Starting Chemo February 2013

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  • SummersSong
    SummersSong Member Posts: 5
    edited February 2013

    Hello, I have not started my chemo yet, will next week, but I have read that drinking/eating something very cold during the chemo may keep the mouth sores from coming.  I am going to try that with my first one to see if it helps.  If it doesn't I am ready with the other remedies that you mentioned.

  • SummersSong
    SummersSong Member Posts: 5
    edited February 2013

    Hello!  I am starting my chemo on Feb. 25th.  I have to have 4 rounds of TC 3 wks apart and then 36 sessions of radiation.  I have a loving husband, 20 year old son, 17 year old daughter, and 16 year old step daughter. 

  • SummersSong
    SummersSong Member Posts: 5
    edited February 2013
  • Lmimp64
    Lmimp64 Member Posts: 219
    edited February 2013

    Summer, I ended up being the first in my infusion office to try ice chips at the advice of the women here. Thanks, ladies! Hoping it helps. I'm going to try Popsicles too next time. Hoping for no mouth sores.



    Re: amt of water I drank - too much....probably close to 6 liters day of chemo. I normally drink about three so when they told me to flush the chemo out of my system, I tried!



    Today is day 4 (do you begin the day of chemo or the next?) and I'm tired but ok.



    Hope you are all well.



  • TMM60
    TMM60 Member Posts: 190
    edited February 2013

    Hello to all my sisters. I had my first round of TC chemo yesterday. All went very smoothly and other than feeling very tired and a bit cranky from the decadron today, I am comfortable and glad to be on the path of treatment. Got my mid back length hair cut short today by a lovely woman who is also a survivor and has a nice quiet salon nearby. I thought that seeing my long hair go would be traumatic and picking out the wig, but my hair is actually cute and the wig does not scream "look she's wearing a wig"!

    I had packed a nice bag of comfort items for the infusion center, ideas for which gleaned from reading this board and the Jan Chemo group. I wore a comfy pair of stretchy pants (had to pee a lot so it was nice have easy up and down pants!). I brought a pair of fake fur slippers, a neck pillow and little lap quilt. I had my electronic gadgets, iPhone and Kindle. I read a bit, but agree with the others that light reading were the easiest as I didn't really want to have to concentrate too much. I didn't have any side effects during the Taxotere or Cytoxan infusions. I had started decadron the day before and got another dose of decadron and Ondansetron (Zofran) before the infusions.

    I've been hungry today but not really into anything heavy so I've stuck to bland stuff like Oatmeal, eggs, pudding, and loads of water. Water is getting a bit boring so I might try some popsicles tonight.

    I hope you all are having the most SE free evening possible!

  • IamNancy
    IamNancy Member Posts: 1,158
    edited February 2013

    I had the chemo on Wednesday and other than a little nausea and diarrea whch I took meds for, it was ok..  Thursday I had the Neulasta shot and it has kicked my butt! I have been achy, tired, feeling like the flu, low grade fever, sore throat, yucky feelin mouth..it really has been bad.. I took an 800 ibuprophen twice today but still feel bad.. don't wanna take a percocet on top of all that but need relief so might have to.. Is it gonna be like this each time? or does it get better? 

    Today I was able to eat without a fear of throwin it up but foos doesn't taste the same - I am drinking tons of water and juice.

    I was going to continue working while gone through this, other than taking off a couple days each tiime - but I am thinking I might have to go on disability.. this is just that bad.

  • Lmimp64
    Lmimp64 Member Posts: 219
    edited February 2013

    Iamnancy, so sorry you are not feeling well after the shot. did you try the Claritin? I did, and I'm doing ok. Didn't have shot till Friday tho due to being in hospital. I was really tired today tho. Best.

