Taxotere is a nightmare

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  • Linda-n3
    Linda-n3 Member Posts: 2,439
    edited March 2011

    Hi ladies! Sorry to hear about the hospital trip survivorwoman - I know that I told my doc there was no way I would be admitted for ANY reason when I started this path (my very stubborn nature rearing its ugly head) - of course she just reassured me not to worry, she would take care of me.  Luckily, so far, I have not had any severe problems requiring admission.  Glad you are doing better!

    I did see my MO yesterday, have had lots of problems with fingers, nails, teeth... but she made sure I don't have any infection under the nails and reassured me all is going well.  Am FINALLY getting off some of the meds that have been making me so fuzzy-thinking.  Also, today is a better day again, but I do seem to have this up-and-down thing going with continued fatigue and emotions.  Made much worse when I started tamoxifen, so I had to discontinue for a bit, and we will discuss at my next appointment in 3 weeks.  BTW, she also said 4 TC is as good as 6 in the trials and cause less toxicity, and my PET scan is clear, so I am very optimistic that the chemo (as bad as it was and as much as it keeps on giving for now) was effective! 

    Started physical therapy to begin building up muscle mass.  I lost over 15% of my body weight, had hard time eating with decreased appetite, feeling like crap, not able to cook, and I just happen to like my own cooking, so am really working on that now. You are all right that it takes a lot longer to recover from this (actually, the drugs themselves are eliminated within a few days, but the effects of killing off cells lingers until the normal cells can regenerate).  I had expected to be better within 6-8 weeks of last chemo, but it didn't work out that way.  But things are DEFINITELY better today than they have been in a few weeks, so I am hanging in there, saying prayers for all of you to do the same. 

  • Linda-n3
    Linda-n3 Member Posts: 2,439
    edited March 2011
    Forgot to note: Lago, your nail problems seem to be so much more severe than mine, but I am completely empathetic/sympathetic!  Apparently the tenderness I have along with the feeling like there is a bamboo shoot under the nails is also related to the neuropathy according to the MO.  She seems to think I don't have much risk of loosening them again, but it sure feels like it whenever I try to shuffle through a stack of papers or magazines, when I just barely catch the nail on the edge of a page.  An OT I saw suggested wearing gloves... but ALL THE TIME????  Are you using gloves to do household chores at all? I also hate not being able to clean my nails as I get paint under them when I do any artwork, and I am dreading what they will be like if I can start gardening again soon.  OK, enough whining, because I REALLY am feeling better overall today!!  Cool
  • lago
    lago Member Posts: 17,186
    edited March 2011

    n3ypb my finger problems are not neuropathy related. I have been wearing latex gloves to do chores ever since I had my BMX just as a preventative for LE anyway. The gloves also work well to put on my compression sleeve too.

    I also cut my nails as short as possible. This really helps. There is only one nail that is so lifted I need to be really careful. I also found soaking them in warm water with a tea bag for 10 minutes every so often really dries them up underneath. This was recommended by my dermatologist. My NP said to soak in white vinegar to prevent infection. I haven't had any infection problems though.

    As I mentioned it is rare to get this SE. Even my dermatologist said "you really got a bad reaction" regarding my nails. Hey shit happens. They are feeling better. I feel I'm getting use of them again. 

  • kallimom
    kallimom Member Posts: 54
    edited March 2011

    I too have the fingernail issue.....first they looked liked they bled underneath, then they got real dark....then the top half basically looked dead and white.....not they are lifting and peeling off.....they look pretty bad, but I guess as long as this drug also killed the cancer cells the nails will come back. I have always had pretty nails all my own, so it is hard to look at....there are a couple that will probably come off as well..but so far they are hanging on....try to be so careful.

  • shooshoo23
    shooshoo23 Member Posts: 96
    edited March 2011

    Hi ladies!

    I always feel like I'm not crazy when I read your posts! I have been getting on my eliptical and the soreness in my legs is over the top! I feel like a 180 year old woman! Feel like I look like one too! I'm almost 5 weeks out and had started to feel a lot better but the past two days I have been so tired and weak. I thought this was over too! Oh well, I'm not sleeping at all so maybe that's the problem. My insomnia is terrible. I probably get 5 or 6 very interrupted sleep on a normal night and some nights are much worse. It's a very long journey and I'm glad you ladies are here to travel it with me!

    PS I HATE it when people say, "Well you LOOK good." How can I look good with solid white chicken feathers growing in on my head, two eyelashes per eye and 1/4 of an eyebrow on each eye? Besides that sometimes I still DON'T feel good! Ok, I feel better now! LOL! 

  • lago
    lago Member Posts: 17,186
    edited March 2011

    shooshoo  it really does help to do some stretching. I too have sleep trouble at times. I'll fall asleep on the couch early for about 1-1.5 hours then go to bed and not be able to fall asleep. Do talk to your MD about the sleep issue if it continues. Not sleeping can cause additional problems. So far it happens only a few times a week at the most for me.

    Yesterday the cab driver asked me if I was Indian (from India). I was wearing one of my batik looking scarves with organic metal looking earrings. I laughed. Granted it was dusk but I am pretty fair. I explained to him I just finished chemo. When he stopped the cab he took another look at me. Still couldn't believe I had just finished chemo 6 weeks ago.

    I told him in the future he's going to have a tough time figuring out which women with scarves are chemo patients, Muslim or Hindu. He laughed. He was Moroccan.

    Personally I love when people say I look good.   I do fill in the brows but I still have them. Lashes are starting to look a little sad on top. Not sure how much longer I will be wearing mascara.

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011

    I think people are comparing us to the chemo patients of old.  They were quite sickly looking at times because nausea and other SE's were not managed well.  They lost weight and didn't look good.  It it different now with all the SE management, though not perfect as we all know.

