Starting Chemo April 2009

Options
24567173

Comments

  • tulipbebe
    tulipbebe Member Posts: 85
    edited March 2009

    hello comingtoerms...welcome to our support group!  you mentioned your hair following out in clumps.  mine has been for the last couple of months and I still can't figure out why.  now i know i'm not alone.  maybe it's a symptom of breast cancer! 

    anyways.....usually chemo can start as soon as 2 weeks after the surgery.  but can wait as long as several weeks....depending on your prognosis.  you need to shop around for an onco you're comfortable with....another important factor would be the quality and friendliness of the nurses

  • comingtoterms
    comingtoterms Member Posts: 421
    edited March 2009

     Tulipbebe,    

    Really?  Your hair was falling out before DX too?  Were you losing weight as well?  I even lost my derriere!  Suddenly went from a nice bummy to a flat bummy for no apparent reason...Maybe they need to start a research project on this???  I am being seen at Roswell Park Cancer Inst. here in Buffalo NY.  They have been wonderful all the way around and I feel confident with the care I am receiving.  I feel so blessed to have a research center 1/2 hour from my house.  Isn't it great to know that we are not alone with some of the weird symptoms we have been experiencing?  It certainly does my heart good!  Thank you!  Tammy

  • tulipbebe
    tulipbebe Member Posts: 85
    edited March 2009

    Morning Tammy!  I wish I losted some weight.  I gained in fact.  And with chemo, they say weight gain is possible too.  Maybe you'll get your bootie back!!!  I think a research project is definitely warranted...so people know more about symptoms of bc!!  And can detect earlier. 

    K....have a good day all of ya!  Hugs Smile

  • pamelamont
    pamelamont Member Posts: 14
    edited March 2009

    Hi everyone!

    My name is Pam and I am so thankful for everyone on this website.  I spend my entire day on this and I have found it to be a Godsend.  I too will be doing chemo the 2nd week of April due to my OncoDx score of 35.  I will be taking 4 TC's and radiation following the chemo.  (which I do not understand why radiation is required after chemo, any thoughts????). My onc told me that the chemo I will be taking has less side effects but, what I have learned about taxotere I find that hard to believe.  I am also entertaining the idea of having a port installed in my arm.  I am terrified of needles!  Does anyone have a port and what are any thoughts on a port? Also, is there anything I can due to build up my immune system or whatever else to prepare for this journey we are about to undertake?

    Thanks to all of you!

    Pam

  • comingtoterms
    comingtoterms Member Posts: 421
    edited March 2009

    Pam,

    I can only help you with the radiation question:  typically you need radiation if there were not clean or large enough margins after your lumpectomy or mastectomy. Radiation is focused on the surrounding tissue.  If the margins were big/clean enough after surgery, you would just be doing chemo.

    If I am providing false information, please anyone, let me know!

    Tammy

  • jlp
    jlp Member Posts: 54
    edited March 2009

    Hi Pam, welcome!

    I was told that radiation is a MUST if you have a lumpectomy (my situation). If you had mastectomy then it depends on your individual risk e.g. was the tumor close to the skin or chest wall (which means you would be at risk because they can't go too far when removing the tumor). 

    I just got my port implanted today. It is in my chest about 3 inches below the collar bone, so it won't show under all but the lowest cut tops. It felt like someone kicked me in the shoulder straight after the procedure, but now (after about 3 hours) it feels fine - but maybe that's the vicodin! Oh, and I have to keep the dressing on and I'm not allowed to shower until Saturday! Good excuse to use the jacuzzi tub for a change.

    I've had about 20 needle sticks over the last month for tests/meds and I could feel the effects on my arm veins getting worse with each one. The IVs for my surgery and port implant (in my hand) were painful and made my hand and arm feel freezing cold - I'm hoping the port will make the chemo much easier.

    I started losing weight as soon as I found the lump (I put it down to anxiety) so far I've lost 10 lbs but I'm not too unhappy about that - just wish some would go from the thighs!! I also noticed some other weird stuff, like my sense of smell was suddenly more sensitive to certain things - one day I left a half glass of wine on the counter and the next morning the smell of it was overpowering to me.

