courage to say no to chemo

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I have not been able to go all natural after a initial DCIS diagnosis last summer.  Trying to decide which "diet" to follow was exhausting, although I bought a juicer and do carrot's and apples mostly.  NOT enough to beat cancer!

I just had BMX Aug. 10, and told everyone at the hospital the ultimate goal was to never have chemo.  I'm scheduled to have a port on Tuesday - but I'd love to say no and KNOW what I'm doing!  The diagnosis in  my signature is the result of the path report after BMX.  Had calcifications in mammogram in June 2010, right breast MRI had 3 cm mass of confusion, and 2 indendent tumors both ER/PR/HER+.

Where do I start?  How do I get my DH to support me in it?  Do I do the chemo and then go Budwig or the alkaline diets after?  Ugh.  Any thoughts, success stories really needed.

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Comments

  • ruthbru
    ruthbru Member Posts: 57,235
    edited August 2010

    HER2 is highly, highly aggressive. I don't know how you can get around it without truly risking your life.

  • Member_of_the_Club
    Member_of_the_Club Member Posts: 3,646
    edited August 2010

    Yeah.  If it was just a stage I cancer I would suggest doing the oncotype test to see if you really need chemo, but with the Her2neu you would be taking way too much of a risk.  When i was first diagnosed, herceptin had not been approved for early stage bc and the finding of her2neu positive was a really scary prospect.  Fortunately, that has changed with herceptin, a true wonder drug.  You are fortunate that it is available now.  Most of us did just fine during chemo, and found it wasn't as bad as we anticipated.

  • taranebraska
    taranebraska Member Posts: 129
    edited August 2010

    Thank you all for your feedback. It twas a bad day I heard the words HER2+++ as I knew exactly what that meant going in, but didn't research it very much until I needed to. 

    ivorymom, I needed the simple clarity of your statement, "Start with your oncologist and ask him/her to explain the risk of distant & local recurrence of BC, with and without chemo."  My ONC has been recommended by many people so I also need to just trust.  It's here where I can cut through all the overwhelming confusing research and find out where to go.

    thank you

  • ruthbru
    ruthbru Member Posts: 57,235
    edited August 2010

    And while chemo is not fun; it is really doable. Instead of thinking of chemo as something awful in itself, I tried to think of it as special forces (who are basically assassins) working FOR me to hunt out and wipe out the terrorist cells (literally), who would certainly kill me if left unchecked. Best of luck, you CAN win this one! Ruth

  • Anonymous
    Anonymous Member Posts: 1,376
    edited August 2010

    Tara - you have received wonderful advice.  I just wanted to add that that having chemo does not mean that you can't try alternative approaches afterwards - and some of them during chemo.  They are not mutually exclusive.  Dietary changes, going organic, supplementing, alkaline diet etc.

    I agree that the oncotype would be helpful, although with her2+ it is most likely going to come back high.  Her2+ is agressive - don't discount that.  Each of us is so individual - not only in personality!  You can not compare someone with grade 1 dcis chosing to go alternative  to your situation- very different cancer than her2+ (that is just an example, I am not singling out anyone in particular).

    I also wanted to add that many women, including me did not have any side effects with chemo - I was more aftraid of it than necessary. Perhaps that is because I was already eating organic, active and very healthy - like most of them women I know with bc!

    Peace!

  • dlb823
    dlb823 Member Posts: 9,430
    edited August 2010

    Tara ~ There are many of us in the Alternatives section of BCO who felt much like you do when first dx'd.  I'd never used RX'd drugs, and couldn't imagine putting chemo in my body.  But the fact that I had always followed a pretty holistic lifestyle and STILL developed bc made me think that perhaps my body needed shaking up -- something very different than the natural path I'd always followed.  So, after much soul-searching and opinions from 3 oncologists, I finally agreed to doing chemo.  And I'm so glad I did.  It wasn't a picnic, but it wasn't as bad as I'd imagined it would be.  And now it (and hopefully bc) are behind me forever. And if you're interested, there are some integrative things you can do to ease the SEs. 

    The only other thing I can add is, be sure you understand what a recurrence means, especially if it's no longer in your breast.  Rather than a few weeks or months of chemo, it often means you will be on chemo for the rest of your life.

