Sept 2012 chemo
Comments
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Well port still hurts, but it is getting better. I start my chemo Friday and I am ready. I think I am more worried about the nulasta shot. Does is cause a lot of bone pain? Why is everyone drinking green tea? Thanks about all of the info on melatonin, I am going to ask my doc about it. Should I take phenergan/compazine before chemo or after? Sorry I am just full of questions!
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Hi everyone!
Other than my tongue feeling ridiculous, I am doing much bettter. Anyone else having tongue issues? Mine feels like is is covered with tiny cuts which makes eating and talking super difficult. Kind of depressing:-(
Englishrose: Thanks so much for posting the beautiful piece by Jeff Tomaczek. It made me cry, but in a good way.
Cindi74: I got my eyebrow stencils at CVS in an eyebrow kit for 8 dollars. It included a bunch of brushes, pencils, and shadow too. I mainly just bought it for the stencils. I think you might be able to find them pretty inexpensive on Amazon. I saw a set there for less than 5 bucks with prime shipping.
Patricia: Thanks for the information on JCPenneys! My hair was down to my hips. I keep cutting it little by little. It is now just below my shoulders. Maybe I will call and get a pixie cut for Monday. I am pretty sure next week will be my last week with hair. Which makes me anxious, but kind of ready to just get on with it. And thanks for being our cheerleader:-)
Wendy: Hugs around all of the stuff you are going through! Hopefully your oncologist can give you some clarity around what route they would think would be best. Sending lots of positive thoughts your way.
Kidsandlabs & bearcub & USMCblondie and to anyone else who just got their next round - Sending positive energy your way and big hopes for no SE!!!!
USMCblondie: Melrosemelrose has talked before about taking claritin before your neulasta shot. I did it, and it seemed to work very well. I had a little lower back pain - but nothing debilitating. Glad your port is getting better. Mine hurt for a solid week (so bad I called my doctor complaining!) , and then it was fine. It has now been 12 days and I don't even notice it.
Hope everyone is able to get lots of rest and have no SE this evening:-)
Any advice about my weird tongue would be greatly appreciated. I am roasting a turkey breast in the oven, but I am afraid I am not going to be able to even enjoy it!
-Mariposa
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My oncologist cut my dosage by 20% today--same reason. I told her I could just stay in and handle it but she said the cut shouldn't make a difference in outcomes. Dosage is sort of standardized, I guess, and there is some give some way or the other she infered. Furthermore, a friend sent a note on ginseng helping fatigue. Talked about it with the oncologist and she was VERY enthusiastic. Said I could probably buy it pure at a Chinese store, but none very close. Tried to put a copy in the the discussion here, but couldn't, but then discovered it is listed on the BC.org site and I hadn't read it. Google "American ginseng may ease treatment fatigue" Note it said don't get the kind with ethanol. We looked at a health food store run by Adventist here, and all had ethanol. I just ordered capsules of the pure from Amazon. should be here before my second A/C Wed.
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Mariposa, haven't checked CVS. Will tomorrow. Thanks.
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Wendy49, Somewhere I read to keep a plastic bottle of water by the toilet you can aim a stream at the proper location to wash when peeing. Use steril wipes to pat dry. Supposed to dilute effects of toxins. I did right after chemo for about four days.
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So I had really long hair, I cut it up to the top of my shoulder. Then I cut it VERY short and added pink highlights. Since chemo has started today wondering when to shave it off?
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Cindi74, I know you have been having a tough time with AC. I'm glad your MO was able to reduce the dose for you and hopefully you will rebound quickly this time around. I will ask about taking the ginseng. The fatigue goes beyond being tired. My first TC knocked me down so hard with fatigue, it took me 9 days to recover. It took all I had to make it to work on day 10. I did manage to make a full day at work on day 10. I had hydration twice in a week, really did not help me either. I'm 49 and I am use to running from 6:00 am to 11:00 pm daily. The nurses and PA told me while I was getting hydration that a person like me, Type A, have a really hard time with the fatigue. And by reading the posts here daily, I know you also are a busy lady too!
