Need chemo that leaves platelets alone ASAP

Honeybear
Honeybear Member Posts: 554

Hi Ladies and Gents,

I wrote a short while back, but haven't found that post yet.

Basically, I got a really bad pleural effusion, had it drained, and it just filled right back up.  The fluid tested positive for BC mets.  The other lung has all sorts of yukky cancer lesions in it (I haven't seen report, but that's the basics of what I know).  I thought the talc pleuradesis procedure would keep me in the hospital 2 days, but I was in for 6.  It's so good to be home!

So here's the problem of what happens next.  I was starting Gemzar/Carboplatin (Dec 19, 2011), but that tanked my platelets.  I got one more trt in there, just with Gemzar, but since then, haven't had enough platelets to continue Gemzar or Carbo.

The thinking is that the cancer is pushing so hard in my bone marrow doing its thing, that its not leaving room for platelets.

QUESTION:  Do you know of any chemos that have been gentle on the blood counts, but done great work for you?  I have already had Xeloda and Abraxane.  When I was in the hospital, everyone said I looked jaundiced.  That sucks!  I'm not done fighting, I'm only 36!!!  Any ideas?

Peace and hugs to you all,

Jennifer

Comments

  • china
    china Member Posts: 1,567
    edited February 2012

    Jennifer, Sending you a hug. Can you do neupogen injections? I did Gemzar and it tanked my counts too. Missed a couple of tmts and my onc had me do 2 weeks on, 1 week off, 1 week on then 1 week off until i was able to do better with my counts but then I needed my 1st transfusion. Wishing you some swift answers. Hugs Dawn

  • susan_02143
    susan_02143 Member Posts: 7,209
    edited February 2012

    I have no ideas, but wanted to send you my support. This sounds like a really rough patch. I hope they find some drug that can get you past this.

    *susan* 

  • usafmom
    usafmom Member Posts: 778
    edited February 2012

    Sorry no help but wanted to send you gentle hugs! Keep that fighting spirit! Hugs kimber

  • PJB
    PJB Member Posts: 2,615
    edited February 2012

    Jennifer, I'm so glad you are home. I had that procedure, too, and was in the hospital for 6 days as well. There's no place like home! I've had so many kinds of chemo - and hence the chemo brain to go with it - but I can't remember which really tanked my counts (outside of Gemzar/Cisplatin). I just wanted to send some good karma your way for a quick demise for those cancer cells. 

  • Honeybear
    Honeybear Member Posts: 554
    edited February 2012

    Hi Dawn,

    Yes, I can do Neupogen shots, but those are for white blood cells, and I did have to use those a few times while on Abraxane.  What's hard is that there's no shot for platelets; they have to give you an infusion of platelets.  For whatever reason, they don't stay in the bloodstream very long either.  I wonder if they could give me a platelet transfuion with my chemo, or something.  I'm wondering about Navelbine and Halaven.  Those are 2 I haven't tried.  I'm running out of choices here.

    Susan, thanks for your support.  I see the onc tomorrow, but I get a liver ultrasound and bloodwork first, and it's hard to not let my mind race about possibilities.  One day at a time.

    Thanks again,

    Jennifer

  • justjudie
    justjudie Member Posts: 3,397
    edited February 2012

    Hi Jennifer. Im sorry for all the problems you are having now. Im very glad you are NOT done fighting....only 36. Rotten cancer...grrrr. Hope you start feeling better now that you ate home.



    How about Xeloda? I have been on it for about six months and its never done anything to my blood counts at all. That might be a possibility for you.



    Gentle hugs to you, Jennifer. Hope they come up with a doable chemo for you quickly.



    Judie

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2012

    Honeybear - sorry for the stage IV post but I worked in Transfusion Services.  Platelets have an extremely short "shelf life" if you will.  They are pretty mercurial, nothing you can really take or eat will assist in their production.  I am wondering if they can transfuse with platelets just prior to your treatment, with each one, and possibly at the half-way point between tx.  A platelet transfusion is really quick - takes about 20 minutes, not the all-day affair of a red cell transfusion.  There should not be any red cells in bag, so no need for a crossmatch either.  You would require single-donor, irradiated, CMV negative platelets (known as "all the way") so they might have to place a special order so that these are available for you as you need them.  Also, because of the volume over time you would require type-specific platelets - i.e. - your own blood type.  This kind of an approach may tide you over so that you can receive needed treatment.   

  • china
    china Member Posts: 1,567
    edited February 2012

    SpecialK, Never apologize for posting. You are a help to us and we appreciate it. Hugs Dawn

  • SpecialK
    SpecialK Member Posts: 16,486
    edited February 2012

    china - thank you, I hope so!

  • Honeybear
    Honeybear Member Posts: 554
    edited February 2012

    SpecialK,

    I like your idea a bunch & agree with china-no apologies!   Thanks for *listening*,

    Jennifer

  • Honeybear
    Honeybear Member Posts: 554
    edited February 2012

    Oh, Judie-if I forgot-I did take Xeloda for 6 months.  I had liver mets show up then.

