Calling all TNs

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  • ALHusband
    ALHusband Member Posts: 344
    edited September 2013

    Thank you scouser. Glad you're less scared. Whether we have 5 minutes or 5 decades left on this Earth, fear never adds even one second...so live life and enjoy!

    relocated...I sent you a PM that will maybe help you with your decision. I think the conventional wisdom is that chemo is a non negotiable with triple negative. But, I'm no doctor and everybody is different.

  • beachbound009
    beachbound009 Member Posts: 89
    edited September 2013

    DorisMarie – Congratulations!!!!!

     AL – I’m so glad your wife’s surgery went well.  That’s a hard one to go through.  Once you get home, she may do well sleeping in a recliner for the first week or so.  That’s what I did.  It was hard to get out of bed but the recliner was a little easier. 

     Thank you all for your support and comments.  I’ve come to find that the problem is in my companies writing of the plan.  The insurance will cover it, if my company approves it.  I’ve received a letter from an independent reviewer of my case stating the treatment is medically necessary as well as a letter from my MO stating it’s medically necessary.  It’s now up to my company to make the decision to cover the drug.  Fingers crossed and prayers flying I get an answer (the right answer) soon!  Otherwise, I will start treatment and figure out what to do to get it paid for.  I just don’t have $35,000 lying around. 

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

    Relocated, regarding your question on chemo and side effects.  I never once questioned anything about the side effects of chemo.  I felt, cancer is not something to take chances with. Regarding your other post on damage to the heart.  If there is a risk to your heart, your medical team will discuss that with you.  All of us are faced with different risks, as we might have different chemo regimens and have a different health history than someone else.  If there is a heart concern issue, your Onc will likely suggest a regimen that is just as effective without increasing that risk to your heart. You would probably benefit from seeing a 2nd Oncologist for their opinion, and be able to get additional information, risk assessment, their proposed treatment plan and benefit to risk ratios from them.  Compare and see how you feel after you have more guidance.

    I just reread your post and realized you wrote that you want to get off the fast track to chemo. My Onc definitely made it a priority, the chemo, and about two weeks after my bmx, his office called to make sure I had scheduled to get the port in.  They were almost in a panic that I had not scheduled that yet, but I was under the impression they were handling that, so it was just a misunderstanding - but the point is that chemo was to be started as soon as possible following the bmx healing process.

    Regarding your question about recurrence, the majority of TNBC survivors will not have a recurrence.  I have literature from the TNBC Foundation that has this in it, if you would like me to send it to you please pm me your e-mail.  Additionally, when I went through treatment my Onc told me to only focus on treatment, not all the what ifs.  It was great advice.  Give your body the best chance now by expending your efforts only on the most positive of thoughts and focus on your current treatment.  Recurrences are treated according to the information the doctors have on the patient, the primary and according to the pathology of the recurrence- it's too large of a question to answer via post, but basically chemo treatments have different strengths and different roles that they play, and are recommended for different types, stages, recurrences, etc. When someone has a recurrence they use the most speciic agent they can for the situation at hand.

    But on a personal note, I want to say to hang in there. There is a lot to worry about but if you can find something positive to lean on, that will help you. Also, look to the long-term survivors of TNBC, so you can see that you can make it and use their success for positive reference validation.

    Read Patricia Prijatel's blog:  PositivesaboutNegatives. 

    Read uplifting books and seek comfort with the most upbeat positive people in the most positive environments.

    And remember that these boards refelct only about 1% of the total TNBC population - and that there is lot of research happening right now with TNBC.

    I'm sending you a big hug!

  • ALHusband
    ALHusband Member Posts: 344
    edited September 2013

    Beach. Thanks for the well wishes. She's home. Prior to her surgery I had moved the recliner into the bedroom from the living room. It is MUCH easier for her. Saturday and Sunday were rough. She's doing better today. The recliner in the bedroom instead of the living room allows her more privacy and quiet. Also got that thing that elevates the toilet seat. That seems to help too. It's amazing...the cat sleeps on her lap 24/7. I swear she (the cat) knows that Kathy's not feeling well.

