Starting chemo November 2012

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I'm starting chemo sometime in November. At least 4 cycles of TC, though my my onc wants me to do 6 if I can tolerate it. Hoping to share tips and support others starting around the same time.



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  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012

    Hi Stranger!  

    I'm supposed to go on 4 cycles of AC, followed by 4 cycles of Taxol.  Merry Christmas! I guess it's time to start snooping on the October thread and post wisdom here.

    Talk to you soon.

  • michellej1980
    michellej1980 Member Posts: 342
    edited October 2012

    Hi Sneaky! I hope I find out the date I start soon because its bugging me that in my signature the chemo is listed before my surgery. It won't let me just choose the month and leave the date blank...



    Hopefully Dakota and others will be along soon and join our 'gang'!

  • Tlym
    Tlym Member Posts: 115
    edited October 2012

    Hi Ladies. I started on the October thread, but I'm jumping over here as my chemo start date has been pushed to 11/2. I will be doing 4 cycles of TC and using Penguin Cold Caps.

  • michellej1980
    michellej1980 Member Posts: 342
    edited October 2012

    Hi TLYM. You'll probably be a couple of weeks ahead of me so you can warn me of all your side effects! Good luck with keeping your hair. I'm worried I've got my hopes up far too high and am not really prepared for any disappointment. Fingers crossed...

  • Tlym
    Tlym Member Posts: 115
    edited October 2012

    Michellej1980-do all ladies in the UK use cold caps? I just tried one on today for the first time (at room temperature). It was surprisingly heavy and will take a bit of practice for my husband to get the hang of fitting it snugly to my head. We still have another week to practice, so hopefully we'll get it right. Kind of nice to have the distraction of the cold caps to keep my mind off the upcoming infusion. A bit worried about the SE's.

  • michellej1980
    michellej1980 Member Posts: 342
    edited October 2012

    I don't think many do use them. It wasn't offered to me until I asked about it. They don't look comfortable and I am someone who really feels the cold so I'm not expecting it o be pleasant. However, if it works, it'll be worth it for me. I'm just dreading the stress of wondering "will it or won't it" and panicking every time some sheds.



    I wonder about how you go to the loo if attached to the machine. Have I got to not pee or 4+ hours?!

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012

    Best of luck with keeping the hair, ladies.  I wish I could keep mine, but I don't think I'll be able to swing it because I plan on going to my chemo sessions alone.  

    Things that I plan on looking into prior to chemo: (1) claritin use for Neupogena, (2) Juicing

    Are either of you getting Neupogena shots to help with your WBC count?  I remember reading in a few threads about women taking claritin around the time of the Neupogena injections to help with bone aches... definitely need to ask my doc about that and do a bit of reading.  

    And the juicing has been recommended to me from a couple of ladies who have already gone down this path.  I've found that since the diagnosis I've lost the motivation to prepare meals.  I'm still hungry and want to eat, but the desire to spend time in the kitchen cooking something up has waned.  Nor, do a lot of meals actually appeal to me anymore.  I just want someone to whip up something nutritious for me, but being a single mom to a 6-yr old that isn't going to happen.  As a result, I've been eating a lot crappier than usual.  Not exactly what you want to be doing while prepping for a battle - I should be making myself as strong as possible!  I'm wondering if throwing the foods I should be eating into a juice might be a good option for me.  I'm meeting up with a dietitian to discuss what I should and shouldn't eat while on chemo and will look into a juicing class at an integrative cancer care clinic (if I can afford it).  Hope my kid likes juice!  

    Let me know if either of you are interested in my finds.

    Hope you're surrounded by love and ready to rock this.

  • michellej1980
    michellej1980 Member Posts: 342
    edited October 2012

    I've seen a lot of people on here mention taking the Claritin for the bone pain and first thought that the brand name must be used for something else in the US as I don't understand how an antihistamine can help. I will definitely try taking generic loratadine when I have my Neulasta injections though as it surely can't do any harm. I have had Neupogen a couple of times in the past but don't remember having any bone aches so hoping it won't be a problem.



    I've been thinking about taking something to prevent constipation as I recall that being particularly unpleasant on chemo. I wonder whether it's more likely than diarrhoea as I don't want to take laxatives if my body decides to go the opposite way! Guess I should just stock up on everything and wait and see!

