January 2012 chemo
Comments
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CharB22: the sore feet definitely could be a side effect called Hand Foot Syndrome (PPE). Make sure you mention it to your team because depending on how bad it is it can be a dose limiting side effect.
To try and prevent it or it getting worse there's some advice in the symtoms side effects section here at bc.org.
Jenn -
Vent warning!
Does anybody else feel like their onc team is just there to give out the poison but not really there to follow up how you go afterwards? My breast care nurse doesn't phone to check on me (although she did say at the beginning that she tries to phone people).
I have all these little side effects and I really feel like I'm on my own trying to deal with them. After my first round I called the number they give and the advice I got was to either go to emergency or go to my PCP if I was concerned. My PCP is not a cancer specialist! He's great but I just feel a bit deserted by the onc team (big hospital)...
Struggling through again with the tongue thrush that doesn't seem to want to go away; the nausea (have all the meds but have worked out that I just need to think about the treatments and I feel nauseous despite the meds); woke up with pins and needles in three fingers this morning (did go away after a few minutes); and yesterday my BC breast started hurting and feels "lumpy".
I'm so over this and have no idea how on earth I'm going to be able to get all the way through txs until June!
Jenn -
Oh Jenn - I'm soooo sorry you're dealing with this. I'm very lucky in that my MO's team has been wonderful. Here in the states, I have a Nurse Navigator that has called me several times to check on me, mailed me books, gave me a chemo bag with 2 hats, a scarf, and a pillow, as well as educational material. I wonder if it's just your MO's practice. (((hugs))) I'm not sure what I can say to help you other than you have US to complain to and get advice from. Sorry!!!
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Jennt28--I just googled Hand Foot Syndrom - greeeaaaattttt....another stupid SE. And here I thought I was feeling really good!!! Damn. Damn. Damn.
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Jenn: I'm so sorry your team is being so uncaring. I haven't had that experience, but so far I've been blessed with minimal SEs so I'm not in contact with my team very often. Several of the nurses I'm working with are BC survivors, and they seem especially kind when I run into them. Otherwise, I never hear from anyone between treatments.
(and sooooo glad this is a safe place we can vent!!)
I love my PCP - but I would never trust him with this level of care. I guess I thought that's why we have specialists?! It hurts me to think of anyone being "desserted" by their medical team during such an emotionally and physically challenging time. I was talking with my NP before treatment and she said our hospital is attempting to recruit more social workers who are medically competent, to do some of that hand-holding and helping that RNs and doctors are just too overwhelmed to do.
*hug* I hope you start feeling better soon, and that your medical team starts responding more appropriately.
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For those of you dreading tx #3, maybe it won't be so bad! I had my 3rd AC on Friday. Saturday was fine. Minimal heartburn, but very manageable. Sunday not so good, tired and cranky with some nausea. Took some ativan to help sleep both nights. I was dreading Monday morning, back to work. This has been my tough day both other times. Fortunately I felt okay, not perfect, but very manageable. Taught my full class schedule without my assistant and really had enough energy to get through the day.
They way I look at it is I'm 3/4 of the way through the difficult part of chemo. Only one more 'red devil' to face. I am hoping the taxol is much more manageable. Although, I'm not looking forward to the increase in steroids! I hate taking the steroid! I look like I've been on a bender with my bright red face and blood shot eyes. Add the jittery shakes and I look like I'm flying!
Hang in there everyone! We are almost done! Well, getting there anyway!
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A/C #2 down, but almost didn't happen. My liver values were off the wall from my blood draw last thursday. The MO said he wanted to see what my blood values were today and then put off and/or reduce the Adriamycin based on the liver values. I ended up opting to wait for the test results (1.5 hours), and luckily they had come down enough that he gave me the full dose. I told him that I know milk thistle is good for the liver and I had read in some forum posts somewhere that some BC patients end up taking it to detox the liver. I don't remember where I saw it. Can anyone point me someplace to see how much to take? I have some extract at home already because I give it to my 20 year old cat for her elevated liver enzymes and she is doing much better (about a month after I started them). So need info for humans/BC chemo patients.
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Hey all,
Just climbing out from treatment #3. I know this doesn't sound very positive of me, but I am tired of everyone around me here telling me, "Yay, at least you are half-way done." I have been very positive and smiling to them, but inside I am thinking, "Hell, I have to go through this three more times." A very glass half empty attitude I know, but I cannot help it. On the bright side, I know I will feel a little better each day now and will hopefully feel relatively normal by this weekend. Good luck and hugs to all those with upcoming treatments this week. We will get there.
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Judy67 - #3 was definitely the hardest for me yet, but you've got the right approach. Let's head toward #4 and keep fighting this thing.
Jane - Glad you're doing fairly well after your #3. I guess it really depends on the person.
