Class of 2010

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  • LINDAGARSIDE
    LINDAGARSIDE Member Posts: 345
    edited April 2010

    Hi Perky.  I too am somewhat confused about this issue.  I was of the opinion that if your ONC test was high...but your stage and grade of cancer was low (stage 1) and there was no lymph gland involvement, then chemo isn't a great weapon for you as your cancer is likely "defined" and "slow growing".  But your age and ER and PR receptors are also an important part of this equation.  That is to say, if you are higher than grade 1 and you are ER postive and pre-menopausal, then it often is recommended to take chemo as your body is naturally producing estrogen but if you are post menopausal, (with a low grade tumor that is ER positive) your natural estrogen levels are low and therefore your tumor is slow growing and chemo is not that effective against slow growing tumors.  Other medications do the trick for slow growers. At least, this is what I've been told.  There are so many pieces of the puzzle that need to come together when considering options!  OMG...we're having to become quasi-oncologist experts in such a short period of time.  LOL.  What do other pink peeps think on this topic?  It would be good to share what we know about this and what our oncologists have said.  Clearly, you can see what it is I've been told.

  • Teka
    Teka Member Posts: 10,052
    edited February 2012

    Today I had #2 AC dose dense with B or P by way of chemo port without anxiety before treatment.

  • LINDAGARSIDE
    LINDAGARSIDE Member Posts: 345
    edited April 2010

    TEKA...you are amazing!   Way to go!  Front of the class for you.  I cannot even picture what it must feel like...I guess we do what we have to do...but sometimes it just boggles the mind.  Keep up the great work and congratulations. 

  • Dublin4
    Dublin4 Member Posts: 158
    edited April 2010

    Perky,

    My Breast Surgeon was sure I would not need chemo...same stats except he told me 98%.  The Oncologist had a slightly different take.  My onco score was high intermediate range with a higher recurrence rate.  By doing the chemo I reduce my risk by almost half and stay in that 95% success rate.  That also factors in Tamoxifen.  At least that is what I was told.  He said that I did not have to do it, but due to my age and it being a grade 3 with a higher onco score that I should.  So I am.

    If it is the % return rate of the 98% or the 2...then I am really bummed.  But I have already started, shaved the head and I am all in.  So I will finish, but I will ask, let me know what you hear.

    Good Luck to all who are waiting and if you have to do chemo its not fun, but doable and we have to do whatever it takes to not come back.

    best to all

  • irish47
    irish47 Member Posts: 109
    edited April 2010

    Hi all.

    Katie hope all went well for you and Sumby, Wow, that is a blow but take a very deep breath, start on the treatment and try and think positive, they are obviously giving you the  worst case scenario stats.We are all here for  you.

    Linda, you said ''if you are ER postive and pre-menopausal, then it is recommended to take chemo as your body is naturally producing estrogen''.  Well I am both and my Onc didn't recommend chemo, I assume because of my stage 1, grade 1 tumour.

    Had Rad no.15 today and have a break tomorrow - they are servicing the machines, yippee!  So I have booked a facial and manicure, have to occupy myself somehow :-) 

  • Teka
    Teka Member Posts: 10,052
    edited February 2012

    Dublin4,

    Your doctor or doctors will clear the air!

  • LINDAGARSIDE
    LINDAGARSIDE Member Posts: 345
    edited April 2010

    Hi there Irish47!  You are absolutely correct...and I have now corrected my message.  I meant to say that the stage and grade of the tumor as well as your age and the ER and PR factors (and lymph involvement) influence the decision for chemo or not.  I know in my case I really toyed with it but when I learned that chemo is not effective against slow growing, well defined tumors such as I have, I made a decision not to take it.  My onc supported it and actually told me that for me (due to a few other health issues I have) the chemo would end up doing me more harm than good.  Having said that, if all things for me were exactly as they are now and I learned new information, such as finding a small amount of cancer cells in my lymph glands, I would be opting for chemo regardless of the side effects.  The best side effect of chemo is living...at least that is what I think.  I want to dance at the weddings of all 6 of my grandchildren and my youngest is only 2 years old!  LOL.

