April/May 2012 Chemo hang out
Comments
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Question? I didn't get any pre-meds before first Taxotere/Carboplatin/Herceptin and the only thing after was the Zofran every 8 hours which I took for 3 days as pre-cautionary and no pre-meds prior to the 1st Herceptin only or pre this Friday for 2nd Herceptin only. Those taking pre-meds, have you always taken them? Just curious and wondering why/what they are given for. As you know I hardly had any SE's on my first round of TCH (also concerned that the next round on the 15th the Honeymoon will be over). Were pre-meds prescribed due to bloodwork?
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A very nice doctor called me back very quickly and waited very patiently while I stopped crying long enough to speak. She said to take the Emend in the morning and put the lidocaine on my port and to bring everything else with me. Thanks again!
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Fierro--I am also on the ACT dose dense...and was told that was the "standard of care" for my cancer...
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Is the Lidocaine the EMLA cream that you apply to the port area? If you just had your port placed, you may not be able to use the EMLA cream for tomorrow's infusion because you have an unhealed incision. If that is the case, ask the infusion nurse to spray the port area with a lidocaine numbing spray.
Dexamethasone is Decadron which is anti-nausea steroid. I supposed to take that twice a day the day before chemo and one more time the morning of the infusion. Now I take it twice a day for three days ( day before chemo, day of chemo and the day after chemo) You may also receive Decadron with your infusion.
I don't take Emend or Prochlorperazine. I do take Zofran (Ondanestron) for nausea for three days after the infusion. I also have a prescription for Pheagran (Promethazine) for nausea to be taken as needed. So far I haven't had to take any!!!
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Marcia: I am glad you got that resolved before bedtime.
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Thanks, JKBuffy. It's good to know that there are several doing it this way. When I thought I was the ONLY ONE getting treated every other week, I thought I may have gotten a crazy doctor. LOL It's stupid, but it's the kind of thoughts I have.
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Marcia...glad you got it straightened out...I was very confused at the beginning too...so many meds...I needed to have my sister re-read everything to make sure I was doing it right... sometimes I am still confused...but now I can blame it on chemobrain! Hang in there...you are going to do great!
Rgina...I'm also on TCH and had pretty mild side effects after my first AND my second treatment...the only thing I take before treatment is steriods the day before and the day after...they give them to me in my infusion the day of tx.
Cindy
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havent posted in a while. 2nd round of FEC yesterday. Neulasta shot today--in the tummy, one time I didnt mind having a little muffin top over low waist.
Nurse asked if I had any reaction to Neulasta last time...she looked surprised when I said that I had taken Claritin before and after the shot..and no bone pain/aches. Forgot one day & took Zyrtec instead...Funny thing that night felt like I had been hit by a train, muscle spasms,bone pain, etc. Back to Claritin next day and had nor bone pain. Hoping Claritin will repeat the warding off of SE from Neulasta.
This morning noticed red area around 2nd breast incision--for the benign fibrocyst. Go figure...Dr. says its a seroma. Says it could take a while to go away, if gets bigger they can try to drain. Anyone else have one?
just took Compazine for nausea... 1/3 of Chemo done. Yay!
Shaved my head last weekend, small patches of hair were coming out. I still have lots of stubble, wouldnt I be the ironic one that would only lose a patch or two of hair?
Good luck to everyone haven TX tomorrow. Thanks for all the posts...wonderful information and invaluable hints.
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Fierro--so far the dose dense is not terrible. I recovered surprisingly quickly from the first treatment (was pretty much "normal" by one week out--good energy, eating regularly etc), and just had my second dose today (doing OK right now). I am hoping I recover as quickly on this round...
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Marcia--Just wanted to jump in...it's helpful for me to keep a journal. I begin with the night before infusion and continue by date until SE's are gone. I list all meds and times I take them as well as how I'm feeling and what I'm eating. It helps me rememeber from one treatment to the next as well as giving me an idea of how I'll feel next time.
Glad to hear treatments have been going well for everyone this week. GL to those in the big girl chair tomorrow.
Oh and vballmom--hope you got something for your nausea!
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On A/C, I get premeds from the nurse maybe 20 minutes before my infusion starts. All pills - they've never given me any intravenously. I get decadron (dexamethasone), emend and zofran. I also get the same three meds to take at home for the next 2 days, but only exactly enough pills for 2 days, and I take them all. I also have a prescription for compazine to take if I have problems in spite of the other meds. I didn't have any nausea my first two txs, only a little queasiness the first evening. This last time I did get sick to my stomach the night of treatment, and took a compazine. Seemed to do the trick.
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Mary71, thanks for the great idea of journaling through the SE's. I will plan on that when I start next week.
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Thanks Cindy and yes I do get a steriod infusion prior to the TCH - just nothing before pill wise. Glad to hear you also had mild SE's on #1 and #2 - that's alway good to hear.
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Marcia1111- Just like Mary71 said, it may be a good idea to have a journal to help keep track of everything. I'm in a Herceptin Clinical Trial and a nerd at heart so I have a daily chemo journal that I made to help me record when I take the prescription chemo meds and any other meds I take for my bp, tylenol, benedryl, supplements. I also have a food journal so I can tell what and when I ate so I will know from chemo round to chemo round what foods worked the best for me. I also have a calendar of my side effects, like when I'm feeling good, yucky, not good to help the research coordinator keep track of my side effects to report the clinical trial. The calendar also helps keep track of my temperature that I take daily to make sure I don't have a crazy spikey fever and have to call the onco for help. The calendar is also helpful for tracking when the WBC are most likely to drop and when you are in nadir and then in recovery period. It just helps you plan your down time. If you need any further help, just ask. Never be afraid to ask for help whether it is from your onco or here.
