Starting Chemo July 2012

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  • cjanet
    cjanet Member Posts: 328
    edited July 2012

    Hi ladies,

    I spaced out and was off the boards for a few weeks.  I did my 2nd round of Adriamycin last Wed.  Nausea up the wazoo for the first go around (didn't get Emend) and then got Emend for my 2nd round but it sadly wore off on Friday so struggling with nausea and fatigue.  Hopefully this coming week is easier.  I have treatment every other week so 2 more Adriamycin rounds.  Yuck.  This stuff really sucks.

    Hey-does anyone know of a powder to take for the tongue sores?  It's something I can buy in a health food store that someone recommended to me but my chemo brain can't remember the name.  Some supplement.... 

  • DkJenkins
    DkJenkins Member Posts: 5
    edited July 2012

    So far I haven't had any mouth sores. My tongue and inner cheeks feel thick and are white for a few days after AC but no sores. Yes AC treatment is awful just awful. I too dreaded it the most even more than loosing my hair! I hate feeling sick and that is just what you have to deal with. I have treatments every 2 weeks and always on Thursday's so by Sunday I am wiped completely out for days! But 2 more I just have to keep telling myself that. I took the nuelasta shot with my first AC treatment but have switched to nupegeon for the remaing treatments. I can't tell much difference between the two.

  • _Ann_
    _Ann_ Member Posts: 769
    edited July 2012

    Just checking in.  Sorry to hear so many are struggling with the AC right now.  

    I'm gearing up for round #2 this Thursday.  I have so many questions for my MO now.  Wondering why I didn't get dose dense, and why I didn't get Neulasta like so many women here have.  I'm sure she'll have reasons but I'm impatient while waiting on my appt.  Fortunately I'm still feeling well, and looking forward to catching up on work and chores over the next few days before round #2.  This time I'll know better than to try and drive before day #7.   I'm planning to be out of office longer or else carpool with the hubby.

    My hair started to fall on Friday and I'd say it's probably half gone now after two shampoos.  I'm planning to just let it thin out on its own rather than cutting it even shorter (it's one inch long).  Yesterday I wore a bandana tied as a kerchief over it as I was starting to feel a bit self-conscious.  It's nice still having a little peeking out at the front but it's starting to look rather odd.

    I had a stress ehcocardiogram test Friday but my symptoms had already cleared up, so I'm pretty confident results are going to show normal heart function.  I've been walking and lifting (small) weights every day.   I want to get the exercise habit going now, as it's one of the factors for less risk of recurrence, and has so many other benefits.

  • emilybrooke
    emilybrooke Member Posts: 98
    edited July 2012

    Hi Ladies -

    I too had a bout with depression this week which worries me because I only had my first AC treatment on Monday, 7/23. According to the nurses, I had minimal side effects so I count myself lucky but I am nervous about round 2. Wednesday-Friday I was a hot sobbing mess - completely inconsolable. My sister stepped in and reminded me about how strong I was through the diagnosis, BMX and recovery. I guess there are going to be ups and downs through this experience. At times, it is so hard to remember that this will end and I - WE - will be okay. I suppose the best thing to do is enjoy all the days that I feel good between treatments and be social!

    City - love the pictures! I hope I can be so brave next week when my hair time comes.

    Boobzilla - crazy ER experience - so glad you are okay =)

    teeball - glad to see you back

    Welcome to the all the new names and faces!

  • Itsalltemporary
    Itsalltemporary Member Posts: 38
    edited July 2012

    Hi CItyFi - you seem to be one of the few that is already on your 3rd round of treatment - interested to hear how it compared to the second. Do symptoms subside even more or are they about the same as the second one? Had my second of 6 TC treatments on Thursday and I feel soooooo much better than after the first treatment. The symptoms are MUCH more managable this time compared to the first. The doctor did tell me that the first treatment is the worst because it is such a shock to the system, and the others are easier. Just curious to know if it gets easier each time or stays this way for the remaining treatments?.

    Anyone else out there on their third round that could shed some light?

  • 25weeks
    25weeks Member Posts: 76
    edited July 2012

    Emilybrooke-

    I'm right there with you on the unpredictable emotions. I feel out of control & I think that scares the crap out of me. I want so badly to feel clear in the head & I'm sure nobody close to me has an inkling of what I feel inside, both physically & emotionally. I've found that it helps to take my shower every morning to get me going. Otherwise, I'd just laze around. If I'm showered & dressed, I can get myself out the door for something. Like I said, I've managed to drive myself everyday post treatment (7/24), and that helps me to feel somewhat independent. I just got back from a trip to the grocery store, where I picked up some OTC heartburn meds & the smooth move tea (peppermint) that itsalltemporary suggested (can't wait to try that- may not be able to wait until bedtime). I also picked up a variety of drinks (so tired of water) & some snacks that sounded appealing. I think for me, it helps to keep as much control over my day as possible. It's not easy. My energy is low, but it's not paralyzingly. I do push myself a bit from my comfort zone, but I think that will help in the long run.



