Starting chemo January 2009?
Comments
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BevR: re: the weight loss, you are so right, hope it happens to all of us. Heck, I'm even working on trying to psych myself out to do that even if it isn't true
Diane, saw those studies, from what my Onc said they've all known it was ciruclating but until now the data hasn't been solid, so hopefully people have been quietly changed. I agree, I'd be p.o'd, but thank goodness somebody thought to research it and find that out!!
Seriously, here's hoping the SE's stay mild for all of us. I think we'll need to stay in touch to cheer each other on with this
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Hey all. Good to hear that so many of you are doing the tamox. My onc is holding out on prescribing it for me until the end of the month. He said he wanted to give me a bit of a break after the rads. I don't know if any of this applies to any of you, but I thought I would toss it out there: After my chemo, I was thrown into chemopause...HARD. The heatflashes were incredibly intense, would start the day with them coming every hour or so, and then they would come faster and faster as the day wore on. And after the flashes would be this intense cold and clamminess because of all the sweat. I was PR-, so my onc prescribed me this progesterone based drug called magase/megestrol to help control the hot flashes. I've been on it now for about six weeks and the difference has been remarkable. Although at night I still get awoken by one or two of them. Sooooo, now I'm wondering with the tamox causing heat flashes, I wonder what that will mean with the meds I'm already on. Also, I was under the impression that my current hot flashes were a result of my ovaries shutting down from chemo, but that my periods should resume 3-6 months after chemo was over...and so I thought with my period coming back that the flashes would end...but am I wrong in assuming this? Maybe...assuming anything lately doesn't seem to make any sense, no matter how good I've become at rationalizing things.
So, I guess I'm wondering of any of you have been offered advice or meds to counteract the hotflashes at this point or perhaps been offered it for the future? Like I said, just tossing it out there. I'm just feeling a bit muddled right now.
Catherine
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Hi Jewels: Happy June!! We made it this far -- one day, one month at a time! Yeah us!!
I am 6 weeks out and officially have 5 o'clock shadow on my head !!!! Yippee Yaahoo! Still covering the dome - mostly cuz it is still pretty darn cold here. Am wearing the buffs more - they are so much more comfortable than the wig. No question people know something is up when they see me...now that I feel better, I have more energy to handle the questions . And I like my "look" in the buffs - kind of a badge of courage. Reminds me of what I have conquered thus far.
I "gifted" my med onc today by signing up for the bisphosphanate study. He was so excited that I would consider it. (We were both disappointed that my oncotype DX score was too high for the TailorRx study). I passed my dental exam and had my teeth cleaned ( that felt great!).. Think all that yucky biofene really paid off. So, a few lab tests, a physical exam and I am ready to be "randomized" (almost sounds obscene
). I will start the drug in about two weeks.
Patti and Phyliss: Hang in there -- It is JUNE! Soon you'll be on the other side.
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Hi January Jewels,
ok....it's JUNE now....we've been together a LONG time! I'm 7 weeks out from chemo now and have hair to cover almost my entire head! Just a few small light patches....but good enough to go out without a hat!
Today was day #14 of radiation for me and I'm starting to get red and a bit itchy. But, its certainly not as bad as chemo.
Tomorrow I see a gyn oncologist for the "talk" on removing my ovaries. I hope he's on board and that I can get this scheduled!
Hope you're all doing well....will check back in soon. Thinking of you Patti and Phylis as you finish up!
Lisa -
Ew. bad news about Tamoxifen and anti-depressants. I take Lexapro. I need to read that.
I am about 12 days past my last infusion and I feel so good! For those of you still having Taxol infusions, the week after my final one was rough but I have really bounced back the last few days. I got out of bed Tuesday morning feeling fairly limber and loose. I had no bloody nose. I have been able to work full time this week so far with no remarkable difficulty at all. If my job were interesting I can't imagine the energy I'd have. : ) Last night I put on some funky music and danced around for about half an hour. I could not have done that a week ago. I broke a sweat! It felt sooo good. You'll be there soon!!!