    Have you noticed that there are chemo groups here on BCO starting each month?  The information exchange and support in those groups is wonderful!   Going through it with others, just like talking about a treatment decision, really helps!    Deanna

  • mollyann
    mollyann Member Posts: 472
    edited August 2010

    Tara,

    The same well-meaning chemo enthusiasts always swoop in when anybody new comes to this forum asking for support in their decision-making. That's why Vivre started her own website/forum.

    If you feel overwhelmed, remember you don't have to learn everything at once. Take one step at a time. The old timers will tell you they regret not doing enough research before rushing into treatment.

    Good luck to you.

  • Member_of_the_Club
    Member_of_the_Club Member Posts: 3,646
    edited August 2010

    Just because a lot of people recommended your onc doesn't mean he is the right one for you.  If you are at all uncomfortable with his recommendations, get a second opinion.  A bazillion people recommended my onc and I did not a get a good feeling from him when i met him.  I wish I had trusted my gut because he really wasn't the right fit for me and I switched oncs after I finished active treatment.

    I've never really thought of myself as a "chemo enthusiast."  I prefer "chemo appreciator."  I am coming up on my 6th cancerversary and am healthy and strong, so I appreciate it all. 

  • calamtykel
    calamtykel Member Posts: 1,187
    edited August 2010

    Tara - it is each individual's decision.  I for one, never saw any doctors and relied on only my naturopath to help us heal from everything from Lyme disease (successfully) to common colds, to a terrible kidney infection that my daughter had that he fixed.  I have in the past refused conventional treatment for various things in favor of his methods.  I do not like, nor trust doctors.   So i TOTALLY understand where you are coming from.

    However, when I was diagnosed with cancer, I had two past experiences.  One was a young 30 year old cousin of mine who opted for surgery - her doctors strongly urged her to go ahead with the chemo.  She refused, went natural and died of liver mets three years later.  Another cousin was diagnosed 21 years ago - she went ahead with the chemo and she is fine now; no after effects and she's gone on to live a long and healthy life still.

    I would say unless you have a REALLY good plan in place with a naturopath who has a TRACK RECORD of curing cancer, then you're taking a pretty big risk.  It's just my opinion.  I'm well aware of the poison of chemo, I hate it -  but I'm also well aware that my naturopath had the honesty to say to me "I can't fix this".  But he CAN support my body in it and I'm on a variety of supplements to help protect my body through it. 

    I would suggest looking into Reiki, nutritional response testing, even practitioners who use Rife therapy (which did cure our lyme!)  and seeing where it takes you.  

    I highly doubt  that there are  "chemo lovers" or "chemo advocates" on these boards.  This is NOT a fun drug.  And everyone's situation is different.  Many times those in the media or such who propose going "only" natural are those who have had stage 0 or no nodal involvement.  Each case is individual - every BC is NOT the same.  You must look at what yours is and the statistics.

    I was given the statistics that most likely 50% chance that mine was gone with only surgery.  These statistics are based on surgeries years ago before chemo and the survival of women with node involvement.  To me, that just wasn't good enough to take a  shot at.  Yeah, maybe I'd be a lucky one, but with four children, I'm throwing everything I have at this.  And I'm going to beat it.  And I went for my first chemo Monday and have exercised every day since.  :0)  

    Have you looked into finding an integrative oncologist?  One who combines traditional and natural methods?  I have heard they do exist and maybe that would be a good starting point.  

  • friscosmom
    friscosmom Member Posts: 146
    edited August 2010

    I think that saying YES to chemo takes a lot of courage. It would have been so easy for me to not do chemo but I'm glad I did and it wasn't that bad. I don't know a lot about HER+ but it would seem there is a good reason your doc is recommending chemo.

     Best to you what-ever you decide and I love your profile pic! :)

  • dlb823
    dlb823 Member Posts: 9,430
    edited August 2010

    Following up on an excellent suggestion above:  http://www.integrativeonc.org/

    One renown integrative oncologist, who may be within driving distance for you, is Keith Block:  http://www.blockmd.com/

  • Adey
    Adey Member Posts: 3,610
    edited August 2010

    calamtykel-

    OMG.  Thank you for that post.