    My onco nurse said it was very important to have a healthy diet with plenty of protein as the white blood cells need that to rebuild after treatment. And of course over the next couple of weeks be careful to avoid sick people as you don't want to be starting chemo (they may even make you wait) if you get a cold or flu!

    Hope everyone is well, Lou.

  • TMD
    TMD Member Posts: 19
    edited March 2009

    How did it go?  I am getting my port on Friday.

  • TMD
    TMD Member Posts: 19
    edited March 2009

    Greetings.  I will be starting my chemo in the next two weeks.  My doctor has recommended TAC for 6 cycles.  I am nervous but ready to get this thing going.  I have been thinking about the clinical trial with avastin (5103) but I am not sure.  Is anyone else considering this trial and if so why?  By the way, I have purchased two hats and one wig!

  • jlp
    jlp Member Posts: 54
    edited March 2009

    TMD - were you asking about the port implant?? It was this pm. I was given a 'sedative' type of anasthesia and they said I may stay conscious, but they also gave me benadryl as I'd had an allergic reaction to an antibiotic a few days ago, so I was out cold! So far it has been MUCH easier that the lumpectomy/SNB. Just going to bed now and I'll take a couple of tylenol pm to ensure I can sleep though the night. I am doing 6xTAC as well a couple of weeks ahead of you - I'll report back on side effects and we can compare our progress!

    More on weird symptoms - I have noticed that I seem to have 'chemo brain' before chemo! I used to be very articulate and good at making my point in meetings - these days I find myself struggling to find the right words and lose concentration easily. I put that down to anxiety / more important stuff than work on my mind!

    good night, L.

  • jax65
    jax65 Member Posts: 47
    edited March 2009

    Hi everyone,

    Met with onc today chemo starts April 2 so it looks like I will be joining this little group and hope we will all get through it together with as few SE's as possible. I also had very long hair that I just cut short in prep for this lovely ride and everyone loves it they say I look much younger great I'm only 43 how old did I look before LOL.. oh well. My biggest worry is my veins holding up I have tiny little veins but Onc seems to think port not necessary for 4 treatments I certainly hope he is right. I am doing 4 rounds of TC and hope that will be good enough as it seems most trip negs get AC or AC/T but he feels heart risks outweigh benefits with no node involvment. Best wishes to all of us on this ride.

  • Nadine54
    Nadine54 Member Posts: 230
    edited March 2009

    Hi Everyone,

    You know I was thinking since my chemo starts April 1st its sure giving a new meaning to April Fools Day.  On the weight topic, I have gained since my Feb 27th surgery.  Everything tastes good...smells are so alert now.  I am a smoker and until the surgery there was no real sense of smell and taste that was anything special other than my Diet Pepsi.  My hair was already thin on top, I was told years ago it was due to the medicines and male pattern balding.  I have always been able to have hair styles to cover the thinning area.  Now since surgery I have nothing but bad hair days.  I have noticed a huge increase in hair loss since my surgery and in part I think some of that is the stress, surgery and medicines.  So these past 6 days we were out of town and during that time I went nuts....not mental nuts.  I hate shopping...so keeping that in mind I now have 3 wigs, a hat that I just love, many of those little hats to keep the head warm and covered...not enough, so last night I ordered 3 turban's and more supplies to care for the wigs.  I have a brown wig which has streaks in it, another brown wig, and a red wig.  I figured if I am up to wearing the wigs I will save the red one for those times I want the sun to shine.  I am 54 years old and figure what the heck, I have been up and down with the emotions and having a really hard time with knowing in a few days the head will be shaved.  I thought my husband would think I had really went over the deep end.  Crazy the one hat is so darn cute and I wore it all day today...felt like a movie star.  I figure 4 treatments in 13 weeks, I could be sick, could wish and think for something I have no real control over.  So even if I never wear the wigs, I can at least have hair and plenty of it.  I have seen a lot of you are cutting your hair shorter, any plans for shaving the head and if so before or after your chemo starts?  I was told to shave the head because when the hair starts really falling out it is not only messy but painful.  I am going to call tomorrow and ask also since the Onc told me to shave my hair off...well I would like to know when to do this.  On the radiation topic, I was told they are waiting on some additional tests on my biopsy and tumor because I may also end up with radiation.  I have a daughter who has many treatments for cervical cancer and she told me with her treatments the chemo was the worse even with the meds, she also told me radiation was like a bad sunburn.  She has had so many chemo treatments, radiation and other treatments and is now so knowledgeable on it all she sounds like a doctor.  Myself, I could care less on all of the terms...told the doc just give it to me in plain language with papers to take home which he did.  I am a want to know person but give it to me in English.  I didn't really care for my Onc but he is one of the best here in Idaho, so I don't care about bedside manners just make me cancer free.  Well we are in this together, so lets keep our chins high and march on.

