely later on, as part of a screening program. That fact that you - her sister - had BC, already gives a family history that should back accurate and through screening. Did you consider having the genetic test?

    Lets hope that all these alarms come through for the best!!!!

    Hugs.

  • nash
    nash Member Posts: 2,600
    edited January 2009

    Howdy, all. Am making progress with the MRI issue. New onc spent half an hour on the phone with the idiot insurance people yesterday. Thinks it may be straightened out by Friday. Doesn't she just rock? In fact, she rocks so much that I'm going to start callin her Dr. Ozzy. Sealed

    The other rocking thing is that she got an infusion of Zometa approved for me. The insurance may not approve a second infusion, but we're going to try. There's some evidence that Zometa every six months helps prevent bone mets, so we're going to give it a shot. It's off-label use, which is why the insurance balks at it. They usually approve it the first time b/c they think the patient has bone mets and will be getting it every month. When they see it's every six months is when they usually start to deny it, and it's $5000 an infusion. Anyhow, Dr. Ozzy's exact words on the matter were, "The insurance people are pretty stupid, so they usually approve the first one." Love that woman.

  • Harley44
    Harley44 Member Posts: 5,446
    edited January 2009

    Hi everyone.  Just checking in to see if there were any updates.

    I agree with Lilith, MRI's are good at finding any OTHER potential areas of concern.

    Nash,

    I am SO glad that your new onc was able to get the insurance situation straightened out.  When I had my chemo, my onc., who was also a 2nd opinion dr., was confused about my insurance.  He thought that he could charge me for the difference between the ALLOWABLE CHARGES, and  HIS charges...  When I went in there, I was so scared, because I wasn't sure I would even be getting a tx.  My case manager called and talked directly to my onc.  She explained to him that since he agreed to take me on as a patient, then he needed to accept whatever their ALLOWABLE CHARGES were.  OH, he wanted to switch my tx from taxotere & cytoxan, to AC.  I said NO WAY!  I am so glad that I had that case manager.   I'm so glad that you were able to get the Zometa approved.  Seems like once they begin the infusions, they will have to continue them. 

    Kaye,

    We are leaving on Feb. 11th, driving down to Cocoa Beach.  We will stay with some friends for a couple of days, and will leave on Friday, Feb. 13th, I forget if we leave from Ft. Lauderdale or Tampa.  The cruise is a 12-day cruise, and when we get back, we will stay overnight with our friends in Cocoa Beach before heading back home. 

    We don't usually go on this many cruises, but last year my dh said we needed to 'get away', since 2007 had been such a crappy year, and he was right.  This time, we are FINALLY celebrating our 20th anniversary, because we had to postpone the 20th celebration, when my dh's Dad was dx'd with kidney cancer with bone mets.  After he died, we moved to NC, and then my bc dx....  UGH!   This cruise is an Oceana cruise lines cruise, and we've never sailed with them before.  It will be another Caribbean cruise, this time British Virgin Isles.   BTW, we celebrated our 23rd wedding anniversary on Sunday, Jan 4th!  I figure this time around, we should also celebrate our 25th anniversary, because who knows what will happen in two years?   

    Well, I better get going.

    Hugs

    Harley

  • yellowtownhouse
    yellowtownhouse Member Posts: 142
    edited January 2009

    Hey All,

    Jackie you and your Sis are in my heart and prayers.  I need you to know that I had at least 6 bioposies in the ten years before I was dx with bc and had an additional 2 last August....all negative!!!!!   We'll keep the faith my friend. Also, with all of those bioposies not a single surgeon felt that an MRI would provide additional diagnostic knowledge until I was actually dx with bc and then of course I had one.  Please keep us posted.

    lilith, sorry to hear that you're down with a lousy cold.....geesh when it rains it pours.  Keeping good thoughts for your Mom. 

    Nash, I like her almost as much as you do!  :)  Where's the best place to research the Zometa?  It may behoove all of us to look in to it. 

