**NEW** Starting Chemo March 2009
Comments
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Wow, Nana, what a lot of pills!!
I'm also doing the Taxol (and Herceptin) for 12 weeks and I don't take ANY pills before or after (except anti-nausea of course). I do my blood work the day before tx .... just stop in at lab on my way to work.
My liver functions were also up (this week and last week), but i take lots of other drugs that also can affect it. The first one she wants to look at changing is the cholesterol meds (which I've been taking for 2 years). So I'm trying to get in to see my neurologist.
Just to catch you up ...... I had a stroke in 2002 so I take LOTS of meds .... 3 blood pressure meds, aspirin, Nexium, cholesterol meds .... all told about 15 prescriptions daily. So be aware that, if you take other meds not related to your BC treatment, THEY could be the culprit with your liver enzymes.
Also, your oncologist is just a cancer doctor and will try to take care of whatever comes up, but you must still maintain all your other doctors regimens/appointments/meds as well. I know it will take ALL of my doctors to get me through this .... and I have PLENTY of doctors LOLOL ... primary care, neurologist, gastroenterologist, hemotologist (for anemia), with pulmonologist to come up soon ..... all in addition to my new breast surgeon, radiologist, oncologist ..... and the list goes on.
Gettin old ain't for sissies.
Bunny
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Hello all,
I'm reporting in after my first AC treatment yesterday. I got to the hospital as directed at 11 with the lovely boyfriend in tow and was admitted to a private room rather than the day ward because I was staying overnight. Very swish!
Then there was a lot of waiting around. I had the cannula inserted around 1pm - first attempt failed, and I was told to consider getting a port. Do many of you have them? I have 15 treatments to go and don't want to have cannula needle related panic every time, but I have read horror stories about ports on this site.
After that, more waiting - in the end Damian and I went for a long walk in the sunshine. It was a glorious autumn day in Melbourne. Finally around 4pm I was given oral Emend, decadron and maxilon, and at 4:30 the influsion started. No problems with the A (I sucked on ice though my onco rather scoffed) which ran through in under 15 minutes, then the C took about an hour and was followed by a 12 hour fluid drip to assist in flushing it through. I also drank at least 10 litres of water.
Around 10:30 that night I had some nausea and was given IV Zofran. This morning a bit of a headache which paracetamol cured, and an Emend tablet. I was sent home with another Emend for tomorrow, and Zofran and Maxilon as needed. A friend collected me and we went for lunch.I fear not even chemo can take my appetite away! I know darker days are coming, but as you have also said, it is very doable. INdeed it was a total anticlimax! I have no nausea and apart from some slight heavy-headness feel quite normal.
(I should add that after all the advice about avoiding constipation I went too far and gave myself the opposite problem!)
I wanted the port put in the day of my next treatment but the only time my BS has is next week. Bit annoying. BUt if that is the worst news of the day, that is okay!
A big shout out to pickle and maidmarion - my fellow 31 March princesses. I hope you continue to feel well. And best wishes to the rest of you too as you continue the warrior princess march.
Rachel
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Hi Ladies...and to all the newbies...
Glad your first sessions are going well...just a word of advice...TAKE IT EASY....you may think you have energy and are doing great and then ZAP...it will hit you hard...
There again it will depend on each individual.. From my experience don't try to do too much. Wait a few days until some of the side effects wear off and then you can walk, run or go to arobics - whatever suits your fancy. And most will tell you that the worse part of chemo is that it does get WORSE as the sessions increase and you will be more tired towards the end of your regimen.
Just be careful and try not to get any cuts or expose yourselves to any type of bacteria...ie; shopping cart handles, door knobs and the like...there are germs hiding everywhere and you don't want to end up on antibiotics. Take bacteria wipes with you in your purse and keep your hands as clean as possible.
Best of luck to all who are going in this week for more chemo....
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Sakura73, I have a port and while it takes awhile to heal, I think its worth it, esp since you are having so many treatments- It hurts a lot less to get stuck and there's no worries. I had a bad IV for one of my tests and it was miserable. they couldn't get it comfy- gave me lidocaine, barely helped, luckily that was just for a CT scan and I only had it in about 45 min.
Overall I feel better this second round than I did the first, but things are still following a predictable trend. Today I felt ok at first, was going to go to work, but after breakfast I felt a whoosh of dizziness and had to lay down. I have noticed that if I give in to it and nap I might feel better. Last time I think I just tried to endure, I'm not really a napper by nature. Today I wanted to nap and couldn't,just laid there.
Now I feel decent except for the gland thing. it sorta feels like I have something caught in my throat. Drinking lotsa water.
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Good Day Rachel...