Relative to the plastic bottle by the toilet, I will try that. When I would go to the bathroom to pee, I could actually smell the chemicals. After a few days, I had burn marks from where the toxins hit my bottom. My MO called in some cream to take away the chemical burn. I may have a sensativity to the Cytoxan.
The strange thing is that all my blood is normal, but this being day 22 now, I still cannot work all day without feeling tired and then run errands in the evening. So, the TC has made me quite anxious relative to how tired I am and that was only #1.
Thanks for your input and I hope/pray with your 20% reduction in the dose that you now will have minimal side effects with AC.
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usmcblondie-Please try to stay calm about the chemo and the Neulasta shot. I did not initially have a Neulasta shot the day following my chemo. My onco wanted to wait and see if and when I really needed it to help my WBC. There is an ongoing clinical trial for the taking of regular 24 hour Claritin to see if it prevents the bone pain side effect of the Neulasta. Here is the link to that clinical trial :
http://clinicaltrials.gov/ct2/show/NCT01311336?term=claritin+neulasta&rank=1
Under the clinical trial protocal, a person takes one regular 24 hour Claritin once a day for 7 days starting with the day that one receives the shot. I took the Claritin for 9 days and took it in the morning the day after my chemo. I received my Neulasta shot in the afternoon the day after my chemo round. It fortunately worked for me; but I ahve to tell you that it does not work for everyone. I've read on other threads that some take a combo of Tylenol and Advil or Motrin every 4-6 hours to help with the pain. Whatever you decide to do, please clear it with your onco first before you take any OTC meds.
FYI: I did have occasional muscles aches/ joint pain while on chemo which are also side effects of my chemo regimen. I did not take any Tylenol or Advil to help with the aches and pains since they never seemed severe enough for me to take anything.
As for your anti-nausea drugs, call your onco to clarify what drugs you are to take when. I know all of this is overwhelming and a little confusing. You may want to write down your questions about the drugs and when to take them before you talk to the onco/his staff so you won't forget to ask any of your questions. Then you can just write down what the onco tells you about when to take what. Don't be afraid to call your onco and ask questions. I'm sure his/her office is used to patients ask these types of quesitons.
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Wendy, My only tough time was with the fatigue, I had seen so many friends keep working, take care of children. My daughter told me that one of the women in her large office she didn't think had missed a day of work. Sooo, No nausea or pain or other SE for 2 days--tired, watched a movie on day 3, late afternoon, day four after chemo day. Collapse. Effort to breathe. Husband thought I was having a heart attack. Same two more days. Got up to go to Cancer Clinic three days, and then began to recover on day 10. No way i could have gone to work. And yes, I am very active normally. i manage some real estate, and mow 10 acres once a month. Sooo very frustrating. i feel I have adjusted. Have made plans to be able to do nothing as needed coming time. i can do it if it is the same as last time or even a little worse. i just have to get my mind adjusted--and I have. Dr, said today i am doing great. I had on my glamerous wig, and looked good today after using some of the look good makeup. Oh yes, weird, head still has a lot of hair although it is beginning to fallout fast, but my lower eyelashes are gone. Never had a lot, but that surprised me.
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Mariposa- Your tongue thing sounds like what I had. I know mine felt like I had tongue sores. I rinsed my mouth several times a day with a solution that I made fresh every time I rinsed. Here is the formula:
1/4 teaspoon baking soda + 1/4 teaspoon of salt + 1 cup of warm water.
Sometimes I would rinse my mouth out with a salt + water solution. I also brushed my teeth at least twice a day and used Crest Pro-health mouth wash since it doesn't contain alcohol.
Hope this helps.
