quitting chemo after 4 treatments?
I am new to this site and could not find where to search this up but I was dx with ba ca on Nov 17 2009. I had a partical mastectomy w/ lymphectomy on Nov 24 because my surgen was sure that was all I needed but sadly the margins came back with ca....So on Dec. 7th went back in and had the full mastectomy. At this time I have done 4 TAC chemo treatments...the doc wants me to have 6. My problem is that i am tired and have a very bad problem with my wbc's not wanting to stay up at all with either wbc booter shots. Have been in hospital once with wbc's of 0 and just last week was 1.0 after 6 neupangen shots. I am due to do my 5th chemo on April 20th 2010 but think that I will just stop now...has anyone else stopped after 4 treatments? have had alot of problems with sores in my mouth, kidney infections, liver changes and now with the black look under my nails and several other problems. Plus my family is tired as well esp. my husband and its starting to cause alot of emotional problems for us due too me not being able to really function after chemo. Takes me at the least 10 days or more to get any energy going at all and its just the bare minimum. Find that i have no fight left in me ![]()
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I know chemo must be really tough,emotionally and physically,but continue to work with your physicians and find some good emotional support from friends, church,family, and especially with a breast cancer group,Gilda's Club, whatever is available to you where you live. Also,check with the women on this Web site who are undergoing chemo for support. You are so close to being finished. Also,since you are HER2+, insist on learning about Herceptin treatment, which,I think usually follows chemo, or sometimes is given at the same time. You are a triple positive, and follow-up treament with herceptin and tamoxifen gives you a lot of hope for recovering completely. I know your family wants you around for a long time,and you have every reason to hope you will be! All this treatment will help. Keep us here on breastcancer.org posted!
You're in my thoughts and prayers,
Liz in KS
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I know chemo must be really tough,emotionally and physically,but continue to work with your physicians and find some good emotional support from friends, church,family, and especially with a breast cancer group,Gilda's Club, whatever is available to you where you live. Also,check with the women on this Web site who are undergoing chemo for support. You are so close to being finished. Also,since you are HER2+, insist on learning about Herceptin treatment, which,I think usually follows chemo, or sometimes is given at the same time. You are a triple positive, and follow-up treament with herceptin and tamoxifen gives you a lot of hope for recovering completely. I know your family wants you around for a long time,and you have every reason to hope you will be! All this treatment will help. Keep us here on breastcancer.org posted!
You're in my thoughts and prayers,
Liz in KS
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Thanks Liz
Guess I am just really scared at this point...seems chemo is taking so much from me and doing so much too me that I am worried about any long term effect that will happen. Plus with needing to have my ova's took out and reconstruction still to go...my mind seems to never stop. I live in a small town and there is just nothing here in the way of Cancer support. Wish there was.
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liljohnnysmommy,
Gosh, you are so close. Chemo sucks for sure. It is hard and emotional and difficult. No one blames you for feeling bad or feeling like you want to quit. I know you live in a small town, but there are lots and lots of women here who are willing to help you out 24 hours a day. There are resources around, it is just a matter of finding them. I'm sure your husband and family wants to have you around as long as possible. Please take this opportunity to take care of you.
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liljohnnysmommy,
I had some of the same fears and problems as you have had. After #4 I too did not want to go on and the same after #5. I had to talk myself into doing 5 and 6 and was really ill with gall bladder problems and low wbc. The truth is that by around May 11 (if my math is correct) you will be done. That is soooooo close. I know you are going through misery right now, but after that last chemo you will be so cheerful. I am now 9 months PFC and I am so GLAD I finished the course of treatment and am not second guessing my decision. I continued with Herceptin up to recent times, but that was easy to handle. Are you also receiving Herceptin?
Sorry to mention this, but I see that your sign line says "mets." Have you asked your doctor about your staging?
Please continue with your treatment. May 11 is just a month away.
Linda
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Are you getting the Nuelasta shots? They would give me one after every chemo treatment which kept my white blood cell count up enough to where I never had to stop chemo.
I know it is hard. I am not sure what TAC is - I had Adriamycin/Cytoxin followed by Taxol. I got every side effect that they mentioned plus some but I stuck with it because I was more scared of dying than going through the side effects. It is a personal choice though and only you can make that decision.
