WHY would I put myself through this?
Comments
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I understand Graylady. After reading the threads here it too scared me and it partially is why I chose not to do more than herceptin.
Graylady says her mind...and I think people read her thread because she does. She doesn't tip toe through the tulips
I admire her for being so discipline to run the way she does and that she wants to be in good shape. For her, like myself, she needs quality of life to function. I don't think I would do sick well either. I have dear friends who are very over weight. I see their struggle to just walk so that's understanding...but ten pounds wouldn't kill me. After it was all said and done, I would lose it although I love the weight I am right now. Does herceptin make you gain?
If she had just done herceptin, she probably would had finish the course. I just finished my school monthly newsletter so I'm about down for the night...and herceptin first thing in the morning
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I think she has been getting herceptin while on the taxotere, so that it good. They are doing studies in Europe that address length of time for herceptin, including much shorter. Who knows...maybe a couple months will turn out to be enough.
TLG...are you sure that weight gain isnt related to the anti depressant you are taking? That is a side effect of many of them. If you are clinica,ly depressed, would you give up that because you are worried about gaining weight? Same principle, I guess.
As the others said, herceptin is totally managable. I havent gained weight...didnt realize that was a side effect. I am mildly tired about a day after infusion, and it isnt a big deal. Runny nose...yes. Nails are thin, but look fine, knock on wood. I have three infusions to go.
My biggest side effects are weaning myself off my anti-anxiety drug, Pristiq. I started on cymbalta for panic disorder, which I loved, but cant take it with tamoxifen. Was switched to pristiq for hot flashes for 6 months and it did very little. Getting off that has been terrible.
Tamoxifen....Im not crazy about it. Some joint aches and I constantly worry about blood clots. Other than mentally worrying about it, however, it isnt awful. Exercise actually helps a lot.
You will learn to live with whatever decision you make and hopefully it will all work out well. -
TLG - As an aside to the current discussion, I just wanted to congratulate you on keeping your hair! Using the cold caps is not easy and I am so happy that it worked. I wish this was available to other women and was offered at least as a choice by doctors.
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I second that Omaz!
My oncologist actually said many ladies think the Cold Caps would be too much work. The whole BC thing is "too much work." Anything that would help me to feel better about myself during treatment would be worth the effort, IMO.
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Well, I actually canceled the appointment. In a weird way, I am proud of myself -- I wasn't sure I would have the nerve.
I think if I hadn't felt SO bad for so long, the weight thing wouldn't be such an issue. The weight is the straw piled on top of the cracked skin around my eyes from tearing, the mindbending fatigue, the near constant digestive issues, the breathlessness and pounding heart, the total loss of libido, and did I mention the fatigue.
Upon reflection today, I had to admit to myself and my husband that this has me beat, emotionally and physically. I'm a fighter, but I am simply not strong enough to go through any more. Sad but true.
This disease and its treatment got my breast, my physical fitness, my sex drive and my confidence. I look in the mirror and am repulsed -- I won't allow my husband to see me naked. By three oclock every day I am so tired I want to weep. I can't even run a MILE -- not one stinkin' mile. My legs throb with every heartbeat and I have sores that refuse to get well from scratching the Herceptin rash.
My husband has asked that we meet with the oncologist to find out (1) what my statistics are at this point, and (2) whether I could re-start Herceptin down the road. I may just email because I know a set up when I see one. On the other hand, he has been beyond lovely through this process and it seems churlish to deny him the one thing he asked for.
Eve, the docs say that Herceptin does not lead to weight gain, the women who didn't gain weight on it say it doesn't lead to weight gain and the women who gained weight say it does. I suspect most of this weight is chemo -- it is my legs (weird) and my upper abdomen right below my sternum (really weird). My fat likes to grow on my hips and butt. So maybe it will come off quickly, particularly if I stop feeling like crap all the time and can return to my austere eating habits.
Fluffqueen, I went off the anti-depressants 12 days ago. No way to tell what is causing what when you get right down to it.
Susie-- have you been feeding my husband his lines? That is exactly what he says.