  • calamtykel
    calamtykel Member Posts: 1,187
    edited August 2010

    glad it was helpful Adey.  I hope I didn't sound too passive. though.   This isn't a disease to be messed around with - it IS life or death - it is NOT a "wait and see" disease.  It's very frightening.  So is chemo.  I agree with the above poster - saying yes to chemo isn't not being courageous.  Anyone who can lose their hair, willingly submit to an assault on their body and deal with the side effects is nothing less than very brave IMO. 

    By the way, I do have a friend whose girlfriend is going with the Gershon therapy for cancer instead of chemo.  She has been extremely ill from it and is not tolerating it well at all.  Because it has caused her body to reject anything foreign, her wounds from surgery are not healing and it's been months.  I just caution anyone who thinks that these other therapies might be gentle, they too can be rather harsh and may not even work. 

    I like the links on integrative oncology!  I wish I'd found those when I was looking for an oncologist.  I think that's going to be the future of cancer care, right there; supporting the entire body and the WHOLE person, not just eradicating the disease. 

  • judy88
    judy88 Member Posts: 5
    edited August 2010

    I agree-Calamtykel's post was excellent! Lots of sound advice. I would add that having a TEAM approach might be helpful...use a naturopath, chiropractor, massage therapist, etc along with the oncologist and make sure YOU are the team captain. This way, you know that everyone on the team is doing everything in their area of expertise to help you. You get the best of both worlds!

  • LtotheK
    LtotheK Member Posts: 2,095
    edited August 2010

    I think the simple truth is, we tend to defend our choices.  I recoil from the term "enthusiast" in regard to chemo, but I do think the "other" all holistic camp get just as dug in with their ideologies.

    There are some facts available, and that is, breast cancer still has tons of research and information on both sides. L-glutamine helps fight cancer, in other studies, it encourages tumor growth.  Anti-oxidants, yes, no.

    I have an incredible naturopath I'm working with,and I know she is as subject to varied information on what she offers me as my oncologist.

    I don't think the truth is clear, I fall right in the middle.  Due to my age, I chose to go with chemo, and that was after three opinions, one of whom told me that my case, thanks to the straddle of the Tailor-X trial, wouldn't be clear for a while.

    Chemo is no fun, I wouldn't lie.  I have a few bad days, then I'm mostly back to normal.  My aunt called me a few weeks ago to report on her incredible friend who went all-holistic, and her BC is back after a few years.  Call it a justification, but it made me feel confident in my choice.  At least for a while.

    We are all victims to endless studies and unclear information until there is better advocacy,and one day, a cure.

  • soulswithin
    soulswithin Member Posts: 154
    edited September 2010

    Hi Tara, I can totally relate to your anxiety of both solutions, natural or chemo. I felt the same way you did, and because at first I was a candidate for no chemo I was thrilled. Although the femara still scares me as much as the Chemo.

    I recently got my Oncotype test back which bumped me up to high risk of recurrence, [after 6 months of being told I had the slow growing type so not to worry.]. My oncologist said I really needed to consider chemo, and there is significat risk reduction if I do, with 3 months chemo. I panicked, no chemo for me? After 3 [2 margin] surgeries, now chemo? There must be a better way! I planned natural treatments.

     But after many nights of reading, and seeing what people go through when or if the cancer returns metastcising in the whole body, and looking at all my risk factors, and age 62, I decided to give chemo a try. Scares the hell out of me, but I have gone over to the other side of natualpathy [especially after reading that one of the chemos that will be used on me is made of pine tree bark, I realized I better go with my oncologists chemo plan. I start Sept. 9th, 4 infusions total, over 3 months. I hate it! But at least if the Femara impairs my health later, I will be able to forgo that treatment, and I plan on supplimenting myself with natural sources to counter the chemo. Which is what the Cancer Centers of America do, they integrate naturalpathy along with standard chemo. Which makes sense to me.

    My DIL is a naturalpath and wasn't happy with my choices of chemo, but I saked her how would she feel if I took her recommendation of no chemo and next year it came back full blown? She agreed that I am making the right choices for me.