  • beachbound009
    beachbound009 Member Posts: 89
    edited September 2013

    AL – We also moved the recliner into our bedroom and our 2 cats and one dog sat on the edge of the bed watching over me the entire time.  I was scared to let them sit on me as they like to cuddle around my chest.  I told them NO once and they never tried to get on the chair again.  They DO know when you’re hurting and I just love how they want to cuddle you.  I’m glad she’s doing well and she has her kitty nurse on 24 hour watch.  Honestly, I slept in my recliner for about a month.  I’m a side sleeper and that’s the only way I could sleep on my back.   Smile

  • ALHusband
    ALHusband Member Posts: 344
    edited September 2013

    Got the post mastectomy "all clear" from the pathology lab on Kath! Woohoo! Thank God!

  • graceforme
    graceforme Member Posts: 70
    edited September 2013

    Woohoo & thank God indeed ALhusband! That's awesome news!

  • graceforme
    graceforme Member Posts: 70
    edited September 2013

    Beachbound009-praying your company hurries up and approves your treatment.

  • kittykate78
    kittykate78 Member Posts: 23
    edited September 2013

    Hi all! My first post. I am 35 and was just diagnosed last Tuesday. Saw the oncologist today and he is recommending chemo first. Actually got into a cool new study, so I might get a new drug in addition to A-C-T. They are going to do my Taxol first; once a week for 12 weeks, follwed by AC every other week for I think 8 weeks. I'm so overwhelmed at this point. Rushing to get my scans, and port, and everything done so I can start. My mother died of bc at 34 so this is terrifying for me. I have a 14 month old son and I can't bear the thought of leaving him. I'm glad to hear so many have come thru TNBC...mine is progressing pretty rapidly...today the dr felt my armpit and thinks I probably have node involvement. MRI results aren't in yet but he says chemo first is the way to go. Did everyone here lose their hair on TN chemo meds. Thinking of just shaving it to regain some control :)

  • bak94
    bak94 Member Posts: 1,846
    edited September 2013

    Hi KittyKate! Sorry you have to be here but it is a great place for support. I was first diagnosed when I was about your age, I was 36. I am brca 1 positive, have you had genetic testing? Most of us, if not all of us, lose our hair:( but I do agree, I think it is best to take control and shave it before it falls out in clumps! We are here for you!

  • DorisMarie
    DorisMarie Member Posts: 129
    edited September 2013

    The hair grows back..believe me..I now have thicker hair than before..and curls to boot! Go ahead and shave I waited till just after 2nd tx..was like a snow storm with the fall out! so much easier with  a crew cut..SE's fade away..And I am very grateful for chemo...Best wishes to all..

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

    AlHusband - congrats so much to the both of you, I'm very ecstatic to hear the excellent news!

    Beachbound - praying for a great news update from your insurance!

    Kitty - On the regimens where there is hair loss, it usually occurs between day 12 and day 14 of cycle number 1. So if you wanted to keep your hair a little while longer and still have control of shaving it, you can use that timeframe as a guide.  Scalp does become sensitive during the initial chemo process, I'm not sure why, but shaving your head will likely help with the sensitivity issue as well!

    I'm so delighted to hear that you get to be part of a study - you will be getting state-of-the-art treatment for the benefit of yourself while also advancing the treatments and continued research for TNBC. That is wonderful, and thank you so much!

    Regarding the fast growing tumor, a colleague's wife is a 10-year TNBC survivor.  She was dx'd with a 1.5 cm and in the 3 weeks time that she and her husband were deciding her care and treatment plan options, it grew to 6 cm.  She had a umx, then chemo then radiation, and just two months ago celebrated 10 years cancer-free.  She was dx'd with stage 3 and positive nodes at the time -- and now she is doing wonderfully.  I asked him what she did as far as lifestyle changes, and he told me she does the mediterranean style diet, no dairy, exercise and yoga. 

    I'm attaching a couple of links for you regarding diet and exercise and their beneficial properties for TNBC as well as a link to the Mediterranean-style diet. The main thing researchers talk about a lot is keeping a low-fat diet and low-sugar diet with a TNBC diagnosis.

    http://nosurrenderbreastcancerhelp.org/page93/page100/page100.html

    http://www.mayoclinic.com/health/mediterranean-diet/CL00011

    Please let us know what we can do to help you.

