CMF Question

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  • Atall45
    Atall45 Member Posts: 43
    edited February 2013

    Oh my goodness I forgot to hit the spell checker, panicked and tried to get my post back now it wont let me edit......sorry for the miss spelling!!!

    HUGS to you all!!! 

  • Mandy1313
    Mandy1313 Member Posts: 1,692
    edited March 2013

    Hope all you gals who had treatments this week are on the upslide and doing well.  Fatigue is a definite side-effect of chemo; sleeplessness can be caused by the steroids they give us for nausea.  So sometimes it is hard to know how to handle things.

    Hugs

    Mandy

  • love123
    love123 Member Posts: 12
    edited March 2013

    Hi everyone

    Hope the Feb 27 team did well this week with very little SE's!  Yay for your last treatment Traii!

    Softness, I had unilateral mastectomy with tummy tissue flap on Jan 31. First CMF was Monday.  I did notice a bit of increased spasm-ish activity on the first two days after chemo.  I was (am) still pretty tight and have painful areas, but I do remember noticing some shooting pains, etc after chemo.  I don't notice them today though.

    Robin I hope the new shot wasn't as hard on you as the neulasta.

    XOXO

  • Dianarose
    Dianarose Member Posts: 2,407
    edited March 2013

    Hi, I finished chemo in January but now have sores in my nose. Did anyone else experience this? I know the MO said you could still get side effects months later, but I really thought I had all that crap behind me. I only got a few mouth sores during the chemo so this was an unpleasant surprize.

    I hope everyone is doing fine and congrats on the ones who are at the finish line. Cool

  • Atall45
    Atall45 Member Posts: 43
    edited March 2013

    Dinarose - so sorry to hear about the sores in your nose, Darn SE just when you think you can begin to hear and put yourself back together!!! Hope you MO has an answer for you.

    Finally feeling a bit better today. If feels as though I have slept for 3 days!!! I'm still ok with this as I know in another few days I will feel good and have about 2 weeks of feeling as close to well as possible.

    Hope everyone else is having a good Sunday and minimal SE!!

    Big HUGS!!!

  • ritajean
    ritajean Member Posts: 4,223
    edited March 2013

    Robin,  The Claritin D won't hurt you so I would go ahead and take it.  One thing that I learned from my journey is that it is always much easier to ward off a side effect if possible rather than try to get rid of it once it rears its ugly head.  I took compazine for nausea and I always took it as directed for 3 days after a treatment.  It seemed to keep the nausea away but if I took the compazine once the nausea appeared, it took quite a while to get rid of the nausea.

  • Robin3
    Robin3 Member Posts: 145
    edited March 2013

    Thanks ritajean. I have to say this second round did go much better than the first. They started me on an anti nausea patch the day before chemo. It did the trick. The also did not give me the nulasta shot. But instead gave me nupogen. So instead of one shot they are breaking it down to two or three. I had my first one Friday. And it wasn't fun. I still had the neck and shoulder pain. I was also very emotional. But was fine by the next day. I get another one tomorrow then they check my levels to see if I need on wed. Keep fingers crossed that I don't. It stinks that it drags it out but better than being sick. Thanks for all your tips. I did take the Claritin d anyways. I take all my Meds to prevent and this round was much better. Hope you all had a good week. :) robin

  • ritajean
    ritajean Member Posts: 4,223
    edited March 2013

    Robin,  So glad to hear that your second round went much better.  All of our bodies are different and react differently to the treatments.  We learn by trial and error what works for us and ways to get around the side effects.  Keep us updated on how it's going for you.

  • ritajean
    ritajean Member Posts: 4,223
    edited March 2013

    So how is everyone doing???? It's been pretty quiet around here the past few days so I'm hoping that everyone is doing well and that you're away from the computer enjoying your days!

  • Dianarose
    Dianarose Member Posts: 2,407
    edited March 2013

    Glad to be done with making 91 pies for a benefit. I am tired.

    I made 91 pies for a benefit for a man who has brain cancer. I am tired now. This is about 2/3's of them.

    Going to get my kinky hair colored today. Not complaining though. It beats that dam wig. My eyelashes seem to be going through another round of falling out. It's been 4 months PFC. I hope this stops soon.