    Hugs to all,

    Nadine

  • aoandrews43
    aoandrews43 Member Posts: 68
    edited March 2009

    Hello,

    Met with the onc today and looks like I will be starting TC x4 on April 3. Was given a choice between that and FEC x6 (and have until Monday to choose), but figure shorter may be easier (although my onc said TC is a bit tougher each time). He said I don't need a port for this, but will need a neulasta shot each time. I only had shoulder length hair but cut it short a week ago to get ready--have a wig appt tomorrow. I think I like the short hair better on me, although it is difficult to get used to. I'm 43,so wondering about whether it will kick me into menopause--guess it will just have to be a surprise ;-). 

    Thanks for starting this thread - would love to stay connected to others going through treatment during this time.

  • tulipbebe
    tulipbebe Member Posts: 85
    edited March 2009

    jlp - Thanks on comment on chemo brain. I thought I was losing it!! I would be on one thought and a second later, completely forget what I was thinking even though I remember it was something. Apparently....it's most likely the anaesthesia side effect. My mom and another bc patient said they experienced the same thing after their surgeries as well.

    lax54 - TC is great if you are HER2- BCIRG had a report that compared AC to TC and TC. TC initially had the same effects as AC but without the cardiac and leukemia SE. Recently the update was that TC showed lower recurrance rate than AC.

    Nadine54 - You and I are the only ones with HER2+ here so far.  What's your course of treatment?  Are you doing the AC or TC or something else?  Good luck with the shaving!  Remember to take a before and after pic like the rest of us!

    The anxiety of chemo is inching up on me.  Why is my period still not here!! I want and can't wait to start chemo...figure the sooner it starts, the sooner it ends.  Btw, did your oncos give you an option for general or local anaesthesia for installing the port?   I much rather pop the pill + benadryl but onco didn't give me that option.  He recommended GA again.  I just don't wanna be more chemo-brained than I already am :(

  • jax65
    jax65 Member Posts: 47
    edited March 2009

    aoandrews43- I am also 43 and doing 4xTC my Onc told me it would probably put me into menopause said usually anyone over 40. For me this is not an issue but if it is for you, you can have your eggs frozen.

  • inthemoment
    inthemoment Member Posts: 538
    edited March 2009

    Hi all,

    Sign me up - starting A/C + T + H about the second week of April.  Mastectomy 10 days ago, port placement a week ago.  Had a second opinion onc, and decided to stay with the one who is more local to me, as I hope to return to work at some point during my treatment.  Not much difference in treatment plan, whole different "style".  I am also sending my pathology slides for a second opinion.  Guess I'm still hoping for someone to say"oops, we got it wrong..no b/c", but I really do know that won't happen.

    I'm glad to have found this thread, and hope we can all support each other.

    Geri 

  • aoandrews43
    aoandrews43 Member Posts: 68
    edited March 2009

    jax65--Menopause also isn't an issue for me in terms of kids (I have an 11 year old and 2 dogs--enough for me), but I am curious as to how others have managed the transition into menopause and the symptoms that come with that--I hear that is one reason people gain weight during chemo and tamoxifen.