    So far, no mouth sores for me, luckily, and I am prone to them. I'm still using my sonicare toothbrush a few times a day to keep my mouth clean, and a friend picked up some mouth spray called "rain" which has xylitol in it to help keep the mouth moisterized.



    Cjanet- are your anti nausea meds not helping you? I have zofran, phenergan & Ativan. My doc said to be sure to let her know if they didn't work & also to not let the nausea get ahead of you. Take the meds as soon as you start feeling off. Also, since they are different, she said if you take one & don't feel better within an hour, take the other kind right then. There are also others they can prescribe if all others don't help. Hang in there & don't be afraid to take the meds! :)



    When did you TC folks lose your taste buds? Mine still seem ok on day 6. Munching on some cashews now as I summon more energy to put away the groceries I just bought.

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012

    Thought I'd share a little info about what happens after the first round of chemo since I'm heading into my last chemo in less than 2 weeks ( Cytoxan/Taxotere x 6).

    Let's keep our fingers crossed that everyone's side effects will continue to be minimal.  My first one was the worst and since then, they were not as bad.  However, one never knows since the side effects are cumulative.  I did notice that my eyes are tearing more; but not surprised.  Taxotere is also called " Taxo- tears" for a reason.  I also noticed that my burping has gotten better too.  I had a bout of tongue sores but rinsed several times a day with 1/4 teaspoon salt + 1/4 teaspoon baking soda + 1 cup of warm water solution.  I made a new fresh cup of rinse every time I rinsed my mouth.  I do have this burned tongue sensation that starts a few days after the chemo and lasts for at least another week afterwards.  It also signals that my taste buds are on vacation.  The texture of foods change and there are foods that I don't like to put in my mouth during that time because of the thick greasy feeling I have.  The week before I have my next round of chemo, I feel much better and less fatigued.   I can tell you that the fatigue factor has gotten more obvious to me after each round of chemo.  I know it is partial from the chemo itself and my body's ability to recover is taking a little longer.  I know my onco is watching my red blood count since it has continued to decline with chemo.  Fortunately, one can help that with an iron enriched diet. 

    I stopped using my sonicare toothbrush until after I finish with my chemo.  I spoke to my dentist before starting chemo and he as well as my onco said to use a soft manual toothbrush to avoid any microcuts/microabrasions to my gums.  Just want to avoid any means of infections during chemo treatment. 

    For Those taking A/C on 3 week regimen- Please don't feel like there is something not right with having dose dense chemo.  I know of at least one gal on the boards who is receiving her A/C chemo every 3 weeks like you.  If you go the chemocare.com website (which is the website founded by Scott Hamiliton, the former Olympic ice skater and cancer survivor) and read about your chemo regimen, you will find that the nadir period for both of those drugs begin during the 2nd week after the infusion and the recovery period for both is 3 weeks.  Here are the 2 links

    http://www.chemocare.com/bio/adriamycin.asp

    http://www.chemocare.com/bio/cytoxan.asp

    You will have the opportunity to give your body the chance to recover in time for the next round and you won't be heading into that next dose dense chemo before your body has recovered.  Most dose dense receive Neulasta or Neupogan shots the day after their infusions and are told they will receive them before they even start their chemo.  Although I am not on the A/C regimen, I did not start getting a Neulasta shot until after my 2nd round of chemo.  I developed a spikey high fever and was told by my onco that I would thereafter receive a Neulasta shot to help prevent that situation from reoccuring.  My onco doesn't give the Neulasta shot unless the patient demonstrates the need for one. 

    Hope this helps, ladies!!!  Wishing easy times this week for those in the Big Girl Chair this week and minimal side effects!!!

  • dventi
    dventi Member Posts: 171
    edited July 2012

    Hi -Hair no more!! -anyone have a dry and itchy scalp -(without the wigs on).. What have you used on your scalp?

    Finished with 2nd tx - onward and upward to 3rd tx on 8/8.

    Hope everyone is doing well with their treatments and enjoying the Olympics!

