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  • Tundra
    Tundra Member Posts: 136
    edited December 2010

    Hi Ling,

    It's Tundra from ibcsupport, just figured I'd say hello on here and let you know that I'm following along with your treatment. Sending support.

    x

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Tammy, thank you again for your advice. I'll certainly let my body decide whether I can cope with the rad while working or not. 

    And also thanks Tundra for your message too. 

    I had my CT scan results back yesterday, the brain scan is clear, and the chest, abdomen and pelvis scan is largely clear except that they found a 4mm noncalcified nodule in the lateral left lung base. They don't know what it is yet, but my oncologists left this message to me: The lung nodule is very small, and significance of this is undetermined. Given the lack of any other findings, at this time I believe the nodule to be benign. We can followup with another CT scan in 3 months. I guess I'll go with my onco's story so far, and try to believe the better. 

    Another development was that I had my hair cut short yesterday, and it didn't look bad at all, I am liking my new hair style, not sure how long can I keep it though.  

  • Letlet
    Letlet Member Posts: 1,053
    edited December 2010

    Ling, I was just thinking of you and saw your recent post. I am glad that you are doing okay with chemo. So happy that your scans are clean and that your med onc believes that the nodule is benign. How is your husband dealing with everything? I think it is great that you are thinking of taking pictures. We are our own best advocates and ultimately no one knows our bodies best than us.

    Sending you lots of hugs.

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Hi Letlet

    My husband has been wonderful so far, his employer is quite understanding so he works at home a lot these days. He's also taking over most of the housework and the cooking, which is sometimes tough, especially when I have a really strange appetite these days. It's been a tough ride for both of us but we have decided to treat it with positive attitude, I think he is doing this even better than me, because sometimes I cannot help but feeling down.

    My parents are also coming over to help us for the next few months, they wanted to come as soon as they heard the news, but they need to get their US visa sorted and the earliest appointment they can get is tomorrow. They are hoping they can come even before christmas. And once they are here then they can at least help my husband on most of the housework.  

    I am actually a bit more anxious these days. I keep hoping my breast is going to shrink a lot more, but I think it hasn't changed size in the last few days. Shouldn't the chemo start working straight away? How do I know that the chemo is actually working on the tumor? I know I maybe too eager for that, but just couldn't stop thinking about it.  

  • Letlet
    Letlet Member Posts: 1,053
    edited December 2010

    Hey Ling, I didn't have IBC but I did have 4 rounds of EC (same as AC) then will move on to Taxol. I was told that the chemo worked on the fast acting cells (cancer cells) and hair cells I suppose. So even though I had side effects the days immediately, it was when I lost my hair a couple of days before my second treatment that I thought hmmm, well they're killing those microscopic suckers right now. But that's just me...

  • lorieg
    lorieg Member Posts: 802
    edited December 2010

    Ling,

     I worked through chemo as well.  Side effects are cumulative.  The third A/C hit me the hardest.  After that I knew what to expect so I was mentally prepared and did much better.  The mind and body have an amazing connection!  I didn't have a good response to A/C, Taxol/Herceptin and ended up switching to oral chemo.  I have been on chemo pills for almost a year.  Take pictures for comparison treatemnt to treatment and if you are not getting a response I would ask for some sort of imaging.  I went too long with little response, and I think my chemo should have been changed sooner.  That being said my case is unusual so I am sure you will do well. 

    BTW, my onc said I would start losing hair on day 17, and he was exactly right, to the day!

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Hi Letlet and Lori, thank you both for the advice. I went to see my breast surgeon today and he told me that it will be clearer whether the chemo is working only after 2 or 3 rounds of chemo. So I guess i should be patient, at least the breast is not getting worse. 

    I am one week away from my first chemo now and i felt really quite well, almost like normal today. But I guess it's because that's just my first chemo and I should be mentally prepared for the worst later.  If the day 17 role works on me too, then I am still 10 days away from it, and I'll just try my best to enjoy.

    Hearing from people who managed to work through chemo really makes me feel much stronger.  So thanks again for the encouragement. 

  • lorieg
    lorieg Member Posts: 802
    edited December 2010

    Hi Ling,

     One more thing....losing your hair is not that bad (although your scalp does hurt when it is falling out).  I have two wigs, and I love them both!  Spend some money (my insurane covered) and get a good wig.  I get compliments from strangers on my hair all the time....it happens so often I feel like a fraud since it is not my real hair.  Most of the time I say thank you and try to move on.  I had one woman at the grocery store push me so far on where I got my hair done/I want to see your hair person/etc that I finally had to tell ehr it was a wig!  It also makes getting ready in the morning much faster!  I have had serious thoughts about shaving the very thick mop I have growing on my head and wearing my wigs forever!  I had very nice hair before but my post-chemo hair is curly (my hair prior was very straight) and the texture is odd.  My onc says it will eventually return to normal, but for now I am still enjoying my fake hair!

