Starting Chemo October 2012

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  • Noranelly
    Noranelly Member Posts: 30
    edited November 2012

    Hi all hope u r all ok, I have been doing well, trying to decide whether to go back to work for one week whilst feel well. I found my chemo session freezing too was told they had no heat pads. My sisters hospital has some so she said she was going to borrow one for me! Got a wig this week and I,m sooo not sure it looks a bit like a dead animal in the box, my hair hasn't fallen out yet but my head has been itchy. Yes I have become quite stubborn and find all the attention quite odd, never been centre of attention before and hope won't be again like this anyway! Thanks for your thoughts about baby phoebe all is well and good now! Anyway take care all and loads of hugs and positive thoughts

    Noranelly

  • sonson
    sonson Member Posts: 162
    edited November 2012

    Noranelly-I have a wig too.  I call it kitty because I feel like I have a cat on my head when I wear it.  I've tried the scarves and I like them too, but when I wear them to work people make odd comments like am I going for the gypsy look or do I have braids under there (that coming from a guy who didn't know about the chemo) etc.  I work with a bunch of guys and they know I'm going through chemo, but they really don't know how to deal with my hair loss.  I think they mean well, but I hate the comments when I wear something other than my wig so it's just easier to put the kitty on my head.  That way I don't get any strange comments that make me feel weird.  At home and on the weekends I wear what I want...which is usually the scarves.

  • CelineFlower
    CelineFlower Member Posts: 875
    edited November 2012

    what ever works sounds good to me...

    i cant stand wearing anything on my head... i tried.. i still felt i got looks.

    so now, if im not cold, i dont wear anything

  • Poke
    Poke Member Posts: 225
    edited November 2012

    My docs keep telling me to hold off on oopherectomy, as 35-39 is recommended. I don't really want to wait, what's the difference if I have to be on tamoxifen anyways :(  They agreed that it's my decision, but I don't know what the right answer is. I am BRCA2+ so it's more of an issue for me than for you guys.

  • 301724
    301724 Member Posts: 478
    edited November 2012

    Hi all,

    A note of caution for those using tea tree oil - it has estrogenic properties. Not sure how much of an issue it is here but good to know.

    Hoping for minimal SEs for all. I have third treatment next Wednesday.

  • sonson
    sonson Member Posts: 162
    edited November 2012

    Poke- You're right it's more of an issue for you than it is for me.  I don't know what to tell you.  You are so young.  Do you have kids?  Do you want kids?  I guess if that's not an issue then why wait.  I've had two kids and I know I don't want anymore.  But 29 is so young to be going into menopause.  I can see why your doctors may want to wait...but at the same time I can see why you wouldn't.  It's a tough decision to make in your case.  There are no easy answers. 

  • Caitgrace
    Caitgrace Member Posts: 48
    edited November 2012

    Just finished up treatment 2. 1/2 way done! Had a meal after as I was so hungry - hoping it will sit ok. Left my water bottle there - my memory is so bad these days. Grrrr.



    So my blood work was actually better than the one they did before chemo. Go figure. Medically I always seem to be the exception to the rule but really? Wow.



    Did get my period / break through bleeding 2 weeks after just having it. SUCK. I thought chemo was suppose to stop it? But nurse says this can happen. First time in my life all emergency tampons gone from all bags had to pay an arm and a leg to get at hotel gift shop.



    Feeling that weird energy but tired of the steroid chemo combo...



    Feel eternally blessed that my tumor was caught early; that all tests were almost as good as they could be; that I have good insurance and a great employer; an amazing family and friends; a great cancer team. Overwhelmed that my body is tolerating things well and know this is a huge blessing as I know others are struggling -- I pray to Kali-Ma to protect you all from harm from sickness from saddness; I pray for strength and joy and love for you all. Namaste.

  • adagio
    adagio Member Posts: 982
    edited November 2012

    Marian - just wondering how you are doing? I got the approval for the neupogen. I didn't make it to the nutrition class yesterday - how was it?  Tomorrow I go for the MUGA scan. 

