Starting Chemo February 2009?
Comments
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I don't know why he is doing it that way. It seems that every oncologist has their own idea of how to treat their patients and there is no magic formula so to speak. Sometimes you have a cancer that can be treated by for example 6 different type of chemo drugs and the oncologist will pick and choose out of the 6 which one he wants you to use.
He is reducing you to 6 treatments and 3 weeks apart. The "norm" is when you are doing AC and then Taxol/Taxotere that you do 4 treatments of the A/C every two weeks and then 4 treatments of Taxol/Taxotere for 4 treatments. You might want to ask your oncologist how he arrived at his decision.
Also it can depend on what he is trying to achieve wit the chemo drugs. Your cancer and mine are both IDC but the big differences are (1) your tumor is much small (2) you are Grade 2 while I am Grade 1 and you had positive lymph nodes whereas I had negative lymph nodes. So maybe he opted to do this particular combination to hit your cancer hard and heavy being that you are Grade 2 and you have positive lymph nodes.
My oncologist is in a way hitting it hard and heavy for the cancer more so than would be typical because our goal is to shrink my tumor small enough to do a lumpectomy. He said yesterday that he could put me on an easier chemo drug because of my negative lymph nodes but wanted to go ahead with AC to shrink the tumor. I totally agree with him on this even though I will lose my hair in about 14 days after my first treatment.
Isn't Panama City about 45 minutes east of Destin?
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Yes, Panama City is just right down the road from Destin.. I am aobut 45 miles North of P.C.
I think the positive node has something to do with it.. from the research I have found, that seems to be the norm.. but if I have looked correctly, there are a few women on this thread that have positive nodes that don't seem to be getting the meds the same as me.. oh well.. guess I will never get it all figured out! lol I am being treated at the University of South Alabama and I trust the doctors there... I truly feel God sent me there... the way it all happened God for sure had his hand in all of it. Just not looking forward to the 3 hour drive there and 3 hour drive back home every 3 weeks.. but it has to be done. I will have to spend the night each time because they will not give me the Lunesta drug until the day after my chemo.
I am not looking forward to losing my hair, but like other here I had long hair and had it cut right before my second surgery since I knew I would be getting chemo... i hope that will make it a little easier to deal with.
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You are driving west to Alabama for treatment? Don't take the beach road (forget the number) - take the interstate that is north of the main beach road or you will sit in traffic for HOURS once you get closer to summer. I couldn't imagine making that drive. It was hard on us driving from Santa Rosa Beach to Pensacola daily for 2 weeks because one of my BIL's was very seriously ill and was in the hospital - I think the name was Sacred Heart or something like that. It was pretty much run by the catholic diocese (no sure how to spell that one)
I am getting my hair cut this Saturday to 2" in length and then will buzz it once it starts coming out but I am ready and set with 3 wigs and scarves.
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kat4pink - Hi there. Suzanne from Albany. I am on TC myself. I'm in a clinical research study that uses either TC or TAC. It is interesting that the oncologists have different preferences. It would probably be easier for us if we were proscribed similarly according to our diagnoses. I also am IDC, 2 cm, stage 2, 1/16 nodes, ER+/PR+, HER2-. I had my first chemo last Fri. Tomorrow I have my bloodwork done. My first week has been a challenge, yesterday was the worst for me. I have been working all week but I hit a wall, so to speak yesterday. My heart was hurting. Not racing like others have been describing. It was painful. Luckily being a teacher I was able to go to the nurse. Between her and the nurse at the oncologist they determined from a lack of other symptoms that it wasn't a heart attack. I took some Tylenol and then Tums as the school nurse thought it may have been indigestion. Eventually I felt well enough to get home and I felt a lot better. Today was a much better day. Good luck to you and to all.
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Suzmarks - What is TAC? What is the long version name of it? I am so very confused.
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Suzmarks and kat4pink
I am also doing the TC vs TAC study and will be randomized to one or the other next week. The TAC is Taxotere, Adriamycin, & Cytoxan all at the same time for 6 cycles, every 3 weeks. It is meant for early stage HER2- breast cancer patients who are having adjuvant chemo. It does seem to be aimed at women with positive nodes and grade 2 or higher cancer, though I did not see that specified anywhere in the protocol.
