April/May 2012 Chemo hang out

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  • wendy49
    wendy49 Member Posts: 45
    edited September 2012

    Hi to all my sisters who have experience with these drugs --

    I have a major issue (that's a big surprise lately).  

    I went for my #2 TC yesterday.  My MO is in Turkey giving a lecture and will not return for 3 weeks.  I met with his PA.  I indicated all the SE's I'm having with TC, really the ones that bothered me the most is the weakness/severe fatigue and the bladder irritation from the Cytoxan, which I did get a UTI.  She suggested the following options and will email these options to my MO so he can okay it or have some type of input.  The PA went over it with another MO in the office, but she never came in to talk to me.  I have to make this decision this coming Tuesday because I cannot "skip" another treatment.  Here are the options:

    #1:  Stay on TC every third week (I have three more) and they will reduce the dose by 20% and hope that cuts down the weakness/severe fatigue.  I have no idea what they would give me for the prevention of bladder irritation.

    #2:  Go on Taxol, which does not carry the weakness/fatigue, but does have the SE of dizziness.  I would do this once a week for 9 weeks starting Tuesday.   In addition, Taxol carries more of a risk of neuropthy than Taxotere.  Also, I would not have to do the Nuelasta shot because they would be once a week, in which my counts would be monitored.

    Obviously, all of us, would not find either option appealing.  If I go the route of Taxol, I don't think I can switch back to Taxotere.

    I'm so frustrated and anxious . . . I don't know when my MO will email the PA about his thoughts.  

    HELP!!! 

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

    Wendy- You may want to hear your MO's input before you make any decisions as to what to do.   I know you will probably think of questions to ask the MO now that you have been given the options.  You may want to call the PA tomorrow so you can get an idea of how quickly your MO will respond.  If you have a list of questions, you may want to the PA about those questions and ask that those questions be forwarded on to the MO.  I'm a little surprised that your MO did not designate another MO to meet with you in his/her absence.  You may also want to talk to the other MO yourself so you can get your questions answered.  I think I would want to speak to the other MO and not just take the advice of the PA.  Please don't think I have anything against PA's but in this situation, I would feel better if I spoke to the MO.  HUGS, girlfriend!!!!  I know all of this is hard on you.  You are a smart woman;  you just need to gather all of the facts and information (which may not have yet) about your options, talk to the MO and talk all of this out with your spouse and then make a decision.   You may want to post on a separate thread about your situation.  It may bring more responses than you might get on this thread.  Sending you positive calming and healing prayers, thoughts and energy!!!!

  • kjiberty
    kjiberty Member Posts: 1,385
    edited September 2012

    Wendy:  I agree with Melrose!

  • SaturnRing
    SaturnRing Member Posts: 36
    edited September 2012

    Hi Ladies,

    I am DONE DONE and DONE with Chemo. 4 rounds of DD A/C and 12 weekly taxols ended today at 11:00 AM CST !!!

    Coming monday, I am having a follow up scan for chest since they found a 4 mm isolated pulmonary nodule during the initial staging scan, MO AND BS assured that most of the times it is an incidental finding and BS even scheduled me to get my port removed on Oct 19th. YAY!!!

    I am meeting with RO on Oct 10th to discuss Radiation option because of less than 100 isolated tumor cells found in my sentinal node...UGH. But atleast looks like there might be some light at the end of the tunnel.

    @Wendy49, I did do 12 weekly taxol and do have a very mild neuropathy on my big toes and my thumb, it is funny cause everywhere else things are ok except these 4 fingers. But otherwise my SEs were virtually nothing with taxol.

    I do agree with Melrose to get in touch with MO somehow to get her opinion.

    Good luck!!!

  • wendy49
    wendy49 Member Posts: 45
    edited September 2012

    Thanks Melrose, kjiberty and SaturnRing for your responses.  SaturnRing, congrats on finishing your chemo! Sorry to hear about your neuropathy -- strange that's its only in big toes and thumbs, but glad its mild.  

  • lisa2012
    lisa2012 Member Posts: 652
    edited September 2012

    I do notice the crepey skin thing, especially on my neck. I get some numbness and tingling in my right quad,which had pain during chemo but no numbness etc. I'm not sure what Arimedex is doing, but I mostly notice soreness in morning, ok during the day. My hair now covers my scalp, maybe 3/4 of an inch. My implants are ok but not great. I am feeling low.

  • kjiberty
    kjiberty Member Posts: 1,385
    edited September 2012

    Saturn;  Congrats!!!!  Doing the happy dance fo ryou!

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited September 2012
    SaturnRing- Yahoo for being PFC!!!!  Doing the happy dance for you!!!!!Cool
  • Hortense
    Hortense Member Posts: 982
    edited October 2012

    Wendy49 - I would insist the office call the doctor to speak with him directly about the side effects you are having. There's about a six hour time difference but that can be worked out. People make business calls to Turkey all the time.

    As for neuropathy, you should be icing your hands and feet during your Taxotere infusion to prevent it and also to prevent damage to your nails. I iced and have had no problems. I've seen and spoken with others who didn't know about icing and had nails discolor or come off and neuropathy in both hands and feet.