  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited March 2013

    Diana, you are awesome and a great inspiration!

  • Robin3
    Robin3 Member Posts: 145
    edited March 2013

    Hi everyone, my second treatment definitely went better than my first. But now I"m on the nupogen shots. Which entails more trips to the doctor for more shots, but not really many side effects. So I'll take it. I had an appt with my oncologist to see how i was doing. We rearranged some of my medicines cause i've been feeling like a maniac. But I have to say..while this is not fun, this second treatment has been at least doable.  I'm actually back to teaching some zumba classes. :-)  Not as many as I used too, but this week I taught 2. I'm going to keep it to that. My doctor is all for it as long as I feel well. And where I teach they know my situation, so if i don't feel good I get a sub. If I feel good..it's all systems go. Last night was the first night back at the YMCA where I've been teaching for 2 years. It felt so good to see everyone and feel normal. I definitely don't have the stamina...but I got through it and I have to say. Not only did I feel good after...but I slept really well...:-)  Hope everyone is doing ok. we are snowed in here in ct. which is good cause it's forcing me to rest! :-)

    Robin

  • ritajean
    ritajean Member Posts: 4,223
    edited March 2013

    So glad that #2 went better for you, Robin!

  • softness1
    softness1 Member Posts: 217
    edited March 2013

    Hope everyone is well!!



    I had my 2nd round last Thursday. I'm still in bed. I was off yesterday, thank God because my left leg was twitching, aching, kind of electrical tingling all up & down my leg. It got better yesterday pm. Seeing my onco Tues.



    Other than that weirdness. It really is doable. This a.m I noticed a more of hair coming out. Urgh!!

  • packy
    packy Member Posts: 12
    edited March 2013

    Hi everyone. I have been off the thread for quite some time. finished CMF at end of last June....then radiation, and finally reconstruction last month. I feel very lucky, as I did not have the severe side effects so many report....a little hair loss, felt a little tired and a little queasy occasionally, but nothing terrible or debilitating.

    have gotten along well until I began having diarrhea and stomach cramps a week ago. Thought it was from food at a luncheon, but it has continued daily. No fever, but immodium hasn't seemed to do much. I have heard that side effects of chemo can be felt well past the end of treatment. As I said, I finished CMF last June, and began Femara (as I guess most of you have also) last August. Though it seems like the time span is too great for either the chemo of Femara to be causitive, I wonder if anyone has experienced this problem or has any thoughts.

    Best to all,

    Packy

  • Mandy1313
    Mandy1313 Member Posts: 1,692
    edited March 2013

    Packy, sorry that you're feeling poorly. I am not an expert on this, but it would seem that it's 8 months since your CMF, and probably 6 months since your rads...I don't know but it seems a long time for the diarrhea to have just started. Two things come to mind--you have just finished your reconstruction--is there some medication that you might have taken then that can cause the upset stomach.  As well,   I just googled "femara" and diahrrea can be a side effect of that. Many of the AI side effects appear as you continue to take the AI.  So call your doctor and see what they suggest to give you relief....hope you soon feel better!!!


  • curveball
    curveball Member Posts: 3,040
    edited March 2013

    @Packy, Since it's the most recent, my bet is on that luncheon as the culprit. Did anyone else who ate at the luncheon get sick? If not, maybe you have picked up an intestinal flu bug from somewhere. My main suspicion would be directed at a recent cause, rather than at medications you took a month, or many months, ago.

  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited March 2013

    It's almost one year since I finished Cmf and I've been on an AI since then.  No rads.

    The chemo left me with several things.  A bladder that is just insane.  I never know if I can hold it.  When I have to go, I have to GO NOW!

    Then I have strange pains, neuropathy I would guess.  Hands, toes, every now and then, unexpectedly, pain!

    Fatigue has not gone away.

    Foggy brain is there.

    no short term memory.

    eyesight worse.

    but lately, my stomach hurts.  not terribly but it's something new.  it does feel similar to the feeling i had after an infusion.  I feel full even though I'm not and the stomach aches.

    I just hope time heals.