  • Tlym
    Tlym Member Posts: 115
    edited November 2012

    Poke-I'm on the November thread, but have been lurking here for all the wonderful tips, as I was the first November lady to get treatment. I'm also BRCA2 and needing to make more surgical decisions. My MO at Stanford has developed this decision making tool: http://med.stanford.edu/ism/2012/april/brca-tool-0409.html. Hope it might help you. Having an oopherectomy is a big decision. I'm 44 with two teenagers, so I'm done with childbearing and it's easy to say the ovaries are useless, just get rid of them. The reality is that most women who go through natural menopause experience it over the course of years, but having the oopherectomy puts you in IMMEDIATE menopause and the side effects are so much more intense. With that being said, I do know the diagnostics for detecting ovarian cancer are just not reliable, so it's really a matter of "when" for me. I just want to get through chemo first, though, and tackle surgery next year. You are a young lady, so take some time to make your decision. I know the risks are frightening, but remember that they increase with age, so the numbers being quoted are more likely to be in my age bracket, not yours. Good luck in your decision making.

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited November 2012

    Adagio, thank you for asking and also thanks to BCO as I had forgotten tonight to do my Neupogen injection and your comment jogged my mind so just done. Glad you got the OK for it. The nutrition class was really informative with the dietician who wrote the BC and nutrition pamphlet you no doubt have. I also met SneakyChiquita who is on the Canadian thread and November chemo one. I did not have a MUGA though I had everything else. My MO said she felt my heart had to be strong as I did some fairly strenous treks in Nepal in May. I did have bone scan, CT scan and PET scan (due to a node on a lung that showed on the CT and now a baseline).

    I am doing OK and have not posted the past few days - just reading and feeling the ups and downs of BC. Almost 4 months now since dx and still a long road ahead just like so many here. It is what it is but not always easy to wrap my head around it in a postive mood. The weather so amazing today though and I actually went for two walks and to a yoga class.

    I have a question for all of you. I am having 4 dose dense A/C and then 4 dose dense Taxol. I see that so many of you are having Taxol weekly x 12. I am wondering why but maybe this is due to age or something else? I am 63. I will ask my MO on Tuesday before A/C #3 but thought it would be good to see what all of you think/know.

    SmileMarian

  • PatinMN
    PatinMN Member Posts: 920
    edited November 2012

    Marianelizabeth, I am getting taxol weekly for 12 weeks. A couple weeks ago I wasn't due to see the onc on my infusion day but I had some questions for him, so I wrote them out and asked the nurse to get my note to him. He wrote out his answers, which I have in front of me.



    The standard weekly dose is 80 mg/m2. The m2 is meters squared of body area, which is based on height and weight. My m2 is just over 2, so my weekly dose is 2.02 X 80, or 162 mg. I asked "Is the dosage one-third of what it would be if I were receiving taxol every three weeks instead of every week? if not, why not?". His answer is "No it is not...because it is too toxic to give 240 mg/m2 every three weeks. This is probably why it is more effective to give it weekly."



    I would definitely ask about weekly instead of every 3 weeks. It's a pain to go every week (especially since I'm doing cold caps) but I think the side effects are much less on the weekly dose. Oh, I am 60 years old.

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited November 2012

    Patin, mine will be dose dense so every two weeks, same as my A/C. I just looked it up to be sure. I will be getting Neupogen then too for the neutrophils. I posted same question on the Canadian thread as I see that most of us here in British Columbia anyway are not getting it weekly x 12. It may be our standard protocol so will ask MO for sure next week. Thanks!

  • PatinMN
    PatinMN Member Posts: 920
    edited November 2012

    Marianelizabeth, I don't know why I jumped to the conclusion of every 3 weeks instead of 2... I'll be interested to hear what your dose will be - double the weekly standard dose or more. On weekly I haven't had any issues with blood counts, so no neupogen or anything else needed. It's interesting to see what treatments others are getting, and how it seems to vary by region or country.

  • Marlene18
    Marlene18 Member Posts: 91
    edited November 2012

    I asked my MO this exact question and she said for me that the dosing is just aligned with my herceptin, which is tri-weekly. She doesn't always seem that insightful though so this might be an oversimplification...

  • Toots
    Toots Member Posts: 104
    edited November 2012

    My husband described the chemo-taste bud thing to a pregnant lady - what can I say he is crazy - oh but so supportive to the weird cravings, the eating things you use to hate and love them now and the can't eat/drink things you used to love but can't stand anymore!!!

