Starting chemo March 2013

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  • study411
    study411 Member Posts: 17
    edited March 2013

    Hi, ladies

    It's been 5 days since my 1st chemo, I'll just focused on how I felt these few days.

    1st day: nausea /vomiting feeling. took a compazine, not much help, took a nap, able to knock off by 7pm.

    2nd day: got neulasta shot, no major complaint, till 7pm, major heartburn, took a nexium, help a little bit

    3rd day: still heartburn, feel v. tied on my right mastectomy surgical site, not sure anything to do w/ neulasta??

                  also, feel tight when I floss my teeth at nite.

    4th day: okay with the stomach, but v. tired.

    today: feel okay, just not myself, no energy.

    everyones is different... I hope minimal S/E for any sister starting chemo. It's not easy, but we have to be strong !!!

  • Denise51
    Denise51 Member Posts: 65
    edited March 2013

    Sockmonkey-

    First time I have ever said this - I am happy (not sorry) about your loss (of tumor mass). 

    I hope you continue in this direction.

  • TXSockMonkey
    TXSockMonkey Member Posts: 42
    edited March 2013

    Dimples, I had a big ole steak for dinner last night!  My appetite remains the same, but I'm a runner, so I have always tried to fuel.  My hospital has an oncology nutritionist that works with you to help you heal with food to minimize side effects.  She recommended trying to stick to 1500 calories a day, eating smaller meals a few times a day, eating protein at every meal, lots of foods high in iron (spinach, kale), and eating a little lean red meat several times a week.  Someone mentioned heartburn.  I did get a tiny bit of heartburn but tums took care of it.   I've heard that spicy foods and acidic foods can be tough on the tummy. 

  • meni33
    meni33 Member Posts: 27
    edited March 2013

    Hello ladies

    Well I had my follow up appt after sugery and all the margins were clear which means no more surgery but one of my lymph nodes had a bit of cancer cells in it which means chemo :(

    My treatment plan is once every 2 weeks for 4 months. The 1st 2 months will be AC and the last 2 months will be Taxol then radiation and then tamoxifen for 5-10 years. Have any of you ladies been given this same treatment plan? I have to go order some hats and scarves now.

    I hope everyone is doing well

  • cherish
    cherish Member Posts: 59
    edited March 2013

    Thanks much dimples68!

    As matter of fact, I'm 46 and as you said I was health b4 be diagnosed. Actually my onco was suggesting me to have 4x AC, but ( it always a "but" after the suggestion!) the SE will be very server. Since I'm not working right now, CMF might be another option for me which easier for me to tolerate the SE. However, since most of you are taking AC, so it's really got me hesitated!!! :(



    Btw, done my port today, everything looks fine except my shoulder pain is really killing me!!

  • Keke713
    Keke713 Member Posts: 91
    edited March 2013

    Hey...so I have a question for you all since I can't find a board better fitting with a larger group of woman to ask ...but for all of the woman who have had mastectomies with or without reconstruction in the past or in the beginning of the month...did any of you end up with a section that has poor blood flow and turned a very very dark red color? My plastic surgeon said that I have a small spot that has poor blood flow, but he pushed on it with some pressure and it changes color which means it still has SOME blood going to it...he said f it completely loses blood flow that ill have to go in for another minor surgery, remove that section of skin, and stitch it back up..but my question is, I start chemo on the 25th, will that affect the surgery if I need to have it? My worry is, I can't start expanding my tissue expander until he sees where this section of skin goes...so I don't want him to decide "well I don't have Time to keep an eye on it and decide from there, so were going to just cut it out ASAP" jut wanted to know If anyone has had this small complication with their first chemo treatments right around the corner...I have an appointment with my plastic surge Wednesday and ill ask him then, but I jut wanted to get info sooner! Thanks :)

  • tg1
    tg1 Member Posts: 3
    edited March 2013

    Hi ladies,



    I was diagnosed about ten days ago and will get my first chemo on Monday. I'm 40 years old. My biopsy also confirmed mets in my axil. lymph node. The BS I saw advised to have neoadjuvant therapy before the surgery. I had a petscan today to see if I have it anywhere else. It's scary to even think about it.



    I read as much as I can about the experience, so much information on this site! I'm really thankful to all women posting here.