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HI All. Just dropped by to see how everyone is doing. I am officially 3 months PFC and want you all to know there is a light at the end of the tunnel. I was able to enjoy my son's wedding on 9/15, a week after completing my last radiation treatment. Today, I had my three-week post rad checkup with the RO and we "broke" up. I am done with him! Yeah!
Wendy: Why do you need 5 treatments? Seems odd. PM dancetrancer re: 4 chemo treatments. Sorry you aren't feeling well. Sending ((hugs)) your way!
As far as the hair: it was the most traumatizing thing for me throughout this journey. My avatar shows my hair 2 weeks ago. It has grown substantially since then and will need it trimmed for the second time since PFC. Just trying to help you all get through this....
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@maraposa... I was going through the same thing with my tongue and throat. Felt like it does when you burn it with coffee. My MO nurse line said it sounded like thrush. She sent in a prescription for magic mouthwash. It's some kind of mix of lidocaine for pain and an anti fungal and Benedryl. It seems to be working really well. Tongue is still a little sore, but it's loads better and I've only been on it two days
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Donna....from your facebook picture pic the image and copy the the URL
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Has anyone tried celestial seasonings herbal tea "sleepytime", to help with sleeping. I was wondering if it is okay to take with chemo?
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Good Evening ladies, well it is almost 12.00 and I am wide awake . I find that since I have started chemo I am up most of the night and sleep so little. Is anyone else having that problem? I also have notice that I am snappy a little . I feel horrible after I snap at my husband or the kids but I think all the changes are just getting to me.
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1st round yesterday, I have tossed and turned ALL night. I have been up since 2:30am. Nothing tastes good already. I am not nauseated much, taking meds on sched. I am starting to get lower cramps? no loose stool, so maybe constipation setting in already? In one day, I don't know.
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@kidsandlabs Welcome my fellow triple negative sister. I'm so sorry you had such a restless night. Is Adivan one of your nausea meds? It is also an anti-anxiety med. I find it works well at night and helps to make me sleep. I was still getting up two or three times a night. But after 3 rounds I am finally getting 6-7 straight hours at night. Hang in there girl.
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I had my second round yesterday and It's 4 am and I have been tossing and turning since 3, went to bed at midnight....gggrrr it must be the steroids. Having some hot water and lemon and 2 crackers. Oh well have no have do's today so it will be a lazy one. I did the same thing on round 1. I am taking my meds on schedule also.
I bought some kale yesterday, I have never eaten it before and tossed around in bed thinking about how to prepare it, thank god for the net. Have a good evening ladies.<
Cherioo, we all get days where we are snappy, are bodies are going through quite a lot, give them a hug and let them know that and that you love them. ((Hugs))
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kidsandlabs- Not sure what anti-nausea meds you are taking. If you are taking Decadron (steroid) or received it in your IV pre-chemo meds that may be the reason you are wired and having problems sleeping. You may want to talk to your onco about options for helping with the sleep situation. My onco suggested that I take Benedryl at night to help me sleep at night while I was on the Decadron. I don't take any sleeping aids on a regular basis and resisted taking the Benedryl until the 4th round of chemo. I know I only took the Benedryl after the 4th & 5th chemo rounds for 1-2 days after I had chemo. When I don't sleep at night, I try not to fret about it. It seems like worrying about not sleeping makes me feel more anxious and upset. Sometimes, I just get up and lay on the couch and veg in front of the tv. Sorry that the side effects may be setting in. If the side effects intensifyor you just are unsure, call your onco. Don't wait and wonder if the side effect will clear up on its own or what to do. Your onco is used to having patients call to ask about what is happening post chemo and is there to help you and reassure you. HUGS!!!
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Wow - just reviewed my insurance report on my chemo#1. The hospital billed them $11,500 for the Neulasta shot. I have to cover 800.00 of it as co-insurance. Not the best way to get ready for the BGC tomorrow.