    Harley, I'm all for celebrating any chance you get girl!  Don't need much motivation either.  :)  You all will be cruising while I'm celebrating my 64th birthday....yikes!!!!!  Have a fantabulous time and lift a glass or two for me.  Oh, don't forget to hit the dance floor....I can still boogie with the best of them so you go show them what you got girl!    LOL 

    Kaye, still laughing over the "girl" gyn but boy do I relate.  I also had a male during that time but for once I lucked out and he was great and his own wife was going thru meno at the same time...poor baby!  We also stayed home on New Year's Eve.  It was probably the first time in over 30 years...we usually spend them in a casino (several days actually) but I just didn't want the crowds this year and just felt like cocooning, know what I mean? 

    DeAnn, well dear heart are you still recuping from all that wonderful ambitious exercise?  It exhausts me just thinking about it.  Actually, I think I'm horribly jealous because I just couldn't do it anymore and besides I HATE cold! LOL Ahhhh.....the joys of aging, as Phyllis Diller said, "it ain't for sissies!"

    my best to all,

    June

  • wackyjackie
    wackyjackie Member Posts: 669
    edited January 2009

    Hi Ladies,

    Thanks to you all for your response.  I will pass your opinions along to my sister.  June, thanks for sharing that biopsy info, it's encouraging.  But poor you.  I can't believe you had to go through all that and still do.  It never ends.  64?  Bless you.  Happy Birthday.  Harley...lucky you.  Happy "whatever" anniversary!!!

    Lilith...I did have genetic testing and it came back negative. 

    I just got back from stage one of my nipple reconstruction and I love it already!!!!!!

    Hugs, Jackie

  • nash
    nash Member Posts: 2,600
    edited January 2009

    Jackie--whoo hoo! Glad you like the progress on your fipples!

     June and everyone--here is the link to the article Dr. Ozzy cited when recommending Zometa for me. It's hot off the presses from the December SABCS conference, and yes, I think we could all benefit from it:

     http://www.medscape.com/viewarticle/585257

  • lilith
    lilith Member Posts: 543
    edited January 2009

    Thanks for the reference, Nash. I am printing it out and taking it to my onc next feb. Given the association with Femara and all, it sounds like a good thing... lets see what they tell me on this side of the pond.

    Harley - yes, do pre-celebrate your 25th anniversary - but also start planning the next cruise! we need to celebrate every chance we get.

    Jackie - fipples are a good thing. I like mine too! It is like having a face with a smile!!!

  • wackyjackie
    wackyjackie Member Posts: 669
    edited January 2009

    Lilith....that is so funny!!!!!

  • nash
    nash Member Posts: 2,600
    edited January 2009

    Harley--Happy Anniversary!

    I like the smiley face fipple analogy, too. 

    Hope everyone has a good weekend. Smile
  • nash
    nash Member Posts: 2,600
    edited January 2009

    OK, AWKWARD. This whole mess with the MRI (which did get fixed today, BTW, so I can have it done with Dr. Ozzy) resulted in a call from the old imaging center, trying to schedule me for an MRI with the old onc. I told them I was switching care, they said, "OK, we won't tell," and two minutes later I get a call from old onc's nurse, saying, "The imaging center called, said you're switching care, what's going on?"

    So that solves the problem of how to tell them, doesn't it? Anyhow, I've been trying to get a copy of my bone scan from last week, and it wasn't in old onc's computer as of this morning. So when I talked to the nurse just now, she said, "Let's make an appointment so you can come in and discuss the bone scan." I've always had the onc just call if the scan was negative, or just tell me at an already scheduled appointment. I asked, "Why do I have to come in, did they see something on the scan?" The nurse wouldn't tell me, and just said, "Well, you know how the protocol is--she wants to discuss the scans at an appointment." Since this is the first scan I've had while not in active treatment, I really don't know if this is the case. If it's negative, can't she just tell me this over the phone? We left it with the nurse planning on putting a copy of the report on old onc's desk, and asking her if she'd just call me. Then I'll tell her over the phone that I'm switching care, since it would be silly not to at that point.