  • michellej1980
    michellej1980 Member Posts: 342
    edited October 2012

    Are either of you getting a line/port put in for the chemo infusions? I'm having a Hickman line in before I start as my veins have never been very prominent or resilient. I've had 4 before and don't really fancy another but if it saves time and pain from nurses trying to find veins it's probably worth it. I was considering calling and asking if we could just give it a go without and maybe my veins will last the 6 cycles but I suppose it's better to get it done while I'm fit and able to fight potential infection being introduced while they insert it. Won't want to have to interrupt chemo once I start. Want it over and one with ASAP!

  • Tlym
    Tlym Member Posts: 115
    edited October 2012

    Sneakychiquita-I was told by the nurse practitioner to get claritin to manage bone pain from the neulasta injection. Last week I decided to do my chemo at UCSF instead of Stanford, mainly because they are conducting a cold caps clinical trial and have a freezer available for me to use, and, I am hoping, nurses who should be supportive of the trial. I do still have to bring my own helpers to change caps, but at least having the support of the infusion center staff will be helpful. So my MO at UCSF has prescribed neupogen, five shots per cycle to be administered at home. Since dosage is lower than neulasta, I'm not sure if I will still need to take the claritin. From reading previous threads, I have gathered together a whole box of various goodies to help with SE's: Colace, Senna, Acetaminophen, Aleve, Ibuprofen, Claritin, and Biotene Oral Rinse. Supplements include: Multivitamin, Calcium, B-6, D-3, L-Glutamine, L-Carnitine, Silica, Milk Thistle, Turmeric, and Probiotics. I emailed my MO to find out if she will allow me to take the supplements, so we shall see. I think I should also add something in case of diarhea. Ugh!

    As for juicing, I recently purchased a high powered blender so I could blend my fruits and vegetables and drink it like a smoothie in order to get the benefit of the fiber. It is a little harder to get down than juice, but I'm hoping it will help keep things regular during chemo. And I can make pureed soups too.

    MichelleJ1980, I declined the port and picc line. Don't really mind needles, so I am going to give it a try without. Hopefully, they'll be kind to my veins. 

  • Dakota212
    Dakota212 Member Posts: 1,153
    edited October 2012

    Hi girls -



    My MO said no to the port seeing my veins are fine and ultimately it's only 8 iv's. I going to check out what the mods have to say about side effects he didn't mention Claritin. I am starting with A/C, U?

  • Tlym
    Tlym Member Posts: 115
    edited October 2012

    TC x 4 for me. When's your first tx, Dakota212?

  • Dakota212
    Dakota212 Member Posts: 1,153
    edited October 2012

    TLYM-

    My first treatment is nov 8. I was supposed to be back to work today but because of frakenstorm I am home with my kiddies :) wish I was independently wealthy :(

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012

    Sheesh, do you have to work during chemo, Dakota?  Feel for you, lady.  I'm just barely paying the mortgage with the amount of money I'm bringing in while away from work, but I'm grateful to have this time away from work as an option.  Like I'd be at all productive anyways.  And so much of what I do is physical so I'd just say I couldn't do things because of the mastectomy.  Employee of the month, not.  

    Now I'm starting to worry about the hair loss in a major way.  I can deal with temporary, but permanent is another thing.  I've heard of people having permanent hair loss following taxotere, but not taxol.  Have any of you heard anything about this with Taxol?  I'm going to post a question on the boards specifically about this.  I'm wondering if it's happened to others if I should consider a loan and rallying the troops to get the cold caps. 

    Also, I've just started to read up on people keeping their hands/feet in ice while during the infusions with Taxol/Taxotere in order to prevent neuropathy.  Any of you come across this yet?  I'll be asking my MO about this and whether or not my centre does anything formal to help with this when I meet up with her next week.

    No port or pic for me.  Just regular old IV.

    Talk soon.

