Calling all Stage II Sisters!!!

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  • kt1966
    kt1966 Member Posts: 1,326
    edited August 2011

    Hi babsbrink. Its all a bit scary when you start out, but you just have to go one day at a time & soon enough you'll be thru treatment and out the other side...It is doable, even tho there are hard days :)

    SpecialK, part of the reason I'm on the zoledronic acid too is the onc recommended it, it also helps reduce the risk of BC recurrence. Luckily its only once a year because I was quite sick for a couple of days (I vowed I'd never have it again! but have since read it should be easier next time)  

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    babsbrink - welcome - sorry you find yourself here!  We have all been where you are now, at the beginning. 

    kt1966 - the zoledronic acid is the Reclast I mentioned on the previous page - totally willing to have it should need be.  Better for my digestive system than the oral meds since it is a bloodstream direct type of drug.  I do understand that it can give you some flu-like symptoms - but, hey - so does chemo!  Been there, done that!  I guess for the moment it will be watchful waiting.  How do you receive it - it is annual or more frequently?

  • kt1966
    kt1966 Member Posts: 1,326
    edited August 2011

    SpecialK, somehow I missed your reclast post, just checked it out. We call it aclasta here. I'm on it once a year. I had reflux recently too, for the first time ever so oral bisphosphonates were out for me too.

    I have to say it did feel like being back on chemo. Felt fine on the day, then next day I had nausea & vomiting, & a splitting headache, couldn't keep anything down (including pain relief) until I got an anti-nausea med day 2. (I was home alone day 1-hubby at work. Got him to go to med centre next day to get me meds).

    But next time shoud be easier Smile

  • FLwarrior
    FLwarrior Member Posts: 977
    edited August 2011

    I am joining you stage II ladies.  I am still new to this site, but I have already gained so much!  I am glad I found bco and YOU!  I really wish I had known about it before chemo.

    Dixiebell, I am also ILC.  I had neo-adjuvant treatment, chemo first to try to shrink the large tumor size.  I was fortunate and the chemo was sucessful in shrinking the tumor. 

    Special K, I also have chemo (taxotere) induced neuropathy.  Do you have any suggestions for reducing the discomfort?  I have just started L-Theanine and am going to try L-Glutamine as well. If you have found anything that reduces your discomfort, please share.  I am on pain meds for the surgery I had on Tuesday, so I have not had foot pain this week.  I am hoping for a miracle that when I stop the pain meds the foot pain will not return.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    Flwarrior - Hi fellow FL person!  I took L-Glutamine, Acetyl L Carnitine and B6 during TCH chemo and only had the neuropathy crop up at tx#5.  It is very mild and consists of numbness only on the bottoms of my feet and toes.  It is improving on the left foot so now they feel unbalanced, which is weird.  The pain and stiffness has only started with the addition of Femara in the last couple of weeks.  I forgot to take it one day and didn't have the stiffness - so I think that it is correctly attibuted to the Femara.  I hope the pain meds are helping you and that at least your neuropathy will be diminished when you go off of them.  Most of the folks that have neuropathy from Taxotere seem to slowly improve - I know there are some folks that have continuing or more permanent problems, but I am sure hoping you are not one of them!

  • FLwarrior
    FLwarrior Member Posts: 977
    edited August 2011

    SpecialK ~ Thanks fellow Floridian!  My foot pain started after my post chemo MRI it was triggered by the contrast from the MRI.  MO said it was a delayed reaction from the taxotere.  I took L-glutamine on infusion days, but not everyday.  Do you take the L-glutamine now? I take B-complex and an additional b-12 and b-1. I am not familiar with Acetyl L-Carnitine. I will look it up. I am glad that your discomfort is mild and I hope that it disappears all together! I like to walk, but I have not been able to for the past month.  I am supposed to start tamoxifen soon and I am really DREADING it!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    FLwarrior - that is so crazy about the MRI contrast and a delayed reaction.  Did your onc say anything about how long out from treatment that can happen?  I had problems with my node arm during Taxotere - it swelled and became quite painful.  The pain was exactly like the axillary web syndrome diagram, and I developed cording. It was weird because I had no problems with it from the time of node surgery (early Dec.) until about half through chemo (Mar. - Apr.)  Now I am in PT with a lymphedema specialist for about another month.  Cording and pain are gone - now just trying to get everything stretched out on that arm and from last month's surgery on the other side.

    I have not been taking the L-Glutamine but I probably should.  It might speed up the departure of the neuropathy from my feet.  It is more of an issue with new stiffness from the Femara, so I may go back on it.  I need to get back to walking as well.  I had to stop because as soon as I went out in the heat my arm would swell and throb.  Man, it is always something, isn't it?  Hopefully you won't have unmanageable SE from the Tamoxifen - the Femara really is OK for me.