The rad oncologist called. I told him my understanding was that rads were controversial with mutlifocal cancers. I asked if that's because tumors may also have developed in the nearby chest wall. He said, "no". He clarified (?) that the controversy with low stage multifocal cancers is whether to have a lumpectomy with rads vs. a mastectomy without. He said he called my patholists and my margins were clear by 5mm, I had not known the width of the margin. It was good to hear. He said that because my tumor was less than 4cm and I had less than 4 nodes involved, rads are not recommended. Does this sound consistent with what you all have been told? I have been skimming through abstracts and articles on-line and without spending much time on it yet, various studies seem to come to different conclusions on this. I have seen a few which say rads my decrease local recurrence but do not improve survival in general. Other studies seem to say rads improve survival in all cases. It was an OK conversation...too brief. He said he'd meet if I wanted. I am sooo tired of treatment. I know you know what I mean. I am tempted to turn a blind eye and say, "OK, doctor says no rads". I can't do that though.
Still, life is great. My hair is slowly starting to look like something. BF did something around the house without being asked, dishes no less. It is 2:34 A.M. and all is well. The dog has gone potty and it's back to bed for me. Good night and sleep tight Jewels.
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Patti and Phyllis: hope you're hanging in there
kt: getting randomized does almost sound risque and like a good idea too
Year of the Hat: my understanding is that Rads after a mastectomy when only 1-3 nodes are involved is controversial whether it increases survival or not. The U.S. study to look at it closed due to lack of accrual. Too bad. (Same with the study to look at whether ax dissection was needed after a positive sentinel node--again too bad).
Friend of my sister's who is my age died of breast cancer a couple of weeks ago. I felt like I knew her my sister talked about her so much. Just broke my heart. I remember when she was diagnosed, and when it came back such a short time later. Remember when her son went to Iraq. I didn't find out she had died until a couple of weeks later. I think my Mom and Sister didn't want to tell me because it would upset me, but it came up because they were afraid my neice and nephew would say something. Of course, the neice and nephew we've been trying to be honest with (remember the ones I told you about I love so much, and had it reinforced again because they were so completely unfazed by my lack of hair) wanted to know if it could happen to me and we had to be honest and say yes, but we hope not and no sign of it yet and I was on this great med tamoxifen to help keep it from coming back. Wow, did my DH have to put up with a crying spell that night. Then found out this AM that another friend of my SIL just died from metastatic melanoma. I had only met her a few times, but was so touched when in the midst of her own crisis she took the time to ask my SIL everytime she saw her about how I was doing. Been a little hard to remain up beat this week. Especially with cold and grey and rainy weather here. Hope the increased funding to the NIH keeps up and we make some progress these next few years with these stinkin diseases.
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lisalisa - let me know what the gyn says about removing ovaries... I too have to find someone and have that consultation... I plan on having them removed in the Fall.... will you share what you find out? I know no matter what the reality is of that surgery it has to be a piece of cake compared to a bilat and chemo....
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I'd be interested too. My Onc and I agreed to table the discussion for awhile, I needed to get back to work and truthfully needed a break from any treatment besides tamox for awhile
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Hi ladies. I'm hanging in there. Counting the days till my last treatment. 9 days to be exact. I have a consult with the breast surgeon tomorrow. A little anxious. Don't know what to expect.
Getting ready for my daughters' graduation Sat.There's 800 graduating. Can you believe that? They go to the largest school in the state and our citys population is a little over 50,000. Her party is Sunday and I'm getting bummed because the temp is only supposed to be in the 60's. We rented a canopy, table and chairs but no tent. It better not even rain. I have no room in my home for 40 people. I'm praying for nicer weather.
I wish I could respond to all your posts but I have no idea what you ladies are talking about. Thats why I feel like the last one left. I wish all of you a good weekend.
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800? Can't imagine. It has been far too cold a Spring here in the midwest, really getting me down. I'll keep my fingers crossed for nice weather for you. Nine days, yahoo
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for those of you who are having oopherectomy or considering it, did you have genetic testing and test positive? (sorry if i've missed that info about you previously). one doc said that because i'm postmenopausal, i wouldn't have an oopherectomy even if i tested positive (sound fishy to me). others have disagreed with that. i'm going to a genetic counselor to get this figured out! my mother and grandmother both died of breast cancer that spread to the bone, but they were diagnosed in their mid sixties.
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ddlatt: sounds fishy to me too. I would definitely run that by a genetic counselor. My genetics person told me no matter what the results she would recommend it given my family history and my young age as she thought I would do better on an AI
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I am having genetic counseling next week. I believe there is no breast cancer history in my large extended family, except my only sister had it. She had ILC in situ when she was 35, the precursor to the sort of cancer I had (ILC) whihc is somewaht rare. Since she was so young and the dx was close to mine, I wonder if he'll recommend the test, but with no other cases he may not.
As for follow-up, I will have blood tests every three months while I take Tamoxifen. No scans will be done unless I have a symptoms.