I know it is harder living in a small town and not having the resources like I have where I live. But....that is where BCO is so great! We are here 24/7 to help you out. If you have specific questions regarding certain side effects and how to handle them better - just ask - someone will be able to help you out and very willing to do so.
You don't list where you live as far as city and state - there might be someone here on this board that is close to you that you can reach out to.
I was fortunate I had the support of my dh during chemo, surgery, and radiation but like so many husbands, they figure once treatment stops you should be back to normal like you were before you were diagnosed and started chemo. That isn't reality and maybe you can find a way to educate him without offending him. I say that because my dh gets very defensive and I have to be careful how I approach him.
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Dear Johnny's mommy, I did 8 rounds of TAC at the age of 52, and I know just how hard it is. But somehow I got through it, and I know you will too!!! I had a lot of difficulties as well, and most of the time, I thought I'd be better off dead. Only you can make this decision, but you can do it. Good luck to you.
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I know you can do it! I thought i'd rather be dead than go thru chemo--and i was able to get thru it.
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Hang in there. It's definitely difficult but it is absolutely doable. Talk to your docs. Sometimes they can add in a an extra week to let you "recover" a little bit more. They also might suggest some other things that can help boost you slightly. Neulasta may work better for you than Neupogen to release the WBC from your bones. Neulasta is more expensive but is designed to work actively within a day while neupogen is a more gradual using the multiple shots. both shots are just tricking the body to release its own WBC cells a little early from your own bones.
you definitely should be considering Herceptin following the TAC if you are HER2+. Herceptin is almost a walk in the park compared to the TAC.
I'm in a small town so I really can appreciate the lack of formal support services. It's hard to ask for help but I'm sure you're town has a church, that neighbors would probably be willing to help. A suggestion would be to ask them make casseroles or dinners for you for 1 or 2 days a week or every chemo week. Even if you are capable of cooking, saving your energy to do some of the other things that need to be done can be very smart and help you get through this. Maybe they could get your groceries for you or help with doing your laundry. Anything that makes you feel better. Don't sweat the housework type thing. 100 hundred years from now, NO ONE will care if you're house was clean on April 12th. They will care how you lived your life or lived with your family. So save your energy for the big things. Let people help. Everyone has neighbors and they reallly do want to help but usually don't know how.
If you can, maybe get "Breast Cancer Husband" from the library? it can help some of the men understand more of what is going on for you. Some men can't handle the idea of the BC and use denial as their way of coping.
I hope things go better for you. We're all here for each other. Good luck
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Hey flash I just have to tell ya, your post was very good. Nice info. and thoughtful.
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I came off of chemo after 4 doses instead of 6. I had been hospitalised twice and was having to use the Neulasta jabs - which were very painful. They couldn't control my nausea and I was vomiting blood all the time and lost a huge amount of weight - I had eaten nothing for 3 months and was bedridden. The final straw was when I went in to anaphylactic shock during a dose and stopped breathing.
I get more benefit from hormone therapy than chemo and so I decided to stop. If those 4 doses didn't do some damage to any rogue cells then I doubt if anything would.
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I made it through 4 TAC treatments out of 6 that were planned. I had a reaction to Taxotere when they first gave it to me. They gave me more meds and dripped it in over 3 hours rather than 1 hour. On my 4th TAC treatment someone decided to drip it in to my body in 1 hour rather than 3 hours. After that I got sick and ended up with a BOWEL OBSTRUCTION which some people can get by their 5th Taxotere treatment.........it is in their very long drug label......which I found after being released from the hospital for five days. I did end back in the hospital after 3 days due to the fact that the hospital gave me HOSPITAL INDUCED PNEUMONIA.
Later on after recovering from the hospital stay and the fact that this ordeal gave me POST TRAUMATIC STRESS SYNDROME......my oncologist stated that 4 TAC treatments were probably enough. Before they started giving 6 TAC treatments which was their 3rd generation protocol....4 TAC treatments was the norm.
Now....this was just my experience....and I am only positive for ER and PR....you are triple positive...but you do have herceptin. I would recommend that you pay close attention to your body should you get the 5th treatment and the 6th--as I said before...the label does mention a possible bowel obstruction around the 5th treatment. My bowel obstruction was diagnosed after being in the hospital due to SEVERE PROJECTILE VOMITING that would not stop. Prior to the 4th TAC treatment I never ever vomited.....this came out of the blue.