    I wish you the best. Keep in touch if you want to, if you decide on the chemo, and remember if you need another two weeks, it probably wouldnt hurt to delay it until you are ready. I wanted to get it out of the way by christmas. I still have doubts about my choices for now, especially about recovery. I got a call from a gal who just finished chemo and she said she did well and it wasnt as bad as she expected. All I am interested in is body recovery. So I will work hard on that from the natural side, with preventative measures suring, also. Take care.

  • kira1234
    kira1234 Member Posts: 3,091
    edited September 2010

    Linda,

    I think you and I are in simlar situations. I also thought no chemo till the oncotype test came back. I'm 57 and the chance of it going to some other place in my body scares me as well. I know I will be tired at least and maybe more, but its only for 3 months, not forever. I start tomorrow morning at 8:30. I am also scared of how I am going to feel. What are you planning to do on the natural side?

    Karen

  • soulswithin
    soulswithin Member Posts: 154
    edited September 2010

    Hi Karen, Good luck to you. The whole thing is so overwhelming, most the time I am in disbelief! The test was a real kick in the butt to not distract myself away from what is needed.

    You are right 3 months will be long, but not forever. That long term Femara scares me just as much. I've planned to study what causes the side effects of chemo, and do alot of reading about countering those with suppliments. I havn't had much time for that recently but have succeeded in the past when I had CFS and FMS years ago. I took notes writing down everything that replenished the immunse system, and aided in stopping bad symptoms, gained energy, got most of my life back. Did meditation, got stress out of my life, etc. I fully believe that stress contributes to our cancer, including the adrenal production, which is what we need to cut down. When I get into the groove of all this I will post my theories which may or may not agree with others. No cures or professional advice here, but I believe in helping the body any way you can, including addressing all causes, not just using food and suppliments. I'm sort of a moderate, but believe we need to go further than just food. We have to face how the body reacts to stress, recognize it and shut it down. Many people thrive on their stress, which when younger is fabulous, but it wears you down and taxes the body, the organs, etc. causes alot of dysfunctions.

     Thats all I can think of right now, it's late. I wish you the best, Karen, and everyone else too.

  • kittycat
    kittycat Member Posts: 2,144
    edited September 2010

    Her2 is aggressive.  I heard this from an onco at Sloan Kettering and one of my friends is HER2+.  She did 6 rounds of chemo and then is currently doing Herceptin for a year.  Her hair is already growing back and she is feeling okay (now doing radiation).

    I had DCIS last year and had a bmx.  My cancer came back in 8 months.  I'm triple negative, which is really aggressive (and BRCA1+).  So, I'm having chemo, radiation and ovaries removed & full hysterctomy.  I just took it one day at a time.  I did 4 dose dense AC and doing 12 weekly Taxol treatments.  There are some days I just slept or hung out on the couch.  I never got sick, but felt nauseaus at times.  They give you anti-nausea drugs.  If you do chemo - take them!!!

    Good luck!!! 

  • kira1234
    kira1234 Member Posts: 3,091
    edited September 2010

    Linda, I so agree with you about how harmfull stress is. The last few years have been very stressfull for me. I really believe I set myself up for this invation of my body by not listening to the worning signs. I would love to share some thoughts on how we can relieve the stress as well as eating and exercising daily. Today was a prime example of me trying to do to muc. I was told I had to close up my 2nd grade class, and repare to teach Kindergarten next week. So Wednesday I moved and set up 2 rooms, chemo yesterday, and today when I woke up i found my insision leaking fluid. I soaked 3 pads, 2 bras, and my pants before is slowed down. Now tell me, do you think maybe i tried to do to much. I'm 7 weeks out of surgery, and 4 weeks out of radiation. What a fool I am.

    Karen

  • mollynminnie
    mollynminnie Member Posts: 86
    edited September 2010

     mollyann wrote:

    The same well-meaning chemo enthusiasts always swoop in when anybody new comes to this forum asking for support in their decision-making. That's why Vivre started her own website/forum.

    If you feel overwhelmed, remember you don't have to learn everything at once. Take one step at a time. The old timers will tell you they regret not doing enough research before rushing into treatment.

    I doubt they regret that they are around to earn the name "old-timer"-  at least they are still here!!  What if they had refused treatment and then it returned?   