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Hi Lori,

    Thanks for the advice. For some reason I am not so freaked out about losing my hair yet, I guess the moment hasn't arrived. I am really glad that you are enjoying your wig, after all, it's our opportunity to try something new, isn't it?  I tried to follow you advice and look for a good wig today, so I called my insurance company, they told me that it is covered if it's in network, but they just couldn't tell me which shop would be in-network for them.  I guess I'll have to make more phone calls to figure it out.

    My bone scan's result also came back today, and it was clean, so I am quite happy about it. Also I almost felt like normal since yesterday, and I think my body is recovering from my first chemo. It's amazing how your body affect your mind, at the moment, I am quite happy and am enjoying my moment of being normal again. Also, my breast is shrinking again. YEAH!

    I have one question that I wanted to ask my fellow IBCers here, how do you know that you are having IBC?  I am a bit confused about this right now.  I am convinced that I have IBC, because of the way they treat me and because of my symptoms, but now when I look back, I think neither my oncologist nor my breast surgeon has confirmed that to me. My first pathology report suspected me of having IBC, but I just read my last pathology report, the final diagnosis is invasive poorly differentiated (grade 3) ductal carcinoma. And IBC does not appear in the report at all. Is IBC something that can be confirmed from pathology report?

      

  • lorieg
    lorieg Member Posts: 802
    edited December 2010

    Glad you are not freaked out by the hair loss thing.  It was and has always been the least of my worries.  I am jealous of people who actually get to worry about their hair because their diagnosis is not so flippin scary that they can really worry about their hair....if you know what I mean!  Hair Shmair!  Ha!

     In answer to your question IBC is a clinical diagnosis....the appearance of the breast, physical exam, etc.  Some people do get a punch biopsy of the skin which is where you would see IBC in a path report, but the core biopsy will generally say Invasive ductal or invasive lobular, not inflammatory.  The appearance of  the breast on exam and MRI and the involvement of the skin are diagnostic features. None of my path reports have ever said the word "inflammatory" but clearly that was my diagnosis.

     Hope that helps!

  • lorieg
    lorieg Member Posts: 802
    edited December 2010

    oh and congrats on the shrinking breast.  That is great news!

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Hi Lori,

     I know exactly what you mean about the hair loss, as I am on the same boat. They are so many other things that I can also worry about at the moment, for example, the possible drop of my my fertility because of the chemo, and I don't have any children yet, my future job. The list is endless, and I guess any single item in the list can freak me out before my diagnosis, but facing the much bigger picture now, these are really the things that are less important to me, so I just kicked them out from my worrying mechanism for the moment. I am actually quite surprised on how well I managed to cope with it.

    Also thanks for your info on the IBC, it confirms my impression on the whole thing.  I am just quite surprised with the realisation that my onco has never formally confirmed my IBC diagnose to me.  Maybe she thinks spelling it out to me will discourage me?  I'll certainly ask her the question next time I see her.

       

  • lindaa
    lindaa Member Posts: 119
    edited December 2010

    I do wonder about the shrinking breast.  Mine is not shrinking.  I am on DD A/C, I just had my 2nd dose on Tuesday, but my breast is till very big.  The color is not too good either.  Oh well.  Not exactly a happy christmas post.  I just got home last night from hosp after having infected port removed and wanted to check boards.   I'm doing well.  I have a picc line now and on antibiotics. Having family over for Christmas Eve.  I am resting and everyone else is running around putting food out.  Just wanted to wish you all a very Merry, Happy and of course HEALTHY Christmas to all.

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Hi Linda, I am sorry to hear that yours is not shrinking, but don't worry about it too much. My doctor actually didn't expect it to shrink that fast, he said normally the effect will only be obvious after 2 or 3 rounds of chemo, so I am sure yours will start to shrink quite soon. My breast probably responded faster because it was HUGE, and it grow SO QUICKLY, my doctor said he has never seem anything grow that quick in his entire career, I guess it also means mine will be fast in responding to the chemo too.  My doctor also said the reddish color is a normal response to the chemo, my whole breast is still super red at the moment, but the doctor said it is normal, and it will actually get a bit worse when I start my next round of chemo. So hang in there!  And enjoy your christmas! 