  • Sereena
    Sereena Member Posts: 99
    edited August 2011

    I am going for my first MO appointment since he put me on arimidex in March. I seem to be tolerating this med except for leg pain and stiffness which makes me feel 90. Can any of you ladies tell me what to expect. What tests (if any) will he be having done. I have already had my BS check and RO check.

  • mommarch
    mommarch Member Posts: 584
    edited August 2011

    Hi Babs,

    I know all about the boonies, I live 172 miles from my treatment center, we live in the Davis Mt's in West Texas.  With gas prices at $3.60 a gallon it is hard.  I will have my last AC this Thursday and then around Sept. I am to start Taxol for 12 weeks once a week.  Good luck

  • Rockym
    Rockym Member Posts: 1,261
    edited August 2011

    Just a note ladies... I read the "Just Diagnosed, Get Ready" post when I was first diagnosed two months ago.  I now have a MILEAGE LOG and have put in over 500 miles in doctor, pharmacy, etc. visits.  I even include my husband and children's doctor, dentist and ortho. visits too.  All these miles are TAX DEDUCTIABLE and I think it's around .19 cents a mile.  I hope this helps some of you who may not have known about it.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    Rockym - tax deductable if you meet the income threshold - if your income is too high, can't deduct.  Your medical expenses have to be a certain percentage of your adjusted gross income.

  • Rockym
    Rockym Member Posts: 1,261
    edited August 2011

    In my state, all medical expenses are tax deductible, regardless of the AGI.  Even if you don't meet the Federal Percentage of your AGI, you still get a break.  Every state is different, so it's important to check.  Also, the medical mileage is a deduction.  I volunteer on a regular basis and that mileage becomes an itemized deduction too.  Every penny helps.

    Keeping the mileage log is great for my future 2011 taxes and since it shows where I have gone (and why I was there), it also helps me keep track of my appointments.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    rockym - I was referring to the federal return.  I live in FL where we have no state income taxes, so no state filing.

  • Rockym
    Rockym Member Posts: 1,261
    edited August 2011

    SpecialK, Bummer on state return, but then again I'd love to have no state tax to begin with :-).  As for medical mileage... I'm guessing there are tons of ladies out there driving around from appointment to appointment and if the state and/or federal will give us break, then I'll definitely take it.

    I'm pretty sure that medical mileage falls under the category of itemizing (which I do) on a 1040 long form.  This is an entire separate area from medical expenses which can variety from state to state.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    rockym - No state income tax sounds great but the reality in FL is that revenue has to come from somewhere so it becomes sales tax and real estate taxes.  We pay criminal amounts of property tax, the state runs on the backs of homeowners.  With the number of foreclosures, short sales, etc. and the drop in value the state/counties are short of money.....  I would rather everyone foot the bill in the form of state income tax.  FL is a great state to be a renter!  Too bad I am not one!

    I itemize on my federal as well, will check it out for 2011.  The vast majority of my treatment has taken place in 2011, rather than in 2010.  I have not given it too much thought as my out of pocket has been pretty minimal, but I have all co-pay receipts, and have calendared all appts so can calculate the mileage easily.  My treatment has been very close to home as well, I am fortunate with that.  I know a lot have to drive quite a distance to see their docs.

  • dixiebell
    dixiebell Member Posts: 280
    edited August 2011

    Hi my stage II sisters:

    Day 17 post op bmx with all in one alloderm implants. DRAINs OUT TODAY!!! yippie didnt ever think they would come out. My left arm still hurts and burns and no feeling in the axilla area and outside of that new breast. Meeting with the onc Monday. So how many of you ladies had PET scans - if not how did they look for metastasis. I had lymph involvement so my surgeon said it could be other places.

    FLWarrior I have been told with ILC you really need to stay on top of things that peritonitis is common. So now I feel all bloated and am worried about that. Geez, I'm exhaused and i'm just starting. Its hard to believe I was only diagnosed 6 weeks ago. Seems like years already!!! 

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    dixiebell - I had a baseline PET after surgery but before chemo and then another PET at the conclusion of chemo.  You probably wont get feeling back anywhere around that axilla area for at least 6 months.  You will adapt to the numbness - I had AND last Dec. and just now can feel when I shave that underarm, so don't panic.

  • dixiebell
    dixiebell Member Posts: 280
    edited August 2011

    Thanks specialK.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited August 2011

    dixiebell - No problem.  I also had numbness on the back and under the bicep of that arm, some irritation from clothing which finally went away, and sometimes get random zings - nerves trying to reconnect.  Feels weird but don't worry, it is normal.  It doesn't bother me at all now, I am used to it and actually quite a bit of feeling returned. 