  • ritajean
    ritajean Member Posts: 4,223
    edited March 2013

    Packy,  I tend to agree with curveball.  I don't think you'd get this now as  result of the chemo and rads.  I'd say that it's a recent intestinal problem caused by food, emotional upset or a  type of flu.  If it continues, I'd call and have it checked out.  You don't want to get dehydrated.

    Glad that the rest of your chemo went well for you.  Doesn't it seem good to have it behind you?

  • Dianarose
    Dianarose Member Posts: 2,407
    edited March 2013

    Packy- when I had my bmx they gave me an anti-biotic that said right on it that it could cause diarrhea several weeks or even months after you stop taking it. Sure enough it did while I was out at the pond fishing with my youngest one. Not really good timing. It came on all at once too. They put me on it again for a sinus infection during chemo and had to take me off it because I got so weak from the diarrhea. Hope you start to feel better.

  • ritajean
    ritajean Member Posts: 4,223
    edited March 2013

    Hi Dianarose!  So glad you popped on to offer help to Packy!

    Gosh I wish you lived closer, gal!  I'd have you baking pies for me all the time.  I am no good at baking!

    Hope all is going better for you now.  Stay in touch!

  • cherish
    cherish Member Posts: 59
    edited March 2013

    Hi gals, I'm new for this thread and like to have some advices. My onco gives me the options for chemo treatments of either 4 AC (TC) or 8 CMF. The reason I have to do the chemo is because the size of tumor is big ( total size is 8.6 cm, invasive is 4.1 cm), clear nodes. She explains to me that AC has server SE with less time time consuming and CMF has less server SE but longer time consumed. By looking at this board, most of did the AC (TC) vs CMF. Personally, I rather to be cured at first place. Can any one give me some advices? Appreciated!!

  • ritajean
    ritajean Member Posts: 4,223
    edited March 2013

    Cherish,

    I think that both treatments are equally effective when there is no node involvement.  CMF is being used more frequently again for early stage breast cancers because the side effects are usually less and most women do not lose enough hair to need a wig.  There are several different ways that CMF is administered.  Some have only 6 to 8 treatments by IV and others combine pills with the IV treatment. 

    Although the TC tends to create a few more side effects, you only have the four treatments compared to the eight.  I think it's just a personal decision based on how you want to handle the chemo and the time span that best suits your life style and situation.

    Neither are pleasant but both are "doable," with the CMF being less abrasive.  You are often able to maintain your normal routine except for treatment days and many women continue to hold down their jobs while going through the CMF journey. 

    I am so sorry that you have to go through this.  I found that the initial decision-making was almost worse than the treatments. I think you will have more peace of mind once you have your treatment plan in place.

    Welcome to this thread and come back often.  We'll help you through this.

    Rita

  • softness1
    softness1 Member Posts: 217
    edited March 2013

    Cherish,

    I hate that you have to be in the position to have to make this decision. Cancer is horrid. I chosed CMF because it allows me to work full time. I'm a single working parent and I'm not sure how I would have been able to deal with a more abrasive chemo. CMF has been challenging because it does have side effects, but thank God I have a lot of leave at work. I usually take about 2 days after treatment. I have 8 treatments (3 weeks apart) So I do get a decent amount of "feeling normal" time before the next treatment. I have 6 more treatments left. It seems like forever, but my job is so erratic and at one point was on a laying off spree that I really couldn't risk taking a lot of time off.  It's hard to advise someone else because each situation is different. So for me the CMF might be longer, but because of what's going on in my life it's easier to manage work and deal with the lesser SE alone

    Ann

  • Dianarose
    Dianarose Member Posts: 2,407
    edited March 2013

    Cherish- I chose the CMF because I needed to continue to work. Also my onco score was only a 6. I had 17 positive nodes so I knew I had to do something. When I researched the different chemo's the long term survival rate only differed by 1% with the newer chemo's verses CMF. Like Ritajean says, it is a personal decision. I was one of the exceptions who did lose enough hair to have to wear a wig. I am 4 months PFC and it is coming in thick. I did you Nioxin shampoo right from the beginning of chemo and am still using it. Most Wal-mart hair salons sell it or you can get it online.