    But the point of this long-winded report is that I'm freaking out b/c I don't know if I've got bone mets and that's why old onc wants me to come in, or if this is really protocol, or if the nurse hasn't even seen the report yet and has no idea what it says or what. It almost sounded like the report isn't in yet. I dont' know. I'm babbling.Just a tad freaked out, plus these phone calls caught me really off-guard. I'd been so happy earlier b/c I'd gotten a faxed confirmation of the approved MRI, with the last hurdle being for the provider to get it in their system, so it doesn't show as denied still. I thought I was almost done with the whole mess. Again, I'm babbling. But if I can't babble to all you girls, who can I babble to? Tongue out

  • nash
    nash Member Posts: 2,600
    edited January 2009
    Actually, that should say, "To whom can I babble?", LOL. Plus it sounds more dignified.
  • Harley44
    Harley44 Member Posts: 5,446
    edited January 2009

    Nash,

    Oh, I think the imaging center calling your old onc's office was so rude!!

    I don't understand why your onc can't just tell you the results of the scan over the phone, either.  When I had my D & C, I was told that I was to follow up with my gyn onc 'as scheduled', but he NEVER scheduled me!  So, I just called on Friday, after having the D & C on Wed.  When I called, my nurse answered the phone.  She was all happy and bubbly.  I told her that I wouldn't be calling except I needed to know when to come back for follow up.  She asked me to hold while she checked on it.  After a short wait, she came back on the line and gave me a date for my next appt., and then said, "oh, and the pathology was benign!!"    So I didn't have to wait and worry for 2 more weeks.

    I'll be thinking of you...  let us know when you find out something.  Hey, maybe could you just have your NEW onc. call  the old onc's office and get the bone scan sent to her?  Just wondering.

    Hugs

    Harley

  • nash
    nash Member Posts: 2,600
    edited January 2009
    Thanks, Harley. I also thought it was really lame that the imaging center called the onc, and my DH even wondered if it was a HIIPA violation. Anyhow, I did request a copy of the bone scan to go to the new onc, so I think I will just call her office on Monday--thanks for mentioning that, b/c that's a good idea. I'd been focused on getting it from old onc, since she'd ordered it. I did decide that I'm probably overreacting and reading too much into all of this. I've been pretty frazzled this week, and getting these calls at 4 pm on a Friday sort of sent me over the edge. Foot in mouth
  • katoMato
    katoMato Member Posts: 645
    edited January 2009

    Nash - don't worry. It sounds as though they don't want to lose a patient. They probably care about you - you ARE a doll - and face it, you are a dollar sign to them as well. So no one really knows what to say to be "professional" in these situations, because yes, it is awkward. But necessary.

     If there was "something" on the scan, she should have called you immediately. She should have been bugging the imaging place for the result until she got it, and called you if something was not right. You guys have been through a lot together, she knows your familial history, and she needs to take every test you have seriously.

    My advice is a nice letter - email, whatever - explaining that you are transferring care. Period. Your reason could be geographic, it could be personal, or psycological but no one but you needs to know. You are still the patient, and you could request (of the scan place AND crazy onc) that the result be forwarded to Dr. Ozzy at Dr.Ozzy Office and wait for them to get it and THEN discuss it with her.

    Just an idea. Don't worry Nash.

  • katoMato
    katoMato Member Posts: 645
    edited January 2009

    We were posting at the same time!

    Hey, you. Have a good weekend. Do not fret.

  • nash
    nash Member Posts: 2,600
    edited January 2009

    Thanks, Kaye. <<<<<HUGS>>>>>>>

  • yellowtownhouse
    yellowtownhouse Member Posts: 142
    edited January 2009

    Nash, you are SO right my sister....you babble on for it not here  where the hell is there?

