Starting Chemo June 2013!?!?!

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  • OceanWarrior
    OceanWarrior Member Posts: 96
    edited September 2013

    Hi Everyone,

    Congratulations to those done and those nearing the end of chemo.  I honestly don't know what I would have done without this group.  It has been such a good resource and support during this brutal phase.  We are survivors and warriors and have walked quite the path.  Still some journey to go.

    Since my last chemo I've been gathering info and weighing my options.  I have decided against having radiation and will be having a mastectomy instead.  Primary reason is that as someone with an auto-immune disease, RA in my case, the risk for complications to my overall health are higher than most and it is just not something I want to do.  As my Dr. put it - my ongoing, primary health issue is my RA and this breast cancer thing is a blip along the way.

    I am 100% confident and comfortable with my decision and know that I need the mastectomy if I don't do the rads based on the aggressiveness of my cancer.  Met with my surgeon today and am now waiting for a consult with a plastic surgeon.

    I'm feeling good.  Ready for an 8-10 week break and then onto my next phase.  

    Sending love and light and support to you all. 

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Ocean-

    Glad you are done with chemo - I applaud your decision to look at your overall health and not just focus on treating cancer. In some cases, I think the treatment is worse than the disease. I had a mastectomy in May and aside from dealing with the emotional aspect of losing a breast - the surgery itself is uneventful for the most part. You will have some issues dealing with your arm and range of motion, but if they don't remove your axillary pack it's not nearly as bad. One thing to make sure of, is that you have your reconstruction plan in place PRIOR to your mastectomy if you plan to do that. My reconstruction plan required a skin sparing mastectomy so had my breast surgeon not known that ahead of time, she would've removed too much skin for my free flap recon that I have planned. They installed a TE at the same time so that will help protect my skin during radiation. I have decided to forego hormone treatment because the SE's are far worse to me than the small percentage of prevention it gives us for recurrence, IMHO. I am on the fence with radiation, I will make a final decision when I have a scan done after chemo. We'll see. I'm trying to balance killing cancer - and killing other parts of my body with treatment. I'm not okay with that... Diet and exercise are key for me and something I need to clean up regardless of my treatment decisions. Bravo girl on doing your due diligence with research and treatment options!

  • Robin-Lynn
    Robin-Lynn Member Posts: 32
    edited September 2013

    Wow, Ocean, good for you for taking such an active approach in your health and recovery.  Curious - as person with RA as well - did you feel the radiation would be bad for the RA or just decided the mastectomy was the most proactive choice?  I had my mapping and tatoos for rads done today.  This crap is not easy - choices on which direction to go....

    Best wishes to you and all of you on here....

    Robin

  • OceanWarrior
    OceanWarrior Member Posts: 96
    edited September 2013

    Sent you a PM Robin re: RA and radiation.  Personally I feel mastectomy is a better choice for me as there is zero impact with that on my RA which has been and will always be a major issue for me.  Just a more cautious approach. 

    I almost went radiation route and will save that in the back pocket for if/when I need it 20 or so years down the road.

    This aint easy.  Moving forward with a smile.   

  • kmurphy
    kmurphy Member Posts: 55
    edited September 2013

    My first Taxol I had horrible bone pains mostly in my legs from the knees down.  The second Taxol the onc told me to double up the pain pills for 48 hours when i start to have the pain.  that made a huge difference.

    Alibeths, I'm glad you started this board.  I have learned a lot from this entire site.

    Val--I also get bad hot flashes at night, also.  I know I can't take the hormones they would normally prescribe for this and I didn't bother to ask if there is anything else.

    Netter & Val-- that's a real bummer that you have to travel so far for your treatments.  Hope they go by quickly for you.

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Kmurphy,

    What are you taking for bone pain? At this point I'm on 800 mg of ibuprofen twice a day and it isn't getting me by at this point. It works for a few hours but halfway through my day at work I'm needing more but am concerned about tearing up my stomach...

  • kmurphy
    kmurphy Member Posts: 55
    edited September 2013

    I am taking Oxycodone.  I had been on vicadin but that wasn't doing it.  I start taking it as soon as I start to feel rough.  I usually don't use much pain killers, but by doubling up early, the horrible pain never got a chance to set in and made things tolerable.  Plus, after 48 hours I didn't need the Oxy's.  The difference was fantastic.

