SHINGLES!!!
Shingles is a possiblity for any one who had chicken pox as a child. They are not life-threatening, but can be serious if they appear on your face (blindness). They also take 6 weeks or more to recover from. The fact that so many of our sisters have chemo & rads, means our immune systems take a real hit, SOOOOOOO GET THE SHINGLES VACCINE ASAP!!! Of course, as always, check with your onc/doc first.
Gentle hugs, Shirlann
Comments
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Funny, I just ask my physician if I should get the vaccine for shingles on Wednesday. I know of 3 people all my age, all healthy who got shingles this winter and it was a very uncomfortable time for all of them. It's the first time he has ever talked me out of anything! It is his opinion, based on the evidence available, that this vaccine should be reserved for the very elderly (80+) and/or the very infirm. There is no data to support reimmunisation after ten years and that is roughly how long the protection lasts. So if you are NED and feeling well then skip it as long as you can. Since I am planning to be here in 10 years, I decided that I would heed his advice for now. If I have to undergo chemo I will reevaluate.
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I got the shingles vaccine the day after I got my first BC diagnosis. I had just turned 60 and would have done it anyways, as my mom and a friend of hers, both in their 70's and quite healthy, had just recovered from bouts of shingles a couple years earlier. I know of way too many people with compromised immune systems, including many who post on BCO, who got shingles during or just after treatment.
I agree - get the vaccine.
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I agree - get the vaccine before chemo. I got shingles after my 2nd treatment with chemo and so did another person in our support group. I ended up with them on my forehead. My friend ended up with them in her ear and also got bells palsy from the ordeal. Thankfully that went away after about 3 months.
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I would also want to caution - as Shirlann said, talk to your doc. My onc vetoed it for me since he doesn't want me to have a live virus even though I'm not doing chemo now (I'm on hormonals).
Leah
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Leah - that goes without saying, of course. I don't think you can get the vaccine without a doctor's prescription, at least not here in the US.
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I think here in Israel you need a prescription, too. My PCP said ask the onc. Don't know what other docs would say.
Leah
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You do not need an Rx, just go to your Walgreens pharmacy and get one there.
My Aunt who was stage 4 got Shingles and it was terrible for her.
My friend who had BC got shingles and was in her twenties. She had a really rough bout of it. She would fill her bathtub with cold water, get in, hold her nose, and submerge herself to try to stop the pain.
I get my shingles vaccine before I started chemo, with my surgeons blessing. I was 65. I didn't have an Onc yet because I got BC Dx right in the middle of moving. I actually left the movers loading the truck and ran to the Walgreens to get the vaccine becuase I was that scared of shingles.
The CDC has recomendations for immunization that could be reassuring and informative.
Ginger
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I got shingles after my radiation had ended and halfway through my Herceptin treatment last October. Found out I couldn't work while they were still active because I am a teacher and some of my students HAD NOT been vaccinated for chicken pox. My oncologist orgiinally had told me he didn't want me to get the vaccine because of the compromised immune system. They are not fun.
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I was told that there wasn't time between DX and first A/C to have the shingles vaccine safely and not to have it during A/C and Taxol and to wait until after last rad. I burned bad so I waited til a month after last of the burns healed to get it.
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I had the shingles two years ago just three days before DH and I were supposed to go to Las Vegas. I actually diagnosed it myself late one Friday afternoon. On Wednesday AM, I woke up with my shoulder aching and just felt bad all over. On Thursday, I was running a low grade temp, and felt blah, on Friday AM, I just felt terrible and called my Primary Care to get an appt. She gave me almost the last one for the day. After I took my shower at 3 p.m. and looked in the mirror, I saw the rash running across my breast. I knew exactly what it was. When my PC walked in, he said "I understand you've already diagnosed yourself!" He agreed with me that if I had come in on Wed, Thurs or even Friday AM before the rash appeared, he probably wouldn't have known what it was. Within one hour I was taking the medication.
I can tell you right now that was some of the worst pain I've ever had in my entire life. I couldn't wear a bra for almost six weeks. The rash was from between my breast all the way around, under my arm, and to the spine on my back. There's still a spot on my back that is tender once in a while. My husband immediately got the vaccine, and as soon as I was recovered, I got it, too. My doctor explained that when you have the chicken pox, there's this little "pocket" of the virus that sits on your spine just lurking there, waiting for a weak moment to come out again. It follows a line only on one side of your body. My one friend came to visit me, and she was covered with scars from her shoulders to the tips of her fingers. Her diagnosis didn't come for 11 days! An "old" doctor walked into the room at the medical university when the "young brains" were trying to figure it out......said "Shingles...." and walked out of the room.
I can't imagine having the shingles while going through chemo or radiation. Please get the vaccine if your doctor will let you!
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My story is the same as LuvRVing's.