    Second treatment yesterday, waiting for nurse to come and deliver my Pegfilgrastim this morning ooh hate that needle in my tummy and the aches and pains in joints and bones next morning.......

    Yesterday was a total waste of time after treatment - took 1/4 tablet of levomepromazine - counteracts the 'bouncing off the walls' effects of the steroids but just knocks you out slept for most of the rest of the day until 1am in morning got up had anti-nausea tablets, something to eat and drink and back to bed til 5:30 woke up hungry again.....so crazy when you are trying to cope with chemo and dealing with diabetes where you suppose to eat every 4 hrs to keep blood sugar levelled.......and why a craving for chocolate cake when you can't eat sugar grrrr......

    ....never mind found a wonderful recipe for chocolate cake - only 1 calorie per slice and no sugar woohoo made with bananas honey and coconut flour - just need to find the energy to spend some time baking! Every cloud - silver lining...........

    Another thing I would like to share Bio-oil best thing ever invented, wonderful massage, fades scars fast great after the surgery, and seems to work better than all the anti-aging creams I have ever used in my life - friends being very kind and asking why I am looking 5-10 years younger, not fair when I am supposed to be sick with cancer! Can be picked up at any chemist/supermarket and cheaper than the anti-aging creams - back to clouds with silver linings............

    Hope all are as well and happy as can be expected, big hugs, take care 

  • MsTori
    MsTori Member Posts: 402
    edited November 2012

    Thanks toots! I will look into bio-oil. I have many scars. I love your upbeat attitude. I especially needed it this morning. Love silver linings. :-)



    Pray everyone is doing well and no SE. Hugs to all.

  • Toots
    Toots Member Posts: 104
    edited November 2012

    MsTori you are welcome, love to feel I am helping even just a little, think we are all going through this thing together so it helps each of us even if just to say how we are feeling, when we find something that eases some of the SEs or something why not share it, they say all our BCs are different but some things hit common ground somewhere along the line even if it only the SEs...........every cloud always has a silver lining we all just need to look for them.......and they are good at playing hide and seek!

  • sonson
    sonson Member Posts: 162
    edited November 2012

    Caitgrace-I hear ya about the chemo/steroid combo thing.  It's a strange feeling on that day.  You don't know if you're tired or if you're wired.

    We all need sliver linings don't we?  Thanks Toots...we also need reminding to look for them.  I know I do.  Sometimes I get down and instead would rather have a pity party instead of look for silver linings and I need reminding to keep my chin up.  It's not so bad.  It certainly could be worse.

    My taxotere and cytoxan are every three weeks and I don't really know how much I get so I don't know how to answer.  I feel inadequate all of a sudden because I also don't know what you mean by dose dense.  What does this mean?  I thought I was well informed, but you ladies always inform me MORE!  I'm not complaining mind you!  I like it.  The more I know the better off I am!  Educate me!  I feel like this is what these boards are for to educate one another.  Sometimes they scare the crap out of me too, but I guess it's good to know all the possibilities. 

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited November 2012

    I think dose dense means every two weeks instead of 3 and when explained to me, this is because I get the Neupogen which boosts those neutrophils allowing for chemo more often. For me, it seems they want me to have the chemo in ASAP due to the aggressiveness and extensive lymphovascular.

  • CelineFlower
    CelineFlower Member Posts: 875
    edited November 2012

    asking questions is a good thing for me...

    i thought when i would start taxol that it would be/is stronger or more impacting on my life , from what i had read about se's etc...

    but my onc said that A/C was the most dangerous , because of infections etc..

    i find it hard to keep straight... and this chemo brain fog has really got me this 3rd round...glad theres only 1 left

  • schoolmom
    schoolmom Member Posts: 458
    edited November 2012

    Silver linings for sure......I have been blessed with minor stomach things and funny tastes.  Hard to stay hydrated.  Sprite has worked but water and juices taste weird.  Going to try mixing cranberry juice and sprite to get some variety.  Milk products , which I would typically die for a mocha frappe from McD...just don't sound appetizing.  My mom keeps trying to get me to drink Ensure because I am not eating alot.  YUK.  Have managed to eat eggs, cheese, potatoes and some fish....had some jello this morning on day 5 tx.  Dropped 2 pounds only since Monday so not too concerned.  Trying to force down protein and fruits. 

