Stage III Chemo questions

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  • flopsy
    flopsy Member Posts: 365
    edited June 2010

    I am starting chemo 6/30/2010 with ACx4,than Taxotere x4.  I would like to jioin you girls to help us all through this.  My onc says 6 rad tx after chemo should finish me up around 1/2011.  I never thought I would be doing this but I now realize that it is something we should all worry about and be diligent.  My ca did not show up on mammo done 2/2010 but I found area in axilla and upper outer  breast in 4/2010 that was there for good while.  I am StageIII/a with 3.5 cm ILC and 5 positive lymph nodes.  Hope all of you going this way are doing well and I will try to post accurate and positive support.  It realy helps to share and to get help with this beast.  Love to all u BREAST CANCER WARRIORS,gin2ca

  • grneyd5600
    grneyd5600 Member Posts: 420
    edited June 2010

    Welcome Gin.  Of course we would love to have you here.  We are sorry you have to join our group but very glad to have you!  My ca didn't show up on my mammo in Aug.  I too found a area in a self exam in March.  Low and behold I had a 1.7 cm in my upper outer breast as well.  After many biopsies and MRI and such we found I had 20 tumors (some of them very small) in the right breast and two in the left.  I had a bilat on 4/19.  4 nodes.  So as you can see we are similar.  My treatment regime is a bit different than yours.  I am doing (4) AC on a dose dense cycle - every other week and then 12 weeks of Taxol.  I am doing a clinical drug as well - Bevacizumab along the way.  I will do rads after the chemo.  In the process I am also doing reconstruction.  Every three weeks or so I go for a saline "fill".  I am up to 8th grade tata's!  Cool

    I have been blessed with minimal SE's so far.  Today was Treatment #2.  I still have my hair although we buzzed it in anticipation because I couldn't handle the long hair I had falling out.  I took a bit of control and did it my way.  I am loving the new look with the hats and scarves.  I do have a wig but don't know how much wear it will get because it is hot.  But I will use it when I want anyway.

    You are going to do great!  I can tell.  Keep in touch on here and we will help you along the way. I know tomorrow will be a bit scary but you can do it!!!  I wil keep you in my prayers. 

  • JFV
    JFV Member Posts: 795
    edited June 2010
    Hi gin2ca I am also 3a Ilc with 5 nodes.  A week out of my second AC two more AC then 4 taxol followed by rads and tamoxifen.  Hair left a couple days ago.  It was a sad day for me but everyone else has been wonderful.  Day 4,5,6 are a little tough for me with stomach and fatigue.  Not serious, just very blah.  I have a wig but we have a heat wave so light weight scarves are my favorite.  Doc told me ilc is sneaky and hard to image and we shouldn't feel guilty about missing it. I had a bilateral with permanent implants.  Me and many other warriors will have the nicest TaTas in the nursing home:).  Hang in there!
  • clariceak
    clariceak Member Posts: 752
    edited June 2010

    Welcome to the Stage III board.  I'm less than a year out and this board was my lifeline.  I thought I would share a resource with the newer ladies.  Franceluxe will send out free head scarves/wraps to chemo patients.  They are 100% sillk and come in gorgeous prints.  They usually have a backlog so it takes a few weeks to actually receive the scarf.

    Here's the link

    http://www.franceluxe.com/i/goodwishesscarves/Good+Wishes+Scarves.html

  • sandiddstn
    sandiddstn Member Posts: 88
    edited July 2010

    Hello ladies,

    I feel I am fairly new to all this.  Have so many questions, not sure where to start and who to ask.  So here goes... still don't have all the ling go down so please bare with me.. Has bilateraly mastectomy 8 weeks ago yesterday, having some uncomfortable pain still, is this normal?  No one has said any thing about recon yet.  Just doing the chemo and they have flipped that around.  Anyone heard of this before?  Doing Taxol 12 weeks then 4 AC and then rads.  PLEASE any feed back will be apprecited...

  • JFV
    JFV Member Posts: 795
    edited July 2010

    Hi Sandiddstn:  I had bilateral mast with rebuild approx 8 weeks ago also.  I still have pain and numb areas.  My understanding is that this lingers as the nerves and skin etc need to heel.  As much as I don't like exercising doing stretches and walking and mild strength training all help with healing.  No one has given  me a time when I should feel normal.  My guess is months.  I have had 2 round out of 4 AC and will then have 4 rounds of Taxol.  As you can see from this thread you regime seems to be fairly common.  I think you might want to interview a couple of plastic surgeons right now to talk about reconstruction options.  They have a good sense of when it is best for you to do reconstruction.  I found the two I spoke to very informative.  Hang in there!