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited February 2013

    Cytoxan/Taxotere Gals- Just wanted to let you know that alll of you should be very proud of yourselves for getting through that first chemo round.  I know it was an intense time for each of you yet, each of you has gained so much knowledge which helps with the fear.  As for the Neulasta pain, you can try taking the regular 24 hour Claritin, the day you receive that Neulasta shot, preferably the morning that you receive the shot and continue taking the Claritin for several more days.  I took it for 9 days and fortunately, did not experience any bone pain from the Neulasta shot.  Please be aware that the chemo itself can cause joint pain and muscle achiness since those are side effects of that chemo regiment.  I have read on the other prior that threads that taking one Tylenol and one Advil/Motrin every 4 to 6 hours may help with the Neulasta pain.  Always ask your onco before taking any of the OTC meds to make sure it's okay.   It is hard to say whether the next rounds of chemo will impact your system like the first one has.  For me, Rounds 2-6 seemed a little easier on me than Round 1.  I hope that this holds true for all of you.  Yes, the taste buds do go on vacation.  Do your best to eat 5-6 small meals to keep food in your tummy.  (A fed tummy is a happy tummy.) Also take your anti-nausea meds on a regular schedule with food since the Zofran and Decadron can upset your stomach if taken without food.  Hydrate but be careful not to over hydrate with water as you can cause water intoxification.  You can drink Gatorade, juice, tea, or eat popsicles, grapes, watermelon to help keep you hydrated.  If you are having trouble figuring out what to eat, you may want to check out this cookbook--  "Eating Well Through Cancer" by Holly Clegg and Gerald Miletello which has recipes to ease side effects, food lists, and tips to handle some of the side effects.  I was given this cookbook and found it was helpful to have something that I could refer to on hand.   

    Wishing everyone a wonderful weekend and minimal side effects!!!  

  • Lmimp64
    Lmimp64 Member Posts: 219
    edited February 2013

    Thanks, Melrose. Great advice and the cookbook sounds great.

  • IamNancy
    IamNancy Member Posts: 1,158
    edited February 2013

    lmimp64 - I did take the claritin. I am sure it is helping and can't imagine wht it would be like without it.

    Melrose - I think I'll look the cookbook up..I hope you are right and round 2 is easier than round 1 Smile

  • McKatherine
    McKatherine Member Posts: 300
    edited February 2013

    Thanks everyone! I'm feeling so much better today. The onc from my group who saw me this morning said if he was seeing me in his office he'd send me home - but since we'd already tried that and I was already here that they'd keep me a couple days and make sure I was out of the woods before they send me home. :)

    So IV antibiotics and as much sleep as you can get in a hospital. LOL

    Feeling much much better tonight, even though the fever keeps trying to sneak back. But since I'm on all the antibiotics, I can take Tylenol and Motrin. :)



    Hang in there ladies!!

  • LW122713
    LW122713 Member Posts: 52
    edited February 2013

    I will have my first round of chemo on Thursday the 21st. A little anxious now and believe by Wednesday night I will need a sedative of some kind. I have 2 boys ages 10 & 15 and currently work 50+ hrs a week as an accounting manager. I have high hopes that I can continue on with my life and keep it as normal as possible with the exception of loosing all of my hair. That's my goal, hopefully I'm not setting myself up for failure. It sounds though like I may need to set the bar a little lower at least for the first round? I am so ready to be done and I haven't even got started. I had the port installed on the left side Friday and it hurt like I had been in an accident or fell from a rooftop. It's somewhat better but still uncomfortable and very aware that its there with every move. I even feel it when I'm twisting the cap off of a bottle with the other hand and with every step I take it jars. I'm tying to imagine having to use it on Thursday and hope its not nearly as sensitive then as it is now. Right now I can't imagine a needle anywhere near that area.

  • LisaMM
    LisaMM Member Posts: 120
    edited February 2013

    Melrose-thank you agsin for the encouraging words & helpful tips! I am really praying my next 5 will go as well? as the first, if not better. I have had several SE going on, but none of them have been debilitating for me-thank heavens! Your post above has alleviated some of my anxiety about what the rest might be like! I think once I grt over my hair hurdle I might feel less anxious also!

