Teaching during chemotherapy
I had a DMX last Friday. I go to the oncologist this Friday to discuss when I will start chemo. I had at least one positive node. Ii am looking at chemo and radiation. I teach Kindergarten. Any advice from teachers? Did you teach during chemo? How much time did you take off? Any questions I should ask my oncologist? Thanks for any help, tips or advice.
Comments
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Hi Lyn,
Although I never ended up having chemo, when it was thought that I would, my mo was adamant that I not teach during chemo. I am a first grade teacher and he felt the risk of exposure to all those little germs (first grade hygiene is only slightly better than K) and being in an elementary school in general was just too risky. I know we have had some on these boards who have taught during chemo. Wishing you the best.
Caryn -
I taught through chemo (middle school special education....lots of germs there too). I would have my infusion on Friday & be back to work on Monday. I had Neulasta shots so didn't have to worry that much about infections etc., if you are thinking of working, you definitely want the shot. I did wash my hands like crazy & skipped out on some of the long after school meetings, scheduled different levels of activities around the days I knew I'd feel better or worse. It was summer when I did radiation, so I didn't have to plan around that (although I've had friends who have taught through that too, getting the earliest or latest appointments of the day). You just have to see how it goes. Some people truly can't keep working, but I felt like it helped me a lot physiologically to have something else to focus on. Plus I felt very hyper during chemo (steriods?) and would have been sitting home climbing the walls if I hadn't been working. If you do keep working, you will want to let everything else slide; hire a cleaning lady, get your co-workers, friends, family to bring meals a couple times a week, run errands etc. Best of luck!
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I also took the time off. My Dr was unwilling for me to work while getting chemo. I was teaching Kindergarten that year. I was off for the 3 months of treatment but returned to teaching right afterwords. Looking back at it now I feel it would have been better for me to take at least 1 month off just to regain my strenth, but them we all are differnt in how the treatments affect us..
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I lecture in college and I canceled my classes. I did all I could to avoid any germs. Did not travel either and avoided stores as much as possible. My husband, roommate and fellow labmates washed hands like crazy and did hand gel when out and about.
I hope it can work for you to take time off if you choose to do so, do you have any coverage for that long?
Good luck and hugs to you. Sorry you are faced with this decision. -
Thanks ladies for your input. I will see what my oncologist says.
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I'm starting chemo on July 2. I'm not supposed to be done until October 8. I teach in a K/1 class. Honestly - I haven't even thought about not starting the school year. I am now. I can't imagine having the someone else atart the school year for me. i'll be asking my Doc about it today - thanks for bringing that to my atention.
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annie76 I was in the same sport 3 years ago. I started chemo the first week of Sept. I met my kids for 1week and then left. It was very hard, but my long term sub was great. She sent me daily pics of the kids along with samples of their work. We worked together to determine grades for that first grading period. I was very blessed!
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Annie, you will be able to tell how you'll feel after the first or second treatment. Everyone is so different. I taught through 4 rounds of AC and found it very doable. Another friend with the same treatment stayed home, slept the whole time and absolutely could not have taught. I've known people who have taught part time through chemo, friends who stayed home during AC but felt good and came back to work during Taxol. I had a friend who amazingly did chemo all last year, taught the whole time and sailed through it. So let your body be your guide.
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Annie,
I worked the first ten days of the school year and then had my bmx. It was very hard, emotionally, but I was comfortable with my long term sub. I also kept in close contact with the class and their families had a dinner delivery going, so I never felt out of touch. I know that Neulasta and Neuogen help with white blood cell counts, but a compromised immune system was still a concern. There is no one size fits all answer. A good chat with your mo will help you determine the best path for you.
Caryn -
Lyn - I teach in a small alternative High School. I took 6 weeks off to recover from BMX/DIEP reconstruction, but worked during chemo and rads. Most of my classes are individualized, which means I work one to one with most of my students. I was sneezed on and coughed on a daily basis. I am also the teacher who students come to when they are feeling sick. They love whining to me for some reason?! I managed to avoid getting sick by being hyper-vigilant and letting my students know that I should not get sick. I made certain to keep my own set of everything (pens, pencils, calculators tissues etc) away from the students and I used hand sanitizer on a regular basis.
My children are older and mostly on their own. I did not need to care for anyone at home. That was a big plus, all of my energy was consumed just getting through each day.
I also received a nuelasta shot after each infusion. I took good care of myself and tried to sleep more than usual. I did end up in the ER twice for fevers. They quickly resolved themselves and I was fine.
I have to say that keeping busy really helped me regain my sanity. I was not very happy sitting at home thinking about how much my life had changed. I had to go back to work! I took off on Fridays for my infusion (AC dd, Taxoll dd) and was back to work by Monday. I had an understanding with my principal that I might need to take more time off (I never did though). I was given Emmend with each TX and a whole pile of other meds to take if needed for pain, nausea, heartburn, or constipation. I was very fortunate to work with peers who understood what I was going through and tried to help out by covering classes if I needed a quick break.