  • lorieg
    lorieg Member Posts: 802
    edited December 2010

    Although I did not get a good response to A/C, Taxol and Herceptin I did get a good response to Xeloda and Tykerb.  My PET scan pre-surgery showed no uptake and my breast was still red.  Although I still had cancer in the breast at surgery my skin was all clear (despite it's appearance).  Anyway, my point is that I agree with Ling....don't get too worried about the color but DO take pictures to monitor for a clinica response. 

    Ok, enough stalling from my Santa duties.  Off to assemble a huge doll house and pu a bunch of other toys together.  Merry Christmas, ladies!!

    Lori

  • mrsnjband
    mrsnjband Member Posts: 1,409
    edited December 2010

    Hi EB Ann,

    Sorry to hear about your IBC reoccurance.in your bones. I agree that the treatment is tough. I don't know how I manage to work the whole time.  I'm a music teacher.  It took about a year to begin to feel better but I still tire easily.

    IBC Friends. Hope you all have a blessed Christmas! NJ

  • julie75
    julie75 Member Posts: 635
    edited December 2010

    Hi, Ling:  Just checking on you - I'm back from vacation.  Glad to see your bone scan came back clean and that you are tolerating chemo okay. 

    Everyone:  Happy Holidays to you as well. 

    Julie

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Hi Julie, happy holiday to you and every body on board too. 

    I am doing all right these days. Just started my second round of chemo yesterday, the nausea was much worse than the first round, so I couldn't eat anything at all for my dinner. But the nausea is getting better today, just fatigue in general. On the bright side, I am half way through my AC chemo. YEAH!

    One thing that I have developed in the last few days was some mild pain deep in my throat, or at the beginning of my chest wall. I don't feel it normally unless I try to breath really hard, or swallow really hard, also when I burp, I can also feel that pain too. My nurse thinks it maybe some kind of indegstion, but I never have this before. Does anyone think it worth concerning?  Thanks! 

  • weesa
    weesa Member Posts: 707
    edited December 2010

    Ling, when I did dose dense A/C a while back I got a monster case of heartburn and your description reminds me exactly of what it felt like. My onc gave me Prilosec and it vanquished it. After chemo was done it never returned.

  • Tundra
    Tundra Member Posts: 136
    edited December 2010

    Hi Ling,

    Just checking in with you. 

    Wow. It's pretty incredible how similar our situations are. I had pretty much the exact same test results as you: clear on the bone scan, clear on the pelvis CTs, but a 4mm "something" found in my lung... that they said sometimes shows up and is nothing... but they will check it in 3 months.

    I started chemo this week. 12 weeks of Taxol.

    And yes... I have the same questions about my IBC diagnosis as well. From what I gather I am IBC until proven otherwise, in that I have presented clinical (e.g. visual) signs of IBC, so they need to treat it as such to be safe. But for example, my medical oncologist said he's not convinced it's necessarily IBC -- e.g. the redness and swelling might have just been a reaction to the underlying 1cm lesion they found which was IDC.

    I guess they need to always play it safe.

    Best of luck with everything!

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Thanks Weesa, your information is such a relief to me. My main worry was the the 4mm lung nodule from my previous CT scan, even though my onco thought it is benign, I was worried that's what is causing me the pain.  Having heard that similar things happened to you in the past certainly helps me a lot. 

     Last thing I want to declare is I am starting to lose my hair after 15 days of my first chemo, I supposed it's normal, but I felt too weak to go out and shop for my wig right now, so I'll probably wait for another 2 days. So far the second AC seems to be a bit tougher than my first.  

  • mrsnjband
    mrsnjband Member Posts: 1,409
    edited December 2010

    Hi Ling,

    I'm sorry you are at the point of losing your hair, it is pretty tramadic.  I hope you get to feeling better so that you can find a wig.  You can call the American Cancer Association, you can get a gentley used wig if you can't afford one.  I liked my wig but if I was to do it again I'd wear more hats & scafs.  NJ

  • txred9876
    txred9876 Member Posts: 392
    edited December 2010

    Ling,

     I have not been on the boards much these days but found your initial posting and read through them....

    I want you to know I had IBC 5.5 years ago and at this point I am still cancer free. All the doctors did not give me much hope and actually said I had a 20% chance of actually still being alive in a year (and that did not mean cancer free). 

    Medicine is not an exact science and there is always hope. I had 6 rounds of Dose Dense AC (instead of 4) and by the time the 6th one ended all the redness had gone and my breast actually looked normal, but it really took until round 4 for any significant change to take place.

    I had weekly Taxol because it is supposed to be easier on you while doing the same effect on the cancer. I had it for 12 weeks. I also did Herceptin every 3 weeks for a year. I just finished 4 years of tamoxifen.

