Calling all TNs

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  • Titan
    Titan Member Posts: 2,956
    edited July 2013

    Karen..enjoy this summer..I know you will...love you girl and I know whatever decision you make is the right one.

  • slowloris
    slowloris Member Posts: 128
    edited July 2013

    Karen,  May God bless you and give you peace. Although I am still in the "fighting with everything I have" stage, I know there will be a time when i too will say enough is enough.  This is your decision and don't let anyone make you feel guilty, for unless they have been in your situation, they have NO idea of the toll it takes on us both physically and mentally.

    I also wish the rest of you well. I'd like to know if anyone with a recurrence and te's had them replaced with permanent implants or removed or just left in place. My recurrence is in the skin and I'm still not sure what the plan is if my xeloda works. The te's are so hard they are very uncomfortable, but for now the bs and mo both said no surgery yet. I have a very difficult time sleeping, and I'd rather not go on any additional meds if I don't have to - don't want to make the liver work any harder than it has to.

  • Lovelyface
    Lovelyface Member Posts: 674
    edited July 2013

    Karen,  I love you and want to say that you are an exceptional lovely person from the little I know you from these posts.  I have lots of tears and pain, after I read your post and I couldn't think any further after that.  Praying that God be with you and give even more strength, as it already seems like you are a very strong person.

  • encyclias
    encyclias Member Posts: 302
    edited July 2013

    I found this over at the TNBC Forum:

    A crack in the triple-negative breast cancer’s armour: key enzyme discovered

    "For the longest time triple-negative breast cancer has stood before medical professionals as the black knight, protecting its virulent self with a stubborn resistance to chemotherapy. But now, a research team of Canadians and Australians led by CRCHUM’s Dr. John Stagg has found a crack in that armour by identifying the enzyme that makes triple-negative breast cancer so resistant to chemo treatments...."

    Rest here:
    http://biotechnologyfocus.ca/a-crack-in-the-triple-negative-breast-cancers-armour-key-enzyme-discovered/?utm_source=rss&utm_medium=rss&utm_campaign=a-crack-in-the-triple-negative-breast-cancers-armour-key-enzyme-discovered

     

     

  • slowloris
    slowloris Member Posts: 128
    edited July 2013

    Well, yesterday was my 1 year anniversary of "LIVING" with breast cancer. It's paradoxically been so fast, yet seems like ages ago. I want all you brave woman to know that you have all given me inspiration. I pray and hope for a long life, yet know if that is not what lies ahead, that I have a sisterhood  that will let me keep my dignity and send me love.

    Karen and Kathy, I'm sending you both my love and prayers that you enjoy your summer and find peace with your decisions. I can only hope to have as much grace as you two have shown.

    On a lighter note, I'm taking 4 teeneage girls to a 1 Direction concert and weekend at Hershey Park. I must be nuts!!!!

  • Goldie1431
    Goldie1431 Member Posts: 29
    edited July 2013

    Hi:



    I have not posted here yet but I am hoping to get feedback from from those here with a similar diagnosis and treatment plan to help me make a tough decision.



    You can see all my stats below my signature line. I am doing taxotere and cytoxan chemo. On my 3rd treatment they ran it faster than the first 2 and I had some new side effects, including tinnitus. I was sent to an ENT who said my hearing loss was normal for my age (60) and prescribed a 5 day course of steroids which did nothing to improve the tinnitus.



    I went today for treatment# 4 and also met with my MO. He suggested that I stop at 4 treatments based on my side effects particularly the tinnitus as he fears if I continue I may damage my hearing. When I started he told me I would do 4-6 treatments based on my response to the treatments. He also said that 4 is standard but he feels 6 is better.



    So can those of you with similar stats and on this particular treatment tell me how many treatments you had? I am worried about stopping at 4 because chemo is our best defense. I will also being doing rads.



    Thanks very much!

  • sweetpickle
    sweetpickle Member Posts: 749
    edited July 2013

    Hi Goldie-



    I did four rounds of a/c then a round of taxol then due to bad side effects moved to three rounds of taxotere so my treatment plan was different. Have you talked with your Onc. To let him kmow your concerns?