    Icing can make a difference and is so easy. Just put crushed ice in ziploc bags and put your fingers in them and put bags of ice under your feet and others over your toes. A towel to place on the floor under the bags is a good idea.

    You can take your hands and feet out for a short while if they get too cold, then just put them back .

  • lisa2012
    lisa2012 Member Posts: 652
    edited October 2012

    Well, I had discoloration. I had lifting. I lost part of 2 nails. However, there were just two weeks (during round 4) that my nails HURT. they were miserable. No icing, no one mentioned it to me. I don't know if it would have helped, all I know is that now, three months PFC, they are about half normal and half discolored. But I see it is soon to be part of the past for me.

  • Cottontail
    Cottontail Member Posts: 374
    edited February 2013

    Eight weeks PFC: Sometime in the last two weeks I lost my arm hair, most of my eyelashes, and had thinning eyebrows. All of which I retained through chemo. I'm seeing some regrowth of my lashes already, those suckers grow fast! It is weird to see the short little lashes, though. Oddly, it's my right eyelashes and left eyebrow that are growing so far.



    Hair on my head is finally starting to grow back. It was sort of fuzzy last week, but I can finally see some color this week.



    Taste buds have been normal for three or four weeks.

  • rgina
    rgina Member Posts: 100
    edited October 2012

    Been forever since I've been here, finished TCH on 9/14 (woot) have had 3 in a row weeks of Herceptin, now on every 3 weeks regime until May 2013- all my blood work as of last Friday is normal, normal with the exception of being a little low on RBC and never had to take any shots, rebounded on my own - double woot.  Never lost all the hair on my head and have about 1/2-3/4 inch fuzzies but OMG am I so white:)  I was one of the fortunate ones with mild to no side effects and pretty much maintained a normal schedule/life.

    Tomorrow I start rads - phase 2, at one time there was a list started by Stacie for those finishing chemo and moving to rads, can someone please tell me where that list is?

    Hope everyone is doing well....... 

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

    rgina- Here is the link to the radiation thread that Stacie started- Summer 2012 Rads Hangout:

    http://community.breastcancer.org/topic_post?forum_id=70&id=789322&page=1

    That thread is already on page 27. 

    Good luck with the rads!!!!

  • lisa2012
    lisa2012 Member Posts: 652
    edited October 2012

    I have about 3/4 inch of dark hair sprinkled with some white, much as my hair was before. Feels like real texture. My bummer right now is I had my eye check up and my eye pressure is higher. I go back in 3 weeks for the rest of the work up to see if I have glaucoma. No one in my family has/had it. And yes, it can be a side effect from chemo. No one told me eye issues could be a SE from chemo/steroids. Apparently being very nearsighted with thin corneas (!!!) puts me at higher risk. I am disgusted and mad, hoping this turns out to not be a problem but wondering what other things got wrecked by chemo.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited October 2012

    (((lisa!))))   So hoping the eye issue resolves without any long term consequence.  I too have long term issues I never expected (tinnitus, mild ongoing thrush, prediabetic)...fortunately they are manageable, but still these are additional losses we must learn to cope with and accept.  So you are not alone. 

  • lisa2012
    lisa2012 Member Posts: 652
    edited October 2012

    Thanks, dancetrancer. At least my trashed finger nails are slowly coming back in after falling apArt 4th round. 3 months ago !!

  • radioactivegirl
    radioactivegirl Member Posts: 52
    edited October 2012

    oh wow, Lisa I didnt know that was a possible side effect :-(  hopefully it will be better when you go again.  I noticed my eyes are getting worse too .  . and they have been red and had some discharge lately.  fun times.  i have lost my third fingernail . . . for some reason losing my fingernails seems to be as stressful to me as losing my hair, sigh.

    Are you still having thrush issues Dance??  And I didnt know you were prediabetic too :-( 

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited October 2012

    Yep, the thrush has never gone away completely - however it is very mild at this point, and - fingers crossed - I think it is improving.  My onc said he thinks the chemo may have damaged my salivary immune stem cells, so I don't have good immune cells in my saliva to fight the thrush.  (Even though my white count has finally come up, thank god.)

    I've been prediabetic on my last two a1c tests.  We thought the first one was just due to elevated sugar levels while on chemo.  However the 2nd one would be for the 3 months PFC - no steroids then - and it was still slightly elevated.  Sometimes an a1c can be falsely high if your iron is low, so we tested it and discovered indeed it was low (I'm still slightly anemic/low hemoglobin as well).   So, we did an iron infusion 4 weeks ago.  We'll retest in a few months; hoping this is really all that it is, and that I'm not actually prediabetic.  Fingers crossed! 

  • radioactivegirl
    radioactivegirl Member Posts: 52
    edited October 2012

    oh my . . . will your salivary immune stem cells improve over time?

    Interesting about a1c and iron . . . I havent had an a1c test, but I have had my glucose tested a bunch of times before bc, hopefully no changes there for me.  I do have diabetes in my family, but I think it is largely due to weight issues.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited October 2012

    He didn't promise me one way or the other.  He said he has one patient still having issues with thrush 10 years post chemo.  Frown  Ah well, like I said, at least it is manageable - no symptoms from it, it is very mild (not a ton of it like during chemo), so I only know I have it if I stick my tongue out and look.  I am continuing to treat it daily with monistat to keep it under control.  