  • OceanWarrior
    OceanWarrior Member Posts: 96
    edited September 2013

    I'm having the hot flashes too.  Come on real quick and then go.  I'm really hoping the hot flashes stop and my period comes back.  We shall see.  

  • dlm425
    dlm425 Member Posts: 209
    edited September 2013

    I have my consult October 4 for rads doctor and I'm still not convinced that I'm doing rads as well. I had a bilateral mastectomy and the rads will ruin the skin for my exchange on November 13. Not sure why rads but I'm thinking because I'm one node positive. I will listen to reason and than make my choice as well. I thought the reason I did chemo was to prevent this shit from coming back. I know they are going to say I need it and I do.t want to do it...,

  • KatiAK
    KatiAK Member Posts: 138
    edited September 2013

    I'm relatively pain free and I think I'm kicking this cold in the butt without antibiotics (I really think it was viral anyway).  Yahoo!  Now to enjoy a couple days of running between football and hockey before we do the last round (how anticlimatic!) on Tuesday.

    I'm impressed with all the research and decisions being made on here.  I've done a lot of research as well but not lately.  Interestingly my docs have all said "This is what we're going to do . . . "  And since I work in the medical community I know I have a choice but I really haven't questioned their direction.  I watched my mother-in-law do this exact course 10-12 years ago.  I'll be digging deeper.

    I feel blessed that we have a relatively new radiation facility within 10 miles of my home.  I'm hoping to whip in there in the mornings and still make it to work for a few hours a day.  :)  We'll see how that goes.

    Keep sharing ladies - LOVE the information I get from being a member here!

    Have a good weekend!

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Dlm, I know how you feel about rads. I keep waffling because I don't want to do it, but research shows a significant reduction in recurrence if you do both chemo and rads. I did make sure that I won't be getting a "boost" at the tumor site as that is what does the most damage. I may do the sweep over the chest wall. I did make sure that I have my TE completely inflated to keep my skin stretched during rads so that I can do recon. My PS told me he wouldn't do it for at least 6 mos after rads tho because the skin has to heal and it takes several months for the radiation to leave the body. He wouldn't attempt it immediately after because it will fail from radiation. I'd talk to your PS about that before you get started.

  • aaoaao
    aaoaao Member Posts: 593
    edited September 2013

    My point of view is that I'd do whatever I had to do to reduce the chance of recurrance.  I did chemo and bilateral mastectomy but no rads.  The RO said I didn't need it due to the mastectomy but I had a positive node and wonder if I had rads to my nodes that the cancer might not have spread.  I'm stage IV now and will always wonder what if?  It might have come back either way but you never know.  Yes, it is does have side effects but it does give a higher potential rate of successfully beating this disease.  Of course, each person needs to do what is best for them but I just wanted to give my thoughts on what it's like from my perspective.

  • dlm425
    dlm425 Member Posts: 209
    edited September 2013

    Well aaoaao I appreciate your opinion. And agree its just that I want to do what ever will insure it doesn't come back. Didn't your cancer come back in your spine. Well rads is to make sire it doesn't tcone back in the armpit so the spine wouldn't of been radiated. Hang in there all!!!

  • dlm425
    dlm425 Member Posts: 209
    edited September 2013

    I want to get this nightmare over

  • Angstapp
    Angstapp Member Posts: 121
    edited September 2013

    Over these bloody hot flushes!!! 

    Over the peeling hands and scaly skin

    Last chemo is on Wednesday, I've been living in a fantasy I think, thinking that everything will go back to normal but what is the new normal going to be?  Scars, anxiety, gross skin, hot flushes, blurrr, what's it going to be like after treatment?  I fear everyone around me will expect me to be my old normal - but I'm not my old normal anymore - anyone else feeling strange about the end of treatment, don't get me wrong I'm horribly excited about no more chemo, but I feel really unsettled about being post treatment.

    Weird aye!

  • NisaVilla
    NisaVilla Member Posts: 574
    edited September 2013

    Angstaap - I feel the way you do. Finished chemo 3 weeks ago. People think I am back to my old normal. I am anything but back to where I was 6 months ago. Good luck Wednesday. Why did the remove all your nodes? Is that standard procedure in NZ? BTW, my family and I loved visiting NZ. Looks like you are going to win the America's Cup... again!