  • justjudie
    justjudie Member Posts: 3,397
    edited February 2012

    Damn. So Xeloda is out. iI think what SpecialK told you anout platelets transfusion is well worth discussing with your Dr. Hopefully others who know mote about platelet sparing chemps will respond. Wishing you the very best.



    Judie

  • LuAnnH
    LuAnnH Member Posts: 8,847
    edited February 2012

    I'm on navelbine and it is tanking my white counts but not bothering my platlets, not sure if this is normal or not but this is my experience so far.  Hope it helps.

    Did hormonals work for you at one time?  How long since you have been on them?  Maybe you can give them a 2nd chance???  It's possible they will slow something down so you can fight and deal with chemo better.

  • radiant
    radiant Member Posts: 464
    edited February 2012

    Shark liver oil raises platelet production.

     Hope this works. Yes, this does SUCK - man, I'm sorry to hear this for you.

    Hugs,

     Kim

  • bobkat
    bobkat Member Posts: 304
    edited February 2012

    Jennifer, my bone marrow was almost 100% packed with cancer cells in May.  I started on Abraxane/Gemzar which failed.  I started on Ixempra and it cleaned up the bone marrow.  I can't tell you how many blood and platelet transfusions I had, but alot.  My doctor never cancelled my chemo even though my platelets were at 17 at the time.  I always got a platelet transfusion and if needed a blood transfusion on chemo day, and it really helped me.  After the 2nd chemo round of Ixempra plus platelet transfusion I didn't have a need for transfusions any longer. 

  • sincitydealer
    sincitydealer Member Posts: 2,712
    edited February 2012

    Jennifer, maybe try the Halaven.  My Mom had bad SE's from it, but it didn't tank her platelets.  You would probably handle the SE's better than her because you're so young.  I hope your doc comes up with something good for you.

    Peggy

  • Honeybear
    Honeybear Member Posts: 554
    edited February 2012

    EDIT to add that platelets aren't even an issue now.  :-(

    I did do well on AIs in the beginning, but onc sees no hope there.

    I think I mentioned above that I left the hospital very jaundiced.  I thought it was one of those weird, post-op things.  Apparently, my bilirubin is high and climbing.  He said that any chemo left is processed by the liver (liver can't do that work) and he said there's nothing left to try.  He said that the chance of something helping is in the single digits (2%) and much more likely to make me sick.

    I just can't believe this is happening.  I don't want to give up, but don't want to feel sick either.

    Thoughts? Prayers?  Words of Wisdom?

    Thanks for being here for me.

    Hugs and peace,

    Jennifer

  • JeninMichigan
    JeninMichigan Member Posts: 2,974
    edited February 2012

    Oh Jennifer

    I am sorry ... really sorry!!  D#mn,  what a spot you are in right now.   I like Bobkat's approach,   I would try anything along with a transfusion along with the chemo.  At this point, what do you have to lose.     You absolutely have all my prayers and good, positive thoughts.     You are too young for this!!!!

    ((((hugs)))

    Jennifer

  • CoolBreeze
    CoolBreeze Member Posts: 4,668
    edited February 2012

    I'm sorry for your struggle.  I did Navelbine and my platelets were always stable.  It definitely lowered my whites and reds but not my platelets.  It's worth asking your onc about anyway.

  • Leah_S
    Leah_S Member Posts: 8,458
    edited February 2012

    Honeybear, I have no words of wisdom. My thoughts are with you, as are many prayers.

    Leah

  • sincitydealer
    sincitydealer Member Posts: 2,712
    edited February 2012

    Jennifer, can they give you the chemo at a much lower dose?  Something has to be better than nothing.  It might be worth a try.

    My thoughts and prayers are with you, and I hope you can come up with something.

    Peggy

  • susan_02143
    susan_02143 Member Posts: 7,209
    edited February 2012

    :: speechless ::

    Hope that there is a rabbit in that hat.

    *susan* 

  • bobkat
    bobkat Member Posts: 304
    edited February 2012

    Jennifer, just a thought.  Go to Inspire.com, there is a wonderful women there who goes by fragilistic.  She just got back not long ago from CA where they did a liver biopsy to see what chemo would work best for her situation.  It was done at the hospital but testing was done at a place called rational therapeutics.  This is a new thing, more like matching a chemo to your own unique situation.  Alot of Oncs (but certainly not all) are changing their thinking on this. I myself don't know alot about it but it's in the back of my mind in case I may need it in the near future.  Please let me know what you think. She's on Stage IV board.

  • b24warbaby
    b24warbaby Member Posts: 2
    edited May 2018

    Jennifer.


    We met many years ago. I worked with your Dad, Bruce. I watched you grow from a small child playing at Bull Creek into a lovely lady. Your time with us was short but your presence made an ever lasting impression.


    John D.


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