Starting chemo January 2009?

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  • sweeeeetpam
    sweeeeetpam Member Posts: 115
    edited January 2009

    Hi Susan,

         I also had a/c Before surgery..........They stopped at 2 treatments because they could not longer feel a tumor. had one breast removed now I have this large lump they say is fuild.........going to surgeon tomorrow, after 2 weeks my chest and arms hurt WORSE than it did before worked a full day today.

          Does anyone else have a burning arm?? I also have to do my 2 remaining a/c...which make me mad cause I could of done it before!! and then 8 weeks taxol.   Keep in touch!! Pamela 

  • ChrisBern
    ChrisBern Member Posts: 33
    edited January 2009

    Hi Ladies,

     Just had today my second tx of AC. They gave me Emend as a anti-nausea. Hopefully, it will work because i've been sick after the first tx.

    ddlatt: I'm receiving 60 mg of adriamycin and don't know about cytoxan. I weigh 185 pounds.

    I also received today the result of my second HER2 FISH test and the result was exactly the same than the first one: 1.8. So, I'm at the begginning of the equivocal class which ranges from 1.8 to 2.2. Prior to the FISH test, the IHC test also revealed an equivocal result. My ONC. said to me he needs to discuss with experts for my case because he doesn't what to do. General guidelines that I found on the Web are saying that patients with score equals or superior to 2 are eligible to Herceptin. I'm once again in the gray zone, which increase my anxiety. I'm wondering if there is any HER2 test interpretation experts on this thread?

    Good luck to everyone starting chemo this week.

    Have a nice evening!

    Christian

  • kt57
    kt57 Member Posts: 425
    edited January 2009

    Hello Jewels,

    mimi07 - Good yo hear you're felling better,  You're brave to get buzzed.  I;m waiting til it starts going, which will be soon.  My headgear arrived today - turbans and underwig caps and a couple cotton skull caps.  So I'm as ready as I can be,

    Re: fluids.  I found Gatorade G2 to work well - it's the lower calorie version and not as sweet as reg gatorade.  

    My WBCs came back really low.   My onc called and told me he was surprized I went so low.  We'll check tham again on Thursday to see how much I;ve recovered by then.   If not enough, I'll get neupogen shots next time.  I hope this doesn't delay my next treatment.  He also told me to stay away from sick people - hard to do when you work in a hospital.   So he gave me two choices, stay home or stay in my office.  I promised to stay in my office.....alot can be done by phone and email.  I totally disinfected my office today before I left.     Ah, something new to worry about!

  • jrgolomb
    jrgolomb Member Posts: 1,236
    edited January 2009

    Kathy-I will probably have to disinfect my classroom everyday.  I've already started my students on washing their hands with hand cleaner when they come in and I will have someone wash the desks for me everyclass hour as well.  I am planning on getting disinfectant spray for the table tops....don't know what I will do if i get limited choices from the doc.  I carpool, so I will wear a mask in the car and then perhaps when I go to the restroom at the school...

    What is the difference between neulasta and neupogon?

    Lisalisa-how hyper were you after taking the steroids?  Did the doc give you a pill for sleeping? 

    Hope all is well and good for everyone tonight!

    Warrior on, you January Jewels!! 

  • Hawaii808
    Hawaii808 Member Posts: 35
    edited January 2009

    Today is my 5th day since I started my treatment.  Except for the low sodium scare to the hospital on Friday, everything else seems to be okay. Once they brought my sodium count back up, I was aware of what was going on.  Before that, everything is a blank.  I can't seem to remember about 4 hours.   I was able to go home on Saturday.  Saturday I was nauseous and really tired, although I was able to go for a 2 mile walk.  Sunday I started to feel a little better.  Went for a walk again with DH.  I seem to feel better after I walk.  I feel pretty good today.  I thought about going back to work for at least 1/2 day but DH thought I should rest one more day.  Tomorrow I go in for my shot.  I hope that will go okay.  My onc told me to take Claritin before I come so I hope that will alleviate the bone pain. 

    Anyway, I hope they resolve the low sodium issue for my next treatment on 1/22.  I definitely do not want to go thru that again. 

    Pamela (I'm a Pam too) - I am also doing chemo before surgery.  My onc told me that even though my tumor disappears, we will still finish up with the remaining treatments (4AC and 12 weekly paclitaxel).  I think the tumor has shrunk a little since this 1st treatment but I can't really tell.  Was your's a noticeable difference?  When were you able to tell?

  • lisalisa
    lisalisa Member Posts: 824
    edited January 2009

    Tomorrow is chemo #2 for me.  I ran errands today...stocking up on gatorade, applesauce, ice cream and other comfort foods that helped me thru my taste-less days.

     I just got back from a mani/pedi too.  Its 80 degrees here in January and I may even wear sandals to chemo.  So much for all the knit hats I got, I'm wearing lightweight cotton scarves!