  • dimples68
    dimples68 Member Posts: 46
    edited March 2013

    Keke713,



    I've actually had smooth sailing in the mastectomy healing area but I had a nipple sparing mastectomy and there were some cells found under the nipple in the final pathology so I will have to have it removed which I'm bummed about after my exchange. I've been filling my expander weekly and I'm at about 550ccs right now. Almost there. They won't expand me while I'm going through chemo but I've heard some PS will. My doc is scared of infection. He also wouldn't take the nipple off sooner because chemo came first. Chemo slows the healing process so surgeries aren't likely unless its for a life saving procedure.

  • dimples68
    dimples68 Member Posts: 46
    edited March 2013

    Tg1,



    Sorry you're here but when I first joined I was so scared. It gets better and we're all here to help you get through this.

  • elmrush
    elmrush Member Posts: 17
    edited March 2013

    Keke713

    I had a double mastectomy on Jan 31with expanders and had an area on one breast that was not healing properly due to blood supply.  I turned colors and pitted black was to worst.  I met with the chemo dr. and he was worried about potential infections and my ability to fight the infection while completing chemo.  I returned to the PS and was scheduled for another procedure where skin was removed and reattached.  It delayed my chemo by about a week but the good news is that it is healing well. It was determined there was no infection just not enough blood suppy. The procedure was not bad they did a local anesthetic and I went home right away. I started chemo March 13.  I am scheduled for my first fill with my expanders on the 25th.  Hope that helps. 

  • elmrush
    elmrush Member Posts: 17
    edited March 2013

    I did my first round of chemo on Wed. March 13. I just wanted to share that I have been waiting for all of the SE to start and have prepared well.  I have experienced NO SE expect for being tired and emotional.  I keep waiting for the shoe to drop on me.  I had the neulasta shot the day after and took the Claritin (generic) as stated in previous posts and have not had any SE. I did experience some hot flashes throughout the night last night. Not sure if I am just one of the lucky ones or if it will hit me all at once.  If this continues I will be returning to work soon.  Thank you all for sharing your knowledge as I am starting to believe that being totally prepared played a part in managing my SE.  And prayers lots and positive attitude.  I have made it my goal each day to find an inspiring quote to force myself to stay positive.  

  • Lolalou
    Lolalou Member Posts: 30
    edited March 2013

    Tg1,

    Glad you found us...sorry it's for BC. It is overwhelming in the beginning for sure..so many things to read. I see you are from AZ. I am also and there is a great support group in the Phoenix area called Bossom Buddies. I went to a meeting a couple days after my surgery and they were wonderful.



    Liffeybloomer- I am in the fb group with the Jan girls and it is great. I prefer it over back because we're able to speak openly and it's private from our friends on fb. I also feel a nice bond with them. It's helped so much so I am definitely in favor of a private FB group.

  • dimples68
    dimples68 Member Posts: 46
    edited March 2013

    Elmrush,



    I had my first chemo on Thursday. Neulasta shot yesterday. Took my Claritin. Last night and now I'm feeling flu like aches not really a hurting pain. Only real other side effect is NO SLEEP. I thing the steroids have me wired. Under the covers now with my heating pad.

  • cbear
    cbear Member Posts: 33
    edited March 2013

    I welcome everyone thats new since my last post and thoughts go out to all chemo sisters and families.

    Had number 4 of Ac Friday. So far feeling great. Tired but have not done steroids at all. No nausea at all. Slept only 4 hours by the clock but with tossing and turning mayby 2 only. Beautiful here now in Tn. Sun Sun Sun. I know i will be out today. Rare side affect Dr. stated of the eyes swelling and watering constantly. Not a infection so thats great! Just wipe wipe wipe. Have had it starting since treatment 3..started with left eye then both. Got worse this week. Gained 2 pounds then lost 4 this time. So back where i started. Eat something every hour Dr. stated. And keep the boosts and ensures in. Mine is more taste he thinks even though i dont have bad metalic taste in mouth. He said could be because i have partial covering pallette so may be why its not so bad. But whats funny is it is metal:) Funny how side effects are different in everyone.Well free till April 5th then Taxol number 1 of 12 starts. Dr. told me to take 5 steroids night before. I said are you serious? He said then 2. I said okay i will do 5 but i will just walk or even run 45 minutes to treatment:)Again hugs to everyone.

    My next phase of treatment.....

    Has anyone dealt with the thoughts of ovaries out at 47 years old? Scary because i was told i was young for breast cancer? I have found no studies on older women getting breast cancer and if they had ovaries out or not when first diagnosed. Onc said he would look up things for me but i know he is a busy man. And he just looked at me when i asked about tests keeping hormones in check forever now. Like it cant be done that way.