  • CelineFlower
    CelineFlower Member Posts: 875
    edited November 2012

    careful with soda... full of salt can actualy dehydrate....

    i love duck eggs... full of protein.. soft of taste... 

    and i agree about the ensure... yuck..

  • Tlym
    Tlym Member Posts: 115
    edited November 2012

    Schoolmom-Day 7 for me. My tastebuds have also gone haywire. Previously, I couldn't make it through the day without my beloved double cappuccino. Now, ZERO desire for coffee. Teas, water, juice-no go. The past few days I have been squeezing a little grapefruit juice into my water and have been able to drink a few glasses a day. Maybe it's the strong flavor of the grapefruit that helps? On a happy note, today was the first day I woke up with no aches! I'm so excited to feel "normal" again, I'm going to jump in my car to grab lunch somewhere and detour to the mall...just because I can! Woohoo!

  • 301724
    301724 Member Posts: 478
    edited November 2012

    Regarding the weird tastes with water - I found a little grapefruit juice or apple cider worked when cut with seltzer.

    Here's more than you ever wanted to know about the concept of dose dense chemo:http://oncolink.org/resources/article.cfm?c=16&s=46&ss=205&id=923

    Basically it refers to increaseing the rate - not the dose - at which chemo is given. This targets the fast growing tumor cells at the time they are just beginning to grow after having been whacked by the last treatment. The benefit appears to be greatest for women under age 50 with ER negative, HER2 positive tumors.

  • marianelizabeth
    marianelizabeth Member Posts: 1,735
    edited November 2012

    301724, good read and thanks. 

  • sonson
    sonson Member Posts: 162
    edited November 2012

    Thanks 301724, now I feel more informed and I also know why I don't fall into the category for getting the dose dense chemo.  BTW, I love your Dr. Seuss quote!

    Thanks for the tips on water...it tastes bad for me, but I keep on drinking because I want to stay hydrated.  I just try to drink a full glass every hour really fast while I'm awake.  I figure if I can do that I should be alright.  And then with meals I will have some tea, but I can't have caffeine after 5 pm or I won't be able to sleep.  I'm a southern girl so I only like sweet tea with meals!!  I guess I could try the caffeine free tea too...but then I need the caffeine since it's currently my only source of caffeine.  What's a girl to do??

    TLYM-I so badly want to go to the mall and just look around!  Take me with you!!

  • CelineFlower
    CelineFlower Member Posts: 875
    edited November 2012

    i am already planning christmas shopping days... based on what days i expect to feel up to it...i love shopping too!

  • Toots
    Toots Member Posts: 104
    edited November 2012

    .........not sure how I shall cope yet with Christmas, chemo scheduled just 4 days before.......but on better but not totally good days doing most of my christmas shopping on-line and getting it all delivered............got all the cards last month from the breast cancer website and spent a month - day one letter of the alphabet filling them all out and preparing for the post and once fit to drive again buying books of stamps in prep.....young grandchildren Disney Shop never goes amiss for the girls, Lego for one grandson and paints and canvas for the other older girls giftcards or cash, mum flowers......wish this chemo fog would just let me type more than a few words without having to go check what I have done please shout at me if nothing really makes sense! 

    Husband threatening to take me to a local hotel in a taxi for Christmas Dinner - keep saying such a lot of money for something I don't know whether I am going to be able to eat or not - or keep down if I do? Considering it as an option he is good with some cooking but don't think he would cope with a christmas dinner that really comes easy only to mom cos they know how to make it look easy even when it isn't..........and not let the stess show!

    Would be better for him!

  • sonson
    sonson Member Posts: 162
    edited November 2012

    Toots-for Thanksgiving we are going out to eat because I have a treatment right before Thanksgiving.  I won't feel up to cooking a big dinner and I know my husband could do the turkey, but all the other stuff probably not.  Plus I'd feel like I would need to help in some way if he ended up taking it on himself.  It would just be better going out.  Besides I may not want to eat anyway so why go to all the trouble.  I think it would be better for him and for me!

  • Toots
    Toots Member Posts: 104
    edited November 2012

    .....thank you for the advice sonson yes you are probably right, bite the bullet and let him pay for it - think you are right better for both of us! As little stress as possible - and lots of silver linings!

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