What happens when your done with chemo?
Hello everyone I am two paciltaxol's away from the end of chemo. As far as I know I will not have anything else besides the hormone suppressing pill (chemo brain sorry) for 5 years. I am wondering what happens after chemo, do they just give me the pills and send me on my way? What about any damage to my heart from the TX do they do any exit testing? It seems strange because most proceedures have test to prove it worked whereas chemo is just well insurance. Thanks for your help.
Comments
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Hi DV8Q,
I finished up my treatments 11 months ago and yes, it is sort of here's the pills, good luck and see you in 3 months. After being the center of numerous doctors' appointments, treatments, tests, etc. for many months, it's kind of a strange feeling to have an open calendar. My onc repeated scans at my 3 month post-treatment appointment. I now see her every 6 months. Once treatment was done, I found myself needing "something" to help me come to terms with what I had just gone through and got help through my spiritual director. Also, a few months after treatment ended, I joined a support group for cancer patients whose treatment was completed. It lasted 6 weeks and was just what I needed. I didn't have the time or energy for any of that while undergoing my chemo. You are correct that chemo is insurance on top of the surgery. Life will never go back to what it was "before cancer" but you will find your new normal and it will be exciting and different in a good way. God Bless You!
Cinnabear
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http://www.medicalnewstoday.com/articles/141157.php
Have you talked about radiation with your onc?
I know you are young..but radiation has been proven to benefit woman under the age of 35 regardless of lymph node involvment. Please read!
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Thanks for the link since I had immediate reconstruction with expanders I was told that the result of radiation on them would be hard so it was not recommended by my PS my Onc said there was a low recurrence score after the chemos so no chance for rads. Which makes me happy unless i am missing out on superpowers or something (like spidersenses).
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Hi there if you can avoid rads do so. Rads for me was worse than chemo. The extra stress that they cause is not worth it for your recovery.
Dx 4/23/2008, IDC, 5cm, Stage IIb, 2/15 nodes, ER+/PR-, HER2- -
I had my expanders in place during rads.
I also had 2 fills AFTER rads. I still have my expanders and will be doing my exchange this fall.
I know what they say about expanders and rads....but it doesnt mean it is not doable. If you seach the threads here it has been discussed.
I was 30 when I was doing treatment, I just don't want you to have any regretts about NOT doing something more ect. The could of's..should of's will be horrid.
I here mumayan and HER experience...but most woman have no big problems with rads. I tolerated it well. My skin was fine. It was stressful for me because I had to go there everyday and see a lot of woman. And the fact that I had to fight my way through rush hour traffic to get home to my 2 year old. Thats it.
Regardless it is your decision....I personally beleive it is best to hit this beast the first time, the second time (if it came back..knock on wood) we might not be so lucky.
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Sorry forgot to add..
mumayan,
I see you are 49 yrs of age. DV8Q is in her late 20's so we are at a different ball game here when it comes to treatment. For us young woman we have to be agressive regardless of our good prognostic factors
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God bless Not trying to interfere.
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No....NO...
mumayan, coming from another Canadian....
your are not interfering at all. You input is important for anyone considering treatment. We have all had different side effects as a result from treatment, thats why it is important to put it out there, so woman can way the pros and cons. If we can't learn from other woman experiences then who will inform us.
I saw your experience from rads and I'm sorry about the stress it caused you. But arn't you glad in the end you did them? Those 5-6 weeks of radiation increased your chance of a recurrence big time. I'm sure you can go to bed knowing you have done EVERYTHING you need to do to beat your cancer. I just want ALL woman to be able to do the same....
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I know that feeling of being "done." I just finished my radiation treatments, and somehow, I felt "kicked out." My next appointment is a 6 week one with my oncologist, and I'm sure after that it will be a three month one. I think I've had more anxious thoughts about dying from breast cancer in the last week than I did the whole time I was doing chemo, surgery and radiation all put together. All along, I said I couldn't wait for this to be over. . .. but now, I wish there was something, maybe like "booster chemos" or a pill or something. I do take the Arimidex everyday and that helps my thoughts a little. But I do understand the feeling of walking out of the Cancer Center and being "done."