     When do you start your treatments?Mine start next Friday (April 3).

  • jax65
    jax65 Member Posts: 47
    edited March 2009

    aoandrews-- I have a 17 yo DD and 2 dogs also so enough kids for me too. I know some women do AD's for menopause symptoms but I really don't want to go that road unless absolutely necessary. Hopefully we can get through it together. We have so very much in common both 43 and starting chemo on April 3. Of course you have the option of tamoxifen which I don't being TN. No port for me either onc says veins should be fine for 4 treatments. Have you decided which chemo you are doing? Where are you from? Did you have mastectomy or lumpectomy and do you know if you have to do rads? Sorry if too many questions just sometimes feel so alone.

    Jax

  • Nadine54
    Nadine54 Member Posts: 230
    edited March 2009

    Okay some updates on questions I asked the Onc nurse this morning on the phone...I asked should I shave my head before the first treatment.  She told me everyone is different...some do and some don't.  She of told me that some won't start loosing their hair until 3-6 weeks after their first treatments.  She told me some start to loose their hair in the first week. So I have decided going to keep the hair and wait until it starts to come out then...shave it off time.  I did ask if its painful when it starts to come out and she told me some have pain, others have a weird feeling.  I asked if I needed Ensure or Boost...she told me its ok to have or wait and see.  I am of course going to wait and see.  I am a coffee and Diet Pepsi drinker...she told me to make sure to drink a lot of water and juices to replace what caffeine takes out of the body.  I asked about being sick after chemo.  She told me some folks have no problems and others have a wide range of problems.  I am of course wishing for the no problems end of it...however she told me that anything could happen.  Now that is pretty wide of a statement, but then who knows until I start doing all of this.  I am working really hard on keeping a good outlook on all of this...you mind over matter.  I seem to be shaking a lot, nerves.  I have been on Premarin for about 30 years give or take.  I had a total Hyst when I was in my 20's.  So that beautiful yellow pill prevented me from hot flashes and so forth.  After my surgery I was told no more Premarin.  Lucky to not have periods and so happy to not have hot flashes.  The hot flashes seem to come when I am really tired.  So I have found when I feel tired to rest now!  Also a cold wash cloth to wipe my face and lay on my neck seems to help. 

    One of the things I saw on the video that my Onc loaned to me to watch was this...When we go to the bathroom it is important to put down the toilet lid first, flush two times and leave the lid down.  This is to prevent airborne chemo.  It also says that we will pass chemo thru our urine so this is the reason for this...don't want to share airborne chemo with others.  Also if you have pets or small children this is another way of making sure they stay out of the toilet.  My daughters are all in their 30's but sure remember those times they decided to play splash splash in the toilet.  And yup animals also think its a watering hole. 

    I am like so many of us a mother, wife and grandmother.  We learn early on to be the caregiver in our families.  I am learning to ease up and let others help me.  Yup, asking for help is hard.  On the asking part also...I am one of those "read my mind"...you know that thing, you should know how I feel or what I am thinking.  I am changing that and now if I have questions I will ask.  If I hurt or feel sick, I will tell the doctor and nurses...COMMUNICATION! 

    We have a strong bunch of ladies and we are all together in this and we will get past this. 

    And as I have mentioned many times and will continue to say is: Many hugs to everyone. 

    Nadine

  • swest
    swest Member Posts: 680
    edited March 2009

    Hello April Ladies!  I am from the December Diva's 2008.  I just wanted you all to know that the anticipation of chemo was harder than the treatment.  At least for me.  I did 4 tx of TC.  My SE's were two mouth sores and constipation.  I would take a wait and see approach to the constipation as some ladies have had a bout with diarrhea.  By my 3rd tx the fatigue set in. 

    Chemo is not fun but it is definitely doable!  Just listen to your body.  Feel free to call the onc. office whenever you have a question.   Don't let them make you feel bad for calling, they are working for you!