Check with your doctors and make sure you look after yourself.
Love,
Terry
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I only did 4 of 6, but it was FEC...I had no nodal involvement. I felt like a dog, actually, I really thought it was going to kill me, so I talked to my oncologist, and she said that that I had had enough benefit from the 4, and she okay'd me to stop. We're all different....The reason I even thought to quit early, was that they had offered me a spot on a trial testing 4 vs 6. So I thought if they're considering 4 vs. 6, then there must be some evidence that 4 was okay. That was 3 years ago...and FEC... They always go in heavy with these protocols and then dial back...It might not have been smart to quit early, but I did it, and I have no regrets whatsoever. But again, it's different for everyone, and it should be something you discuss with your oncologist. I feel for you!
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hello sweetie, I too had your symptoms, especially the mouth sores were horrible, black hands and feet etc. but sweetie, I too was tired and all of this is going on while I was preparing for my wedding to my now wonderful husband who stood by me even though he was holding his feelings in, so NEVER give up, I had stage 2, with L mastectomy, with reconstruction(that didn,t take)and chemo and radiation. 3 months of chemo before surgery and 3 months of chemo after surgery,two weeks on to off, and it took the entire two weeks to get my self back together and time to start again. But GOD and my husband family and friends stood by me 100%, U need that. I am now 16 yrs cancer FREE, Praide the LORD, so hang in there, NEVER give up HOPE. God Bless U and us ALL.
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ahhhh. been here. sore kidneys, horrendous mouth sores (regular warm salt water mouthwashes were the only joy). tiredness, well, when its finally over think of how energetic you will feel. no wonder formerly lazy people take up marathon running etc. after it you feel untouchable. fec was brutal, i wanted to drop last round too but her2 specialist onco said one of the vile chems was considered, tho still requiring further 'proof', more imp than herceptin. bugger really. there are no happy memories of fec. here's a funny fec story though - you can laugh at my stupidity. i started up a course of 10 infrared detox wraps (finished radio etc end of jan) had 2 two days apart and sashayed off to some 10 day meditation thing ... 36 hours later was carted off to hopsital while everyone around me sat in 'noble silence' and looked pained at my ruining their fun. came on very suddenly, thought my head was going to split, organs were on fire (initially thot was back from all that sitting) and was desperately trying not to puke, which i hate and avoid until no other option. i couldnt stand light etc it was terrible - they scanned brain (surprisingly i have one) and were trying to con me into lumbar punctures etc but i kept waving them off with increasingly colourful language - noone in this place is going anywhere near my spine! assumed blood clots or something. then 24 hours after the whole thing hit when i'd had iv fluids, painkillers, sleep, puked and my brain started to function again i knew exactly what it was - there was enough crap left in me to set me off on another round of fec without pre-meds. its funny now but a fright. i was telling off the guy in the ambulance because the 1 hour of juddering on bad nz roads nearly finished me off - was trying to get him to go back to get my car and drive me in that while amb followed behind. there really is no point owning a good car and then when you need it most you go in some tractor of a vehicle, is there??? anyhow, let it be said now i understand why they say 'no pre-meds no round'. after a hard week following that 7th round i am beginning to feel heaps better. you do feel better eventually and forget about the days where you wanted to set your mouth on fire to dull the pain. non chem detox a good idea if you can set yourself to it at the end, just slower and dont get dehydrated whatever you do. when you clear it with them make sure your oncology support doesnt wave you on with giggles 'you be the guinea pig'. better days ahead.
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liljohnnysmommy
I was another who was supposed to do 6 but only did 4. (FEC) I was told the last 2 for my situation presented about a 2% advantage. The last chemo they couldnt get a vein in my good arm and had to go in my Lymphoedema arm. I tried to get them to put a port in earlier on knowing that this was likely to happen, but the public health system was too stretched and by the time my time came it was said that risk factor involved with the port outweighed the minimal benefit for the 2 extra chemos. I was also VERY neutrapenic after the 1st chemo and was in hosp for 5 days and had to have a week longer after the 3rd chemo to get my WBC up.
For sure it is tough and I hope you are coping OK.
Musical
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Wow, this is the exact question I came looking for. I have done 4 cycles of CMF and have 2 more to go, but due to fatigue and my hair thinning so much, I want to stop now! I do not want to do the next 2 treatments at all. Just the thgouht of them turn my stomach!