    This is so text book of the medical profession not having a clue to the anxiety they CREATE for the patients they treat or just not giving a d........  When this is over and I truat it will be soon I would then write a letter to that office stating that it is your right as a patient to inform providers of your intent and that you did not give anyone permission to do so.  Therefore, they violated your rights...blah blah.  In the meantime do everything Kaye suggested honey and I'm sure all of this will be cleared up shortly.  I won't tell you  not to worry because after what we've all been through it's like telling us not to breathe but in the interim be as good to yourself as you can.  We all have you in our hearts.

    June

  • nash
    nash Member Posts: 2,600
    edited January 2009

    Thank you, June. You girls make me feel so much better. Don't know what I would do without all of you.

  • wackyjackie
    wackyjackie Member Posts: 669
    edited January 2009

    Nash,

    What a nightmare.  I agree with Kaye.  I would try to get it from the new onc.  I do think it is definitely a hipaa privacy violation.  June is right.  Sometimes the medical field does not understand the anxiety we go through.  Try to have a good weekend and know we are all here for you. 

    Lots of hugs, Jackie

  • yellowtownhouse
    yellowtownhouse Member Posts: 142
    edited January 2009

    I'm afraid this is going to be long ladies, but please hang with me for a bit as I really need your advice.

    I am getting the real "squeeze her out" routine at work.  I started with them almost 3 years ago as a Nurse Liaison for 30 hours per week, four days a week.  I choose this position because it wasn't FT.  I don't receive any benefits except I'm eligible to earn vacation time.  Two weeks ago my administrator called me in and said that the 'new' VP of operations wanted me to work 32 hours per week and that my day off would now be Mondays instead of Fridays.  I didn't like it but accepted it in a gracious manner.  Last Thursday I was again called in and told that this same VP now demands that I work FT status Monday through Friday and that they wanted an answer ASAP.  I stated that I needed a few days to think about this and discuss it with my husband.  I have until Tuesday afternoon(1-13) to give them my answer. 

    When I was first dx with bc, one of the first things I did was look up my rights under the American Disaabilities Act.  (Because the corporation I work for does not have an ounce of soul)   It clearly states that cancer victims must be given reasonable accomodations and gives many examples of such.  You would be suprised at how extensive some of these accomodations are. This weekend I went back to the site and did more research and found that having a diagnosed disability, a HISTORY of one, and one that the employer is aware of constitutes a reasonable accomodation.  Hang on ladies I'm almost finished....:)   I have written a short letter that I will give to my administrator on Tuesday.  It basically just says that after considerable thought and seeking of expert opinions I have been advised to ask for "reasonable accomodations" to be able to continue my employment with them without compromising my health.  (ie: 30 hours a week/ 4 days a week)  I closed by stating that I was trusting that we would find a mutually acceptable solution to this situation.  If It turns into a battle involving their 200+ corporate attorneys then it will become hopeless as they keep it tied up legally for years to come.

    Thanks so much for reading this and please any and all thoughts are requested.  I really need my job and have been an excellent employee with excellent performance evaluations.

    June

      I

  • Harley44
    Harley44 Member Posts: 5,446
    edited January 2009

    AW, RATS, that sucks, June. 

     I think the way you are thinking of presenting your situation to your employer sounds just fine.  I really hope that they will accomodate your needs for P/T status, and not force you to accept a FT position.

    Please let us know how everything goes. 

    Sorry but I don't have any other advice.  What you are planning to say sounds perfect to me.

    HUGS
    xoxo

    Harley

  • nash
    nash Member Posts: 2,600
    edited January 2009

    June, I agree with Harley. Your approach sounds right on. You've done your homework, and you have documented evidence to support your request. The VP sounds very unreasonable, and the more you give in, the more the VP will try to take.

    Absolute worst case scenario is that they let you go.  I know you need your job, but you have extensive experience and marketable skills. Plus, if they are going to be that unreasonable, you don't need to waste your time with such people. 

    Good luck on Tuesday, and let us know as soon as you hear something.  I will be sending out lots of positive happy job vibes your way. 

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