AA -- thank you. You verbalized what I couldn't. Part of my emotional exhaustion is that I am sick of people telling me how I feel about this -- "you must be so glad it is over"....well, no, it isn't...."but that surgery will be easy for you and that infusion only makes you feel bad for a few days" yea, but I've been at this for a while..."the worst is behind you (and you know that how???) and you are strond/determined/resilient" well, no, not now at any rate...."you will feel better in a few days/weeks" ... gosh, I'm feeling bad about myself because I have put on weight ..."you will take that weight off just as soon as you are finished -- and besides, you look great!" etc, etc,. etc. I've gotten where I analyze these exchanges academically and it is clear that what is said is meant to make THEM feel better, that in effect what they are saying is "please don't make me look at the ugly, painful, difficult experience you are having."
And I'm having to accept that certain friends simply weren't. Wow.
Bland reassurances is exactly the right descriptor for the SE's that were actually mentioned. Total loss of libido was not even mentioned -- I wonder how many husbands would remain gung ho about treatment were it carefully explained to them by the oncologist that the woman sitting next to him may lose interest in ever having sex again, ever.
Not sure how much the loss of libido is tied to body image, but whatever the cause it is GONE. I can't even remember what it was like.
You are right -- surgery, chemo, herceptin, tamoxifin, AI -- that's the program recommended for me, side effects be damned. As a lawyer, I can appreciate the delimna. As a patient, it feels very imprecise -- using a bazooka to kill a gnat.
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I don't understand the "Cold Caps are too much trouble" thing -- all I did was sit there.
I strongly suspect "too much trouble" often translates to "I don't want to be more of a bother than I already am." -
TLG - I used the elastogel caps but only during the taxotere so I lost hair. Also the cap didn't fit tight in certain places and that is where I lost the most hair. I do think using the cap helped my hair come back in faster. For the elastogel caps you just use them during treatment and wash your hair normally, that was pretty easy. I have read here that the cold caps had more guidelines, that was what I meant by saying it wasn't easy. Just to say, at my treatment center my docotr said he hadn't seen anyone use the caps in 20 years.
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TheLadyGrey I'm truly sorry that you're feeling so terrible right now. Chemo is just miserable for some of us-I had an awful time with SEs. By the end of TC #6 I had gained 12 pounds in spite of horrible GI issues and not eating much. My abdomen was bloated and my legs felt so heavy and painful that it was an effort to go up one flight of steps in my house. I believe it was a combination of anemia, Taxotere SEs and overall steroid SEs. Add to that that I was exhausted/fatigued and emotionally wrung out.
So much of what you say resonates. I was so angry when people essentially told me how to feel by virtue of their comments. I also now feel in retrospect that during my last year of treatment a lot of information was withheld from me and that many times my concerns were minimized. Not one single provider ever told me about potential sexual side effects. I came out of the haze of chemo and was shocked that sex was now painful and my libido was gone too at age 42. A year later, it's no better. Shortly after chemo ended, I tried to bring up the subject with my MO and just got the "oh it's menopause...it should improve with time...blah, blah, blah". To sum it up, I was angry and physically and emotionally wrecked at the end of chemo.
I just finished the year of Herceptin and found it to be very tolerable. I'm glad that you are open to the possibility of taking a break and resuming Herceptin later if necessary. I think you'll find that you can make a better decision when you are no longer in the grips of chemo. And by the way, you are most certainly strong enough to go through more. The only reason you feel like you've reached your limit is because chemo has taken so much from you. But you are done with chemo and you are going to start regaining your strength, physically and emotionally. Take the time to regroup and get the rest you need and you'll be back in fighting form before you know it.
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Great post dragonfly.....so true.
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Gray Lady, I had my first infustion today without chemo. It's going to be interesting to see what herceptin does without chemo in regard to side effects.
I was very impressed with the infusion room and the nurses are so nice. I was there over 6 hours. Every time I had a side effect they stopped the infusion to let my body adapt. I learned that the first infusion is a double wammy. All the others are half what you get the first time.
The side effects first were a cold wave running throughout my veins...especially in my legs.
Second side effect...a headache...first around the sinus cavity and later it worsen.
Heart rate went way up.
Light headed (probably due to the bendryl)
Slight itchy.
Shivers.
Sick to my stomach, nausea, and feeling like I was getting the flu.
For the side effects:
I was given first tylenol
Second, meds for nausea.
Third, benadyrl...
Fourth steriods.
Tonight I am exhausted...mostly because I didn't sleep much last night....only 1 hour. I still feel cold, and a headache. I hope I'm better tomorrow as I have to teach which means standing on my feet all day.