  • AnacortesGirl
    AnacortesGirl Member Posts: 1,758
    edited July 2010

    Sandi -

    First - welcome to the boards!  This is a great place for questions and getting answers.  I'm somewhat similar to you on the dx but a few more lymph nodes which put me at IIIc.  And I had neoadjuvant chemo before my surgery on Apr 26 so I'm done with the initial chemo.  I also had 12 rounds of weekly taxol first and then moved on to weekly AC.  The reason that they swapped my regimens was because they added Sutent (it was a trial) to the taxol and since it can affect healing they wanted it to be completely out of my system before surgery.  So during my chemo months I did a lot of research on the protocols.  I never found a solid answer on why they generally do AC before taxol.  I came to the conclusion that most women find the AC harder and it's mentally easier to get that one out of the way.  However, I was one of the women who had a much rougher time on taxol and AC was easier.  I was just very tired on AC but didn't have the neuropathy or the mental fog that I had with taxol.  There are a handful of women that I've seen on the boards that also had their regimens swapped.

    Ask your onc why he/she wanted your regimens swapped.  Get an answer so you can understand the rationale.  This is serious stuff so we have the right to ask questions and expect answers from our oncs.  I have done this throughout treatment and it has made me feel much better that there are logical, sound reasons for how the plan is laid out.

    I also have numb areas from my bilat.  I did not do reconstruction and I'm very happy with that.  I love my forms and mast bras.  Very comfortable!  I do have cording on the arm where they removed the lymph nodes.  But I''m also going to a great physical therapist who has a very gentle but firm technique.  She has me doing stretching exercises which have really helped with the cording and with the "banding" across the chest.  I'm in rads right now and the banding is more noticeable but I know that it's temporary.  I'm confident that we'll get rid of it after rads are done and I keep working with my PT. 

    Ask your onc or your surgeon for a PT referral.  They can work on loosening the scarring, massaging the nerves to get them normal again and help with getting good mobility back.

    Feel free to PM me if you would like.

  • mcsushi
    mcsushi Member Posts: 174
    edited July 2010

    welcome to all the new ladies! so i just finished up my 4th & final AC last week. if you have any questions or want some tips feel free to ask me here or pm me. it wasn't fun, but it's doable. i'm more than willing to give you whatever heads up i can.

  • jenn3
    jenn3 Member Posts: 3,316
    edited July 2010

    I haven't checked in for a while, but wanted to pop in to say hello. 

    I had a BMX and have not done recon and thought I'd do it sometime in January 2011 or maybe not.  For now the forms/prosthesis are fine.  I'll eventually get it done.

    I had DD AC and 12 weekly Taxol.  As you know and the others have said, it's doable and we all seem to have different reactions.  If there is one thing that I learned here and I'm glad I did, was to walk daily, it helped me to physically feel better (even on my bad days) and mentally feel better. I know it's hard on the bad days, but if you can just a little walk helps.

  • flopsy
    flopsy Member Posts: 365
    edited July 2010

    I am 8 day post 1st chemo treatment and finally feeling alive again.  I wish I would have more days like today,but guess I'll take what I can get.  Digestion issues finally easing a little and sick headache better,thank goodness.  Thanks for all the positi

  • JFV
    JFV Member Posts: 795
    edited July 2010

    gin2ca  Just wanted to say hi and hang in there.  My third AC on Wednesday and feel MUCH better than after 1st two.  So, just wanted you to know things might go better down the road.

  • clariceak
    clariceak Member Posts: 752
    edited July 2010

    gin2ca - often the first chemo is the worst.  You'll start to noticed a pattern soon and you'll be able to plan when your energy will be the highest.  You can do this! 

  • flopsy
    flopsy Member Posts: 365
    edited July 2010

    jFV and clariceak-Thank you so much for your reaching out with encouragement and support-God bless you both.

    jFV-We are very similar in dx and tx with same BMX except I did not start recon.  I think you did?  I will decide later on that.  Keep me posted on your journey and I will do the same back for you if you don't mind.  Are you pre or postmenopausal.  I am post and age 55. 