  • Noor1983
    Noor1983 Member Posts: 12
    edited March 2013

    Hi,

    Cherish, Liffeybloom and Roadshow.. thanks for your wishes.. I am very hopeful that me and the baby are in God's hands ..He knows the best..

    TXsockMonkey: so happy for you.. I was hoping to have neoadjuvant chemo so that I can see the tumor shrinking too. but I had MRM..so we are treating blindly know. no way to tell if its rsponding..

    Keke713.. very sorry for you.. but such a huge experience in such a yong age will give you wisdome and depth that you cant gain in a life time without going through this road.. I know how you feel.. I am 30.. little older but still understand :)

    I have a question for all.. what is your experience with steroid use?what SE did you experience?  do you usually get high dose? can I just refuse it.. I am not comfortable with taking more and more medications because of my pregnancy..

  • waitress169
    waitress169 Member Posts: 47
    edited March 2013

    Hi Ladies, Just want to say good luck and GOD help all of you as he did me. I just finished AC, taxol and herceptin. It was no where near as bad as I envisioned and will be alot better than you think. The AC is the hardest but usually doable till about the 3rd treatment then rest and take all the meds they give you. My worst SE was stomach and acid reflux but Nexium made a world of difference. While on  AC the woman in the next chair said Taxol was like chemo vacation and she was right. If there are any questions I can answer please ask. Even little things can make this easier. There were so may people who helped me that I will never forget.

  • the_roadshow
    the_roadshow Member Posts: 21
    edited March 2013

    So pleased to hear that some of you aren’t experiencing side effects. I’m in the UK and had my first round of FEC yesterday. I also used a paxman cold cap. I was pleasantly surprised by the paxman cold cap. I have a complete aversion to the cold but found it entirely do-able. That said, I was wearing slipper socks, ugg boots, winter thermals underneath warm trousers, a thermal top, a jumper, a ski jacket and a scarf. I could have slept with it on I was so toasty. I had to wet my hair first and apply conditioner. It's then put on and takes about 10 mins to hit the desired temperature. My husband got 2 nurses to check it was working as I wasn't moaning about being cold. I wore it for 4 hours (1 hr before treatment and then 2 hours after treatment). There was a lot of ice on my hair when it was removed so my husband felt better about its efficacy at that point. The nurses kept saying that there was no guarantee, but that 4 ladies were currently using the cold cap and were further along their treatment and all 4 of them still had their hair. Can't argue with those odds. The only downside is that I suffer from migraines and I got one within an hour of removing the cap. I've still got it nearly 24 hours later. The effects of the FEC chemo I had were much worse. I had a terrible night last night and my husband had to ring both the hospital and oncologist as I was feeling so rough and wasn't able to drink anything. The nausea was completely overwhelming despite having taken anti-nausea meds at the hospital. They moved today's meds to last night (the steroid anti-emetic) and I got a full 7 hours sleep and feel a lot better today. Not quite out of the woods but not curled up in a foetal position whimpering. The side effects seemed to hit me on the drive home. I was green by the time I got out of the car. Hideous. Will make sure they give me more meds before I leave hospital next time. Still, pleased the cold cap wasn't as bad as I was expecting it to be and only 5 more rounds to go! Good luck everyone.

  • the_roadshow
    the_roadshow Member Posts: 21
    edited March 2013

    Noor1983, my understanding is that the steroids are the anti-emetics. They may be able to control any anticipated nausea by other means that don't involve steriods so I'd definitely discuss that with your team. The steroids I'm taking are the only things that seem to be controlling the nausea but I guess not everyone experiences it to the same degree.

    I just had this Ted Talk forwarded to me - it's 3 minutes long and well worth watching. On more than one occasion I have said that my cancer diagnosis has brought out the best in people. Seems it's not just me thinking that.

    http://www.ted.com/talks/stacey_kramer_the_best_gift_i_ever_survived.html?source=facebook#.UUSW_pw9UmU.facebook

  • TXSockMonkey
    TXSockMonkey Member Posts: 42
    edited March 2013

    Steroids. Interesting topic. They will be in your drip for sure to prevent side effects day of. You don't need them on AC. They will insist on Taxol but my MO said he will taper me down after the time and see how I do. I hate steroids with a passion. My MO is writing an article on steroid and weight gain and says not everyone needs them. I think it depends on your overall health otherwise.



    I had AC number 2 yesterday. Was very nauseous last night with a headache but just got my neulasta today and feel fine. I'm ready to go run in the 75 degree sun! And so far I still haven't started shedding any hair on the cold caps. Yippee! They say if I have hair by Easter with the cold caps, I will keep full coverage.