    Hugs!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2013

    Hi everyone - Here is my report for those of us on the recurrence couch.  I haven't been posting much but I do read everything on this thread.  Here it is:

    Today I'm packing for my trip to TX for radiation.  I have three days worth of appointments starting on Monday.  All the scans to check for progression.  Ha!  There IS NO progression.  They better do the scans right so they don't see anything.  I want the GOOD scans.  No messing around this time!

    I'm sick of treatment!  Numb/then burning hands and feet. Bald head that is growing hair in on the sides but NOT on the top!  WTH is up with that!??  The only good thing about that is that I'm 5' 10" and not many people can see the top of my head.  Still occasional nausea, and my colon is still messed up, and sleep is a joke.  That is WITH meds.  Sheesh, I'm done I tell you, done! (I finished chemo on 8/26, so yes, I know I'm impatient.)

    Well, except for 3 days of appts and then rads.  Maybe I'm just a big sissy.  But really, 10 months of treatment each year for 2 years.  Enough already!  Hahahahah, I AM a big sissy.  I know others have been through much more.  I admire their stamina and heart.  Like Nel and Julie.

    I know we each have our own road and we have to navigate in our own ways. Me, I'm just busy kicking the big damn rocks out of my way.

    Thank you all for listening to my rant.  You're amazing.  Please use the "block" feature if you must.  Tongue Out

    Phyllis

  • ALHusband
    ALHusband Member Posts: 344
    edited September 2013

    I need to say something. I CANNOT BELIEVE they throw you out of the hospital as quickly as they do after a bilateral mastectomy with expander placement. What does it take for someone to be able to stay in the hospital these days? For God's sake my wife can barely move, let alone take care of cleaning and emptying drains! Holy crow!Insurance companies are getting a bit ridiculous...aren't they?

  • mags20487
    mags20487 Member Posts: 1,591
    edited September 2013

    alhusband...they are stupid to kick us out so soon.  Insurance makes too many important medical decisions instead of trained docs. Unless you have a fever indicative of infection they kick you out quickly.  Hope she gets better soon. 

    maggie

  • ALHusband
    ALHusband Member Posts: 344
    edited September 2013

    Wife completed chemo on August 6th. This past week she has begun to develop a visible "5 o'clock shadow" on her head. Just one more step toward putting this whole nightmare behind us...hopefully forever.

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

    Phyllis, so glad you are done with chemo and moving on to radiation.  Why is your radiation being handled in Texas?  Is this out of state for you?  Why did you choose this route?  Also Phyllis, for those of us who monitor things, would you please tell us how you knew you had a recurrence?  Your recurrence is local in the breast only, right?  From what I recall, you found this quite early again, right? I think about you quite often and everyone going through this difficult struggle right now. 

    ALHusband, did they send your wife home with a pain pump?  That helped me dramatically.  When I was in the hospital, I got into my room following surgery about 4PM and I was out of the hospital the next day at 11AM.  I didn't get to sleep at all, it was too noisy, so I never rested. For me, I was much happier being at home.  I was going to have the same pain regardless, and as long as someone can help me to the restroom, assist with drains, get me fed, administer my antibiotics and pain meds and help me get in and out of clean clothes - I preferred to be at home. 

    I also think sometimes people do heal better in their own environments, plus there is much less risk of infection from the bacteria and diseases that are at hospitals. 