With all that said, it wasn't all that bad. The nurses were kind, attentive, and caucious. I saw my oncologist today at least 4 times. I also learned that the first infusion is the worse. They said the next herceptin infusions should be a piece of cake.
It's good to see what side effects can be without the chemo drug. When we take more than one drug it can be confusing which drug causes what side effects.
You were very sensitive to the drugs. If I react as you did, I might make the same decision. Since, I'm not doing chemo the nurses said it won't be that bad. Hope they are right.
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LadyGrey - your husband and I are communicating via our psychic ability
Give yourself an extra couple of weeks and then decide. You have been SO brave, I honestly thought you would quit after the first treatment. I wish I lived near you, so I could give you a big hug and reassure you that the herceptin treatments are really easy. ETA and a smack on the bottom
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Tlg-i can't remember what anti-depressants you were on, but I hope you didn't quit them cold turkey. I was o. The lowest dose of pristiq and you arent supposed to cut them in half, so I weaned off by days. Finally jst had to stop and it was awful. Worse than chemo.
I think m onc thought I was nuts at my last infusion as I was telling him how terrible I felt...nausea....headache....tired....he was baffled trying to figure out what was going on as I hadnt had much problem with herceptin. It suddenly dawned on me to tell him I had quit Pristiq totally. He pulled up the SEs and I had them all. Still have a few, like the brain zaps, but That is wose at night and getting better. -
It has been 10 years since my onc AND my PCP failed 100% to communicate with me in any meaningful way about such SE's as loss of libido. There still seems to be a definite problem with getting them to play fair about this.
There are some who feel it is important to lie to patients so that they don't know what they are choosing, in order "to save their lives". When it comes to treatment that is so difficult physically and economically, and that offers no garantee that it will work for any given individual, honesty by providers is legally required, not optional under the concept of "informed consent".
It is disappointing and disgusting to be still at the point where the issue has not been adequately addressed by professional medical providers in behalf of their patients.
They need to pull up their socks like grown-ups and have a decent, direct, and full discussion about it prior to initiating treatment with their patients. If this is still an area where male doctors are inadequate, then they should at the very least provide an alternate medical provider who is grown up and professional enough to do it for them.
After all, if they are still being selective about what they share with patients, what else about their decision-making process is biased and unreliable?
AlaskaAngel
P.S. Given that 2/3 of all bc patients are over age 55, an indicator of integrity would be:
Does the doctor hire and provide nurses who have been through breast cancer and such treatments as chemotherapy for patient care, or does he provide young nurses who have no such experience?
Diagnosis: 12/3/2001, IDC, 1,6 cm, Stage I, Grade 3, some DCIS, 0/1 nodes, ER+/PR+, HER2+++
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I'm not sure what happened but I appear to have hit the proverbial wall.
I had started Tamoxifin three weeks ogo, went off Wellbutrin the same day, had my third Herceptin yesterday and my TE exchange Tuesday and I am a weepy, bitchy mess. I'm hoping someone can tell me why.
Bitching: my boob itches. But I can't scratch it because the places it itches are either numb or covered with stitches. It is uglier than it was before, there is CLEARLY no hope it is ever going to look normalish, you can see the three inch long line of stitches through my tee shirt and it aches.
My hair is falling out like mad and I have a hard time believing there is going to be anything left. The last eyelashes went today.
I tried on a pair of jeans today and had a two inch muffin top. It was an appalling sight. And the jeans FIT and I weigh the SAME.
Naturally, no one from the PS's office has called to check on me, nor did I receive any medications when I left, nor do I know when/if I am supposed to see him again or what/if there are any limitations on my activities. But hey -- he was only 3 1/2 hours late in starting the surgery so I suppose I should be grateful.
I got one of those "you are due for a mammogram" letters and dutifully phoned up to make the appointment which requires an order from my breast surgeon. I have no idea what she expects in terms of follow up and don't want to call. The last time I saw her I thought she said that the PS handles follow up. One more patronizing comment -- "Dr thinks it is overreacting to do mammograms every six months" and I'm going postal.
I am a little bit impressed with a system that can make a person recovering from two disfiguring surgeries, hormone therapy and chemo feel like a whiney brat -- I simply MUST Think Pink so I can be Noble and Brave and Grateful.