  • Cocker_Spaniel
    Cocker_Spaniel Member Posts: 1,204
    edited July 2013

    Encyclias thanks for trying and posting the test but I've given up now and will believe it when I see it.  

  • GuyGirl
    GuyGirl Member Posts: 182
    edited July 2013

    Have been so busy living that I completely forgot that yesterday was the 3 year anniversary of my lumpectomy with clear margins.  Time has flown.  Other than developing lymphedema over the last 6 months all is well.  If I could just shed the weight I gained over the winter I would be happy happy happy.....LOL

  • Nuan
    Nuan Member Posts: 19
    edited July 2013

    Karen--You are my inspiration. Enjoy summer time with your family. (((((hug)))))

  • InspiredbyDolce
    InspiredbyDolce Member Posts: 1,181
    edited April 2014

    Goldie1431:  You mentioned that the side effects seems to occur once the dose was administered faster.  Can they do the next 2 cycles at a slower rate of infusion?  What does the rest of your pathology look like?  Were there clean margins and no lymphatic invasion?  Are you BRCA 1 or BRCA 2 +?  Do you have a family history of bc?  I think each Onc evaluates treatment based on individual risk assessment of each patient.  If your Onc threw out there the possibility of 6 he must see something in your case that warrants 6, and if so, I would, if this was me, completely roll the dice on the hearinig loss (if it was very minimal), and get the final 2 cycles in.  But then again, the treatments are cumulative, and so some side effects do get more pronounced the longer the treatment continues, with each new infusion the side effects can be stronger than the infusion before.  It's difficult being a patient and having to make these decisions when we are not trained medical professionals, but all the time people are given choices by their Onc, and it really puts us in a difficult positioin, as we don't have the standard medical knowledge to understand all the data about something.  But one thing is for certain, I like to error on the side of aggressiveness.  My diagnosis, Stage 1 and I had 4 cycles of CT, and was not given a choice of 6.  Actually I did say I wanted more cycles (originally) and was told by my Onc, that was not standard and would even be denied by insurance.  However, if it was offered, if insurance would pay, I would have done 6, even with the risk of some additional side effects. 

    Maybe send a question online to John Hopkins Breast Center.  They answer the questions free of charge, and you usually get an answer back super fast, sometimes within hours or 24 hours at the latest.

    JohnHopkinsBreastCenter-AskanExpert

    One more thing: Ask your Onc what the statistics are for survival rates for 6 vs 4 cyclesmfor your specific case, or, to phrase it differently, ask him how much those extra 2 cycles may reduce the recurrence risk?

    Wishing you the best with your decision!

  • Goldie1431
    Goldie1431 Member Posts: 29
    edited July 2013

    Actually sweetpickel the entire conversation was with my MO. He is the one that thinks I should stop at 4. His concern is possible hearing loss. We did not discuss a different treatment plan though. He thinking is that since I have had some other issues with side effects that we are pushing our luck with proceeding with more. He says 4 treatments are the standard treatment. Ut that he feels 6 are better when they can be tolerated.



    Thanks for your reply.

  • Goldie1431
    Goldie1431 Member Posts: 29
    edited July 2013

    Inspired byD,



    I was BRCA tested and negative. Only breast cancer in the family is fraternal aunt. My margins were clean, and no lymph node involvement. The tumor grew one inch in the month between the first mammo and ultrasound, the core biopsy, the MRI and finally my surgery. The MRI taken 2 days prior to surgery did show invasion into the pectoral muscle, but no chest wall invasion.



    I did have them drip slower yesterday and 2 nurses told me that dripping faster had nothing to do with my symptoms last time. I nicely held my frustration and anger in and asked them if they could just humor me and drip it slower please and they finally did.



    It is my MO who thinks I should stop now and I am the one who wants to get all 6 in. I do have an ENT appointment the morning of the same day I have an afternoon appointment with my MO to discuss this treatments side effects and discuss this all further. I am going to ask the ENT to test my hearing again to see if there is any further hearing loss. If not I can use that as reason to continue on during my afternoon discussion with my MO.



    Thanks for the link I will definitely use it. I appreciate your input to my question as well. Hope you have a great 4th of July!