Each person and situation is different, so you might experience something completely different.
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Thanks ladies! All good stuff to be thinking about. I promised myself I'd take this day by day, but it's hard not to look ahead and wonder.
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Thanks for all your advice. I go to my MO tomorrow and I will see what she recommends. I am hoping to teach, but we will see how the chemo goes.
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My MO today said I can teach if I feel up to it and I don't get too sick. So, I am going to give it a try. I am hoping to start chemo on July 12, 2013, if I am healed enough from the BMX. That means I will have had half of my treatments before school starts. School will start for the kids the Monday after my fourth Friday treatment. She did say I had to take treatment days off and possibly the Monday after.
Thanks for all of the great advice and tips. -
I teach in college, so not quite the same thing in terms of maintaining energy in front of a classroom for as long as you K-12 students (my hats off to you!), but I am also getting scared about the germ bath I work in. I was sick 3 times this past semester alone. I'm already planning on installing a hand sanitizer next to the door that opens to the office suite I'm in.
I plan to meet with my department chair after I start chemo to talk about how I'm handling it so she will know if I can do my classroom in the fall or will need someone to take over throughout the treatments, which will go to near the end of the semester.
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Lyn, I would get over to the school ASAP & get as much of the 'busy work' done as possible. Get things run off and organized as much as possible for the beginning of the year, plus some good sub files for when you'll need to be gone.
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Ruthbru - I was planning on that, plus I have lined up my nephew to help me set up my classroom. I told my husband yesterday, I need to start this weekend getting my stuff together. I would like to have the first nine weeks somewhat planned with flexibility for student achievement and differences, but at least the framework done.
Thanks again ladies. -
I teach puppetry in the classroom and kept a fairly full schedule during surgery (lumpectomy) and through chemo and rads. It wasn't easy but was very therapeutic for me. I had kids help me with moving my supplies around (they were so very willing!) and I taught sitting down more because of the fatigue (instead of my usual flying around the room, lol)
I got through chemo well, luckily--didn't need any neulasta and didn't get any infections--not even a cold, lol. I remember my onco calling me once to tell me my blood work wasn't the best and I should probably stay away from people---at that exact moment, I was running rehearsals with 150 kids on stage. I thankfully had no problems
For me, working was the best thing for me. I developed cording and didn't have to do all the exercises ("walking" the wall, etc) because slinging puppets over my head pretty much took care of it quickly.
Here's hoping your chemo goes well for you!....ellen
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Couple other things: if you haven't talked to your principal yet, do so right away so that he/she is in the loop. If you have a favorite sub, get 'dibs' on him/her for the days you know you'll be gone. That will make for better continuity. If you are the head of any committees, tell them you can't do it next year. See if you can get out of recess duty, lunchroom duty, ('other duties as to be assigned' is how it's worded on our contract!), and make sure they know you may have to skip some of the many and endless meetings, depending on how you feel.
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I'm stuck with this too... I teach 7th grade math. I left school at the end of February. The plan was to have my node surgery and bilateral mastectomy done in March, then start chemo in May. I figured three months of chemo and I'd start the school year fresh in September. Perfect! I was starting a new program for some of our neediest kids next year.
Well...My mastectomy didn't actually happen until April 8th, then my skin decided to start dying off. My first chemo treatment is scheduled for June 10 but I see my plastic surgeon tomorrow and looking at the lack of healed skin on my breasts, I am thinking there is no way he is going to clear me for chemo. My oncologist also informed me that I would be doing 4 months of chemo. Even if I start June 10, my last treatment will be mid-October if all goes off without a hitch.
Right now, all I'm thinking is...bye bye exciting new program I was scheduled to start in September...those kids need consistency. My fellow teacher had bc 4 years ago. She said going back to work was very hard. She offered to take my spot in the new program for at least the first year. Now I just need to see how I feel...also, I need to see if my principal prefers me to stay out until I can come back full-time without missing many days, or come back and miss two or three days a week every other week.
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I did teach during chemo. I had a DMX on June 21, 2013 and started chemo in July. I had my chemo injections every other Friday. I took Fridays off and also the next Mondays. I taught four days a week until Halloween. (some weeks M-TH, others T-F) I had a great sub and it worked out well. It helped me to have a more normal schedule. I teach Kindergarten and the kids were great. They even gave me the confidence to go bald. I told my principal I may miss ten days or two months. He was very flexible and awesome and said whatever you need. I actually missed eleven days. I hope this helps, I know how stressful this decision is ... I agonized over it myself. My husband said take the year off and I said I would never get my job back if I did that. (at least not at my school)
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I teach first grade. I didn't end up having chemo, but when that was the plan, my mo forbade me from teaching. He felt first grade germs and questionable hygienic would not benefit my compromised immune system. Different mo's have different opinions on this and each patient reacts differently to chemo. Plan with your mo, keep your principal informed and see how it goes. Wishing you the best.
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