My onc told me that chemo can put pre-menopausal women through permanant menopause but it doesn't always. I will know after a year of stopping chemo. If I have not had my period by then that means I have gone through permanent menopause and will switch from Tamoxifen to AI. I am 41.
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I'm back from the gyn oncologist and from rads #16. Rads are getting tougher and I had to see the rad oncologist today. My chest is getting very red and very itchy. I got a prescription for a hydrocortisone to help.....stronger than the OTC kind.
My gyn onocolgist was AMAZING. He was thorough too. We met in his office first and went thru my medical history, family history and cancer history. Then, he did a pap and then an ultrasound. He also examined me at length....twice to double check. ack!
He says that I'm not completely in menopause. I'm having hot flashes but not night sweats. I'm drier than before but not "dry"....TMI, but I still have some mucous.
Despite that, my endometrial lining is down to about 3.5 and that suggests menopause. As well, no activity in my ovaries. So....I'm kind of in between.....not all the way in menopause like I need to be.
As I was on the table, I couldn't take notes.....but I told him that I needed a "sling" since having 2 kids. I hate that I can't sneeze or run without peeing a tiny bit! He said that my bladder HAS dropped ALOT. He also said that other parts were dropping....but can't remember which ones!
So....we went back and forth and decided that we REALLY need the estrogen out. I'm going to go for the full hysterectomy. I want to do this once and only once!
So, I'll have a lap assisted vaginal ysterectomy and removal of tubes and ovaries. And, I'll have a vaginal repair and mic urerthral sling.
I had him write down all my "issues":
SUI (I think that means the peeing part LOL!)
cystocele
rectocele
uterine prolapse
This will be about a 3 1/2 hour surgery and I'll need to stay in the hospital for one night. Then, won't be able to do any lifting or exercising for some time.....but I can walk for exercise. I'll be talking with his scheduler soon and will try to fit this in in July....after rads is over but before our vacation.
Are we having fun yet!?!?!?
p.s. to those who asked. I'm BRCA negative. BUT, I want to get rid of my excess estrogen as my tumor was highly ER+. Most geneticists/breast surgeons/oncologists HIGHLY reco an ooph or hyst for BRCA+ patients.
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Wow lisalisa that sounds like a lot of surgery. Good thing you found someone so thorough who can take care of everything that needs to be done. Do you have an OR date?
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kmmd,
i'm supposed to talk with the dr's scheduler this week. it really depends if he's available when i'm done with rads, etc. I'm out of town mid July. He leaves in late July for a few weeks. I hope it can be squeezed in before he leaves......
I'll have to have phase II of my reconstruction after all this!
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Hey Lisalisa, wow, but I totally understand why you are doing this. We have to fight the beast at every angle. Hope the doc can squeeze in the surgery when you need it as well.
Year of the Hat. I am multifocal as well and everything you have talked about circled around the same issues i hassled over, except the radiologist recommended and the 2nd opinion recommended radiation for me because I had a tumor close to my chest wall. I completely understand how you feel: tired of the tx and the appts and tired of being mired in the "what ifs". It's gotta feel good that your radiologist and everyone else is on top of your reports. I can understand how good it must feel to be done with chemo tx and and your BF did the dishes!!! NOW that is a call for a TOAST!!!!!!!!!! Let's toast!!! I wish my 16 year old would do some dishes., she acts like she is going to melt when I ask her to. SHEESH!!!
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Can I go off track a little? My Sister has been so wonderful to me through all of this. Always somehow knew exactly the right thing to say to make me feel better, always there, words can't describe how wonderful she has been. Her birthday is in September. I'm trying to come up with a gift for her birthday and to thank her for everything this last several months. Any ideas? I'm at a loss. She's always been the sister with the right touch and now I need to rise to the occasion.
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kmmd: how about a nicely framed photograph of the two of you and a note of gratitude. The words will mean more than anything....she sounds wonderful.
Question : for those of you who've had genetic testing, how far into your family tree do they need to know about - and is it all kinds of cancer the ask about? Except for my brothers, I have kept this quiet -- wondering if I have to ask all my aunts. uncles, cousins etc, about the medical histories -- seems that would be a bit awkward.
Lisa: You are one tough lady - you will get through surgery with flying colors! and most importantly, peace of mind.
I did a little retail therapy today after rads -- 2 pairs of shoes and a pair of sandals. Actually, I needed them ---- really------ seems my current selection of shoes all aggravate my neuropathic feet. I was so excited to find some that fit well and didn't hurt...and look good.. was imagining I would end up with granny shoes...