Yes, by all means get a port. Especially if you have 15 more treatments...It is the best way to get your chemo IVs. And if you ever have a hospital emergency during your regimen for any reason...they can access it for your IVs.
My DH and I spent some time in Australia...mainly Sydney, Brisbane, and Cairnes ...we love your part of the world. We bought and ate so many TIM TAMS and even tried the Meat Pies.
Good luck with it...and hope you get a port soon.
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Rachel,
Yay for you....one down. I recommend the port. My placement was 2 days before chemo and was a breeze. It did take about 2 weeks to completely heal and it was itchy but now its just a bump above my good boob

As far as constipation.....I had no issues but I did take the first or second day of chemo one over the counter stool softener. Drinking lots of water should help with any issues.
I noticed days 3 (late in the day) 4 and 5 were my worst and I really think that this go round I am going to take the compazine every 4 hours.....my fuzzy head feeling was probably me being nauseous. Also, when you come down from the steriod HIGH, you hit the wall hard, grab a caffeineted bev to get you through.
You now know you can do it so I don't even have to tell you so!
Sorry for the grammar/spelling mistakes....on my steroid high early and typing too fast.
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Well #2 tomorrow. I'm almost as nervous as #1. Shouldn't be. It is doable.I'm scared of the side effects I have yet to experience. I went to work today for the first time since my first treatment. I'm lucky to be able to work from home. I came home with so many presents from co-workers it made me feel warm and fuzzy inside. Friends will get us thru this. And you ladies of course. Good luck to all tomorrow.
Kathy
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Kathy,
I will be in my chemo chair at 0900 tomorrow...EST. You will do great! I should have taken the steroids at midnight like I did last time.....I took them at 8 and guess what? I am up and flying high!
My 2 admins told me that weren't going to talk to me for at least the first 24 hours because I was a lunatic my first round!
hugs!!
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Kathy,
I will be in my chemo chair at 0900 tomorrow...EST. You will do great! I should have taken the steroids at midnight like I did last time.....I took them at 8 and guess what? I am up and flying high!
My 2 admins told me that weren't going to talk to me for at least the first 24 hours because I was a lunatic my first round!
hugs!!
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What the??? My post posted twice. wow these roids are good. Too bad I don't play baseball.
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Diane, I will be in my chair at 12:30 PST so you will be done! I will send many good thoughts!
Kathy
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Diane and Kellerka - I will be in the chair at 9:40 anyway that's my appointment time. 1st blook stick then Onc's Nurse Practitioner, possibly onc too (not last time though) then chair time it was around 11:00 1st round and wasn't done until 3:30. This one should be quicker I would think.
I took the decadron today 8mg AM and 8mg PM. tomorrow before chemo 8mg. Then IV of Decadron, benedryl and Zofram prior or T and then the C. I continue decadron Thursday 4mgAm, 4 Pm and Friday, Sat. as well. SE's were thirst and sleeplessness, I didn't need the compazine. All will go the same - using my positive thinking.
Good luck my Warrior Princess partners!!!.
And good luck for everyone continuing round 2 or approaching round 3.!!! (I have trouble keeping track of all the different schedules)
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Sakura I am so happy you got started. I agree with getting the port. It does take a few days to heal. But its worth it.
Good luck to all getting treatments today. There are so many.
My WBC jumped from 600 to 2200. Is this considered high enough for to get chemo?
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Buddy I think they want you over 4100 but I bet you will be today or tomorrow. When mine jumped up, it did so quickly. Good luck!
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Hi all!
Just checking in, and am amazed at how many had treatments this week! You all sound like you are doing very well and I am glad to hear it! I still think #2 was better than #1, though I hear that now the effect will start to be cumulative and we might wear down a bit.
Nadine - sorry to hear about catching the bug, and hope you are doing better!
Gina - how are you? You have been a little quiet, so hope you are out enjoying life and recovering from the party with 25(!) 6yo's.
I have tx #3 Friday, and am starting to dread it now. Having my house project was a great distraction, but now that I am done I have too much time to worry about going in for #3. I just hope and pray the SE's are the same or better as the last 2, and then all will be fine by about day 6. I am registered for the Race for the Cure on Saturday, but will not be able to go as I have to get Neulasta at the same time, and doubt I would be up for a 5K the day after treatment!
Good luck and continued good health to all of you doing tx's this week! You are all amazing!!!
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Diddle Thank you so much!
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Good morning ladies...
It sounds like everyone is getting through this just fine. Sorry to hear about those that have had some bumps in the road...construction crew is on the way to take care of them!