     All the ladies have given some great advise....if you have any specific questions please let me know.... I will be checking in more often to see how your progress is going.

    Tina

  • Ling29
    Ling29 Member Posts: 56
    edited December 2010

    Hi Tundra, yes, we are in very similar boat right now isn't it? I am amazed that even our bone and CT scan are really similar.  I wish you the best luck with your chemo, I am already on my second round of dense AC and I think I am responding quite well. The breast has really become much much smaller and even the redness is getting much better.  I haven't received conclusive IBC diagnose either but they are certainly treating me like one. 

     Norma, thank you for your advice for the wig. I didn't have too much strength today for the shopping but I am feeling much better now, so I think I will be able to check up with the wig tomorrow. My insurance said they can cover the wig if it's in network, but only 70% if it's out of network, but the only in network wig shop is closed until Jan, so I will have a look at the out of network shop tomorrow. 

     Lastly Tina, thank you so much for your message, it is such a bless to hear from you. I am also on Dose Dense of AC and I am actually responding well since round 1, you are certainly lifting  my spirit up, I wish you a very happy new year and certainly all the best luck!    

  • julie75
    julie75 Member Posts: 635
    edited December 2010

    Ling:  Just checking on you and am glad to see your breast is shrinking so much!  I hope your insurance completely covers your wig and that you continue to tolerate your chemo well.

    Happy New Year to you and everyone else!

    Julie

  • txred9876
    txred9876 Member Posts: 392
    edited January 2011

    Tundra,

    I never had a conclusive diagnosis of IBC until my mastectomy (after 6 dd doses of AC). The doctor said they could keep taking samples or just treat me as though I had IBc (with a clinical rather then pathological diagnosis). Once the simptoms started and the redness/swelling started going away they knew I had IBC.

    I was told IBC had an 80% chance ofbeing diagnosed clinically rather then pathologically.(not sure where the statistics came from.)

     Just the fact your doctors are not ruling out IBC and discounting it, you are way ahead of the game!

  • Ling29
    Ling29 Member Posts: 56
    edited January 2011

    Hi Tina,

     Thanks for your information. When you say once the redness/swelling started going away they knew you had IBC, did you mean the redness/swelling going away after the chemo?  Should IBC respond well after chemo? In that case, I probably have IBC because my redness and swelling became much better after my chemo too. I know it's a good thing that I am responding to the chemo, but I guess secretly I always have this faint hope that I don't really have IBC, it is silly I know and I should probably give that thought up.   

    Otherwise I am doing all right these days. It's day 8 after my second chemo and I am feeling quite good today, the second round was a bit tougher than the first, but I know what to expect now. I've also shaved my head and have ordered a nice wig.  I am going to see my onco this Thursday so hopefully get some more information from her. And I will also start my third round of AC next Monday, and my second opinion in UCSF next Tuesday.  

    Ling 

  • julie75
    julie75 Member Posts: 635
    edited January 2011

    Ling:  Glad to hear you're feeling quite well today.  Good luck with the wig, your oncologist appt., third round of AC and your second opinion from UCSF.

    Julie

  • Ling29
    Ling29 Member Posts: 56
    edited January 2011

    Julie: Thanks again for your message, the further I am away from the chemo the better I feel, so I am feeling even better today. Laughing  It's a shame that my third round of chemo will start soon. 

     And to everybody, after gathering information from you all for so long I think I should have something to offer myself.

    I have been avoiding to read too much information about IBC so that my mind wouldn't be affected. As a result, I haven't read too much about IBC except from this forum and the ibcsupport webpage. But I have finally gathered enough courage to start my own research on it. In real life I am a research freak myself so it is quite surprising I have just started.  Anyway, I looked for academic journals mostly because I think they contain the most up-to-date information. In the end, i found an excellent article online. It is called: Inflammatory Breast Cancer The Disease, the Biology, the Treatment,  just published 2 months ago from people mostly worked in the M.D. Anderson center (I think they are the best for IBC research really?) 

     Personally I found the Biology part a little difficult to follow, but the Disease and the Treatment part are really thorough and easy to understand. I hope some of you may find this article useful, it is free online and you can download it from http://onlinelibrary.wiley.com/doi/10.3322/caac.20082/pdf.

     Good luck to you all!

     Ling 

  • ibcmets
    ibcmets Member Posts: 4,286
    edited January 2011

    Ling,

    Thank you for the article.  I remember when you first came on the board and was diagnosed.  I've read your posts and think you've been very supportive of others with the same diagnosis.  IBC is still not very common and it's nice to have people reach out and support another.

    Terri

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