    CBear, have you done your BRCA testing? I see no reason to remove your ovaries unless you are positive on your genetic tests.



    Tg1, I am thrilled with neo chemo. Many women have the cancer disappear from their nodes during chemo. This sounds disturbing, but I can actually feel my tumor shrinking. It's sort if like a dull tingle. Hard to explain, but I'm happy to feel it.



    Have a nice weekend y'all!

  • dimples68
    dimples68 Member Posts: 46
    edited March 2013

    These steroids have me so wired. I haven't had any sleep. They gave me Emend and some other anti nauseau medicine in the drip but said that the steroids helped the tingling in the fingers and toes. Not so sure about that. I haven't had any nausea though. I think I'm going to refuse the steroids for session 2. I don't see the point unless someone has advice.

  • bc226
    bc226 Member Posts: 3
    edited March 2013

    Hi All,


    Glad to have found this site as suggested by my social worker. In the midst of the complexities of the diagnosis, i feel I am more mentally ready for the possible side effects with everybody's suggestions.
    I was Diagnosed with BC on 2.26.13. I'm having neoadjuvant chemo due to mass size. Im having DD AC x 4 then weekly Taxol x8. Started my 1st AC yesterday. Felt so nauseous yesterday. I wasn't sure if I was having heartburn from all the anti nausea meds, including the steroids. Took compazine without much help. And to think they told me I'm not supposed to have nausea on day 1. Today, day 2, so far things have been smooth (fingers crossed). Now I'm not sure if the steroids just made me feel worse and if I really need it.

    Hope everybody is having a relatively good day.

  • the_roadshow
    the_roadshow Member Posts: 21
    edited March 2013

    That's awful dimples. You must be exhausted. I'm on Emend too. 125g with the chemo yesterday and now 80mg tablets for today and tomorrow. Weirdly I've snatched a few hours kip today so haven't experienced the wired feeling I was expecting. And no sleeplessness. Husband is a bit crestfallen as I think he was hoping I'd clean the place! The other thing that's weird is that I was advised to take 2 paracetamol with my neulasta shot this evening and yet everyone on these forums seems to be taking Clarityn instead. Not wishing to take any chances my husband has just popped out and purchased Clarityn so I hope it'll prevent the bone pain I've read about. Would love to do some exercise through this but I'm waiting on knee surgery for a fully inflamed fat pad in my knee so even walking is out for now. I'm hoping I'll be able to be treated under general anaesthetic whilst undergoing chemo but I'm not sure yet.

  • cbear
    cbear Member Posts: 33
    edited March 2013

    dimples68....take yourself off. I went thru the same thing. I just couldnt do what they said and times at all. I needed rest bad. So i stopped completely after 1 full day. If you get the feeling again just take them again until its gone. After my 4th treatment friday i have had none since treatment and feel fine. You will know when you are getting quezzy. They just dont want anyone to get sick. But steroids affect everyone differently like me and you. I couldnt set still but yet couldnt get things done really that i was attempting. HA HA. I had a little tiny bit of feet feeling like sunburned on bottom first week but no tingling feeling. I just kept my nice fluffy sliippers on and was fine and lotioned them up they said. Go off and get a good nights sleep.First treatment i was told is usually the way all the others will go except mayby tiredness may get a bit worse. So take notes on things if have to and days it happens. 

    TXSockmonkey....I have asked for it but they refuse it because i know of anyone in family that has had any breast cancer. But not right because dont know any of fathers side. But i guess its mainly mother and being under age 50 is what i was told. But what bothers me is why do more women over menapause get it? Things are shut down so why would the estrogen fuel it? Dont know but me 47 and close just wondering if it could be wrong thing to do because no site anywhere tells weather they had no ovaries or not when diagnosed or still having symptoms. My mother and law is 76 and still has hot flashes:( And why wouldnt keep testing your hormones to at least know they were balanced. See my progesterone was fueling more then the estrogen. Onc cant answer that since really they say estrogen is the main fueling hormone in what i have read. Its like they dont know why your progesterone is helping. And no onc test done either even though they say they can do it on positive nodes and i read somewhere that progesterone plays a very little part in that test.

    And again to all others good thoughts on everyone going thru this.

    And for the baby question about steroids.....please get advice from more then onc mayby. If like me i have 17 Drs on a board and mayby ask onc to take questions to all of them. But do have friend who took Zofran while pregnant because of extreme nausea and baby is healthy and beautiful:) That may help you. Baby was born 5 weeks ago. I asked how she felt on them and she said she was fine and not wired like me. Mine is 8mg.