  • Dakota212
    Dakota212 Member Posts: 1,153
    edited October 2012

    Sneaky-



    This is the one part of treatment I have no clue about. Are u having the nauselta shots? I heard those were painful. I am trying to look at it as no reoccurrence as opposed to the hair loss. I don't want to loose my hair but I would rather know I did everything I could to have to go thru it again. I will be devastated if it doesn't grow back tho. :(

  • Dakota212
    Dakota212 Member Posts: 1,153
    edited October 2012

    Sneaky -



    Chemo brain already I guess. Yes I have to go back to work. Single mom also. I had a month off for the BMX, two weeks unpaid.... Ughhh I have mad such great luck so far maybe ill try the lottery !!! Haha. These TE's are going to drive anything crazy. They feel so heavy sometimes and now I am stuck with them until Feb!!

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012

    Dakota - I've been buying a lot of lottery tickets lately.  I think my chances of winning big are better than me finding a sugar daddy at this point in my life Laughing

    My MO signed me up for Neupogen.  I haven't looked into this enough to know why Neupogen instead of Neulasta or whatever else there is out there.  Lots of reading still to be done....

    As for the benefits over risks, I totally understand about looking at the big picture, BUT if there are options out there to prevent an unnecessary side effect, especially one has heartbreaking as permanent hair loss, then I want to ensure I've explored them.  My MO really suggested that permanent hair loss is associated with other cocktails than the one she wants to use with me, but I won't feel at ease about this until I totally research all the pros and cons of each treatment.  

    And the TE is going to drive me mad as well.  I suspect we're stuck with them until we're fully recovered from chemo.  I guess at my next PS app't I'll ask that he make the foob match the real thing as much as possible.  I'm in the process of having a custom prosthetic nipple made too.  Hah, the things I never imagined having to shop for....

    Anyways, sitting in the waiting area at a fertility clinic right now.  My MO suggested I look into options of storing eggs because I'll likely be infertile when all this is over.  It'll likely be a waste of time seeing as I don't have a partner anyways, but she thought it was best that I at least talk with the doc to ensure I knew what my options are.  I did picture having another kid when I was dating someone about 9 years younger than me, but since the cancer thing came around he's gotten more and more distant so I think I should accept where I am and just be happy to have 1 amazing daughter.

  • Dakota212
    Dakota212 Member Posts: 1,153
    edited October 2012

    Sneaky-



    I thought of the PCC, I don't think I can afford it and I will be going alone. I asked my MO. He wasn't overly enthused. Then the cooler thing and freezers just don't think I could do all the steps

  • reneerDSM
    reneerDSM Member Posts: 33
    edited October 2012

    Sneaky,

    I did the PCC's with AC/T and had only the right mastecomy.  If you have any questions just send me a private message.  I did still lose about 70% of my hair.  The AC is much harder than TC for hair loss.  I didn't have to wear a wig but my hair is very thin and I had to cut it very short to hide the bald spots on the crown and back.  Taxol takes about three hours to administer so it is a very long day in the caps.  50 minutes prior, during and four hours after so about eight hours of changing them out.  My hair is filling in now 14 weeks out.  It is expensive, not just the rental but the dry ice here was about $80 per time and you have to treat your hair extremly gently for six months. 

  • Dakota212
    Dakota212 Member Posts: 1,153
    edited October 2012

    Reneerodin-

    Thank you for sharing ur experience. I applaude ur effort!!!

  • michellej1980
    michellej1980 Member Posts: 342
    edited October 2012

    Sneaky - I have read about permanent hair loss with Taxotere but not Taxol. But then again I've not looked into Taxol much. I understand your fear though. I really couldn't deal with it. Temporary hair loss is bad enough. I asked the onc and she said she had two ladies whose hair didn't come back, out of hundreds. Still, if it's a possibility it makes me more determined to try the cold caps.



    I've been trying to see how common the finger and toe icing is too, particularly in the UK. I don't want to sound or look like a loon if I enquire about it but it has to be worth a try right? I've seen some pics of some horrible finger nails and read about terrible neuropathy pain I don't want to go though that if I don't have to. I've no idea how I will do it though. People take their own frozen peas to chemo with them but I'm sure thy will have defrosted by the time I get to the hospital and get the infusion started. It doesn't seem practical, but I think I will ask the nurses when I go to my pre-chemo appointment.

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012

    Reneerodin - Thanks for sharing your experience.  I may PM you if it starts to look like I should investigate this more.  Definitely sounds like I need to be well organized if I were to do this.  Sounds like I should also see if there are cases of permanent hair loss from AC!  I know there'd be lots of details to learn, but for now I'm wondering if are you able to tell me how often the caps need to be changed while the meds are being dripped in?  