    I just took 2 more steroids pills and feeling ok.  I hope I can sleep.  I do have ativan to fall back on but prefer not to take pills if possible!

  • BerkeleyKim
    BerkeleyKim Member Posts: 390
    edited January 2009

    Hi all:

    Pam--my arm is driving me crazy, still numb and now a little red under the arm, and it feels tight around my back. It was improving after surgery, and then I think I did too much walking with my poles. I've had 2 referrals to the lymphedema clinic and hope they call me really soon for an appt, and I'm afraid my insurance won't cover it. My surgeon said it's just swelling from surgery, but the onc. today said it needs to be looked at.

    Ddlatt-don't know about my AC dosage. I weigh somewhere between you and Chris! Good luck on Weds. I follow with #2 on Thurs. Do you go to UCSF for the txs, or are you able to get it locally?

    Chris--hope the Emend works. It really helped me with my first AC. Now my insurance says they only cover every 17 days, but my txs are every 14!  Good luck with the HER2 info.

    Kathy-Did you have the Neulasta shot? My WBC was up today, but much later than they had wanted after the Neulasta. My Nurse Pract. told me that Neulasta is long acting because whatever's in it is attached to a "big" molecule. Neupogen is the same stuff, but on a small molecule and is not so long lasting, and that's why you need to get one every day. I just want something that works!  

    Glad you're feeling better, Hawaii Pam!

    I think I get steroids in my iv during tx. Maybe the pills are for the T treatments? I can't sleep as it is now, so I hope I won't need something to rev me up more.

  • kt57
    kt57 Member Posts: 425
    edited January 2009

    Jess -  I also ordered a UV light that disinfects 99.9% of germs on surfaces.  It should arrive in a couple days.  Am curious to see if it is a time comsuming process of waving this light over everything...will let you know....might be a good option for desks and chairs.  I got it from Verilux.com.   Maybe I;ll get a Star Wars hat to go with it Laughing.

    I didn't get neulasta - my onc thought with the mid-range dose I wouldn't need it.  I think neulasta and neupogen work in essentially the same way - stimulating bone marrow to make WBCs. Neulasta is one big boost, neupogen is daily mini-boosts. From what I'm reading neupogen has fewer side effects.  I'll have to give myself injections daily for 1-2 weeks and get my blood tests more frequently to assess it's effectivenss and see if daily doses need to be adjusted.  Good thing the cancer center is fifty yards from my office.

    Lisa - hope all goes well tomorrow and in the days that follow.  Sandals!!!!!   Fifteen below here tonight ..... I could wear sandals too.. with three pairs of wool socks!    

  • ddlatt
    ddlatt Member Posts: 448
    edited January 2009

    berkelykim - i will be having chemo locally, in reno. wish i could go to UCSF for everything - it's so much nicer there in every way - well, except for parking. :) hope your arm situation improves quickly!

  • carlajane
    carlajane Member Posts: 23
    edited January 2009

    lots of new folks since i was on here last...i'm down to one day before chemo (Jan.14)...and have been trying to get ready...i'm a single mom...won't have anyone to rub my feet or fix my tea!...any last minute suggestions to be ready for my first AC dose?...i'm a good distance from the nearest grocery and pharmacy so i'm trying to plan well...at least for the 1st round...thanks to all the help here...without it i would be soooooooooo unprepared!

    i finally bought a wig...RED...don't know if i'll wear it...i'm a blonde...still have ordered scarves or hats...i think they will suit me better...who delivers quickly...any recommended websites?

    thanks!!! 

  • carpediem
    carpediem Member Posts: 4
    edited January 2009

    Hello everyone!

    I am there with you, starting chemo (TC) Jan 22nd, 4 cycles, followed by radiation and hormone therapy.  Will have PET scan and brain MRI on Thursday and will be very anxious waiting for the results. I am 52, single and live in the Portland, OR area. Also not looking forward to loosing my hair.  Thanks to everyone here for all your encouragement!  

  • lisalisa
    lisalisa Member Posts: 824
    edited January 2009

    Welcome Carlajane and Carpediem!  Sorry you had to join us....but I'm glad we all have each other!

    Carlajane - I'd just do a little shopping before hand so that you don't have to run to the store if you don't feel well.  There is a great chemo "shopping" list that is a sticky on the chemo board.  For basics, I'd get biotene mouthwash and toothpaste.  Also, a good moisturizer as chemo can dry you out.  I have had success drinking throat coat tea...no mouth sores yet!  For food, you may want to have some bland/easy to eat things on hand if you start getting a funny taste in your mouth.  What worked for me was crackers, bread, applesauce, carrots, and I try to eat alot of protein: chicken, eggs, beans, turkey, etc.  Oh, and I have lots of almonds, sunflower seeds, etc. to munch on.  I also buy protein drinks at costco....they are chocolate and easy to get down.  Hope this helps a little!