  • tracie23
    tracie23 Member Posts: 598
    edited March 2011

    omaz and lago: No one would know I was a chemo patient.... I have gained so much weight people get so confused , because they do have that sterio type in there head sick , pale etc... LOL

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011
    tracie - I gained 10 pounds on chemo.  I have been working it slowly off with weight watchers online.  LIke their program, keeps me honest!
  • lago
    lago Member Posts: 17,186
    edited March 2011

    I gained 8 lbs not included in the 8lbs I lost when taking the diuretic. I'm still OK but want to take it off again. It will take me about 3 months to lose all 8.

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011

    I have been using WW online for 4 weeks now and have lost about 4-1/2 pounds.  Very slow but I feel good about steady progress.  I have to say, now at 16 weeks out from chemo and 2 weeks out of rads I actually feel rather perky this morning.  I haven't felt perky since last July.  I'll probably crash in about an hour but at least this morning I have been doing stuff and NOT feeling tired.  I have my 10th herceptin Tuesday.  7 more to go after that.

  • lago
    lago Member Posts: 17,186
    edited March 2011

    Mine isn't a diet problem. I need to get back to my old work out schedule and build my muscles back.

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2011

    Lago.. I have a question about your comment about MX and Lymphodema... If I have a MX and no more nodes removed, am I at risk for lymphodema?? I only had 2 nodes taken in the first place and MX would be prophylactic.

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011

    lago - mine is a combination of more food during chemo to combat nausea and too little exercise because of not feeling well.  I have always been an enthusiastic eater and exerciser so to lose weight I need some help in the diet department.  Once I get where I need to be I can maintain.

    bdavis -  I don't know about the mx, but my LE specialist said any nodes removed can put you at risk for LE.

  • TonLee
    TonLee Member Posts: 2,626
    edited March 2011

    BDavis,

    Yes, when they remove the breast they are also removing the lymph nodes inside the breast....ANY lymph node removal can lead to LE, though the higher the number, the higher the odds. 

  • marjie
    marjie Member Posts: 1,134
    edited March 2011

    My number on the scales is starting to climb and it's got me a little worried!!  During the first half of my chemo I dropped weight, but once FEC was done, I put it back on and a few more on top...right now I am probably looking at a total gain of about 5lbs which I know is nothing, but still...I don't want it to keep climbing.  It could be fluid to - my legs and ankles are retaining fluid.  I am going to ask my onc for some duiretics because it's just not going away.

  • TonLee
    TonLee Member Posts: 2,626
    edited March 2011

    Marjie,

    I fluctuate 5 pounds either way too...love when it is in the downward direction, but know it's not for real.  Just like the day or two after getting all those bags of chemo it is up 3 pounds...heh.

    My legs have some fluid retention as well.  And since I haven't been able to lift heavy, I know I've lost some lbs in muscle. 

    I don't think we can really tell until treatment ends.  My Onc won't give me a diuretic while on chemo because he says it is too hard on the kidneys.  When it's over though, then we'll see.

    If your weight fluctuates daily by 3-5 pounds, you can assume that it's fluid.  Real weight (body fat, and muscle) don't fluctuate like that.  One pound is 3500 calories.  Can you imagine how much you'd have to eat, or NOT eat to lose 3-5 pounds overnight? 

    It's not real....just keep working out and watching it..that's all you can do..and don't let it discourage you!!

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2011

    TonLee... Nodes IN the breast?? I haven;t heard of that. I had two nodes removed from under my arm and no more are expected to come out...

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011

    I think they are called intramammary nodes.

  • TonLee
    TonLee Member Posts: 2,626
    edited March 2011

    Yes there are nodes in the breast, and Omaz is right, they're called intramammary nodes.

    From what I understand there isn't a specific #, everyone's biology can differ by an handful of nodes....they found two in my MX biopsy.

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2011

    Another question to ask... oh boy.

  • TonLee
    TonLee Member Posts: 2,626
    edited March 2011

    Here's a better pic....when they scoop out the breast material, the nodes come with it....which is why you have a LE risk even with just a MX and no SN or Axilla dissection....(though it is much lower)

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2011

    hmmm.. how much risk... I need to decide between radiation / monitoring vs mastectomy... Doctors say rads and monitor, but MX removes the worry component and lowers risk from 25 to 2% risk of recurrance... Sorry kind of got off topic on this thread.

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011

    After my biopsy and before my lumpectomy I had an MRI and ultrasound.  The radiologist found an intramammary lymph node near the biopsy area that she checked out very thouroughly. 

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011
    bdavis - did you already have a lumpectomy?
  • bdavis
    bdavis Member Posts: 6,201
    edited March 2011

    So my MRi would show the nodes?? I have a MRI disk of both breasts.

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2011

    Yes, had a lumpectomy in December

  • TonLee
    TonLee Member Posts: 2,626
    edited March 2011

    I can't find the research I used before my MX...but it raised the risk of LE maybe 5%....you can google scholar it for peer reviewed literature on the topic.

  • Omaz
    Omaz Member Posts: 5,497
    edited March 2011

    bdavis - From what I understand lumpectomy plus rads has about the same recurrence (local failure in breast or axilla) as mastectomy.  One estimate of the risk of recurrence with lump+rads is 7% compared to 6% with mx (see table 3 in the following article).  I am not sure what the 25% recurrence means - lumpectomy without rads?

    http://www.ncbi.nlm.nih.gov/pubmed/16360786

  • TonLee
    TonLee Member Posts: 2,626
    edited March 2011

    Omaz, those are the same statistics I used when making my decision, that lump/rads have same recurrence as MX. 

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