Are there many out there that have had lumpectomies? I have read on this board and another that a lot of people have had single and double mastectomies. I am having chemo first and then surgery. The doc said this would shrink the tumor so I could do a lumpectomy without being too invasive. Am I missing something? I don't want to be too conservative. What are the added benefits of a double mastectomy vs. lumpectomy? Not trying to pry...just feel like maybe I don't have all the info I need to make an informed decision.
Its been a week since TX #2 (AC). I still don't feel like eating...push myself to eat crackers and toast. I drink, of all things, Hawaiian Punch. It's the only thing that tastes good and I usually hate how sweet it is! Calling Onc nurse today to see if I can take something different. All in all, I can't complain. I just hate feeling down and out for so long.
Keep smiling...it's contagious!
Chris
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Chris I will have to try the Punch. As far as the MX. I had some extensive positive nodes on one side and decided to clear it all out. He did a radical on the right. The left side show pre cancer. So I opted to have it done at the same time. He did a simple on that side. Every case is different. I hope I made you feel better about your decision. If your surgeon thoght it was necessary, he would have pushed it.
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Buddy1
Thanks for the info! I guess I just keep thinking that saving my breasts isn't my main goal. I'm sure my doc feels the same way, however it seems like a lot of others are taking a different path. I had a node biopsy that came out positive on that node. I don't know how many may be positive...nothing else had been tested. I HATE questioning things....rather take the doc's advice and go with the flow!!
Chris
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Chris: I had a lumpectomy and ALND on the left side. They found no cancer on the right by mammograms and ultrasound.
My decision for a lumpectomy had to do with the fact that the tumor in my left breast was only 2 cm. Although there was lymph node involvement, a mastectomy felt like overkill. Bottom line, I just didn't want to give up on "The Girls" too soon. I guess I'll find out whether or not this was a good decision eventually. I would have had to have chemo and radiation either way, so why not give the girls a stay of execution?
Carol
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Bunny... WOW. A stroke and now breast cancer. AND... your attitude is so bright. I understand what you mean about soooo many doctors and each one seems in charge of their own little area. AND... you offer some great suggestions on resting.
Rachel... Why do you stay overnight? Seems as though things in Australia are much more pro patient than here in the U.S. And, thank goodness, your first one is over! I had a port put in when I had a lumpectomy. I may be the exception... but, mine hasn't hurt to any degree and I'm very thankful I have it... even for 4 treatments.
Alyad... What is the "gland thing"?
Diane... I agree with your timetable. Good luck on #2!
Kathy... What great co-workers you obviously have. Good luck on #2. I, too, was nervous about my #2. Some have an allergic reaction to Taxotere on round #2, BUT I did not.
PattiB... Good luck to you as well. And, YES... keep up that positive thinking!
buddy1... Still sounds low. But, after my first tx, my WBCs went below 1,000... Neulasta shot on a Friday... by Monday, up to 8,000!
Janine! Good to see you around...
Chris... I had a lumpectomy. In my personal situation, I could've opted to do chemo first and then surgery due to the size of my tumor. I decided to do the opposite, BUT I think there are merits to the other way around as well. My BS was very big on breast conservation and I went that way. Even though my tumor was 5 cm plus another 1 cm for the margin, I was amazed at the results of my lumpectomy.
IowaDiva... Stay of execution? LOL!!! I am sooooo using that line.
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Jan: I am, and will forever be, happy to be your joke writer; but...
I WANT RESIDUALS!!

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Carol... ROFLMAO! The check is in the mail.
Today is a busy day for me. Trying to pull all the April 1st pranks I can. Turns out that clients do NOT think it is funny if I call and say they owe thousands more on their tax return than they actually do. Go figure!
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This time and last time, day 5 and 6 after TAC the glands on the sides of my neck feel really swollen and tender. It kinda hurts to swallow. I also have a headache. Has anyone else had this? It went away after a couple days last time, tho I ran a low grade fever day 6 and 7 (99 degrees- I'm normally at 98.0)
So far I feel like I'm dealing with round 2 better, but the progression of symptoms is pretty much the same- I don't feel like I'm pulling out of it any faster. Really weird dreams last night- mental fog more than anything today. didn't manage to go to work yesterday- still not sure about today. I feel sorta agitated, like if I sit here I'm going to go nuts, but I'm not sure I'd be much help functionally, so maybe I'll go for a walk and see how I feel.
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Alyad:
My second TX was last Wed. and I still don't feel back to normal. No appetite, no energy, few brain waves! I haven't experienced swollen glands...sorry I can't help with that. I also feel agitated...like I am ready to do something, but don't really have the energy to do it.