    Best wishes to you all!  I pray for all of you to have little or no SE's!

  • aoandrews43
    aoandrews43 Member Posts: 68
    edited March 2009

    Jax65

    I sent a private note to answer your questions more directly, but forgot to mention that my doc said I do not need a port since only 4 times. My veins are fine, but not great, so hopefully you should be okay.

  • TBB
    TBB Member Posts: 17
    edited March 2009

    tulipbebe

    Dx 01/19/09, ILC Stage IIb, 9+nodes rt and sent lt +, ER+/PR+, HER2-

    I thought I had done this at the beginning... :) 

  • comingtoterms
    comingtoterms Member Posts: 421
    edited March 2009

    Nothing important, just an observation:  We are all so very young......at least in BC terms- I couldn't wait to not have to buy sanitary products any more, but never dreamed in a million years that this would be the reason....

  • jlp
    jlp Member Posts: 54
    edited March 2009

    tulipbebe - I was not given a choice on the anaesthesia for the port (it was done by the same surgeon who did my lumpectomy), but I did not want to be aware of what was going on - and based on how bruised I feel right now, I'm happy that I was out cold.

    Got my first delivery of hats / scarves from headcoverings.com last night.  I got a gorgeous sun hat with some sparkle in it and a cute cap with sequins on in bright green, and some soft turbans for sleeping. I wear hats all the time for golf and have dozens, so I also got a couple of small cotton headsquares that I will be able to wear under the regular golf hats.

  • TBB
    TBB Member Posts: 17
    edited March 2009

    Ok first question of the day to all is "What is DH"?  I have to get with the BC lingo.... Also why do some call them "FOOBS"?  I have figured out some of the abreviations but not all yet....

    Florida here.....

    Sakura: GREAT HAIR!!!!

    Thanks on the tips for chemo shopping... Not sure when I start but should be soon.... meeting with Onco tomorrow...

    Also has anyone at all experienced SEVERE itching in between the breasts after surgery?? I have tissue expanders, no rash or anything and no redness.. just itching.. Onco thinks it could be from healing or expanding.... ITS CONSTANT!!!!!  Any thoughts...?

  • jlp
    jlp Member Posts: 54
    edited March 2009

    DH = dear/darling husband (substitute as appropriate for different relatives e.g. DS, DD, etc.)

    Foob = fake boob

  • TBB
    TBB Member Posts: 17
    edited March 2009
    Thats what I thought but wanted to make sure... Wink
  • aoandrews43
    aoandrews43 Member Posts: 68
    edited March 2009

    Swest,

    I also will be doing TCx4. Would you be willing to share some of how it went in more detail (you can send a message privately if it doesn't belong on this board). How long did the fatigue last after you were finished with treatment? Is there anything you did that helped you manage all your symptoms? For how much of the three week period were you able to function fairly normally?
    Thanks so much.

  • TMD
    TMD Member Posts: 19
    edited March 2009

    I just had a power port put in yesterday--placed on the left side of my chest below collar bone.  The procedure was fast and not bad.  I was sore last night and a little this morning.  I having been taking pain meds for it.  I am glad it is over (anticipation is worse than procedure).  I am waiting for a start date for chemo--I will have chemo on Thursday since I work.  My 14 year old daughter is off to Greece next Friday so I will most likely start on April 9th--I don't want her last image of me sick from chemo!.   Is anyone else getting TAC?  Picking up my wig next Tuesday!  Hope everyone is well. 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2009