    Carpediem - good luck with your PET scan and MRI.  I hope you get results quickly.  Its so hard to wait!  And, I hear you on the hair thing....I cried more over my hair than over any other part of this!

    Berkeley Kim - hope the numbness/redness goes away!  and that you get PT approved!  I need to go back to PT myself!

     kt57 - LOL on the sandals and socks!!!!  don't do it Tongue out  I stayed up late and watched the weather on the news.  It is supposed to be 84 at the beach tomorrow.  so bizarre!  it will be shocking to go back to winter after this crazy warm week!

    ok....off to try to sleep more.  i woke up at 1:30 am to pee after hydrating myself too much.  can't get back to sleep ugh.   i don't want to take an ativan now....i won't wake up in time to get to chemo!

  • ktym
    ktym Member Posts: 2,637
    edited January 2009

    Pam,

    Hear you on the arm, drove me nuts.  Hypersensitive, burning, and seemed to sweat more then usual.  For me it started to get a little better about 3.5 weeks after surgery.  Hopefully you'll find the same.  I found sleeping with my arm down against my side about 3 weeks post op helped with the swelling  and resolved things faster. 

  • rsben70
    rsben70 Member Posts: 137
    edited January 2009

    well got my port, my shoulder feels like i was kicked but i am trying to use it they said it would work the doreness out.

    KM47 keep using the arm it helps with soreness.

  • YearoftheHat
    YearoftheHat Member Posts: 243
    edited January 2009

    Jewels - you all are wonderful.  It helps me so much just to read these posts.

    I am day four after chemo #1.  I had awful nausea but no vomiting, plus a wretched headache for two days and total flu-like aches and chills.  I went in yesterday for fluids and antacid which seemed to help quite a bit.  They said I'll take Amend (?) for the next round which is supposed to help a lot.  

    They really think they can wipe this out if they're aggressive.  I hope they're right.

    Hang in there everyone!  Hugs to all!

    Nancy    

  • lisalisa
    lisalisa Member Posts: 824
    edited January 2009

    YearoftheHat - I LOVE your name!!!  Glad the fluids helped!  I haven't been offered fluids....IV fluids, right?  did you have them planned or only get them because of your SE's?

     I hope the chemo wipes this out for you and me both!  I think we both have the "good" receptors....that helps!

  • rsben70
    rsben70 Member Posts: 137
    edited January 2009

    carlajane have you looked on the web at cjhats, i placed an order on sat shipped mon looked up my label and should be delivered today.  hugs to you

    carpediem good luck on the pet and mri  hugs to you

    i hope we all wipe this out

  • auriga
    auriga Member Posts: 315
    edited January 2009

    carlajane: I ordered a bunch of scarves from designwraps.com. I had my order in 3 days. There is one whole area with scarves that are 50% off. That is where I ordered most of mine.

    I am only on day 8 of my first treatment, so I haven't had to wear them yet. I am dreading that day.

    I too went out and stocked up on things I would need post chemo, and so far haven't needed any of them.

    Good luck on your first treatment.

  • jrgolomb
    jrgolomb Member Posts: 1,236
    edited January 2009

    ddlatt---lol about the parking at UCSF..I used to work there.Fortunately , I walked or took the bus.  It is a nice facility, though.

    K-where do you order the light? 

    One of my students came into the classroom and started cleaning my room.  It's probably the cleanest ever!  Gosh, I am shocked at the amount of clutter......

    48 hours to go!

  • ChrisBern
    ChrisBern Member Posts: 33
    edited January 2009

    Yearofthehat - I did my second AC and took Emend, which was not the case the first time.

     I'm feeling so far much better than after the first tx, thanks to Emend I guess.

     Based on my experience so far, my advice would be to ask for Emend. Don't go through one tx without it.

     Christian

  • brendafromflorida
    brendafromflorida Member Posts: 90
    edited January 2009

    Hi everyone, I am now 5 days out from my first treatment of A/C, +maybe Avastin.  Day 1 was uneventful.  I felt really good.  Day 2 I spent sleeping the entire day and feeling a bit of nausea but not unbearable.  Day 3 just felt a bit blah all day, but nothing major.  Nagging headache since treatment.  Since my treatment did not end until after 6 PM on Thursday I could not get the Neulasta shot until yesterday.  So far, I am not feeling too bad from that.  When did most of you begin feeling the flu like symptoms from the shot?   I feel a tiny bit of it today but nothing major.  

    Sweetpam, I am also experiencing burning in my arm just below where my port was inserted.  Not sure what that means?    Not all the time, just once in a while I get the burning.

    I am going to go to work beginning tomorrow until my next treatment on the 22nd.  Hoping that goes well.  