  • shadytrake
    shadytrake Member Posts: 142
    edited February 2013

    LW - ask your MO or BS for a script for the lidocaine cream. Then slather it on the port area 1-2 hours before you go in. Put a piece of Saran Wrap over it to keep it from getting on your clothes.



    It will numb it up really well. I tried mine out at home and that was a nice little nap not having to feel it.



    Good luck! I'm starting Monday.

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited February 2013

    LW- Just like shadytrake said, ask you onco for a prescription for EMLA cream ( aka lidocaine cream).  Since you just had your port installed, you can ask the nurse to numb the area with ice or a lidocaine spray since one cannot use the EMLA cream on a newly sutured area.  When you can use the EMLA cream, put enough EMLA cream about the size of a quarter to half a dollar coin.  Do not touch the cream with your finger to spread it around since your finger will become numb.  Then cover the EMLA cream with a 4 inch by 4 inch square of Saran Wrap or Press N Seal Plastic Wrap.  You can also buy Tegaderm coverings at Walgreens which are made by Nexcare ( 8 coverings for $10.00)  Just remember, if you are a little squeamish about getting poked with needles, do what I do---- turn your head the other way and don't look.  If you feel like you need some "nerve" medicine before the chemo, don't be afraid to ask for some.  My onco's prechemo IV drugs also included Ativan which is a anti-anxiety drug which I opted to receive and received with every round of my 6 chemos.  Wishing you the best this coming week!!!

  • SummersSong
    SummersSong Member Posts: 5
    edited February 2013

    TMM, so happy your chemo went well!  Smile  I will be having the same type but not the Decadron, as far as I know. 

  • melody46
    melody46 Member Posts: 279
    edited February 2013

    Hi Ladies,  What is decadron and zofran? I start my chemo on Tuesday and wasn't told I needed to take anything before hand. Thanks

  • Wildlyshel
    Wildlyshel Member Posts: 48
    edited February 2013

    Wow, such great advice for food and especially the port! I get the port tomorrow.



    I found a recipe to help prevent and alleviate mouth sores if anyone is interested...of course, make sure it's ok for you: white oak bark, sage, licorice and slippery elm 4 -6 x/ day. I have used slippery elm for sore throat before and it tastes odd but I never felt raw from a menthol aftertaste like I get from halls lozenge. It also suggests rinsing mouth out with acidophilus in 1 ounce of warm water before bed, which makes sense to me.



    Again check with your MO. I believe in hitting this with medical science of chemo and using a natural arsenal as long as it doesn't interfere with the chemo.



    Much love...

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited February 2013

    Melody46- Don't fret if your onco did not give you any pre-chemo meds to take before your infusion.  Some oncos give those drugs as pre-chemo IV drugs the day of the infusion.  Decadron is a anti-inflammatory steroid that is used to help nausea from chemo.  Here is a link to the chemocare.com website which further details what Decadron is.  http://chemocare.com/chemotherapy/drug-info/decadron.aspx    One of the side effects of the Decadron is that it can make you wired and unable to sleep at night.  If  one is taking it orally and twice a day, one should try to take it in the morning with breakfast ( 7 am) and then again at night with dinner (7 pm).  If the Decadron is taken too much later in the evening, the wired feeling may be worse.  The Zofran is also an anti-nausea medication which should also be taken with food and a glass of water.  Zofran can also cause some constipation.  Again, don't worry that you aren't taking these drugs before the first round of chemo. 

  • melody46
    melody46 Member Posts: 279
    edited February 2013

    Thanks Melrose,  Trying to make sure I'm prepared with things on hand prior to starting.  One more thing,  I get that I need to drink lots of fluids but I'm also seeing that too much is bad,  is there a guideline for how much you should be drinking?

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited February 2013

    Melody-  The amount of fluid intake depends somewhat on your weight.  I was told I should try to drink 64 ounces of water per day and to make sure that I didn't over hydrate with water.  The infusion nurse thought I was drinking too much water and told me to start drinking other things besides water.   I had a hard time at first making sure I drank enough water so I got some 32 ounce Nalgene bottles and made sure I drank 2 of those a day.  Again, you can fluids in with other drinks--- tea, fruit juice, Gatorade, slurpies or foods--- popsicles, grapes, watermelon, soup, jello. 