I am suprised by your heart pain suzmarks, I thought taking the "A" out of the equation is supposed to be easier on our hearts! I hope that clears up for you and does prove to be just heartburn. I have heard a lot of women are taking Zantac 150 daily to help with that SE.
Kat4pink, looks like we may be starting at the same time! I am either starting the 20th or 27th, depending on when all my screening tests are finished.
Good luck and good weekend to you all!
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Hi All: I've been away from these boards for awhile having reconstruction complications. After bilat mast. expanders put in wrong twice and finally a 3rd surgery to get them both out during the holidays. I started chemo on wed feb 11 doing 4x CT. I was told I'd feel flu-ish for 72 hours. I just feel so spacey and shakey. Does anyone know if these things can wear off after the initial first 3 days? I have 2 very active little girls 7 and 9 years old. They wonder when momma's not going to be a zombie anymore.
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I'm a week past my second round (of FEC) and am only just starting to feel a bit normal. I have two kids too (3 and 5) so know how they don't really understand when your feeling rough. I'm looking forward to two weeks of near normalcy before getting hit again! Not much advice except to ride it out. Good Luck with it.
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Sue, thanks so much for the encouragement about the hair loss. looking at your beautful pictures on your blog definitely helped. Thank you!
Judy, I meant to say that I'm thinking all good thoughts for your mama. I hope she's on the road to recovery soon.
Grace, kudos for doing locks of love. i wish i had enough, i'd do it tomorrow. and it's ok to cry, sweetie. i had a couple this week. no sense keeping it in. as shrek says, better in than out.
(((kerry))) & (((stillme))) I don't know how you women with little ones make it thru. Mine is 16 and I'm still having trouble being there for him. Although I did make it thru 99% of his school show last night. A serious hot flash/anxiety attack was my undoing, but I only missed the finale. He was so appreciative that I was there.
I kinda thought my oncologist said my AC/T was standard protocol for my diagnosis. But I'm going to ask for more "why" specifics when I see him on weds. Not that I'm questioning prevailing wisdom, just so it makes more sense to me. i also don't even know if I had a sentinel node biopsy or not. Gotta find out my remaining pathology holes, too.
FYI: I went to college at SUNY Albany. back in the stone ages, lol!
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Starting back on page TEN!
Artemis--Loved the "family discount!" How's the lemon water doing? Or did you stick with the Propel?
csbsk123- Neulasta pain. YES! I took the Claritin and can't imagine what it would've been like without it. I had some hip pain that was very annoying, but that was it. I didn't think of heat until it was almost over. Thanx for the tip. I got my 2nd one today, so I'll hit the heating pad tomorrow!
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marlomom-- Boy have I got brain fog! I now know what ADHD feels like (thanx Decadron), what being 80 feels like (thanx Allergy Meds) and what Alzheimer's feels like (thanx Chemo!) How are your studies doing with that? Did you try the baking soda? How is that working? I've been doing it and Biotene, whichever is handier, but Biotene ain't exactly cheap! Oh, how I remember winter slush! I hope its getting better by now. I've heard Pepcid AC or Zantac 150 do well with acid reflux. Hope you've got some relief by now!
Kelty- Did you make the wig shop? I've heard of getting LE later, but
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Kerry Mac- When is your 4th tx of taxotere? I made the HUGE mistake of looking at a thread of taxotere folk--2007...and I freaked. I think docs have a better handle on treating side effects, though I am not sure how they will help me when the fatigue really hits.
I also made the mistake of not resting when tired, and today i dragged ALL day. Well Fab Febs, good luck keep talking and hugs!!!!!
A January Jewell girl--two weeks away from FEC # 3 and the done and then Taxotere #4!!!
I am also a uniboober and i look like my DAD! My sisters who live a bit away from me are coming this weekend just to see!!! LOL . I knew I had to trick them in to visiting!!
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Luv2Sing: Both me AND my hubby thought it would be horrible if I ever had short hair. I certainly couldn't imagine it, how could he? We'll have some fun with wigs and such, but when I finally got down to the pixie today, he liked it the best. Men are funny creatures. Maybe yours will surprise you. I hope your wig shopping trip was highly successful either way. YOU feel like you look good. He'll follow.