Hang in there...tomorrow will be better

Chris
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Rachel and MaidMarion...Congrats on knocking the first one down...hope you are doing well today. I feel good, a bit tired, nausea is well under control....still didn't jump on the treadmill.....maybe one more nap first...lol
MOB...you are so good at keeping track of everyone. Thanks
Gina-I hope all is well with you and you're getting lots of rest...I'm sure you need it after your houseful of 25 kiddies.
Good luck to all the ladies that are getting their treatments this week. There is a lot of you for sure. Whether your having #2,3 or whatever....it's one more down and closer to the end zone.
Hang in there !

Beth P
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Chris - Like Iowa Diva and MomI had a lumpectomy and snd 0/2. My surgeon said Breast Size factors in. Had the MRI to see if there were any other suspicious areas. Since all cancer was in the same section a lumpectomy was doable. I had a 3.3 mass with an 8millimeter right beside it and radiating calcifications from the main tumer. All in all I believe including margin around and 8x8x3 12 section was removed. They said "every case is very individual so you should "listen conservatively" to others. My Lumpectomy looks great, I'm very happy with going this way. I am having the chemo now as a precaution, then 5 weeks of radiation, then Tamoxifin. That will kill any cells that "may be there".
DidleDiane and Kellerka - I am at Chemo right now just started last drug Cytoxin then I'm out of here. No 2 round immediate reactions. Now just gotta be proactive about SE's again. Hoping it turns out just like the first!! Hope yours is going just as well.
Good luck all today and going forward this week!!
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Chrisc433- you decscribed the agitation perfectly- that's how I feel- I want to go do SOME-thing, but I don't have energy or attention span enough to do it. I went for a walk and then felt wiped, tried to read something, can't concentrate.
first tx I didn't try to work, just rode the wave for a week. I had hoped I could force myself back to normalcy this round- I feel guilty cause I don't feel totally horrible but I just feel like I can't function and going to work would be pointless cause I can't concentrate.
So I have 4 more of these after this. Work is undertstanding, tells me to take it easy. I'm not a workaholic type at all and I know they will get along fine without me. I need to just accept that I need to take more than just a couple days off each round. The money is an issue, but not really that big of a deal in the big scheme of things. I guess I just read where other people can go back to work after a day or two and be ok and I'm not.
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I just got off the phone with my Onc nurse. Whe said that as long as I am hydrating and not vomitting that this is probably how it will be after each treatment. For some reason that validation makes it a little easier to handle. I was expecting to bounce back about day 5 or 6 and then disappointed when I still feel bad. I guess I will look at it taking a full 8 days to bounce! At least I won't be sitting around waiting, disappointed in myself.
I am a spec. ed. teacher for kiddos in k-2. I can't imaging trying to work through this. Fortunately I had almost enough days to get through the year and I've contributed to a sick bank that I can withdrawal the remaining days from.
Alyad: I have several family members that relocated to Springfield MO. I think they were in Republic, Forsyth, and now Kissee Mills. My husband works for Grizzly Industrial and has been sent to Springfield to help out every year or so. Small world!
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what a small world. I live south of springfield in Ozark- sorta halfway between republic and forsyth. I used to live a few blocks from Grizzly. I can't imagine working with k-2 kids at all let alone after chemo. That's great you have the bank of sick days to draw from.
I sort of lived in PA for a few months about 7 years ago. In 2001, I hiked the AppalchianTrail which runs through your fair state from near Chambersburg to Delaware Water Gap. Two hundred something miles of rocky fun! In 2002, I came back and worked for the Appalachian Trail Conservancy out of Boiling Springs, near Carlisle. I travelled all over , but my home base was a farm near Carlise. Then that summer I worked in the NW New Jersey area on the Trail. Delaware Water Gap, Worthington and Stokes State Forest and High Point and Waywayanda State parks were my areas. My husband's cousin lives in Philly at the moment, working on her phD.
My job is comptuer based- editing digital maps , not taxing at all most of the time. Some of what I do is very mindless , but some takes some mental organization. I haven;t ever felt even close to puking and really I am just tired tired tired. The thought occured to me that maybe since I had major surgery 2 months ago I am still am not recovered from that- I opted for the TRAM flap recon and you know that is a lot more taxing on the bod than say a lumpectomy.
so I'm trying to be understanding with myself. My TRAM surgery areas do hurt a lot more after a tx- first time I even went back on pain meds for a couple days- those areas are still trying to heal and having chemo kills all those healing cells. I had 6 weeks after surgery before having chemo, but still. Last round I had a PET scan 6 days after chemo and the report mentioned a lot of increased metabolic activity around my recon areas, plus the bone marrow from the neulasta shot. But fortunately NO activity from a couple suspicious spots on my lungs that had shown on the CT scan and thus the reason for having the PET scan. yay!!
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