I felt better over the weekend and I'm hoping that most of the SEs have subsided for now until my next tx on the 16th. The corners of my mouth are cracked, so I'm trying to take care of that and keep it from getting worse. Taste buds have behaved unusually well this time, although they've flaked out a few times. It was the exhaustion this time around though that really got me down.
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Jenn that is awful that you can't talk to your team. Here in Israel my Onc. (Who is acting head of Shaary Tzedek hospital in Jerusalem) gave me his home, cell and Email. He told me "Please call if you feel you need to. If I determine you are abusing the calling I will tell you but call if you have any questions!". My surgeon also gave me a whole list of numbers including his personal numbers. I have the head Breast Nurse's number and even the girl at the desk at my local Doctors clinic gave me her cell phone number "because sometimes it is hard to get through on the main phone".
Perhaps when you go for your next treatment you can complain?
Peggy
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Judy I can understand the 'glass half empty' feeling. Just don't go so far as 'the glass with the hole in the bottom'. LOL
Peggy
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Good morning (I guess, depending on where we all are!) to everyone! I woke this morning to a new and excrutiatingly painful SE - acid reflux or indigestion, take your pick, I don't know which. I can barely move without feeling like I'm being stabbed. Even drinking water is painful right now. It seems to come and go in waves of sorts. I've been chewing Maalox all morning, but it only provides temporary relief. I had minor heartburn during my first tx but this is almost debilitating. Does anyone have any medication recommendations to deal with something this harsh?
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Peggy,
I am getting taxol and herceptin togetther weekly for 12 then continue with herceptin for a year. I do not get neulasta but if my whilte cell count gets very low then I will get a drug that is similiar to neulasta but is a quicker and shorter acting drug (sorry forgot name) because I get treatments weekly.
I definately feel like a "speed freak " on Fridays ):
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NancyHB-I take a PPI called Aciphex. It's by RX only and many insurance companies ask for a documented trial of generic omeprazole before they will cover it. Omeprazole is fine too and it's over the counter. Go to Costco and stock up. These drugs have few-no side effects and are very effective. Another point is be sure to take all medications at least 30 minutes before lying down and take them with plenty of liquids. My DH took an aleve one night and went straight to bed. At midnight he was being rushed to the ER with chest pains, etc. He had what is known as "pill esophagitis". Basically the pill was dissolving directly on the muscous membrane of his esophagus and attempting to burn a hole in the process.
Good luck-get a PPI in you and you should start to feel better soon. Most directions are once a day but it's ok to take them twice a day for tough cases. Be sure to ask you MO or GI doc what they think too. -
Nancy - I've been taking omeprazole (Prilosec) since last May for acid reflux and found it worked pretty well - my doctor even suggested taking the OTC twice a day. I had a horrible bout of reflux during my first tx, so I asked my MO to give me a prescription for the prescription strength and have been fine ever since. When you're taking that, if you find you occasionally do get some discomfort stiil, you can also take Zantac (forget the generic name...) because they work differently, or just some Tums if needed. Good luck with that. It can get really uncomfortable.
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Hello everyone-facing round #3 later today. Again the feeling of dread. The week off from appointments is so nice but here we go again.
I also wanted to give a couple head covering recommendations. I bought a few things from a couple different shops on etsy.com. The first is a cotton head cover from Jemima Jackson in NYC. It has an elastic strip a the base of the skull and you simply slip it on and tie it at the back. It works great alone or with a fleece or knit cap underneath. I do feel it needs something under it though, otherwise too much of the back of my head would be exposed. the shipping was very quick. I like it. www.jemimajackman.com The other items are little knit caps by CJ Hats. The seamstress is a survivor of Stage IIIB inflammatory breast cancer. She knows what we need. These are simple, comfortable caps for around the house or under scarves. They are very reasonably priced ($5-$15), I like that. I especially like the one I bought for sleeping. It's fleece on half and then white cotton knit on the other half. www.cjhats.com. They can also be found on etsy.com -
NancyHB - I have been on Nexium for acied reflux for many years afger a diagnosis of erosive esophagitus because Prilosec wasn't enough, but my GI doctor also put me on Zantac at bedtime to get me through chemo. He said they work different ways so can be used together. Maybe try the Prilosec OTC in the AM and the Zantac at bedtime.
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Pepcid Complete works for me but I have to take it before a meal and make sure I stay upright until digested.
Peggy
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NancyHB I am having the same SE starting day 4 after AC #2. I also have an annoying tickle in my throat which makes me cough which hurts my stomach more.
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NCBeachGal - thanks for the hat recommendations. I just ordered a few things from cjhats. Yesterday I had my friend Scotty buzz my hair. I wear my hair pretty short anyway, so there wasn't as much of a shock factor. But still . .
Tomorrow is A/C treatment #2. I'm trying to approach it with the attitude that it's one more step toward getting through this. And yet, I dread it. Since my diagnosis, I find that my mind is a whirlwind of competing emotions - hope/fear, determination/dread, acceptance/anger, etc. That in itself is exhausting:) I hope everyone is as gentle with themselves as possible.