TwillNW: Sounds like you're doing really well and thanking your water! I too have pounded it down. When I don't, I feel icky. (Of course I feel icky sometimes regardless, haha!) Other than those two days, tho, I think I've gotten off pretty lucky. I
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First tx of AC was yesterday. So far no nausea, just very tired and intermittent headaches. They say to expect the nausea to kick in tomorrow or Sunday. Based on the posts I've read my onc seems to be very aggressive on the nausea. Aloxi/ Ativan and Decadron during treatment and Emend for 3 days plus 2 scripts for nausea. Decadron will also continue for 3 days.
I feel like I am running a mini pharmacy!!
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Jancie! Your wig! OMG! Stunning! You must post pics of YOU in it. I always wanted hair like that. Has it arrived? Shall we add Wilshire Wigs to our resourse list? I had no idea you were this familiar with the area! An x-boyfriend had parents in Milton. We were over there all the time! You're right, this part of the country is FULL of beautiful horse farms. It would be a great place for you.
Kerrymac: Glad you're feeling better! I'm pretty sure Taxanes aren't a whole lot of fun, but from everything I've gathered, it's much easier than AC. I'm doing TCx6, and I've had it easier than you so far, I think. I'm bettin' on the T being the difference. You'll make it!
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Nancyb7912! You were on my list to check up on. Glad you're doing okay so far. I had #2 yesterday, and have hit the tired, headache stage again. Your Onco seems right on top of the nausea with you. GO him! Go you! I'm with you on the pharmacy. My basket got full from all the changes this time. Who needs a bushel basket for meds? I mean, really!
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nancy, i feel ya on the mini pharmacy! i write down everything i take now, even my zocor and multi, and what time i take them.
jess ... have a wonderful visit with your sistas!
not to belabor the hair thing, but i've just spent 2 hrs online window shopping, and even tho i have a gorgeous "Lisa" wig ready and waiting, i think i'm gonna buy this fun wig right now:
http://www.tlcdirect.org/products/sku-8047__dept-25.html
a short 'do in strawberry blonde. something i've never had the nerve to do.
i'm beginning to understand why you guys have chopped and buzzed. i sort of want to do it, like, right now and get it over with. i just wish i could take the plunge. i wish i didn't feel so scared and sad. maybe because so much of my body has changed in the past 6 weeks, maybe i'm just loathe to give up yet another part of me. i still have a few weeks, why am i obsessing about this so much? somebody holler at me to get over myself.
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gcpommom: How are you doing? My clinic gave me a checklist of symptoms for my follow up with my Onco after TX #1. All of your symptoms were on it. He was pretty concerned about my checking off confusion (brain fog) so I hope yours is right on top of this with you. On a prettier note, your wig and your mosaics are AWESOME!
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Lisa810: Notes all over the place for you too.
I had a hard time with the hair thing too. I kinda knew going in that I was going to wind up here, so maybe I just got it over earlier is all. I certainly cried my tears, lamented my impending loss and wallowed around a bit. It's a big deal. You're allowed to be upset. I got my pixie today. I'll admit it, it's not my favorite of them, but it's not as bad as I thought. And my hair doesn't hurt so much anymore either. It is, however, cold. Or is that the Taxotere? Sigh. If it's not one thing it's another, right? You'll get through this part too tho. Promise.
Did you ever get your complete pathology back? That was you, right? Or is my chemobrain backward again?
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Janice TAC is Taxotere, Adriamycin, and Cytoxin. I see jdeking explained it very well. suzanne
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So we loaded up the family and went to the wig place this evening - got there about a half hour before closing time - were walking out the door with the wig 20 minutes later. The ladies in the shop were very kind and helpful and once I told them I wanted something similar to the style I came in with (minus the gray), they produced the perfect wig in the perfect color - even husband and teen-ager approved. It reminded me of how in Harry Potter, the wizard didn't choose the wand, the wand chose the wizard.... same sort of deal! I think if I time it right when I start to wear the wig, most folks will probably just think I got my hair shaped and colored - although I suspect that the wig will overall have fewer bad hair days than my *real* hair.