  • the_roadshow
    the_roadshow Member Posts: 21
    edited March 2013

    cbear - I've requested an oopherectomy as well. My oncologist wasn't very keen (I'm 40). I think he'd prefer it if I took zoladex which switches the ovaries off. My only worry is that with any medication there are side effects and the worst side effect of zoladex is arthritis - er, no thanks. Still, I think with an ER+ measuring 8 out of 8, tackling oestrogen production is going to be a major part of my survival plan. The worry is that by taking Tamoxifen on its own, the brain receives a signal that the body is not producing enough oestrogen so it asks the ovaries to produce even more and there are certain parts of the body (ie. bones) that also house a large amount of oestrogen receptors. Honestly, I'm hoping the chemo sends me into the menopause. That should also put paid to my hormonal migraines. Fingers crossed.

  • JoelleKC
    JoelleKC Member Posts: 24
    edited March 2013

    Started chemo last Monday and today noticed the hair loss was starting already. I had myself a nice pity party but it didn't last too long as this is the first day I felt halfway decent since Monday. So happy to just have a little heartburn and fatigue. Hoping I'll feel even better next week.



    Keke713- I had the same issue following my Surgery. They did and in office repair with a local. I felt better almost immediately. My chemo was delayed two weeks due to the risk of infection. My PS initially tried applying silvadene twice daily but it had no effect.



    Hope that helps! Good luck girls!

  • the_roadshow
    the_roadshow Member Posts: 21
    edited March 2013

    Hi Joelle, sorry to read you had node involvement and mets with the same size and grade as me. Hate seeing that. And sorry to hear about your hair. Have you decided on wigs, hats or scarves, or a combination of all 3?

    I had my first chemo session on Friday and am nervously taking the last of my anti-emetic meds and wondering if a 3 day supply will turn out to be sufficient. Day 1 was so hideous I don't want to even contemplate a repeat of it. Took my first Neulasta shot last night and apart from some heartburn I seem to be doing ok, though I understand from others on this forum that the side effects can last a few days and include flu like symptoms. My face is a bit puffy and very flushed but I think that's better than the green look I was sporting on Friday. Still got my headache from using the cold cap on Friday. Will be nice when that goes but the pain level is bearable so I'm not taking any additional meds for it.

    Weather is just so miserable here and has been for days so I think another duvet day looms. Anyone got any good film recommedations?

  • Denise51
    Denise51 Member Posts: 65
    edited March 2013

    Hi Everyone,

    Thanks for the welcomes. I have been absent for a few days, thinking about the latest turn of events. I may have to get my chemo delayed. I was scheduled to start on 3/22, but a uterine ultrasound indicated that I have a thickeing of the wall - now I have to go for a biopsy and wait again for the results. If positive, I will need to have a hysterectomy and another 3 week delay before I can start chemo. If negative, chemo is a go. 

    I was ready to go with the chemo - all mentally set, in part because of this board and hearing how strong you all are in dealing and coping. 

    Keeping you all in my thoughts and wishing you all the best and few side effects. 

    Denise51

  • Lolalou
    Lolalou Member Posts: 30
    edited March 2013

    Hope everyone is having a good weekend and SEs are minimal.

    I am just curious. Did your MO's have you get PET Scans before they started treatments? My new MO said she wants to have one done. I wondered why they didn't when I was first diagnosed but assumed since my nodes were negative that this meant I didn't need to do that. I've always wondered though if it was possible for the cancer to have gone somewhere else in my body and just not show in my nodes. My mind is wandering this weekend....

  • liffeybloomer
    liffeybloomer Member Posts: 72
    edited March 2013

    Lolalou,

    My MO didn't request a PET scan or CT scan. Hi philosophy is that if the cancer has spread, knowing it will simply make me depressed and anxious especially given that the chemo I am on should take care of any minor mets. In other words, my treatment wouldn't vary if there were mets or not.

  • Keke713
    Keke713 Member Posts: 91
    edited March 2013

    O so i posted about this a couple days ago about the section of skin with low blood supply...i wanted to incude a picture for you ladies who have experienced this same thing and tell me if it seems like this skin is doing ok or not... This is the section of skin I'm worried about.. It isn't completely black which gives me hope! .... This is the link to the picture I took...let me know what you ladies think.. http://www.flickr.com/photos/94123475@N05/8567916214/





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