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Nelia,
this was the hardest part for me too. Only I had it after finishing my Herceptin. It does get better!
I finished Herceptin in Nov 2008 and all the Xmas hype was happening. So I basically distracted myself by shopping and planning for the holidays. It did work. I say to try to remain busy. Get out there, spend time with friends and family....the Spring weather is so nice. Think of the flowers are bloomin and so are you!
I have had my 2nd 3 month check and it is very strange to go back to the Cancer Centre and see the "new" woman hooked up to their IV's. I see the fear in their eyes.And for a moment it takes me back when I was sitting in those chairs. But everytime I leave from my checkups......it's the fact I'm leaving NED.
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was just looking through the active topics and saw this thread. I don't want to step on any toes but I just want to point out that the link that was provided regarding the extra benefit from radiation therapy was a retrospective type study and does not actually indicate which group did or did not have lymph node involvement which may or may not have impacted what type of treatment the patient received to begin with. Although they did say that all of the patients had stage 1 or stage 2, the article which is really just a snap shot of the research that was done with very little detail regarding the patient criteria for treatment. It was also written by the American Society of Radiologists which may or may not indicate a spin on the results.
My personal opinion is that if there is no indication for radiation treatment, it should be avoided until it is indicated. You can only get a certain amount of radiation to any area. If you are radiating without an appropriate focal point because there is no area that is currently suspicious, you are radiating without a purpose. Long term side effects are possible with radiation so why do it until it is necessary?
It is my belief that "Hitting it hard" is only effective if you know what you are hitting.
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I understand what you are saying PT63, and I'm glad this has been mentioned.
I just can't help but remember HeatherBlockLear / AnnieCamelHump and her personal views on radiation. RIP...I will go back to her side of the fence..
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Both my breast surgeon and oncologist have told me that I don't need radiation. I had mastectomy with clear margins and no positive nodes. Should I doubt their opinions?
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Rayhope, if you don't trust your dr.'s opinions, I would suggest getting a second opinion. None of us are experts here. Yes, we've all done our homework and searched out everything we can on the subject, but when I sit in my Dr.'s office, somehow, I feel he still knows more than I do. He had a treatment plan for me, and I had to decide if I trusted him or did not. If I did not, I would go somewhere else. If I did, I would do ALL that he told me to do. I chose to trust him because my sister had gone through stage 4 colon cancer with him and made it. Everyone has an opinion. Even I have one. Right now, looking at my burnt chest, I would have to say I would have never gone through radiation if I had known this was going to happen to me. But. . . . when all is said and done, and had I NOT gotten the radiation, would I be moaning with the "If only I had done what he said!" Right now, I've done everything. And if there were more offered to me to do, I'd probably do that, too. Yes, everything has side affects -- some have permanent, bad ones. But, in the end of it all, if it saves your life, wouldn't you do the exchange and take a side effect for a chance at life? We do it when we have a mastectomy, for sure.
I can't say you don't need radiation. But I think if both my surgeon and oncologist told me that, I would trust their opinions. Just my opinions here.
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The rads topic is always a hot one.
This is my feeling, if you are a younger woman then I feel that radiation would actually benefit you than harm you. Nelia is so right. Everything comes with some side effect or risk. When you take a new medication look at alllllll the list of POSSIBLE side effects. Does that mean a woman will get them all? No. Does it mean she might get 2 sid effects? Maybe. When you get in your car and drive to the grocery store, you are taking a risk of possibly getting into an accident.Does that mean you throw your drivers license in the garbage and only take the bus? No. You just are more aware and hope you don't get in an accident.
I've always been one of those people who feel, "it's all or nothing." I don't like cutting corners even when I was in practise, I treated my patients thoroughly. Even though I could have done a half ass job and still bill their insurance company for more time.
When I asked about radiation my onc said most deffinatly. Yes...my tumor was 8cm, so I would have had radiation no matter what. But...I then asked him even if my tumor was 2 cm would I have needed radiation with clear lymph nodes. His response...yes. He said, you are young with an agressive cancer it needs to be treated aggressivly. Fine by me doc...do what'cha gotta do.