    I got home on Thursday and by Monday I was able to manage things by myself, and I sent my husband back to work on Monday.  I do remember it was much easier for me to stay on the couch and I loaded up a big stack of pillows to lean against.  So I slept sitting up on the couch and I did it that way for almost 3 months. It might be hard to get in and out of the recliner, and I don't know how much support it has, but try the couch, and maybe she won't get to stiff, if she is stiff.  If it is hard for her to get up and out of a recliner during the first few days, since you really can't move the upper body too much without pain, try the couch. I know someone else who raved about a special pillow for the bed that kept them propped up, something called a wedge pillow that they got at Bed Bath and Beyone.  On the first few days that I was home alone, I couldn't reach high into the cupboard, so we preset some things out for me on the counter so I could manage with my husband at work - this did take a bit of strategic planning.  Thank goodness the chocolate was down low as well! :)

    As far as bathing, what we did was installed a handheld showerhead. This significantly improved the independence level, and we would just leave it hanging down, so I could use it on the days I felt I needed to. Also the first week or so we did tape a plastic garbage bag around me to ensure the bandages and medical bra did not get wet.  That helped - my husband helped me wash my hair (couldn't lift arms real high yet) for the first couple of times in the shower.

    You are in the roughest part now, but hang in there, in another 48 hours things will seem much different to the both of you!

    Many hugs!

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

    PS - ALHusband - hang in there too.  It is a big responsibility for you, her caretaker, that nobody could have prepared you for how much work it is.  People sometimes think recovering from surgery is coming home and resting, but it is quite a bit of work.  Up and down with going to the restroom and they told us to have me walk a few minutes every hour so I wouldn't get stiff and to try and get movement going, then you are up and down with the meds, and then up and down emptying and recording the drains (they gave us a piece of paper to record how much we fluid we were emptying), and of course, none of these things falls on a schedule with their other one - so it's constant activity.

    Remember all the great news you all have received and use that as your inspiration to continue with the excellent determination you have both shown.  By this time next week you'll look back at this and be amazed at how different things are.

  • ALHusband
    ALHusband Member Posts: 344
    edited September 2013

    Inspired they didn't send her home with a pump. She did have one in the hospital for the first 12 or so hours after surgery...but then they took it away and switched her to oral meds. So instead of a pump they sent her home with a fistful of prescriptions.

  • aeryno
    aeryno Member Posts: 59
    edited September 2013

    HI KittyKate78 - I too, was diagnosed earlier this year at 35 and it was a bit scary. I did E-C (4 treatments, dose dense every other week for 2 months) and now am on Taxol, just had #7 of 12 yesterday which means I'm over halfway through this one!

    It was a bit overwhelming at first - all the appointments and then I got a second opinion b/c a) I wanted to get a different viewpoint and b) the inital set of doctor's were over an hour's drive each way on the freeway plus it was $20 to park; I now see a doctor less than a 1/2 mile from my house.

    I was to have a lumpectomy first but in the 6 weeks between the last scan (MRI) to the surgery the cancer grew out along the biopsy line and we ended up doing chemo first. The nice part is, I can tell it's working as after about the 3rd EC I could no longer feel the lump!

    My hair was long, almost halfway down my back, and it started falling out after the second EC.  I trimmed it to my shoulders that Tuesday (I do chemo on Mondays) and by the end of the week I shaved it to about a 1/2 inch in length. It was freeing actually and I felt like *I* did it myself instead of letting chemo strip it away slowly. It fell out so much in the next month or so but I always maintained a bit of a sparse peach fuzz (which incidentally, is starting to grow back now). One tip: I used a lint roller on my pillows each morning to get rid of the hair that fell out overnight. It was too warm to wear a cap at night and I hated looking at all that hair!

    Good luck to you and stay strong.  Cool  You've come to the right place!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2013

    Inspired, I am originally from Houston so I decided to go to M D Anderson there initially for treatment.  I have an MO here in NE that handles my chemo according to the MDA recommendation.  I just didn't like the Radiation Oncologist available up here and I lovelovelove my RO at MDA.  Anyway, that's why I am going to Houston for rads. I have friends and family that I stay with.

    My recurrence - yes I found it early.  A small lump below my lumpectomy incision.  An ultrasound also found a suspicious node.  We had the fine needle biopsy report on the node in 10 minutes an it was cancerous.  So was the lump.  All of this was 5 months after finishing rads in the first go-round.

    The first time I had a Lx without clean margins then chemo, then a 2nd Lx and SNB.  2nd Lx and the SNB were clear. Then rads. Hope this helps.