    Molly

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2010

    I'm one who did lots of research.  I'm still here, and I didn't do chemo. 

    Too many people who did chemo in that time-frame are now dealing with all kinds of long term disabilities, and many have had recurrences.  Some are no longer with us, and not because they've moved on with their lives. 

    Chemo is not a guarantee.  We already know for sure that it doesn't cure breast cancer, if it did, it would cure women who are stage IV.  Do you have some new research information that says otherwise?

    You ask "What if they had refused treatment and then it returned?" 

    I ask what if they did chemo and it returned anyway?  I personally would find that far more devastating.

  • worldwatcher
    worldwatcher Member Posts: 205
    edited September 2010

    You ask "What if they had refused treatment and then it returned?" 

     What are the mortality/recurrence actual statistics for every case of breast cancer that was treated with chemo and/or surgery and rads...and what are the actual statistics for every case of breast cancer that was treated with surgery/radiation...and what are the actual statistics for every case of breast cancer that was treated solely with surgery over the past five years?

    What is the quality of life for every case of breast cancer that was treated with surgery/radiation vs treated with surgery/radiation/chemo barring recurrence or death, at the end of three years?

    What are the death from chemo effects risks for women over 65 vs the same for women under 65? And why won't oncologists provide stand-alone Herceptin for HER2+ women so that the SEs from chemo can be avoided?

    Questions I haven't been able to find answers for.

  • mathteacher
    mathteacher Member Posts: 243
    edited September 2010

    Worldwatcher,

    My friend did not do chemo but got Herceptin as a standalone from Dana Farber Cancer Center in Boston for years. I think she had to make a fuss but she was adamant. If she didn't do Herceptin alone she would have done nothing they recommended.

    I think the only reason some oncs are nervous about Herceptin as a standalone is that it hasn't been studied that way. So they have to stray from the herd to use it as a standalone.

  • Joytotheworld
    Joytotheworld Member Posts: 42
    edited September 2010

    The decision on what treatment plan to follow and whether or not to do chemo is a very individual one.  I believe that every woman, after doing lots of research and asking lots of questions, has to choose the path that she truly feels is right for her.  When I made my decision to say no to chemo, I also made sure that I was comfortable in my heart of hearts with whatever the future might bring.  I promised myself that I would never second-guess myself and that I would have no regrets no matter what. 

    As to the issue of whether or not it takes courage to say no to chemo, it takes courage to face this cancer beast, no matter which route you choose.  That being said, I do think that it takes a lot of courage, resolve and self-confidence to say no to chemo.  Speaking from firsthand experience, there is a tremendous amount of pressure brought to bear by the oncologists and other physicians in an attempt to make people like myself change their minds and do what we're told by the medical establishment. 

    Mollyann, you mentioned that Vivre had set up a website and forum.  Could you please provide me with a link so that I can visit it. 

  • AmyIsStrong
    AmyIsStrong Member Posts: 1,755
    edited September 2010

    I guess I would say that whether it takes courage or not is dependent on WHY you are saying 'no' to chemo. If it is because you are too scared, then that is not courage - it is fear. if it is because you don't believe how serious this is and how high the stakes are, then it is not courage, it is denial.

    If on the other hand, you are truly convinced that an alternative path will provide you with better results, then that is another thing, and possibly is courage. I know it would take courage to stand up to the medical community - where chemo/herceptin is the default for dx like yours (and mine). They will not take kindly to it, but yes, ultimately it is your life and your decision.

    NOBODY was more terrified of chemo than I was.  But I have to say that it was doable and I saw an integrative physician in conjunction with my onc (my onc didn't like it - now THAT took courage, Lol). We built a natural regimen to strengthen me through chemo and rads and I did very well - worked and exercised throughout.  I did the year of Herceptin (finished in April) and am damn glad it exists for me to be able to have it.  I considered a clinical trial (which didn't turn out to be right for me) and during my interview with the trial onc, she mentioned that herceptin is so radically lowering recurrance rates among Her2+ women, that they are having trouble finding enough of them to do stage IV trials. Do you realize how INCREDIBLE that is? This drug is, as she put it, 'a home run' and is dramatically changing the outcomes for thousands of Her2+ women. It would be a VERY STRONG STATEMENT to walk away from this drug. I hope you thoroughly research and know what you are doing if you do so.