  • Dublin4
    Dublin4 Member Posts: 158
    edited April 2010

    the only reason I am doing the chemo was the onco score suggested a benefit for me.  Mine was tiny small only 6mm but grade 3...as Linda said responds very well to chemo.  I have no node involvement but I am in my 40's and pre menopausal...so it will benefit my long term prognosis.

  • LauraM
    LauraM Member Posts: 251
    edited April 2010

    Hi Ladies - I finally got some good news, my bone scan and abdomen cat scan came back completely clear!   YEAH!  I was so excited since this is really the only good news result I have had since this whole thing started.    I talked to the Oncologist a little while ago and she does not want me to wait too much long to start Chemo.  If my ps wants to open back up my stomach and put new sutures in then she wants her to do it right away and not wait.  I told her I wanted to wait until after next weekend because we are planning on flying to Indiana to my Nieces First Communion.  She wasn't happy with that and didn't want me to wait that long, want me to have the surgery if I need it next week.  Oh well, can have all the things I want.

  • KatieMom
    KatieMom Member Posts: 127
    edited April 2010

    Good ( and a little bad) news for me too.  The liver thing is a cyst, a big one at 6 cm, but only a cyst and no further treatment is recommended.  Yahoo!!!  I had one foot in the Stage IV hole!!!  Anyway, on the MRI they also saw a something on my spine...L1 vertebra.  The onc was CERTAIN it is nothing but has ordered up a bone scan.  I am really not worried about this one.  So there you have it.  This too shall pass!

    Katie 

  • arubajan05
    arubajan05 Member Posts: 140
    edited April 2010

    Hi girls,

    Well, today's medical oncologist was not what I was expecting ... OncoDX test came back with conflicting results from my original pathology.  The receptors on OncoDX came back a triple NEGATIVE and on my original path it showed ER + 91%.  My oncologist is more than a bit puzzled and she is ordering them to do the tests over.  That said with the triple negative my OncoDX score was 71!!!!!  (It's funny, I had been visioning a 17! Guess I got the numbers a little turned around LOL!)  I love my doctor and she said the decision was up to us, we could wait for more clarifiacation on the ER receptor. But I said the my DH and I had already decided to opt for chemo unless the number was remarkably low. SOOOOOOO.... I am starting chemo next week either Weds or Thurs (not sure yet) with a "cocktail" of Taxotere and Cytoxan.  .... 

    I guess I am doing okay... but I am not gonna lie... the 71 scares me.

  • KatieMom
    KatieMom Member Posts: 127
    edited April 2010

    Oh man, Arubajan, what a blow!  That sounds really hinky about the difference in pathology reports.  Yuck.  Congrats on being able to make a decision, sorry for the conflict.  This thing just never gets any easier...

    Katie 

  • LINDAGARSIDE
    LINDAGARSIDE Member Posts: 345
    edited April 2010

    Hi there pink peeps.  Arubajan, that is discouraging when you hear such opposite comments on a pathology report.  This actually scares me more than anything I've come across.  Can you imagine an error this large?  I hope they sort it out QUICKLY for you and that they also apologize to you for putting you through anymore anxiety than necessary.  OMG.  We put such faith into the people who read these reports, don't we?  And to hear two complete different opinions...it makes me want to throw up.  Hang in there buddy.  Hugs your way: (((( Arubajan ))))

    Today I thought of Katie's " Keep Swimming, Keep Swimming" thing.  I was only walking home and had to go pee and I thought I was going to have an accident but I kept saying "Keep Swimming, Keep Swimming" over and over and before you knew it I was home (and dry)!  LOL.