    Saying a prayer for all of us going down this road past, present and future, that God will give us SE free days and good health with long lives! LOL,gin2ca

  • flopsy
    flopsy Member Posts: 365
    edited July 2010

    Also, thank you grneyd5600 for you words and concern.  You also sound very similar to my dx and tx.  Maybe we can all help each other get through our chemo and rads.  It really does help to have ladies with similar problems to share with.  Thanks again, and God bless you and yours.InnocentLOL,gin2ca

  • sandiddstn
    sandiddstn Member Posts: 88
    edited July 2010

    Hi Ladies!!!  Been off for a while or just coming to grips with all this...

    First want to thank MCSushi, Jenn3, gin2ca,AnacortesGirl and JFV for all the encouragement and for the infor.... Really needed it.  You girls on this form are going to be my life line, if you like it or not LOL....

    JFV.. Thanks for the advice.  I will ask for a PS and start talking to them... I was wondering if my Drs. were gonna send me to anyone... But I want wait on them I will ask...

    Will be on treatment #4 Monday.. so far soooo good.., just sleep first 2 days and then good for a few days and then hit that brick all, don't know why  but Taxol to me is very doable...I think on my good days I have more energy then before they told me I had bc.. funny huh.. I think so..

    Oh and my daughter and husband had fun buzzing my hair today..  I took it better then I thought I would.. had long hair before. Never since 5th grade have I had short hair... But husband said he really likes it, so after 31 years he better say thatLOL

    (((HUGS)))) to you all and God Bless 

  • jenn3
    jenn3 Member Posts: 3,316
    edited July 2010

    Popping in to say hello and see how y'all are doing with chemo.

    gin2/sand/jfv - sounds like y'all are handling chemo as well as having chemo can be handled. Clarice is right about the pattern - once you figure out the good and bad days you can make plans around the good and bad days. 

    Sending (((hugs))) and hope you're having a good weekend.

  • mcsushi
    mcsushi Member Posts: 174
    edited July 2010

    hey everyone! just checking in with you all. so i'm on day 4 after my first taxol chemo last thurs and i feel pretty great!!! i can't believe the difference. for all of you still getting AC, HANG IN THERE!!! so far i've only had some taste changes, a little achy (nothing ibuprofen hasn't fixed) and mild fatigue; it's been nothing compared to what it's been like. not having the nausea alone has been a welcomed change of pace. i'm hoping it stays this way!!! despite the heat, i went for a long walk with the dog today and it's helped give me a little energy boost. hope you all are having a good, healthy, se free weekend!!!!

    ~colleen 

  • Claire_in_Seattle
    Claire_in_Seattle Member Posts: 4,570
    edited July 2010

    My experience Colleen is that Taxol was a lot easier than AC.  I even did a cycling event on Day 6 following a Taxol infusion....true it was the shorter course (took the cut-off), but I did it.

    I did lose my eyelashes and brows on Taxol, but again, I thought I was on the home stretch, and knew they would come back.

    As a bit of encouragement, my eyebrows now look BETTER than they did before.  Much nicer arch.

    Hang in there.....you are past the worst part.

  • JFV
    JFV Member Posts: 795
    edited July 2010

    Hi All,  I am just catching up on posts. Attended my parents 60th wedding anniv.  4 days after my 3rd round AC and did very well.  No nausea at all this time and fatigue is minimal.  Have had family visiting all day and left them at one point to nap.  But, hey they understand.  Big side effect this time is metallic taste in mouth.  Everyone said I looked quite glamourous in my head scarf ( cannot stand the wig).

    Gin2ca I am premenopausal and 49.  I have my period every two weeks!  Even on chemo.. I'm just a big bag of estrogen.  I think I am 5 positive nodes and I am unsure of my grade.  I have scared myself so many times looking at pathology reports I have blocked some info out.  I went with an onco who told me bilat, chemo, rads and  Tamoxifen will give me 84% chance of survival 10 years without reoccuerence.  I hang onto that number pretty hard.  I wonder if when I get to tamox if I will also go on something like lupron to supress my estrogen.  I went with immediate rebuild because i wanted to be done one surgery and to be done fast.  LOL there is nothing fast on this trip.  But, we will make it!

    We cancer gals are living in a strange world full of hope fear and suprises.  I am so thankful you are out there is cyberspace to share with!