Several days after my BC dx, I was in my PCP's office for something else. He reviewed my records and said "You need to get the shingles vaccine NOW, because we don't know what your breast cancer treatment will be." So I got it the same day, and was happy I did.
I was 60, and had seen my sweet elderly mom suffer with shingles. A bad reaction to Valtrex sent her to the hospital, and the Neurontin they gave her put her in a coma. She eventually recovered from that, but it was very scary. My aunt got shingles many years ago, and still suffers horrific post-herpetic-neuralgia (disabling nerve pain) to this day.
MY DH just missed the boat. He didn't get the vaccine, then was diagnosed with kidney disease and put on massive doses of steroids. No vaccine for him!
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I was set to get my shingles shot in 2008 and then was diagnosed. My onc said absolutely not before treatment. I have been finished with treatment (surgery, chemo, rads) since March of 2009. I have two more years on arimidex. My local onc says no to shot because of possible side effects. My onc at Moffitt CC says I can have it. I have not done anything yet because it bothers me that I am getting two different answers. I have seen how sick people can get with shingles................what to do, what to do?
Caren
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I got shingles during chemo.....it was awful.
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Bump
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A short while ago there was a commercial/info spot about shingles on TV. It had a retired fireman talking about having shingles. The site to check out about it is www.shinglesinfo.com
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OMG! I had shingles when I was 54 and it was excruciating! I was told the stress of passing a kidney stone likely precipitated it. I'm seeing my Oncologist today and will ask him if I'm a candidate for the vaccine! If my treatment includes chemo....I won't start it until June
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Saw my PCP last week & she gave me an Rx fir it & told me to consider it. It's now approved for "50" & older. She said she was going to get it when she turned 50. She also thought my insurance would pay for it & that it might be harder for me to get when I become medicare age. I'm 53. She said the re-vaccination time frame hasn't been figured out. I'm probably not going to get it because it involves taking the Rx to a pharmacy like Costco or Walgreens. Once there I'll have to convince them to give it to me somewhere other than the convenient arms since I've had nodes removed on both sides. Apparently the vaccine has to stay at a temperature below freezing until administation time, making it difficult for MDs to provide this in their office.
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I got Shingles after my first chemo in Feb of 2010. I just got diagnosed with Shingles again last week on my inner right thigh. I'm only 37. Booooooooo. I'm absolutely miserable.
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Shingles was the worst pain in my entire cancer journey… no in my life (not I don't have children so child birth might top this). I was suffering with it last year at this time. I still have some scars and itch from it.
Here in the US your insurance will not pay for it if you are under 60 but it has been approved for age50+. Get the prescription and get it from Walgreens, Costco or someplace cheaper than the doctor's office if the insurance won't pay. My husband got it after he saw what I went through… and you know how hard it can be to get men to do medical stuff.
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Shirlann, thanks for raising this subject so members new to the site can be sure to see it. The main Breastcancer.org site has more information about Shingles, and when its vaccine is likely to fit into treatment for BC.
Your Mods
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My PCP harrassed me for over a year to get the vaccine - it is not paid for by OHIP (Ontario Health Care) yet so I had to pay $298 out of pocket and had to wait three months because of the waiting list for it - we had a dear friend who got shingles and he spent the last two years of his life bedridden and in agonizing pain - not for me!
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I recall getting the shingles vaccine in my hip. I had the vaccine on July 9, 2010 and began chemo on August 2, 2010. This was with the approval of my surgeon and onc.
I am so glad I get the vaccine when I did. It was massively inconvenient since I had movers at my house that very day and left on an airplane to move across country the next day.
Hugs Ginger
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Wow.....all that is covered under Kaiser's "Wellness" programs....free flu shots, free pneumonia shots, free shingles vaccines, etc.
(At least under my plan)
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bump
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I spoke with my oncologist again at Moffitt Cancer Center in Tampa and he has convinced me that it is okay for me to have the vaccine. I am going to get the shot.
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I had spoken to my BS about getting a Shingles Vaccine and was told that it was not a risk during treatment. How wrong he is!! Because I am going through Rads right now and have just been diagnosed with Shingles. I have had 10 treatments and have 6 more to go. This might affect my decision to carry on with the Rads as the RO said that the symptoms from Shingles may get worse with the treatment. I have decided to continue on for now.
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I am in a clinical trial for a new shingles vaccine just for people with compromised immune systems. It is designed for cancer patients. I have no idea when this will be available, because I am signed up to be monitored for the next five years. And it was 4 shots given one every 40 days. No idea if I had the actual vaccine or the placebo, but I haven't had any bad effects.
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I finally got my shingles shot today. My two med oncs did not agree on this one, but I went with the advice from the one at MOffitt CC and had the shot. Still not sure it was the right decision BUT I am so glad I can stop thinking about whether to get it or not. I am $250 dollars poorer, not covered by medicare, but worth it if it keeps shingles away.
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