    Ritajean- I have a really easy recipe for Key Lime pie if you like it. You can use a premade crust. We raised over 10k for the man with brain cancer. We were shooting for 4-5 so we are very happy with the results. I don't think I want to make that many pies in 2 days anytime soon.

  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited March 2013

    Diana, do you understand why with such a low onco score you had so many positive nodes?  I thought the low onco was an indication that it would not spread.  And you only had a tumor of 1 cm?  Grade 2.  Were you given any explanation?

    Cherish, isn't it odd that we get to make all of these choices when we don't know very much?  I found this the most anxiety producing part of the whole ordeal.  Sloan was the only place that told me to have CMF.  They suggested a dense dose, every 2 week infusion although the research has not been conclusive yet.  They were extrapolating from other dense dose treatments that have worked well.  But I still went with the 3 week schedule.

    I think the "A", if it's adriamycin, is hard on the heart.  No one suggested that for me.  I think if you have any other risk factors for heart disease, they will stay away from that.  As it is the F in CMF rarely causes heart problems.

    I had a steroidal reaction when given the steroids intravenously.  It passed in a few hours but because of it I had to have a stress test and a holter monitor.  Both were fine so it wasn't a reaction to the F.  Just the steroids.  At Sloan they give the steroids in pill form and I never had a bad reaction.  

    Today is one year since my last infusion.  I've been told that things will improve a lot now.  Sure hope so.

    You will truly be amazed by how quickly the time passes.  The worst part is the beginning, the decision making.

    But soon enough it becomes a bad memory, thank Gd!!!!

  • Dianarose
    Dianarose Member Posts: 2,407
    edited March 2013

    Timbuktu- I believe the low onco score was due to it not being really agressive and estrogen dependent. What really bothers me is knowing that chemo responds better to cancer that is more aggressive. Not that I want a more aggressive cancer, but knowing that chemo might to little or nothing for me is always on my mind. The MO said I might be doing chemo for nothing other than side effects, but on the other hand I had nothing to lose at that point. They think my cancer on the right side was there when I was diagnosed on the left side 8 yrs ago, but just never was detected. As we know, lobular is sneaky and sometimes goes undetected. The onco score from what I understand, is to see how well your particular cancer would respond to chemo. If I had had clean margins and no positive nodes they probably would have said no chemo.

    The steroids made me mean and more verbal than I normally am. I did not like them at all, but the MO said I would have felt really crappy without them.

  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited March 2013

    So the cancer wasn't that aggressive but it was there a long time?

    Oh this is a sneaky disease!

    I got many opinions and they all said chemo would be pointless.  Except for Sloan.  The dr there, the head of clinical oncology, was more conservative and did not put all her faith in the onco score and the AI's.  She said these are new tests and treatment and we won't know for sure for decades.  CMF has been around for decades and since my tumor was over 2 cm, she said "she'd sleep better at night" if i had CMF.  As it turned out I have had a lot of trouble with the AI's and the last visit she said "at least you had chemo".  I think none of these decisions are 100%  My tumor was 90% estrogen receptor but that leaves 10%, right?  My onco score was 14, which is considered low risk, but that still leaves 14% chance of reccurrence (without AI's) within 5 years.  I asked an onco if the AI's starve the tumor why is there still a percentage of recurrence?  None of this is 100% and why not do whatever you can?  OTH, side effects are no fun. 

    Good luck everyone!

  • Dianarose
    Dianarose Member Posts: 2,407
    edited March 2013

    Timbuktu- from what I understand if you are ER and PR positive than the cancer needs it in order to divide. My MO did say that sometimes cancers are smart and figure out another way. I have not started Al's yet. I am afraid I won't do well either. I went into menopause within 2 weeks of chemo and already have aches, pains, hot flashes, night sweats, depression, and was mortified yesterday to discover a dark mustache growing. I didn't notice it until I looked in the rearview mirror with my glassed on. Cream bleach and tweezers to the rescue. Sucks.

  • Timbuktu
    Timbuktu Member Posts: 1,906
    edited March 2013

    I hear you Diana!  There are so many things going on at once that i can't say for sure what is causing what.

    There are good days and bad days.  So far, Aromasin seems to be the one I tolerate best.

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