  • grneyd5600
    grneyd5600 Member Posts: 420
    edited July 2010

    Hi Ladies,

    Getting ready for #3 AC/Bev tx tomorrow.  Had a good weekend and had enough energy to take my Marine Son to the Rock & Roll Hall of Fame and the Zoo!  He is visiting for a week because he is changing duty stations - heading to Hawaii.  Yes, I see a "I kicked cancer in the butt" party going on there in 2011.  Of course I was a bit jealous of all the animals getting their naps while we at the zoo.  Smile

    JFV - Onc gave me similar odds.  I am 47 and I had a hysterecomy in 2004 but had ovaries until Dec 2009.  I was a big bag of estrogen too!  Ovaries went because I had 8-9 months of ovarian cysts so bad that one point my estrogen level was 983 (normal was around 150).  I took hormone replacement from Dec until DX in March.  Took til May for the estrogen levels to start dropping enough to give me hot flashes but when the arrived they came in all their glory!  Still driving me nuts. 

    Colleen - great news on the Taxol!  I hope you continue to feel that good.  You give me hope!!!

    Gin - how you doing?  Hanging there I hope. 

    To all -  have a good week and keep up your chins.  We are going to get through this!

  • flopsy
    flopsy Member Posts: 365
    edited July 2010

    Hello, just checking in and tbeing thankful for feeling so close to normal this weekend that I cooked and cleaned and even did some shopping.

    Today, I brought home two wigs to try out on my husband.  He actually liked both but one was a little more like my real hair so that was his pick.  One is free from the hospital where I work so I'll probably keep it.

    I will be going tomorrow for lab work and onc consult to see if I can have 2nd chemo on Wed.   Thanks for asking about me ladies.  I am hanging in there and hope tx #2 will be easier.

    May we all have good days and easy treatments.  Still praying for all of us.  LOL,gin2ca

  • JFV
    JFV Member Posts: 795
    edited July 2010

    Hi Ladies, So good to hear from everyone.  Jackie, we do sound alot alike glad to hear you got out.  . Glad to hear you were up and about gin2ca.  Had a tough day yesterday.  Sleeplessness set in along with the blues.  I think I pushed a little too much over the weekend.  Daughter said "How many more do you have to get through?"  I think we are all tired of the Mom on chemo roller coaster.  Saw Onco yesterday and she suprised me.  Said after this last AC I could do 4 Taxol over two months (which is what I expected) and not be able to work and feel like I "was hit by a truck" or take taxotere over 3 months and "get bloated but be able to work".   This may not be the correct thread to post this on but... Any opinions? Claire I know you did well on Taxol.  But, in no cancer life you are waaaaayyyyy more fit and active than I am.  You are truly an inspiration! Claire did you have rads after?  thanks for letting me pick your brains!

    Joan

  • JFV
    JFV Member Posts: 795
    edited July 2010

    BTW Jackie, Still waitng for hot flashes.  I got off HRTs in March also.  I have one cyst and alot of fibroids.  The fibroids showed up on my PET scan and my positive  lymph nodes did not.  Shows how big those babies are! 

  • clariceak
    clariceak Member Posts: 752
    edited July 2010

    Joan - I think most ladies find Taxol much easier to tolerate, and it seems to be easier if given on a weekly schedule.You might want to ask you onc about the proposed schedule. Taxotere has rep as being of of the toughest chemo. The sleeplessness and blues are probably a side effect of the steroids.  I hated them, and did everything possible to get off.  I was able to eliminate steroids during Taxol and lowered my dose some during AC.  It makes a huge difference!

    To all the tough women going through chemo - Once you hit Taxol it should get much easier. You may even have more energy during rads  than pre dx so take advantage of that time before you start hormonals.  My theory is that before I was dxed my body was struggling with a tumor load and I was exhausted at this time last year.  I exercised like crazy during rads and felt fantastic.  Not so much during my first month of hormonals but it's getting better.

  • JFV
    JFV Member Posts: 795
    edited July 2010

    Thanks Claire,  Weekly doesn't seem to be an option which is actually OK with me.  I have a passionate hate for the chemo waiting room.  The actual infusin is Ok.  It is seeing all the other ill people that really upsets me.  The less I am in that building th better my mental health.  What you are saying about Taxol is what I thought  all along.  I was just really suprised by the Onc.  I'll look inti the steriods some more.  Thanks 

  • Claire_in_Seattle
    Claire_in_Seattle Member Posts: 4,570
    edited July 2010

    Hi JVF,

    I do consulting work, and was able to do this during Taxol.  Because of the SWOG study, I got SIX DD of both AC and Taxol....as opposed to 4 which is standard.  So I really got hammered.