    I am done treatment now and back at the gym, working out REALLY HARD, doing all types of lifestyle changes to make my body as inhospitable to tumor growth as possible. There is LOTS of room in your life for alternative meds/supplements/choices. Just be sure you will be around to do them. Well, nobody is SURE with cancer- but take your best shot.

    I will gladly answer any questions about going through chemo with a healthy lifestyle approach. Feel free to PM me. Also, the book Anti-Cancer, a new way of life - by Dr. David Serban-Schriber is very helpful and highly recommended. He has LOTS of alternative stuff you can do. But he also did chemo when he had brain cancer.

    Please think this through carefully and search your heart. Also talk to your family - they have a big stake in this as well.

    Wishing you peace in your decision

    Amy

  • worldwatcher
    worldwatcher Member Posts: 205
    edited September 2010

     Amy

    If your reply was to me, I have made my decision based upon my age and my physical condition, not out of fear or denial.

    I am seeking a way to possibly do Herceptin, but am a long way from Boston.

    My quality of life is more important than the possible extension of life....a few months tacked on at the end when I may be wishing for it to be over with is not desirable.  I watched my father spend his last year frantically trying everything and suffering immeasurably in the process to no avail.

    I have had surgery and radiation and a clean PET scan.  The rest is in God's hands.

    I am at peace with my decision.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2010

    that herceptin is so radically lowering recurrance rates among Her2+ women, that they are having trouble finding enough of them to do stage IV trials. Do you realize how INCREDIBLE that is?

    I find it downright unbelievable.

    More likely, since they give the herceptin to every Her2+ woman they can possibly convince to do chemo, none of them qualify for the stage IV trials when they have a recurrence since the herceptin is already considered to have failed them. 

    To believe the statement, you would also have to believe that there are no Her2+ women being diagnosed at stage IV.  It is a lovely thought, but it just doesn't ring true.

  • LtotheK
    LtotheK Member Posts: 2,095
    edited September 2010

    I appreciate all positions here, especially the questioners.  I think there are a million great reasons to question chemo, it's garbage and a lousy "cure".  But to suggest that long-term SEs outweigh the possibility of HER2+ recurrence is dangerous.  I also think it's a loaded statement, but in these cases, and in node-positive cases, chemo is saving lives. The all-naturopathic camp is good at bashing allopathic, and not so good at pointing to studies and statistics providing real alternatives.

    One of the main reasons I didn't go all holistic (assuming radiation as a necessary evil) is that I remain unconvinced there is a holistic tool studied as well as chemo that works to kill cancer cells. I'm not talking maintenance, I'm talking killing the beast.  In grade 3, HER+, triple neg, and node+ cases, no one could convince me that chemo is invariably a bad choice. Chemo may not cure cancer, but I'm equally having a hard time believing that if every gal eligible walked away from it their mortality rates would be in line with those that chose to do it.  You'd have to believe the statistics and online calculators are just a conspiracy of the pharma industry.

    I also think it's dangerous to suggest that chemo is a short walk to a destroyed quality of life.  It may not surely guarantee success, but statistically, the possibility it offers outweighs the negative long-term effects.  In stage 2, for instance, it's not about a few months tacked on.  It's about large percentages of people being offered a decade or more.

    Perhaps the conversation really needs to go more statistical.  NOT that that is without question, but it's the best we've got for now.

    Worldwatcher brings up great questions--some of them I think can be answered by lifemath.net.

    I'd also add, if people have other info I'm missing on holistic, great!  I want to learn more, and I desperately want to get away from the allopathic choices.  Like nasty Tamox.

  • Joytotheworld
    Joytotheworld Member Posts: 42
    edited September 2010

    Amy, I think for you to assume that any of us who have said no to chemo has done so out of fear or denial is a very rash and judgmental statement.  As I already stated in my earlier post, I believe that the path one decides to take on this breast cancer journey is a highly individual one and there is no one right way for everyone.  All we can do is make our own personal choices based on research and then hopefully not sit in judgment over those who make decisions that clash with our own.  

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