Weeping: this is my life now. Disfigured, flabby, exhausted and neutered. Those things are not going to change. I cannot quite believe it. It happened so fast.
I can't believe it. -
(((((((((((((LadyGrey))))))))))))) - sweetie - It's terrible you are having such a bad time. WTF on the hair falling out???? I thought the cold caps were supposed to save it. I would think that annual follow up would be fine - I was scheduled for that at first until they found the second cancer, so bilateral meant more frequent following for me.
Big Hugs from Aussie Land
Sue
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LadyGrey~
Are you having shedding or major clumps coming out? Mine did level off from the shedding when I finished chemo. Have you increased your iron as this seems to help with the shedding? Let us know how you are doing.
Hugs.
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Lady Gray, I had my exchange about a week ago so I have a few of the same feelings.. I'm not exactly thrilled with it, but in time I heard it gets better. It's hard to be patient when in the middle of treatment. I skipped the herceptin infusion this month due to heart palpitations and TE exchange surgery.
I did not go the route you did. I chose not to do tamoxifen or chemo so I haven't suffered as you have. Other than the weird implant that looks more like a bulging muscle right now I'm ok. Like you it has been suggested I do a six month mammogram although my oncologist suggest a annual mri and annual mammogram. It's been six months for my good breast so I'm not quite sure what to do. I will bring this up to my oncologist when I see her in a week. Are you under the care of an oncologist? It seems to me that she is the one to go to rather than the ps.
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Ang, I'm just shedding. I didn't shed at all during chemo so I am in shock. I have a tiny pony tail but still full coverage. The areas around my face are growing in.
I had to take iron when I was pregnant and it does a number on my constipation which became such an issue during chemo I'm scared....
I don't think I'm going to go bald. I'm just down.
susie -- thanks. The six month thing is because I had a biopsy on the good breast last September so it is an automatic thing. After this it will be yearly. That breast better not DARE screw with me. I'll cut her off -- literally.
Eve, I think we get told a bunch of hooey to get us to go along with the program, starting with "immediate" reconstruction. Nothing "immediate" about it.
I think the culprit for my ill humor is the Tamoxifin. I was not able to tolerate the pill because it made me incredibly depressed and angry -- something a remarkably astute gynecologist figured out my second year of law school. Going off the pill was like coming out of a tunnel -- I'll never forget it. I tried it twice after with the same result.
I'm going to ask about the real life benefits of Tamoxifin at my next appointment but I doubt I will continue.
Thank you all -- it is such a luxury to be able to come here and vent and not explain a bunch of stuff to be understood.
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LadyGrey - Lots of ladies take Biotin - you could try it - great for nails and hair. If you search for it here, you will probably find the right dose to take. We don't have it in such high doses here, but I found it in a Silica Complex tablet for hair and nails - worked really well.
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Hugs 2 u TLG!!!! And I SO get the venting! love this site and all my bc sistas!
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LadyGrey,
I don't know whether all the cheery encouragement before treatment makes it worse for those who don't have a smooth ride through it or not, but when personal experience differs from that sunny vision there is certainly a letdown. One gets through treatment by looking forward to being DONE, and when done ain't "done" it is emotionally difficult. Be good to yourself.
A.A.
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Tlg....didn't do the cold caps, but most of my shedding happened 2-3 weeks in, then slowed considerably, so I kept just enough hair through most of chemo, along with all eyelashes and eyebrows. Then....three weeks after chemo ended, I shed most of the remainder, eyelashes and eyebrows fell out. There were new ones coming in tho, so it didn't last too long, and my wig had long bangs fortunately so no one really noticed.
i too gained flab around the middle without gaining weight. Mine is upper middle. It is very frustrating. I think it is a combo ofbeing thrown into menopause from chemo, and taking tamoxifen. -
Hello LadyGrey and EveBarry
I always find both your posts so interesting.
How are you doing now?
Alice
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Alice, perhaps some find our posts interesting because we challenge the status que. Gray Lady is braver than I to at least try conventional meds. I've had too many bad experience with drugs to take the leap. I've had a bad reaction to herceptin being one of those whose heart is effected. To continue the treatment, I'm doing slow and weekly infusions. I'm hoping this helps. I'm now under the care of a cardio specialist.