  • InspiredbyDolce
    InspiredbyDolce Member Posts: 1,181
    edited July 2013

    Goldie:  Please post back and let us know how it goes for you.  Fingers crossed that your hearing starts to improve.  I will say, that a few years ago, my Mom got her concealed handgun permit and during the training course she blew out her ear drums, and never regained her hearing. She had ringing in the ears for a few weeks, and she lost her hearing. She wears hearing aids now.  The docs all said it was normal hearing loss for her age, but we don't believe it, as nobody in our family tree has hearing problems and this happened when she was about 67 or so.  I feel terrible that she has to go through this at her age.  She is now 75, but she is otherwise extremly healthy, lively and feisty.  So I know this hearing loss has been hard on her, it's slowed her down in some ways, and she can't enjoy TV, but uses the closed caption.  It breaks my heart to see her have to change so much due to the hearing loss, but the docs said it was normal.

    Make sure you have all the hearing tests done to determine if this is due to your age or the treatment.  I would think it was due to the treatment, as I read just the other day that our treatment had that as a possible side effect. And if it's due to treatment, is there a chance that the damage is done and wil not change over the next two final treatments?

    Please let us know what you find out, what John Hopkins has to say, and the results of your test.  Fingers crossed you get good news!

  • encyclias
    encyclias Member Posts: 302
    edited July 2013

    Goldie, I developed tinnitus about five years ago while still in good health; I am 64 now.  My mother had it also in her older years.  My hearing is still sharp, but the "crickets chirping" in the background is distracting.  Sometimes they are almost silent, other times quite noticeable.  I did some research back then and found out that the sounds are actually being created in the brain rather than in the ears.  It took me a while to even realize it was happening because I live by a lake and natural wetlands area and the "crickets chirping" sounded pretty natural -- until they were still around in the middle of the winter.

    But there certainly is a possibility that yours is linked to your cancer treatment.  They don't know what actually causes tinnitus and that it may have several different triggers to set it off.

    I hope all works out well and that it will go away after treatment and your hearing will be restored to normal.

  • Worrywart9390
    Worrywart9390 Member Posts: 101
    edited July 2013

    First I'd like to say that I'm saddened by some of what I'm reading, and sending hugs and prayers to all that need them. 

    Goldie - I was on a treatment plan of 4 TC (cytoxan,taxotere), even though my husband would tellyou I act like I'm healthy and do most of what I did before, my side effects have landed me into the hospital, doctor and lastly (after 3rd infusion) a major allergic reaction that my coworker described as a violent attack on my body.  My MO has given me two choices, one is to stop here at 3 and the other was to add a round of AC.  She said the risks of side effects at 6 is to great and 4 is standard for me.  She said a lot of people stop at some point and if you get 75 to 80 percent of treatments you are in "good shape" - whatever that means.  We decided that since I have a small chance of aggressiveness from triple negative that this is the point to fight it and we are going with my final chemo of AC.  So if you already had 4, you are ahead of the game from where I am.  Lets pray we are all on the right track.

    Speaking of AC, I know there are many forums, I've read its called the red devil or something, can anyone give me a quick rundown of side effects, for some reason I feel very afraid of how I will feel on AC.  Up till now I've been driving myself to and from TC treatments an hour away.  My husband stays with me thru treatment but he works nights in NYC and I meet him at work and we drive over together.  Will I still be able to do that.  I only have to do one. 

    I appreciate this forum more than anyone can know.  Even if I dont comment I am always reading and feel better to be here knowing we are a sisterhood and we and only we truly understand this battle.

    Have a great day everyone.

  • sweetpickle
    sweetpickle Member Posts: 749
    edited July 2013

    Goldie- The side effects are different for everyone but for me they were loss of hair, peeling hands and feet with some neuropathy but not to bad, nassau but my meds kept that in check, drop in white blood count, changes in sense of taste and smell, eveythng tasted like cardboard or metalic. There was also extreme fatigue and I slept a lot.