Annie
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NancyHB/waitress169
In addition to taking something like Prilosec OTC / Zantac, you may also want to avoid eating too late in the evening (or before taking naps, if you do), and avoid spicy and, most importantly, acid-rich foods like tomatoes, pineapple, as well as acidic juices (OJ etc). My GE also recommended to always sleep propped up on multiple pillows, which seems to help a bit. - Hope you feel better soon.Wishing everyone who is having a treatment this week best of luck & few SE!
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Judy67,
Absolutely! We really do not have much of a choice, so the only way to look at it, is, as you said "We will get there"!!!Have you noticed that the supplements you are taking help? I hope so, and that SE, if you have any after this treatment, will be few and tolerable.
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Pharmicist reccomended Pepcid AC twice a day.Took 1 and a zanax and slept for 3 hours. Took prevacid years ago and had terrible headaches as a SE.
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Hi everyone. Just checking in on everyone.
Acid reflux is my enemy right now too.
It's been my biggest issue. I have been taking a lot of OTC Zantaz 150 twice a day.
This feels very much like pregnancy.
Hey I got my Its a wrap scarf in the mail. Has anyone else got theirs? It's really nice. I made several triangle bandana type scarves. They work great.
Well I wish everyone the best.
Stay strong!! We will get there.
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Sleepless - the Zinc L-carnosine seems to have helped my mouth. Very little taste loss this time and water doesn't have that weird metallic taste which makes it easier to stay hydrated.
Nancy - I started taking Prilosec (generic) the same day I started the steroids. This has kept it under control so far for tx #3. Onc told me just to take it entire time, but I don't like taking it if I don't have to so I will probably see if I can taper off 7-8 days after tx.
A friend recently gave me the most comfortable headwear yet. You can get them in all different colors on Planetbuff.com. It's a simple tube of material with no seams, you pull it on your head and tuck it under in the back. I plan on buying another.
http://www.planetbuff.com/pages/Original-Buff-Features-Benefits-and-Uses
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NCbeachgal - I love some of those hats and turbans. I haven't ordered yet but I may. There's a woman locally who makes buffs and donates some of the proceeds to the local breast cancer resource center. I've been meaning to go to Joanne's fabrics and pick out some fabric I like for her to make a few more.
Annie3310 - I agree the mental games we have to deal with are exhausting. Good luck with your tx tomorrow. Give youself enough time to rest. These do get increasingly hard, so look back on how you did the first time and expect to need just a little more time to rest up.
I've finally on the upswing after #3. Hoping to get some things done around the apartment and work so I can go into #4 knowing I can afford a few days of extra-duty rest just in case.
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Judy I went to the Buff website but I couldn't find any large pictures of what they actually look like.
Peggy
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I got my 'Its a wrap' this week also! Very nice! It arrived carefully wrapped with a little card personally signed by staff. Really nice touch!
I bought a Buff on ebay and found that it might not work well for me. Apparently, I have a large head. I don't like how it looks on me. It is too tight. There are a few good 'how to' videos on youtube showing how to wear a Buff. My daughter offered to make me a few if I find a material I like. I might have her try one or two just a bit larger than the one I bought.
I have to check out etsy.com. I'm an ebayer from way back, but hear good things about etsy.
What is up with the acid reflux? This tx I'm getting hit harder than usual too. Tums have covered my issues up until now. Looks like I'll be packing stronger meds today! I think I was feeling the neulasta in my sternum last night. The combination of a tight painful chest and acid reflux was uncomfortable for a few hours. Fortunately, my neulasta SEs are short-lived (so far), so I didn't need to take anything.
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Good morning, ladies. I, too, had AWFUL acid reflux after my chemo treatments. My MO put me on prescription Nexium, which has helped, but I'm glad to know that I also can supplement that with Zantac at night, if needed. I found that tomatoes, which I love, caused the most severe reaction.
Thanks for the good head-covering recommendations!
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I hear ya with the tomatoes. Nexium seems to help but it takes a while to kick in.
I seem to have had a different experience with the first treatment. Any feedback would be greatly appreciated.
Severe nausea, light headedness and severe heartburn followed my first treatment for a full six days. On the sixth day I completely broke down when my 5 year old reached out to hug me and I dropped to the floor beside him sobbing because I didn't have the energy to hug him back. That morning my husband took me to the ER. They did some blood work and said my counts were ok. Upon examining my file and the meds I had been taking, they decided that I was one prescription short for the nausea. They also gave me some nexium for the heartburn. So hurray! I feel human again. However, I am terrified for the next round cause I keep hearing it gets worse with each treatment.
So I guess my question is, based on this time taking the proper amount of SE meds, to those of you who have gone for the second time, typically how long did it take to come around?
Sorry for rambling on, but I would appreciate any feedback. Thanks
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