Right now, I have the flu. I haven't been had a virus like this in several years. It's gone into my chest so I'm not doing too good. Yuk! I also have a runny nose. I feel bad for all the women who take herceptin who deal with a runny nose.
Lady Gray, chea seeds help hair growth. It's helped mine. A good friend who could hardly walk, who had bone on bone took chea seeds. She now runs 2 to 3 miles a day without pain.
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Ladygray- it sounds like you are in an emotional slump right now, and someone just handed you a gun.
I'm sure you will make the right decision for yourself. I have boys 12/17 so I fight. But I did spend a little time with that gun in my lap, before I decided I needed to at least do all I could.
Wishing you well, -
OBXK...sometimes the treatment is the gun.
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What the heck does that mean?
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Ang7,
I don't speak for eve.
There is a natural tendency for people with cancer to desperately want a treatment to absolutely provide some benefit, enough that they decide to do it. But with early stage breast cancer, for the majority some treatments provide no benefit, and/or cause damage. So even though many people are terrified by the possibility that the cancer can come back and may think that treatment is always worth the risk because medical people recommend it, it still may not be a good choice.
AlaskaAngel
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I was really surprised to see my thread bumped up -- I don't think to post much as pretty much everything I'm dealing with at this point is emotional.
So, let's see....
I have nothing to compare it to but I'll say my reconstruction is .... dissappointing. "The thang" (TE then silicone) is slopier and a good inch lower than the other one, although it is very close in size. No nipple reconstruction yet and am not sure I'll bother -can't see how "the thang" is going to look normaller with a reconstructed nipple.
I have no idea if "the thang" can be tweaked to look better and not sure I care enough to even try - more surgery lacks a certain appeal if you KWIM.
In fairness to my PS, when he didn't rock back in horror at the last post implant follow up, it occurred to me that I never actually researched what a good reconstruction would actually look like. It was clear to me early on I wasn't going to avoid surgery and I think I just did not want to know.
I finally let my husband see the damn thing -- not like it is going to magically look normal.
I have my 4th (?) Herceptin only tomorrow. I would like a note excusing me -- anyone willing to write it? The fatigue ..... and since I look normal (thanks Cold Caps!) and have been done with chemo for months, I should be back to 100%, right? Explaining "targeted therapy" is more trouble than it is worth.
I seem to be tolerating Tamoxifin OK with 100 mgs. of Prestique.
I agree with AA - I have no clear idea why I'm doing this except that it seems fractionally easier to do it than not do it. I have lived my entire life to avoid criticism -- no one can criticize me for doing the treatment, but OMG if I stopped? Yikes.
I worry that they really don't have any idea what the long term (as in over 10 years) impact on cardiac health might be -- it was approved in September 1998, and until recently, the women who got Herceptin had a clearer need for it.
But what do I know? I could say "no more" but I haven't been to medical school. If the expert I have hired says do this, who am I to second guess that?
My older son started a 4000 mile cross country bike ride from Baltimore to San Francisco yesterday to raise money for a cancer organization. He wrote "Mom" on his leg as he is riding for me and his step-grandmother who died of breast cancer a few years ago. I think it so cool that he is doing this -- what an adventure.
But I don't think it has anything to do with me really -- I don't associate me and cancer. I don't think of myself as a survivor. I'm often surprised when I feel the port. So I know I'm in denial, and people in denial generally don't make the best decisions surrounding their non-existent problem.
So I'll go with the expert -- I don't really have a meaningful choice IMO.
(Hi Mel! They have a great staff here too!) -
Hi Evebarry and Lady Grey
I guess the reason why both your posts resonated with me so much is that I've also been wondering re the potential benefits re the potential challenges of chemo.
You have both managed to express the fear re chemotherapy and I thank you so much for that. So well articulated...
Eve: I did read about your fears re your heart...understandable!
Lady Grey: Thank you for your comments...You are not alone.
Alaska Angel: Kudos to you re surving 12 years at least. I take your point that there are no certainties and watch your posts - and particularly your signature re your diet - with interest. Maybe vegan is the way to go!
Who knows which element of the treatment plan is helping us - surgery, cheomo, immunotherapy, radiatio - but combined with a healthy diet and reduced chemical load, it's the best we've got in my humble opinion.
Actually, we're not doing too badly:
http://www.umm.edu/patiented/articles/how_serious_breast_cancer_000006_6.htm
With love
Alice
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