Lisa810 I join you in bowing down to those of us who are going through this with really young children - those years were exhausting enough without chemo. I have two teen-agers (daughter 17, son 14) and at least they can do many things for themselves though this week they have specialized in not doing things (schoolwork) that they should have... oh well, at least it gives me something else to focus on. I don't miss the slumber party years Grace4me!
As far as the different chemo regimes, my oncologist ran through a few different scenarios on Adjuvant! on-line, and for my profile, the stats showed an improvement of about 3% in long term survival on AC+T vs TC. He felt I could go either way, but we chose the more agressive regime b/c of having three positive nodes and just not wanting to leave anything on the table. The part I am wondering about right now is the Taxol following AC (jumping ahead a little) - onc has talked about doing 12 weekly doses which probably wouldn't require Neulasta support, but I like the idea of doing the dose dense route and being done four weeks sooner. Still have three ACs to get through before then so I've got time on that one.
Congrats on getting started Nancyb7912 and welcome kat4pink - sorry you have to be here, but you have a lot of good company.
Tricia
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I think I'm the only one up and about at these crazy AM hours but sleep isn't always easy to come by. I had my first CBC and unfortunately it came back very low, .33 or something like that. Now I'm on an antibiotic and was told I'll have to join the Nuelasta Club. So glad to hear about Clariton D. I'm just wondering how many different drugs I can shove into my body before it goes bloody crazy, oh yeah it already is doing that. Actually I'm not feeling too bad these past 2 days, just so many different symptoms one after another. I swear I was feeling burning while urinating and then after half a day it was gone... The nurse told me I should expect the hair retreat on about day 11. Today (well actually yesterday) was day 7 so I think my hair and I will have a party for about 4 days. I am congratulating myself for making it to work 4 1/2 out of 5 days this week (I teach) after my first chemo. I think I won't push myself as much on the next rounds though. Hope everyones' spirits fly high and have a wonderful, long weekend. suzanne
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Suzmarks - I really don't have anything to say but wanted you to know that you and I are both up at these crazy times in the mornings. So don't feel lonely! You just reminded me that I need to get some Clariton D from the store tomorrow. I think I am pretty well stocked up on all of the times on the chemo list. Took me two trips but I have everything other than the Clariton D.
I even have my stepson and husband trained to use the hand sanitizer everytime they enter the house. My DH seems to think that he shouldn't kiss me while I am doing chemo so that he doesn't pass on any germs - I don't agree with him on that one - maybe because I like it now that he is kissing me more since I quit smoking.
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Hello all!
I am so blessed to have found you all. I started TC last Thursday 2/12/09. A little queazy and headache so far... These posts are wonderful. I will continue to keep in touch.
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Hi Xpectmiracles! Welcome to the group! As soon as I get on my feet again, I'll get you on the list.I'm queasier with #2 and another collosal headache today. I feel like such a whiner, compared to so many here, but I'm wiped out. I'm shocked at how my normally "tough" disposition and "healthy" body are handling this. But tomorrow is another day, right?
More notes coming--about every four hours, when the need for more meds wakes me up, haha!
Hope you are all hanging in there!
Love,
Wimpy Web
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Sorry I did not reply sooner, but found out after I typed out a long reply that you can only post 5 times in a 24 hours period... Boy is that hard for a talker like me! lol
JANCIE - Thanks for the advice on traveling.. we usually hop onto the interstate and it's a straight shot... you are right about the other roads during spring break and summer time! It is a night mare!
Got more of my hair cut yesterday.... boy is it short now! I decided to do that because I have an apt with a woman that does wigs for a lot of the chemo patients in Mobile where I am being treated for Monday, and my hair is really thick so I figured it would be easier to make sure a wig fits with shorter hair... plus it will make it easier when I have none. (here's hoping!)
Thank you for all of your welcomes! I don't like having to be here, but you all are sure a nice group to be with!
WEB..I hope you feel better soon!
I got a phone call yesterday, and I was told that if my scans I am having on Monday are all OK.. I will probably start chemo this Thursday... we have to spend the night to get the Neulesta shop the following day, which will be my husband's birthday! woohoo.. hope I feel good enough so he doesn't have to spend his birthday taking care of me.,,he's done enough of that lately.