    I have not be on the past few days, but tried to read most of the new entries.  Welcome to our new members.   Sorry you have to be here, but glad you found us.  

    I will have 12 tx of Taxol after this series is over.  That will be every week.  I am wondering how that will affect me.  

  • ddlatt
    ddlatt Member Posts: 448
    edited January 2009

    re: Emend and Zofran

    chrisbern,  i'm having Zofran (and decadron) given as part of the AC chemotherapy infusion. did you also have that, or did you have Emend instead? does anyone have any experience with Zofran as part of the infusion?  i was also given a prescription for Zofran (oral) to take every night and every morning after chemo for 3 days, and Compazine to take as needed. any experiences with these prescriptions?

    chemo starts tomorrow. it all feels so surreal.

    thank you!  

  • Renrel
    Renrel Member Posts: 497
    edited January 2009

    I am finally scheduled for a bone scan on Thursday and they are going to try and get me in for a ct scan during the wait time for the injection to go through my body.  Fun, fun, fun.  I am a bit scared of these scans though I expect they are only a bit uncomfortable.  I was told not to eat any solids for 2 hours prior but I am not sure when I am allowed to eat again. If it is an all day fast am am going to be very unhappy.  I have also been scheduled for my infusion.  The 21st.  10:15 blood work, then the teach in, then the onc visit then the infusision which should take 2-4 hours. So I will not be done till 5 or 6pm.  Then the journey begins in earnest.  I expect to start losing my  hair about 1.5 weeks before valentines day and my look good feel better seminar is not till a few days after V-day.  You girls will have to help me through those 2 weeks, and beyond.

  • bobcat
    bobcat Member Posts: 681
    edited January 2009

    ddlatt -

    I was given decadron to take before and after and zofran to take for 3 days after.  I also have compazine to take as needed but have never needed it.  I have my third TC Friday.  They give me decadron, zofran and benadryl by IV before the chemo drugs.  The only thing I do the night of the infusion is take milk of magnesia because all those drugs will give the worst constipation.  If you can have a bowel movement the next morning you will feel better from head to toe :o)  This was a tip from another friend and my doctor didn't care either way(they recomended miralax)  I haven't had any nausea after any of the treatments so whatever this combination is must be right for me.  I'll be anxious to see how you make out and hope and pray that it is all good - it is surreal, that is true.  The weirdest thing is you'll get home tomorrow night and probably not feel any different except that the anxiousness will be gone.  Oh, I also take Atavan(as needed) - this is a must, in my book - helps with the anxiety so ask for a script even if you don't use it.  Good luck and cyber hugs.

    Bobbi

  • bobcat
    bobcat Member Posts: 681
    edited January 2009

    me again -  drink tons of water before, during and after to flush everything out!!

  • ChrisBern
    ChrisBern Member Posts: 33
    edited January 2009

    ddlat : I had no meds given by infusion. I took two Kytril, three Decadron (dexasone) and one Emend orally, one hour befor chemo injection. Then, this morning, I had another Emend pill, two decadron and one Pantoloc (to prevent heartburn). Tomorrow, day 3, I will have my last Emend pill and two Decadron. Finally, on day 4, I will take my last two Decadron. So far, it has been a good cocktail!

    Hope that will help

    Christian

  • SallyJane
    SallyJane Member Posts: 5
    edited January 2009

    if u r there how did u react to r first treatment of

    A/C I have beeb very b-sick,

  • mimi07
    mimi07 Member Posts: 25
    edited January 2009

    I went to get my hair buzzed today with my wig ready and everything, and I COULDN"T DO IT!!!  My hair stylist talked me out of it.  She seems to have some experience with chemo therapy patients and she said that not all people lose all of their hair, and that I should wait and see, and it won't be too late to do it whe it becomes inevitable.  That was my way out!  I know it's silly thinking that it won't happen... But I'm such a chicken!  I couldn't do it today!

  • SallyJane
    SallyJane Member Posts: 5
    edited January 2009

    Ijust had my fisrt treatment and I am very sick, I take A/C for 4 cycles every other week , then Taxol for 12 weeks everyweek. If all the treatments are like this treatment I don't know if I can do this. Help Anyone else have this violent of a reaction?

    desperate

  • BerkeleyKim
    BerkeleyKim Member Posts: 390
    edited January 2009

    SallyJane:

    I had my first AC on Dec 30 in the morning, and although I felt tired and a little nauseous, I never vomited. Did you get sick right after you got home? PLEASE call your doctor! They might be able to give you a different nausea medication, or something else depending on your symptoms. I remember when I got up to pee the first night, that I looked terrible--very pale and I was alittle dizzy. Make sure you are drinking fluids (broth, juice, Gatoraide, water) to get that chemo out of your system ASAP.

    Hope you feel better soon. Let us know!

    kim

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