  • Rockym
    Rockym Member Posts: 1,261
    edited August 2011

    So, my doctors were calling me a Stage II, but the NCCN guidelines consider me a Stage 1b.  I'm not going to argue with the doctors, but there are minor differences that can change a treatment plan.  I'll still call myself Stage II (to be safe), but ladies... check out this website below:

    www.nccn.com/images/patient-guidelines/pdf/breast.pdf

    I was amazed at how they can classify each little piece of the final pathology report and show the guidelines of treatment.  Tomorrow I will get my Oncotype results, but I also need a 2nd opinion on my pathology as it was a bit ambiguous.  Not what I wanted when it came to decision making.  I feel there is some controversy as to whether my lymph nodes were positive or not, but I'm trying not to be so concerned at the moment.  Anyway, check out the website.  It is the National Comprehensive Cancer Network.  It may help some of you in your decision making too.

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Hi everyone. So the onc told me that oncotype is of no use if you had positive nodes but I read that if you have less than 3 nodes positive it still may be of value. Anyone heard this????

  • christine47
    christine47 Member Posts: 1,454
    edited September 2011

    dixiebell, my onc said same thing, as did the breast surgeon, since I had one positive node, I got chemo, no oncotype testing.  Wish they would have done it just to know the number. Seems like some get it even with positive nodes.  I second guess everything, so I guess I am glad I did the chemo.

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    christine47 how many rounds of chemo did you get? How did you do? Did you need radiation or hormone therapy also?

  • christine47
    christine47 Member Posts: 1,454
    edited September 2011

    dixiebell,  I had 6 rounds of TAC, no fun, but doable.  Worst part for me was loosing my hair, I know it sounds shallow but the truth.  I elected to do bilateral mastectomy, with reconstruction, (TEs to implants, which looks very good, getting a little fat grafting and nipples at the end of the month) so with just one positive node, no RADs. I truly worried about no radiation, but breast surgeon, onc and radiation oncologist all said no rads.  Have you made your treatment decisions yet?  Looks like you already had surgery, hope this is going well for you.  I am on Tamoxifen for 5 years, 3 months and no major issues.

  • christine47
    christine47 Member Posts: 1,454
    edited September 2011

    dixiebell, just saw your previous question about PET scans.  I had a PET scan, I do not believe that is standard of care for stage 2.  Long story short, I had a ovary "light up" , another scan after 3 chemos, visit to the gyn and they think it was just a functional (ovulating) change.  Talk about extra panic and worry.  Not sure if I will have any more or not, of course I worry about every ache and pain.

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    christine47 not shallow at all trust me!!! I am sad to say it is a big part of my decision process esp being single. How long does it take to get 6 rounds of chemo?

  • christine47
    christine47 Member Posts: 1,454
    edited September 2011

    Hair loss the number one reason I did not want chemo.  I thought will only a 1.1cm tumor I would be done after my mastectomy and just do the tamoxifen.  But they found a positive node, which lead me to axillary node disection.  I have known my onc for many years and I consider him brilliant, when he said I was to young and healthy not to do chemo, I knew I had to do it.  I did TAC every 3 weeks for 6 treatment (jan 18- april 28).  In my area (south) this seems a frequent regime.  I never had as much as a cold while doing the chemo.  Looking back I am glad I did it, but must admit intially I was not as sure.  I understand your difficult decision, no matter what YOU ultimately do, it will be the right decsion for you.

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    christine47 Thank you so much. I thought the exact same way as you! It is so nice to hear! Feeling better. oh and thanks for the pet scan comment. I just need to know if I have mets. How else would you know?

  • christine47
    christine47 Member Posts: 1,454
    edited September 2011

    If there is any doubt in your mind, get a PET scan.  Remember you can have false positive results, which means more tests.  I do believe a pet scan is the most comprehensive test for mets.  Saw your comments on the other stage 2 thread.  I developed acute hepatitis from anesthesia when I had my surgery before chemo (rare anesthetic complication) so I was scared to death that the chemo would affect my liver (prior to chemo and BC I was always healthy, other than infertility).  My liver enzymes returned to normal before I started chemo, and never went up during chemo.  Good luck to you, I check in again in the next few days and see what you have decieded to do. Trust me, in time things do get better.

  • dixiebell
    dixiebell Member Posts: 280
    edited September 2011

    Thanks christine47 and my liver enzymes are normal as of pre-op BMX 6 wks ago.

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