. I'm too young for that!!!!!
Take Care Jewels...
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A great reason to remove your ovaries is to reduce your risk of ovarian cancer. Anyone, regardless of family history can get ovarian cancer. There are NO good screening options for ovarian cancer at this time....NONE!!! Don't have a false security with a CA-125 or sonogram etc..... Removing your ovaries should not only be about shutting down the estrogen source.....
I had mine removed....in fact my Oncologist considered this even more important than the prophy breast removal I did on my healthy breast.
This discussion is one you need to have with an oncologist....not a genetic counselor.
By the way....this surgery was a breeze!!! It's done laproscopic via a tine incision above my pubic bone.
DD....I just noticed you are triple negetive.....so your cancer is not related to the estrogen...maybe that's why he didn't recommend and ooph....so in that case it's more about the risk of ovarian cancer.
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Alo - did you remove only the ovaries? or full hysterectomy?
I'm with you....I don't want ovarian cancer. The ER+ thing just pushes me to do this FAST!
Both are reasons to lose the ovaries to me!
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I had the ovaries and the fallopian tubes...same time as bilat mast. I would have had a full hysterectomy but was worried about not being able to drive etc for 6 weeks. I plan in doing the rest some time. My onc said the utererus is much easier to keep an eye on...so approved of my plan.
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Alo - I was told the same. People don't generally die from uterine cancer and its generally caught early. Ironically, my sister had uterine cancer....it was caught early and she is fine. For me, the fact that my sister had it pushed me to do it ALL now. I have never had surgery in my life and now I've had a lumpectomy, a bilateral mastectomy/diep, a port insertion and now gearing up for the hysterectomy.
After that I'll need phase II of my reconstruction but I'm in no hurry for that. Hopefully, that will be the LAST of my surgeries.
I really wish that I'd had the werewithall to do the hyst when my abdomen was wide open for my DIEP. darn it! but that surgery was already 12 hours long and I didn't want to add more!
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I felt the same way...with the time on the table..
Does anyone know how long after chemo we should wait to color our hair. I think I would look better with some color to cover up the gray .....I would surely look like I have more hair if it had some color.
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Alo---That is a good question. I don't have enough hair yet. I keep peering in the mirror, and that doesn't seem to help!! LOL I am getting a bit nervous. What I do have is white and fuzzy. There is just a hint of the darker hair; wish there was more of that. How much hair do you have ?????
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Don't know about the hair color.
kt57, My person wanted back a few generations and all aunts, uncles etc. Just the cancer history, however
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Alo -- I had my hair colored last week, & everything was fine. Both my onc nurse & hairdresser said it was OK. It felt very liberating to cover all the gray (and brown -- I've been a "bottle blonde" since I was 17, and just couldn't get used to seeing myself dark brown!!). A small step towards returning towards the old me!! I now go hatless/wigless 95% of the time...just wear the wig when going out for special occasions (date w/ hubby, parties, church, job interviews).
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Jess - jrgolomb - I just wanted to sare something with you re: rads and tissue expanders, assuming the plan is for you to still have rads. It turns out I will only be getting 28 rounds. They will NOT be doing the boost. I probably won't explain it very well but basically, the boost is intended to treat the mastectomy scar area and once the expander is in it moves the scar so far away from the tissue and chest wall that doing a boost doesn't do anything except expose us to more radiation unnecessarily and cause issues with the TE. He said that not doing the boost would be better cosmetically for the TE reconstruction in general. When I told my onc I'd gladly compromise my TE rather than have even minor risk that it comes back he told me there was no greater risk at all.
Anyway, I just wanted to pass that on to you.
Hope everyone is having a great day!
Diane
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I have a good covering of fuzz all over.....it's very uneven. I have an appt. to get it evened out next week so it looks more like a GI Jane crew cut....saw a lady on the beach yesterday and she had her hair that way by choice....she looked stunning! She had her's dyed black.....she said she uses a clipper with a 3 blade on top and 2 on the sides....I'm going to see what I can get done next week.
I think I'm going to get it dyed brown with some semi permanant color....mine is so colorless right now. It it had color I know I would look like I have more hair!...What's the worse that can happen.....I'll go bald...so what!!!
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My hair is coming back too. However, I can't see it--but I can feel it, lots of stubble!
Having the port taken out tomorrow and am I ever glad! It is really beginning to bug me---it seems to be all inflamed. Hope there are no problems getting it out.
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