    Good morning, ladies.  I saw my oncologist on Thursday and for me it, was the msot traumatic day overall since the diagnosis.  I will be getting 4 treatments of TX / C every three weeks, as my Oncotype DX score put me at 18%, right down the middle, and the treatment will help lower that risk to 6%.  I had my lumpectomy / lymph node biospy on 2/27/09 and am recovering nicely from that.  Cut my hair in the "chemo cut" on Thursday - went from mid-back length highlighted dark brown hair to the pixie cut I had at 6.  I think that, combined with knowing that I am starting chemo, made it all "real" to me and it was the most emotional day - I cried all day like a little baby.  Had the power port placed yesterday and I was nervous about it, but it is fine.  Minor shoulder pain near the port (left side) and am icing / taking advil.  Start my chemo on Thursday of this week.  While I am not looking forward to the chemo, I am looking forward to getting it started so it can be over.  Hoping not to have too many side effects - I will be on anti nausea and steroids prior and after infusion.  My husband is coming with me the first day, as I am really nervous.  Just need to get it over with so I can know how I will deal with it.  I had my hair washed and blown out for the last time a week ago and am now adjusting to this hair.  i'll have to post a new photo.  Doctor says the hair will fall out but will start growing back in fairly quickly - we'll see!!  The scrub nurses at the surgi center gave me a scrub cap of my choice to sleep in -they were so sweet!

    I'll keep everyone posted and any words of wisdom and advice are welcome!  I've printed out the chemo needs checklist and am gathering things up this week.  I'm scared, but as ready as I can possibly be!

  • Nadine54
    Nadine54 Member Posts: 230
    edited March 2009

    If anyone is in need of hats a good place to go is www.heavenlyhats.com this is a free place.  I  went there and sent a request for 2 hats and got 5.  My resource room is closed where I will have my chemo due to remodeling.  So I will take the hats I probably won't wear to the doc's office for anyone in need of a hat.  My oldest daughter is 35 and lives in MO and I live in Idaho. She is like the rest of us researching all of the time.  Poor girl don't know how she works, takes care of a family and still has time to do anything else.  But you know like she told me last night, knowledge is a good thing.  I thought I had seen every site there was and she keeps finding more and all are interesting and informative.  I will try and make a list of many sites and post later.  One of the things which is nice about the net is that I can use the webcam and model hats, wigs and such for her.  She told me I seem to be in better spirits.  Pretty funny in a way when modeling hats and such for the no hair day is actually fun.  With the big day coming up she keeps me laughing...we have plenty of deep conversations.  I am finding my husbsand doesn't say much but listens to me.  I try really hard not to talk all of the time about the treatments, that what if's, the what to do's and so on.  As the days get closer to April 1st start date, I see an increased sadness and pain in his eyes.  Yesterday when we picked up the package of hats there was a letter enclosed, this is part of that letter: "All of our volunteers here at Heavenly Hats wish you and your loved ones the best and please know that you are in our thoughts and prayers.  May these hats be a small symbol of hope for you through your journey".  I was reading this to him and I got where I was having a hard time talking and the tears wanted to flow...Like I told hubby, we are in it together. Us as the patients, our families also.  We go down this path hand in hand and hope for the best.  I am lucky to have a husband who wants and is active in every part of this starting with that first visit to one doctor and the wide range of other doctors etc.  Sometimes as we all know I feel alone.  But I try hard to make sure he knows how I feel and when I just want to ramble.  We have a strong marriage and it seems all of this has brought us even closer.  I get tired real easy still and he is so helpful in doing laundry, cooking and such.  There is no way to take away his fears, sadness or anything however the one thing I am aware of is love those whom we love like we never have.  I am learning patience within myself and with others.  Yup there are those moments when I shake bad and I get pretty pissed, but for me venting and then letting that moment go is helping.  I have done a ton of additional research on the chemo drugs that will be used for me, I am fully aware that I won't be one of the ones who will have the easy side effects.  But no matter I am marching forward and knowing it will pass.  I started already the better eating habits, drinking tons more good fluids.  May not feel like eating in a short bit so trying to make sure the body is as healthy as possible before I start and with luck that will help.  We figure we can't prepare for everything but I think we are as much under control as we can be for now.  Pretty much wait and see and then we will know what will be needed as it comes.  Like I told hubby I refuse to turn our home into a hospital. 

    Well my friends, hope you are all doing well.  And know you are all in my thoughts and prayers also.  Keep smiling and laughing.

Categories