I have had no problems other then fatigue, but I am such a hyper, energetic person, that this is enough!! Plus I am ready for my hair to get back to normal, not so thin that I can see my scalp at every angle.
I dont know what to do. With all 6 cycles I have a 12% reoccurence rate.
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Janina, if fatigue and thinning hair is all the side effects you're feeling..please don't give up. The important thing right now is to kill the cancer in your body. I just finished my last of 8 A/C and Taxol treatments today and I'm so relieved, I still have to do herceptin for a year. I hated the side effects..I hated the poisons going in my body. I, like you, are very energetic and active and was so fatigued and depressed from the treatments..I wanted to quit. You are nearing the end of a very difficult time in your life...it may seem like a long time but to me it went by very quickly. I just don't want you to have a recurrence of this horrible disease and have to start all over again...hang in there if you can. Your hair will grow back and the fatigue will disappear after the chemo is out of your body. You sound like a strong person but the fatigue can run you down and make you feel weak, don't give up.
hugs to you,
nettie
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I went in Friday to start my 5th cycle. Dr asked me how I was doing..and I broke down in tears. I told him that I am just tired of doing chemo and want to quit. I asked if I were to quit, what are the risks (% wise)....and he said "Janina, I work for you and want what makes you happy". He said "Chemo is most effective the first 2 treatments (cycles), you have done 4 cycles, so you have already benefited from the chemo". He looked at the graph, my diagnosis, and then went online and pulled some numbers....and looked at me and said "your reoccurence rate doesn't change at all if you want to quit now...it will be the same as it would be is you complete all six cycles". WHOO-HOO!! I cried tears of happiness! I feel I regained my life back in that very minute. I go for my radiation appointment tomorrow to get that all planned out.
Funny, I feel like a whole new person already. Dr did say that my hair should start filling in in about 2 weeks....so counting down. I probably thinned about 40-50% hair...and had thin hair to start with.
I have NO REGRETS of quitting after 4th cycle...and not completing last two!
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Hi, I know this was posted a while ago. But I am so curious, to see if you stopped your cmf after 4 rather than 6 cycles. I'm just going through my second cycle, not much hair left at, low energy, needing the neupogen, that they said I probably wouldn't need. Just a little disheartened.
My story is that I was diagnosed with breast cancer at the age of 38. Have lumpectomy and sentinal biopsy. Treated with AC and radiation. 20 months later found a cancerous lymph node that they felt was missed with the SNB. I then had 6 rounds of taxol, loosing my hair a second time. So I'm no stranger to the hair loss AND chemo. Never quit before, but I feel this is really kicking my ass.
Current situation is during a routine mammogram they found cancer in opposite breat. Had a bilateral mastectomy on Dec. 20 and began the cmf treatment that was supposed to be do easy. If you could just let me know your experience I would so appreciate it. I wish you good health and hope all is well with you. Fellow survivor.... Pam
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Hi....I noticed this was posted a while back. But I was Diagnosed HER2 positive stage llb. Did my 4 treatments of AC and will be starting TPH next week. I too feel like I want to stop. I cry when I think about it. I know everyone reacts differently to the medication and my body had minimum side effects (so blessed) but Im scared of the other side effects I have read about. I was told by a friend whom also was diagnosed and all she told me her bad experiences. Made me more scared. I dont want to feel hopeless and not be able to take care of myself. My tumor is gone and I havent had surgery nor radiation. Is it possible not to do the next treatments? Sorry I'm new to all this.
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Sweetie - find a thread that is more current - like chemo July 2017 or read June 2017. YOu can join the women who are in treatment now.
Of course you are helpless for awhile, but that is not the time to quit. How do you know your tumor is gone? Even so, how do you know there are a ton of micromets out there? Get your PCP or your MO to give you something for depression or anxiety. There's no shame in needing a boost at this point.
HER2 positive is extremely aggressive, but with the new drugs that makes it easier to kill.
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Hi Sweetie-
Welcome to BCO! We have a more active chemo thread where your question will get more feedback from the community: https://community.breastcancer.org/forum/69/topics.... We know how scary it can be, but it might help to connect with other members who are in the thick of it too, to help alleviate some of your fears.
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