    Katie, on Monday I am going to have a bone scan as well.  Try not to worry about your scan.  Let's put it this way...it will rule out lots of things!  We really shouldn't worry until we know we have something to worry about, right?  (I won't refer to the fact that we have a pink peep who had two professional and opposite opinions regarding her pathology report.  This would make us lose some confidence so let's not even think about that).  No, let's be excited that we are going to have a bone scan so we will not worry about every little ache and pain...right?  Also, go and have a glass of wine.  You deserve it.  Take care buddy.

  • Dublin4
    Dublin4 Member Posts: 158
    edited April 2010

    AbrubaJan05,

    When I got my onco score back there was a slight difference in the path report on the ER+.  My onco explained that the test is more in depth and thus the variance.  Although mine was very minor and did not change anything.  The retest is a good thing.  I am on the same chemo meds and they are very doable.  Do worry....there are side effects, to me the hair is the worse but it will grow back.  There is a tread with pink peeps who are doing what you are doing...I have found it really helpful.  Stay really really hydrated and drink, drink, drink, drink some more.  You can do this.  With a grade 3 it is a good thing.

    Katie - congrats on the news!  Glad to hear.

    remember mom said...this to shall pass!

  • sumby
    sumby Member Posts: 37
    edited April 2010

    Katie, i totally agree with Linda don't worry about the bone scan...you will be just fine and i'm happy the liver scare was nothing but that...keep hanging in there.

    My surgeon gave me my ER as 7 and PR as 6 but have noticed everybody else writes theirs in percentages...why is that?

    Hugs to everyone and stay positive.

  • Pickles
    Pickles Member Posts: 80
    edited April 2010

    Hi Sumby!

     not sure of the difference in how they report it but I do know it changes what they can use to treat your cancer at the Chemo stage. 

    Katie! 

    Not again!!!  hopefully your frustration/fright level will be brought down to zero after the bone scan.  I just had one a few weeks ago and it was a nice quiet snooze, with the results available a few days later.  And glad to hear the news on the cyst.  My liver is taking it's own sweet time recovering from the long Mx surgery.  My blood tests keep getting better but it is a slow process.

    I'm "swimmin" into my second day post tx with TCH, so far I'm sleepy, and spacy, but have gone out for a walk and keeping up on hydration and eating.  It's made a huge difference!  No nausea...no stomach cramps.  The Rx Emend is expensive but worth every penny!  I'm off the steriod today but still taking the ativan at night to help sleep.

    Good healing thoughts to you all!  Especially to Dublin on Tx #2 today!

  • etk02038
    etk02038 Member Posts: 150
    edited April 2010

    Hi All...I hope everyone has a great weekend. There has been a lot of action on this board! Some good and bad news...hang in there all and healing thoughts to you.

    I am halfway through rads and should be starting tamoxifen soon. I had an ultrasound today to check uterus and ovaries. The uterus is fine but 1 ovary is 10x bigger than the other. What? The nurse said it was fine to start tamoxifen but I think I will call oncologist monday. 

  • cathyqk
    cathyqk Member Posts: 19
    edited April 2010

    Hi all..

    Catching up here at pre-dawn CA time where I am wide awake for unknown reasons since I usually sleep well-ish (except for when I have night sweats) and I had chemo round 1 of 6 of Cytoxan and Taxotere yesterday.. and nobody mentioned sleeplessness as a possible side effect.. So a bit confused.. Now I see Pickles got Ativan for sleeping.. I'm gonna get me some of that! The treatment went well though (many funny stories of people watching and interactions and of course some rather depressing ones also with seeing people with serious serious cancers fighting hard...) and apart from being wiped out and a bit icky yesterday I did pretty good! Heading off this morning for a shot of nupogen? and then four more of those Monday through Thursday and then they will check the blood counts on Friday.  Planning on keeping working and such as long as poss.. I am a person who has had very good health all my life and I am not used to being the "patient".. doing my best to accept all the fussing and attention, and it's very comforting I have to say... now I am just wondering what these toxins are doing running around in my previously healthy body wreaking havoc including wrecking my nights sleep! Weird.