    Phyllis

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

    Phyllis, MDA is a top notch facility, they are the ones spearheading the $3Billion Moonshot Project-so undoubtedly you are receiving state-of-the art treatment. So do you fly there? How will that work?  Do you have family you will stay with there?  And this coming Monday you are having the scans?  When will you get those results? 

    It sounds like everything is working out so well for you, I just have a feeling you'll have great news on Monday's scans!

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

    Oh ALHusband, that is terrible!  Not having the pain pump so early has got to be difficult.  I had it, it was supposed to last 5 days, but ran out early on Sat AM.  I had it about 2 1/2 days. The thin line to it was surgically sewn in during my surgery, so to get it out, they undid it at my breast surgeon's office.  I had the drains for another week.  The bs said they were ready to come out at 1 week, but the ps said things could happen, so he waited 2 weeks.  That was the worst part of it.  Once those go, it's like total freedom.  When is your wife's first follow-up appointment?

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

    Phyllis, I forgot to ask .. was the small lump something we would notice, like our original lump?  Was it visible or close to the surface or right below it?  Is it something we can mistake for scar tissue or implant?  BTW, why is it that recurrences can occur along the surgery line, I've never understood why that is, but know to look there.  But why is it?  I can't picture it - is that because they cut into our breast near the tumor to get access for the surgery?  A few months ago I watched a mastectomy surgery on YouTube.  The whole thing!  I'm so glad I didn't see it before my bmx.  A lady I know watched one before her surgery. That's one brave chic!  :)

  • relocatedtarheel
    relocatedtarheel Member Posts: 159
    edited September 2013

    ALHUSBAND...I got out of my double mastectomy w/tissue expanders at 4pm on Monday and was discharged at 11am on Tuesday...just like your wife I was in horrible pain, could barely move and could do nothing. It was crazy and I was in no shape to be home. It was the hospital, not my insurance...they had authorized 3 nights for this surgery.

  • kittykate78
    kittykate78 Member Posts: 23
    edited September 2013

    Thank you all so much for your support! Found out today that I'm having my port put in on Friday and will be starting chemo next week. I was freaked out with how fast things are going, but now that I read everyone's accounts on how quick this sh*t grows, I want to hug my Onc :) Debra - I had the genetic test when it first came out in the mid 90's and tested negative. But, my Onc is retesting me since the technology is so much better now. They simply can't believe I could be negative with my history and now this. Should get the results in 2 weeks.



    Gonna get my teeth cleaned and hair cut next week. I think I'm ok with the hair....I know it will grow back and we've got a lot of cool options from wigs to scarves and such. I'm a bit freaked about the idea of my eye brows and lashes falling out....anyone experience that? Also, what (if anything) do you wish you had done before starting chemo? Fiancé wants to take me out this weekend and do/eat/see anything I want :) I guess I just don't know what I'm not going to be able to do so I'm at a loss....



    I am a certified personal trainer, Yoga & Spin instructor, and nutritionist, and plan on exercising as much as I am able during treatment. I'm just going to tone it down :) Was anyone here able to exercise during treatment or am I being overly optimistic?



    I don't eat much dairy and only whole grains, fruits, & veggies plus lean proteins. I do enjoy the occasional glass of wine....is that contraindicated on chemo? Do y'all know of certain foods we are not allowed to eat?



    Sorry for all the questions lol I know y'all know better than any article I could read :)

  • Anonymous
    Anonymous Member Posts: 1,376
    edited September 2013

    Inspired - I will fly down tomorrow wearing my compression stocking on my left leg (not related to BC) and my lymphedema sleeve on my right arm.  I don't have lymphedema, yet but I'm not taking any chances!  I will be all squeezed in.  I hope I don't pop something!  I will stay with my girlfriend while I'm in Houston.  We've been best buds since high school so she puts up with me. 

    I have a bone scan and X-rays on Monday and CT scans on Tuesday.  I see MO, RO and surgeon on Wednesday and they will have the results of the scans.  MDA also has a Cancer Prevention Center in the Mays Building where the Breast Center is.  I also have  gyn and gastro exams scheduled on Tuesday at the Cancer Prevention Center.  I like the idea of getting the maintenance things done where they have my full BC history.