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@Cindy/FightingLikeAGirl - I just read your info, you've been through this twice now? So when you said your first and second treatment you meant treatment, not first and second infusion? God bless you.
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You are all so amazing!
I am definitely going to start a journal. I felt so stupid yesterday when the nurse asked me when I last took each of 4 medications I listed on my intake forms. I couldn't remember anything and had to give very vague answers. My husband has an amazing memory so I have been relying on him throughout this ordeal, but you have made me realize that I have to take control. I am very disappointed in the MO's nurse practitioner. She made light of the meds, assuring me that it would all be clear. Clear to someone who's done this before, maybe, but not to me.
Thank you again for being there for me.
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Marcia111- Happy to email you the drug form and food form I made up, Just private message me with your email address. The forms are in excel and you can change them anyway you want!
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rgina...I meant this time around...I am doing my 3rd tx next Thurs. The first time around I didn't have chemo.
I journal as well...write down how I feel physically and emotionally...I think it helps a lot. I also have an excel spread sheet with my SE's lined up next to each other from days 1 - 14...so I can see if the SE's change from tx to tx. I have another excel sheet that list all my meds and when I'm supposed to take them and which ones are "as needed". It really helps me especially right before tx and the first week after.
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I take my meds the day of the infusion - I take them there at the center. I then start 2x per day. They added the antibiotic and Neupogen after my neutropenia fiasco. I have my own nurse who is available during business hours - she's been really helpful. I also get visited by the nutritionist, which is a nice touch.
Cindy, I can't really tell what meds work and what don't. I just have constant nausea. The Ativan seems to help.
Fierro, I haven't had my wine in so many weeks...or is it months now? I do steal the first sip off of hubby's beer and man, does it taste incredible.
It's interesting, but I had a terribly stressful year before diagnosis. I look at pictures of myself in the fall and I can see in my eyes that I was not right. I think I knew something was wrong with me way before I found the lump. So much so that I doubled my life insurance. I had no symptoms except little energy. I wanted to sleep all the time. I couldn't really put my finger on anything.
KJiberty, my blood pressure was way down while I was in the hospital. It was all over the place 89/59 was pretty average. It went up as I got more hydrated.
Isharvey - watch that blister closely. I had a blister on my tailbone which the doctors think may have been the cause of my fever (infection somewhere in the body) and sent me into the hospital. They tested mine for herpes zoster (shingles) but it was negative. I learned shingles is not uncommon during chemo. Yay.
I am wearing a bed cap tonight so I don't have to be covered in hair until I go get a shaver tomorrow.
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Melrose - my check book isn't that well organized!
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Isharvey822- I don't keep a checkbook anymore and quite reconciling that thing years ago......It hurt my retired accountant brain to reconcile my own bank account!!!!! lol
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Ok, so my Buff came in the mail today and I have been playing with it, learning how to use it. I will say, it is VERY comfortable. It will be interesting to see how it feels when I lose my hair.
isharvey and melrose, I have never been able to reconcile my checking account; just really bad with money. I get the bills paid but just not disciplined to save. Ah well.
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vickilind61- there are some youtube videos on how people twist that Buff around. Check it out sometime!!!! BTW the last time I reconciled my checkbook was in the early eighties when I got an overdrawn notice in the mail after a Xmas vacation. I called the bank and they said that a bank vice president had taken care of it..... the only thing is that I didn't know any vice president at my bank!
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Thanks Vball! Yikes! I hope it's just a blister! And from someone who's recently dealt with the hair fallout - you'll feel better when it's shaved! to distracting to have it coming out everywhere all of the time!
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Melrose, I could never have that kind of luck; the VP would probably make me pay for someone else's overdraft! And I will check out the videos; I do like mine. I went kind of boring and just got a gray argyle, but the next one will be a little wilder.
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lsharvey - I know one can get something called foot and hand syndrome on chemo. I've never had it, I just know it can happen, especially if your skin gets dry. Maybe that is it??? Sounds like something to report to your onc and get checked, to make sure it doesn't get any worse.
vball - bummer about the nausea....ugggh! Have you tried the nausea wrist bands yet? I swear they are helping me with my heartburn. Both symptoms are related to the vagus nerve, and the acupressure point in the wrist is supposed to help.
rgina - so glad the Q-tip/baby oil worked for you!
fierro - sounds like beer time to me.
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Trying to be upbeat as I plowed through neulasta reactions. Then I get a call from nurse saying my WBC is 300 and am neupogenic. A week after the shot! So I have to do the super careful gig. Doc thinks it will go up. Soon. I went with DH to retirement party (outside, no hugs)for 25 minutes. Washed hands a ton. Plus got all over face flushing for first time!!!
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rgina - the premeds for my TCH were standard. The dexamethasone is given to prevent an allergic reaction to the chemo drugs, which I understand can happen up to 24 hours after chemo. Now, I also get benadryl before my Herceptin only infusions to prevent an allergic reaction...but I'm hoping we can try cutting it down some eventually b/c it does make me real sleepy. None of this was based on my bloodwork, however I do have a history of allergic reactions to pain meds, so it is prudent to be cautious in my case. I'm not sure if premed prior to Herceptin only is absolutely necessary, but I do know premeds/postmeds for chemo is standard practice. Perhaps your MO feels premeds on the day of chemo is all that is needed...sounds like you did ok with it!
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Does everyone get Benadryl with their TC? at least the first one/two? That stuff kicked my butt! I could barely put a sentence together!
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lisa2012 - eeks! Sounds like you are the 2nd person that Neulasta didn't work for. Yep, lots of handwashing for you...but don't forget to moisturize so your skin doesn't break open (been there, done that). Hope your counts come up quickly!
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