    Pickles and Dublin.. You are both lighting the way for me and I hope Tx2 went well Dublin and Pickles I look forward to hearing more of your progress!!  ArubaJan I am sorry to hear of your oncotype confusion, and I hope they resolve that quickly for you, but in any case it sounds like the chemo you will have will be very similar to ours, so we can walk this road together..

    KatieMom so glad to hear about the liver cyst and I am sharing your optimism about the bone scan. 

    Thanks to all of you pink peeps for being there and sending you all excellent vibes and hugs.

    Off to watch some HULU now.. Maybe Greys anatomy will put me back to sleep. :) 

  • Dublin4
    Dublin4 Member Posts: 158
    edited April 2010

    Cathyqk...glad to hear it went as well as it could...be sure to drink lots and lots of fluid...keep moving as much as possible.  I have found that it helps to stay hydrated and moving... I am sending you and everyone good thoughts.

    Hang in.  There is another thread you might find helpful it is for those of us who are TC or DC as some Onc's call it.

    Healing thoughts to all!!!!!

  • etk02038
    etk02038 Member Posts: 150
    edited April 2010

    Cathyqk...glad your 1st went well. Yes, get some Ativan I have used it to sleep due to anxiety and it is a wonderful thing!  I hope you got back to sleep.

  • KatieMom
    KatieMom Member Posts: 127
    edited April 2010

    Cathy - good job on getting through the first one.  That has to be the hardest.  I will contact you re the scarves.  Nice to be neighbors .

    I am scheduled for bone scan on Tuesday.  I have to take the day off work grrrr as they have to inject and then do the test 2 hours later.  How annoying for something I KNOW will come back as nothing.  I know, I know, I am glad it is being done just have to whine a little.  Linda G - please post the bone scan experience Monday afternoon so I will know what to expect.  Nothing like having your sisters go through it first..  Glad to have the weekend here and not have to deal with Todd the Tech and Wall-e the machine.  10 zaps down, 24 to go.   Seems fine now, no problems.  Have a great weekend all.

    Katie 

  • Misquam42
    Misquam42 Member Posts: 3
    edited April 2010

    Hi Everyone,

    Going for an MRI on Monday since I have dense breasts... will meet with radiologist next week also.... because the IDC is HER2+ I guess I am in for some chemo and herceptin and ER+PR+ will be on hormone blocker for 5 years after that. I was hoping not to have to do chemo, but the Her2+ seems to be the reason. Thanks for all the welcomes to this new journey none of us want to take.

  • Pickles
    Pickles Member Posts: 80
    edited April 2010

    Third day post Chemo and I'm flat out on my back.  Overemotional but not sick to my stomach....I'll take that as the trade off!  Managed a walk about my garden on the arm of my hubby and an escort from the cat.  You know you don't look to hot when your cat is trying to back you up!

    Definitely ask for something to help you sleep.  The streoids they have you take really mess with your sleep and you need it to heal!  I'm off the Emend and steroids today...which may be why I'm so tired.

    Katie-  The bone scan is easy, they just have to shoot you up with a radioactive isotope, doesn't hurt, and it has to react with your system for a while before they can do the scan.  The scan itself is just lying on a track while the scan goes around you.  Very quiet and peaceful.  I think I took a 20 minute nap.

     Dublin-

    Hope you are doing well after #2!!!  I'm sending shinny disco ball thoughts your way!  By the way My sis-in -law found me one!  I'm planning on bringing it to my next Chemo-a-go-go!

    Cathy-  Congratulations on making it through #1!!!  you and I are just days apart in treatment...I felt great for the first two days, walking etc.  but today was a real crash.  It's still very doable but I will not be going to any dance parties tonight.

    Good Weekend thoughts for all of you healing wonder women!

  • Dublin4
    Dublin4 Member Posts: 158
    edited April 2010

    glad to hear the disco ball was located!  Chemo-a-go-go!

  • retrievermom
    retrievermom Member Posts: 522
    edited February 2011

    Pickles:  Sorry to hear you're having a rough time.  It was day 3 or 4 when I would crash, too.  Rest, hydrate, walk when you can.  Pulling for you.