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Jojo2373- The retail cost of my Neulasta shots was over $16 K per shot. Since my hospital cancer center is on my insurance's network, there is a $9K discount. The insurance paid almost $7k for each one of my shots and I had no out of pocket costs since I've already covered my yearly deductible. Although the shot is expensive, it is still better than going to the ER and being admitted into the hospital for a several day stay!!!! Enjoy your day to day and relax before your chemo tomorrow. Wishing you an easy time in the chair tomorrow and minimal side effects.
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Omg I was wondering how long does the naulesta pain last for .... My lower back is killing me it's been a week today so I started to take Claritin again... It's not my new mattress?????
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I can not believe how much the Neulasta shot cost!!!! That is crazy! I am going out of network- so I have to pay 20% of all of my visits. Luckily, there is a maximum amount I can pay each year - $2000. My heart goes out to anyone who has to deal with all of these crazy costs on top of having cancer.
I have been having pretty restless sleep too and irritable. I have been rinsing with the baking soda/salt mixture which seems to be helping (with the Nystatin).
Sometimes, this all just feels so surreal. Hope everyone is able to get some rest today.
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I have had very poor sleep too for the first 3-4 nights after treatment which seems to wear off as soon as the steroids are out of my system. The steroids also make me very cranky/emotional, especially on the third day afterwards. I've also had really bad oral thrush from day 3-8 after each treatment and a really bad metallic taste in my mouth. For the oral thrush, I have a mouth wash and brush my teeth every time after I eat. I started with Nystatin but that didn't work so I have oral anti fungal meds which keep it in control but it still doesn't get rid of it completely. It goes away on its own at the point when my blood counts go back up I think.
I think that even though each treatment might get a little more difficult because the SEs can be cumulative, for me, it's become easier as I've gone through because I know what to expect and when, and what I can do to deal with it.
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By-the-way, too, I was told that my Neulasta shot costs £800 (roughly $1200) each time (I don't have to pay for this), which is a massive difference. $16K per shot? That's insane... someone, somewhere is making some serious money. I echo what Mariposa said--it's really awful that anyone should have to be dealing with fighting their cancer and also worrying about the financial impact of having the treatment.
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Jojo, I had the Nuelasta and 5 neupogen shots. If you research, I think they are almost the same thing except that the Nuelasta is a time release type and the neupogen has to be done every day.
Also, the neupogen is cheaper. about 10 neupogen equals one Nuelasta in costs. If your husband can give them at home, you don't pay the hospital cost (I think the market cost of the Nuelasta was 5-7000$, the rest was for the hospital to give it to you. I got a prescription for the neupogen, but I was told it may be that Medicare won't cover it unless given in the Clinic or hospital.
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Yes! Yes to everything you all have said. I have felt and gone through it all with you ladies. It makes me feel like Im in a secret club. The not sleeping is the worst for me. I had immediate reconstruction and for some reason the TE's kill at night. Nothing worse than feeling punk and not being able to get comfortable! I have a horrible headache, but on the whole, round 1 wasn't as bad as I thought. I won this one:) my advise to everyone is stay on top of it, push back a little more everyday....don't let the cancer win!
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Yes Melrose the out of pocket cost is still better than going to the ER and being not able to take my chemo on schedule. As English said someone is making some serious money.
I will ask my MO tomorrow about getting the shot at home and if the insurance is okay with that.
Question as I start to see the Taxol fast approaching. I am scheduled for Dose Dense Taxol every 2 weeks. I have noticed most of the ladies here are going for Taxol weekly. Does anyone know what the pros/cons are for each? I assume the weekly is a lesser dose/less side effects?
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I just made my appointment for my free haircut at JcPenneys for Monday:-) I am getting a little Pixie cut. I think the inevitable hairloss will happen by the end of next week. The lady on the phone was so super nice. She said that they all received special training for the month of October. I have a new found respect for JcPenneys!
Thanks again Patricia!
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I am interested in the answer to this question too JoJo. I too am having my Taxol every two weeks. I wonder what the difference is.
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