It scares me when I see woman on the board whos docs say they are in the "grey area" when it comes to rads. This is how I interpet this statement.....Grey area = they don't know! therefore why take a chance....?
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I think it really depends on all of the factors you mentioned.. When I read lexilove's signature line I can see why her doctor recommends radiation: large tumor and grade 3 which is a more aggressive type in addition to her young age. On the other hand if you are the same age and have a grade 1, 1cm tumor with no lymph node involvement and choose a mastectomy.... what would you be radiating?
I realize that all medications have side effects... some are standard listings: "may cause nausea, headache, dizziness......" in addition to major side effects. But I still wouldn't take any medication with or without side effects if there was no focused purpose to the medication. I don't even take ibuprofen unless I actually have an ache or a pain that I feel that ibuprofen will help relieve. Why would you take a daily dose of ibuprofen and risk the side effect of tearing up your stomach just in case you have aches or pains that day? On the other hand if I had daily joint or muscle pain, the risk of the side effect may just be worth the relief. Would you take an anti-depressent because many people that have been diagnosed with cancer get depressed even if you are not having a symptoms of depression? Or would you wait until you have the symptoms and address it then?
The driving comment doesn't really have anything to do with our subject....to me it is on the same line as the standard comment " well we are all going to die, I could get hit by a bus tomorrow..."
Believe me when I say that I am not making any recommendations on who should or should not have radiation. Each person must take the information they have at the time of diagnosis including tumor markers, genetic expression, age, lymph node involvement, location and size of tumor and make a decision based upon their information alone. I was just making an initial statement that the results of the study that was originally cited by the linked article may not be as clear cut as the article indicates.
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PT63, I had a mastectomy -- the oncologist used the term "toilet mastectomy" which means I was totally scraped clean down to the chest wall, up to the clavical bone, etc. My tumor was large and there for 7 years, so treatment was agressive. But. . . . I had a full course of radiation anyways. No, there was nothing left there, but if there was ONE cell left, I sure do hope those 30 something treatments got it because I'm suffering for it right now. I really don't know on this subject. To tell you the truth, I didn't know anyone would question whether or not to do something. I wonder if I would if I were asked at the beginning of this. I just don't know!
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PT63, I had a mastectomy -- the oncologist used the term "toilet mastectomy" which means I was totally scraped clean down to the chest wall, up to the clavical bone, etc. My tumor was large and there for 7 years, so treatment was agressive. But. . . . I had a full course of radiation anyways. No, there was nothing left there, but if there was ONE cell left, I sure do hope those 30 something treatments got it because I'm suffering for it right now. I really don't know on this subject. To tell you the truth, I didn't know anyone would question whether or not to do something. I wonder if I would if I were asked at the beginning of this. I just don't know!
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Hi DV8Q, I finished my treatments...chemo and rads in November and I am now on Tamoxifen. I felt lost and not sure what my next step would be. When I asked the onc..what do I do next, he said go live your life and if you have pain come back to see me. I was like that is it..what??
Anyway, I decided to see aNaturpath doctor I needed someone to help me get on track with my health, eating and everything else. I have seen her three times now and I am getting into a routine of really looking after myself. I don't know if this is the answer but she says that we are working together so I don't have a recurrence and to lead a healthly life. I will see the onc again in May for my checkup but I feel better knowing that I am taking some control over this scarey beast. Hope this helps. Remember, put yourself first. Karen
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Thanks for your post, yeah I am not looking forward to my last visit, cuz I dont want any more extra insurance I okay with what I have done time to go live.
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What a horrible term to use, It is strange the way people are more medically informed now than ever and this may be a good or bad thing when dealing whith medicine. On one hand you dont want to get run over with uneccessary treatments, bill and lower quality of life on the other you dont want it to come back and bite you in the ass. I think I decided if it comes back I am okay with what I am choosing to do. I have to be, because chances are I will live 50 more years and its just something to expect. Thanks for your input Nelia be well.
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