    Edited to add: severe bone pain from neaulasta shot. No one told me about the claritin so I just sufferd through it. Had good pain mecs that helped some.
  • Stupidboob
    Stupidboob Member Posts: 345
    edited July 2013

    Goldie I only did 4 rounds of the Taxotere and with the shortness of breath and rapid heart rate I will only do it again if I have too.   If given the choice right now I am not sure I would have done the other two but with that being said I can't say for sure because my MO only said 4.   I guess one way to look at it is that if you only four you will have two to fall back on.   I am not sure if there is a cut off though with the Taxotere.  I know they just keep using Cytoxan.   I never heard of it causing hearing issues.   Best of luck

  • Stupidboob
    Stupidboob Member Posts: 345
    edited July 2013

    Worrywort93 I think that if you have done it all along you should be fine, as I think that the main side-effects that are immediate are from the steroids and if you are used to those you will be ok.    I did get sick the next day and the few following.  I also got the Neulasta with the Adrymicin too though so there were a lot of drugs involved. 

  • Stupidboob
    Stupidboob Member Posts: 345
    edited July 2013

    I am trying again...............I go tomorrow to meet with the RO are there anythings that I need to ask about that might not pop up until later.   Anything you can tell would be appreciated.

  • OBXK
    OBXK Member Posts: 791
    edited July 2013

    A little Ray of hope. I am meeting with a researcher Monday to give permission to have my tumor tested for a certain protein. If I have it, I can get into a immunotherapy trial, that is just a couple of hours away!



    Here's a little bit about it...

    http://www.huffingtonpost.com/2013/05/16/mpdl3280a-immunotherapy-drug-cancer_n_3281876.html

  • jcolford
    jcolford Member Posts: 120
    edited July 2013

    Hi Stupidboob,

    I didn't have radiation but am wondering if there is a list of questions on the Rads Forum. I am like you and want to be well armed for all my appointments.  Best of luck in getting some information for tomorrow.

  • Stupidboob
    Stupidboob Member Posts: 345
    edited July 2013

    Karen that is great news...............please keep us updated and just know that all you do for yourself you do for us all.  

    Jcolford I am going to look now...............DUH....I should have done that...........:)

  • encyclias
    encyclias Member Posts: 302
    edited July 2013

    Karen, that is wonderful!  I am sending prayers that you qualify for the trial, and that miraculous things happen.

    Carol

  • kathyrnn
    kathyrnn Member Posts: 393
    edited July 2013

    Karen - I'm not used to praying for a test to be "positive".......but I will be praying hard that you are.



    Stupidboob - I really can't think of any questions you need to ask your RO. Treatment is pretty standard and cut and dried. Everything you need to know should be explained to you at your first appointment.

  • Stupidboob
    Stupidboob Member Posts: 345
    edited July 2013

    ok, now I remember why I did not go to the radiation forum.     They scare me to the point of not wanting to do radiation.    PLEASE just give me any advice you think I need..........if I stay over on the forum the only thing I am going to do is cancel the appointment.

  • OBXK
    OBXK Member Posts: 791
    edited July 2013

    Thanks ladies!



    Stupidboobs - wear warm socks and pants. Stay well lubed, sleep when you need to and drink carnation instant breakfast (cost less than boost) when you don't feel like eating. Rest and good nutrition are your only tools. You've got this!

  • encyclias
    encyclias Member Posts: 302
    edited July 2013

    Stupidboob, ask your RO flat-out what damage to expect to your internal organs (heart, lungs) from the treatments.  Mine said there would be some scarring at the very top of my right lung, but that it shouldn't even be noticeable functionally to me.  I asked about my heart, and he said he would keep the beam a 'zipcode' away from my heart.

  • JAN69
    JAN69 Member Posts: 947
    edited July 2013

    Karen - Bless that ray of hope!  I hope you realize how many sisters you have who are all pulling for you.  Holding you in my heart.

    We live on the edge of the Sierra Nevada mountains.  The air is smokey and hot.  Helicopters are hovering nearby with that scarey whoopa- whoopa sound.  When I hear that sound I mentally recount what I need to grab if we need to evacuate.  Such is life in paradise!

  • graceforme
    graceforme Member Posts: 70
    edited July 2013

    Stupidboob, I don't know if this helps but I met with my RO last week & some of the things I asked were what areas were going to be radiated and why, the short & long term side effects, what supplements I could take and what products I could use on my skin. I should start sometime next month as I still have 2 taxol tx left (next one tomorrow). I'm really scared... she said a major risk is LE & problems w/ reconstruction.

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