    They checked my a1c b/c I had bubbles in my urine, that's the only reason I know, b/c my regular sugar level tests have all been within normal limits.  I have type II diabetes in my family which is due to weight issues but it also has a genetic component, from what I read.  I have always kept my weight in check, hoping that keeps the prediabetes in check, too.  

  • Pauletta
    Pauletta Member Posts: 54
    edited October 2012

    Hi Everyone!

    I am done with all of my Chemo!!! I started May 3rd with Adrianmycin and Cytoxan once every 3 weeks (4 treatments), then I had 12 weeks of Taxol and Herceptin. I am now doing Herceptin every week for 40 weeks. My hair is growing back, slowly but it's growing back!!! I am waiting to see when I start my 6 weeks, 5 days a week of radiation. I hope I do good with that. I am a bit concerned about getting sick and tired from the radiation. Hopefully I won't have either from it. The radiologist is going to be giving me cream to use. I am very thankful that I won't have to buy it.

    My oncologist said that studies have said that getting Herceptin every week versus once every 3 weeks gives a better prognosis. I hope she's right.

  • dancetrancer
    dancetrancer Member Posts: 4,039
    edited October 2012

    big congrats on being PFC Pauletta!!! 

  • hopeful123
    hopeful123 Member Posts: 191
    edited October 2012

    Congratulations Pauletta!!

  • Hortense
    Hortense Member Posts: 982
    edited October 2012

    Pauletta - Congratulations! Now, when you begin using cream for radiation treatments just know that they can stain your clothes. Be sure to wear things you don't care much about, or wear soft old t-shirts underneath to protect your clothing from the creams which are very greasy. One woman on here suggested cutting up old t-shirts and using squares of them over the creamed area to protect her clothing. I should have done that.

    I wish I had known how much the creams stained. I ended up ruining about eight t-shirts. The creams seemed to wash out of my bras, but serveral pairs of my PJ tops and the t-shirts have retained the grease, no matter how I wash or how long I soak them in Oxyclean.

    I mostly used Aquafor and occassionally used a Calendula oil in the beginning. Aquafor did a better job when the radiation side effects began than the thinner oil. My radiation side effects were not all that bad and are healing quickly two weeks after treatments ended. I did get tired a few days near the end of them. I hope you have an easy time as well.

  • kjiberty
    kjiberty Member Posts: 1,385
    edited October 2012

    Pauletta:  Congrats on being PFC!  My RO gave me Miaderm.  I used aquafor/olive oil mixed together at night.  I had barely any redness.  

  • Pauletta
    Pauletta Member Posts: 54
    edited October 2012

    thank you! Where do I get aquafor oil at? Did you use that along with the cream?

    What is the pill that I will be taking for 5 years? I keep being told that I will have to take something for 5 years after chemo is finished?  And are there side effects when taking this pill? I think I remember hearing Tamoxin or something like that. I go back to my oncologist today to get herceptin, but NO CHEMO!! YAY!!!! 

    Ya'll have helped me so much through all of this. I am very nervous about radiation, that's why I am asking so many questions about products that have helped ya'll.

    I look forward to reading your response. I wish we could all meet one day. That would be awesome!!!

  • chapter4
    chapter4 Member Posts: 155
    edited October 2012

    Pauletta. It's probably tamoxifen...I just started taking it two weeks ago...no side effects at all. I don't know if it takes awhile if you will have side effects or not. I fought tooth and nail not to take it for fear of the side effects, but was eventually convinced by my dr to try it...I could always stop taking it...but no worries so far! 5 years is a little daunting, but here we go....

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

    Pauletta- Congrats on being PFC!!!!  Hope this helps answer some of your questions.

    Aquaphor- You can get that any drug store (Walgreens, CVS) Target, grocery store.  Look in the section where all the lotions are.  It comes in a tube.

    Tamoxifen- I've been taking Tamox for 6 weeks now.  The side effects that I have noticed are hot flashes and a little achiness.  The hot flashes don't seem any different than the ones I experienced during chemo.  I take it once a day in the morning.  Some people split the dose and take 1/2 in the morning and 1/2 at night.  The problem with this is that it is easy to forget to take the evening 1/2 dose.

  • Pauletta
    Pauletta Member Posts: 54
    edited October 2012

    thank you all for your responses. I will get the oil as soon as I get a date of when my radiation starts. People have told me that they get really really red, blisters, sores. I thought OMG! they scared the crap out of me!

    Then I thought......let me ask my on line buddies!!! they have helped me through chemo problems and I did great!

    When ya'll get your herceptin, do they give you anything along with it? I know when I was getting Taxol and Herceptin, they were giving me decotron and benadryl too.

    I look forward to hearing from ya'll again.

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

    Pauletta- No extra meds with the Herceptin only infusions.  I always have my Herceptin only infusions over an hour time period rather than a fast 30 minutes.  The infusion nurses prefer to slow drip the Herceptin and it doesn't matter to me how long it takes. Cool

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