    About my lump - yes it was close to the surface and I felt it immediately.  I don't have an implant - the first time I had 2 lumpectomies so I still had my breast - so I did not mistake it for anything else.  My MO here suggested scar tissue and did the original scans.  I told her from the getgo that it was not scar tissue.  It felt just like the first lump and it was painful. Mammogram and diagnostic mammogram were inconclusive as was the follow up ultrasound.  She was going to follow up with an MRI but I already had an appt at MDA for a follow up with my RO so I skipped the MRI and just went to Houston.  At MDA the mammogram and diagnostic mammogram was inconclusive again.  However, with the ultrasound, they scanned higher in the axilla and found the node that they biopsied.  I never did feel the node and neither could the RO.  I'm very glad the US found it!

    I think there is a lot of debate about why some recurrences happen at the surgery site.  One view is that the surgery releases some cells that hang around.  They must be tough little buggers because they survived 2 surgeries, chemo and rads.  Others say that isn't proven.  I don't know the answer.

    I'm finished packing!

  • NavyMom
    NavyMom Member Posts: 1,099
    edited September 2013

    Good Morning everyone.

    AL Husband, your wife's story really brought back some memories for me.  I remember going to bed one night after so many nights in the recliner....I could NOT get myself out of bed in the morning.  Thank goodness my DH was home...scared him so bad when I started yelling for help from the upstairs bedroom!  But whoever said that it is better to be home is right.  The hospital is a cesspool (SP?)  of germs and at times, incompetent employees.  Much better to be at home with you to care for her.  Lucky lady to have you there every step of the way.

    Kitty,  I did TAC every 3 weeks and did go to the gym on week 3.  I did what I could(step class, yoga and walking) The ladies in my classes have known me for years and really encouraged me to stay strong.  But be careful and listen to your body.  I was also a hand washing freak.....especially at the gym, after the grocery store and any medical offices.  And don't let anybody who is sick get near you while in chemo!  And I did have a glass or two of wine during treatment....but your taste will be off kilter while in treatment so you may not enjoy some of your favorite foods like you did before.

    I'm an oldie here on the TN thread.....Don't post often but read almost everyday.  Wishing everyone strength and comfort.

  • ALHusband
    ALHusband Member Posts: 344
    edited September 2013

    Inspired...follow up is Friday. Doc says 2 of the 4 drains will probably come out at first follow up, and, judging from the numbers I'm recording as I empty them...that's probably what will happen. She's doing < 15 ml/day consistently on 2 of them. The other 2 are consistently higher. The PS wants < 15 ml/24 hrs for "a few days" before he'll take them out. They (drains) are itching the poor woman like crazy now! She was sneaky this morning! I awakened to find her up and about and she had made a pot of coffee and poured herself a cup. This is a union shop here and that's supposed to be my job! I have to say this. For a couple of days her stiff upper body walk, coupled with her sorta loopy facial expression, would have made her a good candidate for a lead role in a zombie movie. <slap!> There. Don't worry ladies. I just slapped my own face for that comment...on behalf of all of you.

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

    Oh ALHusband, I remember drains being itchy!  I also didn't like them tugging on me, so we bought surgical tape and secured it more at the entry point to the skin, and that really helped.  I had 2 drains.  For the bandages, those started to itch me, so we started trimming the excess tape each day until I got to go in and get it peeled off. 

    I was thinking about how diifficult this is for you wife, and was also thinking she could be in more pain due to how much they filled her expanders.  Usually the expanders go in much smaller than the original breast tissue taken out, to allow tiime for that pec muscle to strengthen and mature to hold the implants in place, since they typically place the expanders behind the pec muscle.  It can be very sore to start off with the exact same volume that came out, so she might be more uncomfortable there then I was.  I found I didn't need to use the muscle spasm drugs, but did use the Percoset for 4 days. I liked it because it had less Tylenol in it than the Vicodin/

    Oh I'm so happy to hear that she was up moving around and getting coffee!!  Good for her - that makes me smile from ear to ear!!

    Tell her we all said hello!!!!!  :o)

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