    That said, when I started Taxol, I immediately felt better except for the the first week, where I had symptoms of both.  I was really dragging....remember sleeping....but used that time to switch over to my new SONY computer, load all the software, and do the file transfer.  (I took naps during the file transfer as about as exciting as watching grass grow.)  Then I got to learn Office 2007 as I did my next consulting projects!

    I think you will be able to work with DD, with perhaps a few days off.  I also had Neulasta shots as part of the deal, so would feel fine except for Days 3-5.  By Day 6, I was ready for 20 miles of cycling and on Day 7, I was ready for more.  Week 2 was just fine.

    So I would go for the DD and just get things over with.  I found it took about 4 weeks for my body to finish the last Taxol round.

    On Week 4, I started radiation, had my port out, and started Arimidex.  Have to say that I was dragging a bit from the port yanking.  Would schedule this for a Friday if I had a lot going on.

    By Week 7, I had tons of energy and was in mid-rads which I found a non-event until the very end when it did catch up with me.  I think I had about three weeks of dragging.....nothing serious, but wasn't doing anything with a ton of enthusiasm.  I probably made this worse by doing two 45 mile cycling events, one 4 days and the other 12 days after final rad.

    Now that I am 7 weeks out of radiation (and three months PFC), I have tons of energy (though can sleep a lot and know my body is still rebuilding), enough hair to ditch the wigs, and am planning on doing the Seattle-to-Portland Bicycle Classic this weekend with a friend.

    I have done this event the past two years, and know I have it for the 202 miles over 2 days!  I did a 50 mile training ride last Saturday and was none the worse for wear.  The good news is that I have about 20 pounds less of me to drag to Portland.

    I would say that I am something like 95% of where I was last year at this point, and expect to be healing for something like another year or so.  That would be consistent with some sports injuries I have had in the past. 

  • KittyDog
    KittyDog Member Posts: 1,079
    edited July 2010

    Well everybody is saying Taxol was easier on them, I am the one that will tell you no!  Taxol put me in the hospital for four days and my last dose was taken from me.  My Dr. said he could not call it an allergic reaction because I didn't have that type of side effects.  He just felt I was so sick through AC that by the third taxol, My body had just had more than it could handle.  I was left with muscle weakness and a bad case of neuropathy However the most important thing to remember despite all the horrible side effects is that I have my life and the chemo did it's job.

  • JFV
    JFV Member Posts: 795
    edited July 2010

    Thank you so much ladies.  Your info is such a help.  As you well know the unknown is scary.  I will be working in an elementary school with first graders as an aide.  It is not taxing work but I am a little worried about the germs, and of course, no napping during the day.  I think I am allowed some disability to start the year.  We start school Sept 8 and have days off during the month.  So, I think I can take some days off without ruining my rep at work (I hope).,  I really appreciate you laying everything out for me Claire,  KittyDog I am so sorry you had such a bad time!  That must have been awful!  As you say, you have your life.

  • mcsushi
    mcsushi Member Posts: 174
    edited July 2010

    kittydog: just wondering what about taxol put you in the hospital. i went to meet my new pcp today and wound up in the er. they were concerned about a pulmonary embolism. thank god everything is fine. in general, i've found the taxol much more manageable, but after today, i'm a little concerned. i have 11 taxols to go!! also wondering if anyone else had chills from the taxol. i've woken in the middle of the night the past 3 nights freezing. the chills have been so bad i've had to bury myself under layer upon layer of blankets and i still can't shake the chill. all this in the middle of a heat wave!! anyone else have this problem?

    ~colleen 

  • grneyd5600
    grneyd5600 Member Posts: 420
    edited July 2010

    I can't really weigh in on the Taxol because I am not there yet.  But, I can tell you I have two friends who have experienced it so far.  One like Kitty has had a terrible time.  But she also was sick through the AC.  The other friend has done well but elected to go with the 12 week cycle of Taxol.  (Lower dosage over a longer time).  My onc told me that there is evidence that the taxol given that way is more effective.  Of course, that is the way he was proposing for me because I am in a clinical trial that needs to go that so he opinion may have been a bit swayed.  Either way, I am as anxious as you JFV about how I will do.  For now though I am going to celebrate the fact I only have one more AC TX.  As Scarlett O'Hara said..."I will worry about that later".  LOL

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