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012
    dventi- I used some Neutrogena TGel shampoo to help with my scalp issues I had right after I lost my hair for short while.  I had used that same shampoo in the past.  I also tried to use as little as shampoo on my head as possible  ( like a drop or two)   After that I've been using Aveeno Gentle Conditioning Baby Shampoo.  I've also read where some use extra virgin olive oil (EVOO) on their scalp to help with the dryness.  Hope this helps...
  • _Ann_
    _Ann_ Member Posts: 769
    edited July 2012
    Melrosemelrose, thanks for the info about how your doc handles Neulasta.  It doesn't sound like something I want to have unless it's necessary, but I did wonder why so many were having it and my MO hadn't mentioned it yet.  I was wondering about dose dense AC because I saw one study saying it had better outcome than normal dosing.
  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012
    _Ann_- Glad the info helped you about the Neulasta.  If and when you do need it, just be glad that it is there for you to take.  Without it, every time one gets chemo and the WBC continues to decline, a point will be reached with the WBC will be too low to receive chemo.  The reason why one has blood work labs done right before the chemo is to make sure the blood counts are high enough for one to receive chemo.  If they aren't high enough, there may be delay in receiving that chemo round.  I get my Neulasta shot in my tummy rather than my arm.  In fact, I ask for it to be given there since I don't have any residual injection pain I know I would have it I got it in my arm. ( love having a little body fat there--- the one it is good for something.... lol).  I warm the shot up in my hand before the nurse gives me the injection.  The shot is injected slowly to also minimize the injection pain.    As for the dose dense, ask your onco about why 3 weeks versus dose dense two weeks.  There maybe health reasons specific to your case that it is better for you to have it every 3 weeks.  No matter what, it is good question to ask.
  • curveball
    curveball Member Posts: 3,040
    edited July 2012

    @cjanet

    are you thinking of lysine? It's an amino acid which I think I've seen mentioned somewhere on bco, but I'm not sure if it was in connection with mouth sores or something else. If lysine isn't what you were thinking of, you might try adding a pinch of salt and a pinch of baking soda to a glass of warm water and swishing it around in your mouth. That's the formula my nurse suggested to me if I get sores. I know from experience that warm salt water is really soothing when I have an owie in my mouth.  Hope that helps and that your mouth heals up fast.

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012

    curveball- You have it right--- Lysine is the supplement to help with mouth sores/ cold sores. 

    Recipe for the mouth sores rinse that you make fresh every time you need to swish:

    1/4 teaspoon baking soda + 1/4 teaspoon salt + 1 cup of warm water

  • dventi
    dventi Member Posts: 171
    edited July 2012

    melrosemelrose --thanks for the scalp tips!!

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012
    dventi- I bet you could also use any shampoo that can used for dry/itchy scalp and perhaps one with a conditioner until you get the situation under control.  I also leave the Baby shampoo on for a little  and don't immediately rinse it off.  That baby shampoo is great since it is a tearless formula and won't sting your eyes!!! 
  • FernMF
    FernMF Member Posts: 349
    edited July 2012

    I start Tuesday - cytoxan and taxotere

  • dventi
    dventi Member Posts: 171
    edited July 2012

    Scalp has red bumps, almost like a heat rash.. Do wear the wigs alot.. maybe from that? did you experience that?

    Maybe the bumps were there before but I never noticed until I lost the hair?

  • virginiab
    virginiab Member Posts: 205
    edited July 2012

    FernF--

    I'm glad you found us here. Lots of us are on the TC chemo, so you'll be able to hear from folks who are a few weeks ahead of you. I swear, sometimes it's just good to hear that whatever you are experiencing has been experienced by others.

    Dventi--

    Your scalp condition worries me. I think you should call your doc or onc nurse and ask their advice.

  • emilybrooke
    emilybrooke Member Posts: 98
    edited July 2012

    25weeks - thank you for your spirit boosting message. Happy to report I got out of bed, ate breakfast and have plans today with my mother-in-law. We are going to pick up the wig that I ordered! This week will definitely be a better week =)

     Ann - I see there have been a few posts about dose dense AC - it looks like we may be having a similar treatment plan. I have completed one round and received the Neulasta shot the day after.

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012
    dventi- Wearing wigs constantly may not be helping your scalp situation.  You may want to call your onco today about it and have it looked at just to be on the safe side.    I did experience a short period of clogged hair follicles when I first lost a lot of hair but then that subsided once I started using the TGel shampoo.  I used the least amt of that shampoo as I could and did not use that shampoo everyday.  I used the baby shampoo when i wasn't using the the TGel shampoo.  I don't wear wigs and wear head coverings (hats, caps, bandanas) when I go out.  You don't realize how much your head sweats until you don't have hair. 
  • _Ann_
    _Ann_ Member Posts: 769
    edited July 2012

    Last night the hubby and I started pulling the loose hairs out of my head and there was barely anything left at the end, so we buzzed it off and am now bald.  Eeeek!  Looks OK from the front, but my profile is really weird.  I have a big skull with a giant knot on one side, so I don't think I'll be walking around au naturel at all.

    Emilybrooke, I'm glad you're feeing better.   I think it's just harder to fight depression when you're physically wiped out. 

    Melrosemelrose, yeah that was the first thing I noticed about being bald-- seems like my scalp is constantly sweating.   I've found the coolest option is a buff (single layer t-shirt type of material) with a headband.  A bandana feels good but I can't get it to look even remotely OK now.  How do you wear yours?