    Michelle - Let me know if you find any tips on the icing of toes/fingers and I'll do the same.  Hah, I'm just picturing whipped icing on top of toes.

    TLYM - Sounds like you lucked out with the clinical trial.  I would totally sign up if it were here.  Best of luck with it.

  • Tlym
    Tlym Member Posts: 115
    edited October 2012

    Sneaky-I was given the choice of AC-T or TC regimens, and after much agonizing, chose to go with TC. While I was doing my research, I read every single page of the cold cap users thread (took me countless hours!), and I think I only found one person on there who considered herself successful with saving the majority of her hair while receiving AC-T. Most othe rladies had heavy shedding, as reneerodin. The cost is high (about $2000) and it's not an easy protocol-washing hair in cool water-max. twice a week, special shampoos, icing between infusions, etc. I honestly do not think I would use cold caps had I chosen AC-T. I have not heard of permanent hair loss or neuropathy with taxol, only taxotere, but I may be wrong. I am thinking of using the frozen peas but wondering if I will be miserable with a frozen head, hands AND feet! BTW, not exactly lucky with the clinical trial. I still have to pay for the caps and bring my own helper. The benefit is they have a cold caps freezer in the infusion center so I won't need to bring coolers and dry ice and, hopefully, nice nurses who will cooperate with the timing of my cap changes. I will also have the steadfast emotional support of my MO and a study coordinator but no physical help as the caps are not yet FDA approved.

  • Noranelly
    Noranelly Member Posts: 30
    edited October 2012

    Hi all I m noranelly and I start my chemo today 0ct 31st ! Halloween I don't feel very patient today and feel very low. Hope u r all ok .

  • Dakota212
    Dakota212 Member Posts: 1,153
    edited October 2012

    Naranelly-



    Good luck !!! Let us know how it goes!!!

  • Tlym
    Tlym Member Posts: 115
    edited October 2012

    Noranelly-Good luck today! We will be with you in spirit!

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited October 2012

    Noranelly - I hope it goes smoothly for you.  Let us know how it goes when you have a chance.  What kind of chemo ?

    TLYM - Saw your posts on the cold caps forum.  So happy that the caps that were in transit have been found and you'll get them in time for freezing.  But what a bugger about having to pay for them while in the trial... I really thought that would be covered, but at least having the freezer there will help and the nurses will probably be more supportive.  I'm 90% sure that I won't be able to use the caps.  And like you said, most people's hair thin a fair bit with the AC-Taxol. At least I feel a bit better knowing that the incidences of permanent hair loss seem restricted to Taxotere.  

  • Tlym
    Tlym Member Posts: 115
    edited October 2012

    Hey Sneaky, you will do just fine with or without the cold caps. I personally think it would be heartbreaking to go through all the work with the caps and lose most of your hair in the end, you know? Just doesn't seem to be a lot of evidence proving they work with AC-T. When do you start chemo?

    I finally finished packing my chemo bags today. One full of cold caps supplies and the other with personal necessities-blanket, magazines, Ipad, thermos, water bottle, crackers, meds, and extra shirts in case I get wet from cold caps. Cancer, I'm ready to kick your butt!

  • michellej1980
    michellej1980 Member Posts: 342
    edited October 2012

    It's weird that I keep reading the caps work well on TC yet you reckon not on AC-T? I had adriamycin for lymphoma, along with 3 other drugs and my hair only thinned. I guess it depends on dose, and even more so, the individual.



    It's a shame you won't be able to try them Sneaky. I know from personal experience that what I'm about to say isn't much help at the moment but believe me, once it happens and the anticipation of it is out the way, the hair loss isn't THAT bad. You just get used to it, like everything else you've already dealt with that you probably never thought you could.



    I had conditioning chemo 5 months before my high-dose chemo in preparation for my bone marrow transplant and so as soon as my hair came back I lost it again. :-( At least you shouldn't have to go through that!

  • Sneakychiquita
    Sneakychiquita Member Posts: 292
    edited November 2012

    TLYM - Kick cancer in the ass for me tomorrow!  

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