    I also found that filtered water tasted better than regular tap water.  I have a Pur filtered pitcher that I drink from.  I also found that water started to taste a little blah after a while so I would put in fresh orange slices in the water to help with the taste.

  • kelbo22
    kelbo22 Member Posts: 6
    edited February 2013

    Tons of pain in BMX site.  CHemo WEd.  Pain Sat/Sun.  Really painful.  Not sure if it's the neulasta or chemo itself.  Took claritin/advil, but not really helping at all.

  • Heidi9256
    Heidi9256 Member Posts: 87
    edited February 2013

    Day two:  the staggaring fatigue has been the worst side effect so far.  There's been some queasiness but that has been easily controlled with meds.  I guess I'll just sleep it off another day.  Food is starting to taste funny and my skin is becoming flakely.  Today's the optional meds day so I'm gonna start weaning myself off the mexadethasone & lorazapam and see how hat goes.  All and all, not as bad as I had expected.  With each new side effect I discover I know that the chemo is getting the job done. Laughing 

  • IamNancy
    IamNancy Member Posts: 1,158
    edited February 2013

    kelbo22 - maybe call your doctor if the pain doesn't get better..

    heidi- the fatigue is awful, I agree... but I haven't been able to sleep good -

    today I am on Zpac - dr thinks I have an ear infection...maybe thats why I have been having such a bad recovery time...

    I fall asleep for an hour, wake up, toss and turn and then go back to sleep... I haven't had 4-5 hours of straight sleep..anyone else having that? Also I haven't felt well enough to go out of the house but when I do, should I stay out of malls, etc? I am concerned being around people who might have a cold, flu. etc.. anyone else?

  • slv58
    slv58 Member Posts: 1,216
    edited February 2013

    My sleep pattern is the same, not sure if its the meds or just everything. I try to nap when I can. I have also noticed that my skin is getting incredibly dry,especially my hands and nails. Anyone else?

  • IamNancy
    IamNancy Member Posts: 1,158
    edited February 2013

    slv58 - I notice my lips are dry and chapped..

  • Heidi9256
    Heidi9256 Member Posts: 87
    edited February 2013

    I've actually been sleeping okay.  I think it's the lorazapam.  It was suscribed for nausea but they said I could take it for sleep as well. So if you've been given it take one right before you go to bed.  It will help.  If you don't have it then ask for something because you really need to be able to sleep to keep your strength up especially if you're fighting off an ear infection.  Good luck!

  • Ackgirl72
    Ackgirl72 Member Posts: 7
    edited February 2013

    I just started chemo Friday. I have been fighting this bc for four years. I am stage 4. I have had a rough few weeks. Stint in pancreas. Full brain radiation for new spot in brain. Now chemo. So tired. Cannot believe how much this all takes out u. I am normally an active mom of three boys. Now it is an accomplishment to make it downstairs. Would love any thoughts or words of encouragement. I am on weekly chemo does your engery come back at all between chemos?

  • Heidi9256
    Heidi9256 Member Posts: 87
    edited February 2013

    Ackgirl72 - hang in there.  I had chemo on Friday as well and have felt pretty wiped out but I'm starting to perk up a little now.  I think with the weekly stuff you get lower doses so you should recover a little more quickly.  My mother in law had the weekly chemo with little to no side effects from it - no hair loss either.  After a few weeks it just became a way of life.  I will keep you in my prayers that all goes well and that this is the magic bullett you need!

  • Mama23
    Mama23 Member Posts: 9
    edited February 2013

    Jkeller3~

    I'm 30, with 3 small children. I started chemo in October but am still going strong through February. What treatments are you doing? You can get a lot of info from reading others post, and if you have any questions just ask. You are not alone!

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