    Cathyqk:  Thinking of you, too.  I know you can get to thinking of the poison, but you are doing everything known to kill the bad stuff.  I hope your SEs will be minimal.

  • cathyqk
    cathyqk Member Posts: 19
    edited April 2010

    Thanks all for the good wishes and encouragement! I'm back in the bed now for a nap.. knackered!! Went for the leukine shot.. no bother there.. and then Mom and i went round downtown LA .. flower market (she went mad.. my house looks like a flower shop!) and then up and down the fabric district and Santee alley.. Organized new curtains and cushions for my living room which was recently painted etc.. Need Moms for that stuff! I'm useless with colour! 

    Anyway at this point I am fit for bed only!

    Pickles I am sorry day 3 was a crash for you.. I will let you know how mine is.. I take the Emend only tomorrow, and have not taken steroids today.. I definitely need something for sleep tonight maybe I can get some OTC thing until I go back to doc on Monday. 

    Retrievermom are you finished chemo already? Sorry if I am not all up to date. Thank you for your kind thoughts :)

  • LauraM
    LauraM Member Posts: 251
    edited April 2010

    Katie - The bones scan was nothing, I got there, they gave me the contrast through an IV.  I was also scheduled for an MRI of my abdomen so they did that and then they told me to leave the hospital for the couple of hours and to come back at a certain time for the scan. I think it did take only about 20 min and I got to watch it on the screen.  Was pretty cool.  I pray that your results will good and what ever they saw will be nothing!

    Arubajan - That really sucks that your path reports are so out of sync, I am sure this is causing you so much undue stress.  Many hugs and prayers to you.

    To all you ladies starting or already in Chemo, thank you so much for sharing your journey's, it is very helpful for those of us who are in the wings waiting to start.   I hope you all feel better by morning!

    Tonight I told my 9 year old daughter about having to start Chemo in the next few weeks, and I felt so bad for her because she was really upset.  I had told her in the past that it was a possibility, but she just wants her old mom back.  She was even more upset when she found out I was going to loose my hair, she was very insistent that she wanted me to wear a wig.  We spent a lot of time talking about how I was the same person with or without hair and all the benefits of chemo.  She is so smart, even asked me if there were any medical side effects of the chemo besides loosing my hair.  I told her about being tired and achy but wasn't sure what else to say.  I am sure after a good night sleep she will have lots more questions about it. 

  • etk02038
    etk02038 Member Posts: 150
    edited April 2010

    Pickles..Sorry you had such a tough day, I hope you start to feel better.

    LauraM...It must have been tough telling your 9 year old. When we told my 9 year old that I may need chemo(since my surgeon said I would but then oncologist said no) He was bothered by that. Very upset about the hair thing also. He doesn't even like it when I get my hair cut! I think kids that age get upset about any major changes. Hopefully she will adjust and be a big help to you. Good luck.

  • cathyqk
    cathyqk Member Posts: 19
    edited April 2010

    etk02038 and LauraM... just to chime in.. my son just turned 10.. only child.. and he has responded in a really similar way to your children.. concerned very much about my hair and appearance.. I definitely agree that Mom's appearance is something they rely on as a constant ... and fear change...  Mine gave me all kinds of advice after he had had a chance to absorb.. and then sought the advice and tips of his classmates! Latest advice is I should wait until it starts coming out.. then shave it and have wig at the ready.. really wants me to make wig out of my own hair.. but thats too expensive.. at least he's more prepared now.. I have another 12 days or so..

  • LauraM
    LauraM Member Posts: 251
    edited April 2010

    My husband is on a boy scout trip with my 11 year old son and he is going to talk to him about it during the long car ride home.   He is my quiet one, takes it all in, doesn't ask too many questions in the beginning until he thinks about it for a couple of days.   It will be interesting to see what questions he asks and how he handles it.

    I do need to get working on the wig thing.  Haven't found a place to get one yet, on my list for this week.

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