  • Ellendou
    Ellendou Member Posts: 139
    edited July 2012

    Ann I had hubby take his razor and shave my head last night, had strange little hairs here and there, also notice that my head is always sweating.  I'm also having problems with any type of headware looking ok...have bought all kinds but don't like any of it......think I need some lessons on tieing bandanas and scarves.  I ordered a couple of buffs but they feel so tight on my head...guess I need to stretch them out really good.

  • curveball
    curveball Member Posts: 3,040
    edited July 2012

    @ellendou, you might try searching for "head wrap"  on Youtube. There are lots of instructional videos about how to tie scarves etc, some specifically intended for cancer patients.

  • Ellendou
    Ellendou Member Posts: 139
    edited July 2012

    Thanks curveball have watched a couple, guess I am just not liking having to wear one - but will check some more Youtube out.  To me there seems to be so much bulk at the back of my neck.

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012

    _Ann_:  I have a few buffs that I wear sometimes.  Love those.  As for the bandana, I have a small head so it is easy for me to tie it in the back and tuck the top part of the triangle down underneath the tied knot.  The straw hats are great this time of year.  When i go shopping, I always check out the men's section of stores such as Marshalls and TJ Maxx since you just never know what you will find.  FYI: I'm one week away from having my final chemo -- it's number 6.  I never lost all of my hair with the chemo--- still have most of my eyebrows, eyelashes; a thin veil of head hair and some arm and leg hair and even hair down south.  I already have new growth of stubbies and peach fuzz.  I thought I would have lost all of my body hair by now but looks like I've got some hair follicles that just won't give in to the chemo.  I do expect the eyebrows and eyelashes to possibly go and return several times during the next year since that how those hair follicles work.  They are on a different growth cycle than the other hair. 

    No matter what, hair or no hair, we are all beautiful!!!!!

    Hope those in the Big Girl Chair have an easy time this week and wishing minimal side effects for all!!!!

  • _Ann_
    _Ann_ Member Posts: 769
    edited July 2012

    Can't recall if I already posted this, but this blog http://eyelineher.blogspot.de/ was really helpful to me.  She has videos on buffs, scarf-tying, and makeup.  She has alopecia and still manages to look gorgeous without wigs. 

  • boobzilla
    boobzilla Member Posts: 58
    edited July 2012

    Melrose-Congrats on being in the end stretch of the chemo!!!

  • boobzilla
    boobzilla Member Posts: 58
    edited July 2012

    Quick question-for anyone on TAC-would you mind posting when you first started losing your hair? (x days after treatment 1, 2 ,etc?). Where did he go first (head, down south?). Just curious, as I suspect mine to start soon (I am 11 days out from treatment # 1) and trying to finalize some wigs/head covers ASAP. Thanks all!

  • kona14
    kona14 Member Posts: 51
    edited July 2012

    Curveball,

    I see that our diagnosis and treatments are quite similar.  I also had only one positive lymph node and a very small tumor.  I will start chemo in two weeks; however, did your onc tell you or give you any reason for the node being positive with such a small tumor?  I am pissed off but also very humbled with only one nodal involvement.  I am a previous Hodgkin's survivor and cannot have adriamycin (I had my lifetime supply of it 22 yrs. ago.) I have never had cytoxan or taxoter--are they bad? 

    See my onc on Aug. 6 to start chemo regime.  Thanks for any help!

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited July 2012
    boobzilla- Thanks!!!!!  Before you know it, you will be at the end of your chemo, too!!!  FYI:  My initial hair loss started about 14 days after my 1st chemo.  Thank goodness it doesn't occur all at once ( like you don't wake up one morning and your pillow is totally covered with hair and you are totally bald).You will know when the head hair starts going--- your scalp may become sore and tender and the texture of your hair may feel different ( mine felt dry and strawlike).  The hair starts coming out a little and then it starts to increase and you find it everywhere--- on you, your clothes, your pillow.  You may notice when you shower and washing your hair.  Whatever you do, no need to panic.  You will be okay.... believe me, you will be okay.  I got the short short boy hair cut after I got so annoyed with the hair being everywhere.  I used almost an entire lint roller to clean up hair off of me and my clothes and everywhere else!!!!  Since the idea of having my hair cut at a salon and watch it fall strand by strand to the floor didn't appeal to me, I made the 5 little pony tails on the sides, back and top and snipped those off myself.  My DH took his trusty hair clippers with a 1 inch cutting guard and finished the hair cut.  I didn't let him cut any off of the front after my snipping since I wanted to leave that longer.  Glad I did, since I had and still have some very wispy bangs that are present when I wear hats, bandanas, Buffs, or caps.  That has helped me get through the loss of the rest of the hair. 

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