I am really getting nervous, especially since noone else seems to be getting all 3 of the meds at the same time like me... makes me think it is going to be tougher on me.. but we will see.. I am determined to get through this!!
I do have a few silly questions.. (I am making this post long so I won't get stuck on the no over 5 posts rule lol)..
first of all.... Before you start taking something for constipation, do you wait and see if the chemo is going to give you constipation or diarrhea? I don't want to take something and end of getting diarrhea and making it worse.. although I am already prone to not being regular.. but that has been better since I have been eating better.
Also, I had a few women in my town that have had chemo that said they were told to stay away from salads and fresh fruit because of the pesticides, and other things (can't remember) because of the immune system being compromised.... have you all been told that? I want to do whatever I can to make sure I do not risk infection or getting sick.
Thanks again to everyone for making me feel welcome and hope everyone has a wonderful and blessed day!!
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My February Friends - I posted this in the HAIR, HAIR, HAIR Another Question forum but I wanted to post this here to so that ya'll wouldn't miss what transpired today so skip over it if you have already read this:
Ladies - I want to share with you a very touching story about what happened to me today regarding my wigs as this story truly shows how generous strangers can be.
I had been trying to find a rack with pegs that you would hang baseball type hats on that mounted on a wall with round pegs on the end for the purpose of hanging up my wigs. I have 3 cats and the last thing I needed was to put them on wig stands and have my cats nest in them.
I went to Target and couldn't find anything so I headed to Home Depot. I found an older gentleman (around 60" - grandfather type man) and asked him for assistance. He showed me a shelf with dowels but the dowels were straight and I was worried about damage to the interior of the wig so I asked him if they had different dowels I could change out.
We went over to that section of the store and they didn't have anything. I FINALLY told him that I was starting chemo next week and I needed something to hang my wigs so I needed something round on the end. So he took me to kitchen cabinet hardware and showed me a "round pull" and I said that would be excellent.
He then started asking me if I needed anything fancy, how many wigs, how far apart the spacing, etc. He started writing all of this down. He then said "go eat breakfast and come back in an hour"
I looked at him and said "are you saying that you are going to make this for me?" He said "yes"
I started bawling like a baby because I just could not believe this man was going to go out of his way and have this made for me. I gave him a huge hug and said thanks.
I came back an hour later with my stepson and he showed me what they had made and it was PERFECT. I then started crying again because of his compassion and generousity. He then said the store manager wanted to meet me so I met him and started crying even harder thanking him for going way above and beyond, etc.
They wouldn't even let me pay for it - they took an hour of their time, their materials and gave it to me free.
I can tell you this.....I have shopped Home Depot for years but from now on I will not be shopping at Lowes - I am giving all of my business to Home Depot.
There are truly wonderful people that you meet in this world that are kind and compassionate.
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Jancie,
What a wonderful story! Thank you for sharing! I am glad you were able to experience such kindness!!
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Kat4pink - I meant to tell you earlier that this 5 post within 24 hours will eventually go away but in the beginning it absolutely DROVE ME CRAZY! I started sending people private messages because I couldn't keep my mouth shut and I had things to say - LOL
If you get to the point where you need to get something out of your system - send me a PM and tell me what thread to put it in and I will copy and paste it in there for you letting people know that the comment actually came from you.
I think I had to be a member for about 3 weeks before that limit went away and then I got hit one night with a message stating that I had just posted and I was posting too fast. I was in a totally different thread but since I type 105 wpm I can post things pretty darn quick! I was thinking "what the H3ll?"
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Jancie, I'd have cried rivers. What an amazing story. Thank you for sharing it. It does the faith in humanity much good to have cancer sometimes. I've been awed to the point of tears many times already, and your story is another example of why. Amazing.
Sue50: I never noticed the humor in some of these names before. Methinks you have an eye for twisted humor. Badman and Payne?! No way! BTW, do you have some particular wig "stores" on ebay you liked? I want to update the "chemo kit" list with "resources" as some of us get through this. Might help those who come after us--I hope.
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