  • Angstapp
    Angstapp Member Posts: 121
    edited September 2013

    oh my gosh, every time we think we've won they call off the race - argghhhh!!  Great fun to watch thou.

    My surgeon told me it was standard to remove about 12 during surgery but I happened to have quite a few so they took them out, seems to be the way in NZ but in saying that I have met other woman that only have a couple taken out.  Glad you loved visiting!!

  • aaoaao
    aaoaao Member Posts: 593
    edited September 2013

    I agree radiating the rads in my nodes wouldn't affect the tumor in my spine but I wonder if I had radiated the cancer cells in my nodes back in 2010 would they had spread to the spine.  However, they probably were already beyond the nodes since I know I've had the tumor for at least 2 years since I started having symptoms back then.  It's just when you have Stage IV cancer you always second guess the treatment decisions you made the first time around.  It's irrational but it's hard not to..for some reason we blame ourselves for things out of our control.  I have learned to accept things as they are. The cancer recurred and now I have to deal with it the same as before...with the best I can do.

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    I understand your tendency to second guess yourself, but just remember, we all have about a 20-30% chance of recurrence if we do everything exactly right. We all have to follow our hearts and research and make the best choices we can. One thing I've found out is that chemo doesn't kill the cancers stem cells which cause recurrence. Neither does radiation. Metformin and Curcumin do however and taking them during chemo is like the death blow to ALL of the cancer cells. I've learned to be my own researcher and my own advocate. Oncologists will NOT step outside of the standard of care even when they know it isn't the best treatment because the AMA holds them inside a little box. If they step outside that box, they could lose their licenses. This is why they don't offer up clinical trials and new treatments readily. Fear. Keep your chin up and read as much in new treatments and clinical trials for stage IV, there are a ton of them! You can beat this!

  • dlm425
    dlm425 Member Posts: 209
    edited September 2013

    I totally agree with dyvgrl and aaoaao. I will listen to reason from the rads onc but ultimately its always our choices. Neuropthy has hit hard I try sewing and my fingers went numb. I walk like an old lady. The new me sucks when will we be so called normal. Will we always live in fear of reoccurrence..

  • aaoaao
    aaoaao Member Posts: 593
    edited September 2013

    Sometimes no matter what we do cancer does come back.  However, don't live your life afraid of that because most of the time it doesn't return.  I don't want anyone to think I was encouraging people to make treatment decisions out of fear.  Please understand that each person is different and the side effects they experience are different too.  If the side effects of doing a specific tx are too severe and you don't want to continue, then you should definitely not do them.  Torturing yourself unnecessarily isn't going to stop cancer from coming back if it's meant to be.  Go with your gut, deep down inside you know what is right for you.  I wish you all well and hope that this cancer crap is just temporary.

  • dlm425
    dlm425 Member Posts: 209
    edited September 2013

    Aaoaao I think you're s very intelligent lady and I didn't think that at all but I do no I will live my life to its fullest but always have that fear in the back of my head. Thank you for all your wisdom it greatly appreciated.. We all have choices we may not want to make. Enjoy your day ladies...I started tamoxifen yesterday for the next ten years of my life so may milestones when Does it end....

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Has anyone else had issues being really winded after tx? I was cleaning my bathroom yesterday and it felt like I was running a marathon. I was sweating, breathing hard, then started to get lightheaded so I had to lie down. I talk to the onc nurse (saw the head nurse instead of my onc who never seems to be available) she didn't seem to have any answers other than being sedentary and overweight. Really?? I'm concerned chemo is damaging my heart...

  • aaoaao
    aaoaao Member Posts: 593
    edited September 2013

    The nurse is just a moron.  Everyone wants to blame being sedentary and overweight on everything.  If you were sedentary and overweight before chemo and wasn't always out of breath..why would you "suddenly" develope this now.  Chemo does effect your breathing.  You need healthy red blood cells to circulate the oxygen in your body, when chemo reduces these healthy red blood cells less oxygen is available and thus you get short of breath more easily.  That's probably a better explanation for your getting light-headed.  Are you anemic because I have the very same symptoms and I'm often anemic?  If you are worried ask your doctor for an EKG...the test is easy and takes a few minutes. 

  • annika12
    annika12 Member Posts: 433
    edited September 2013

    Im not out of breath but my chest hurts like if I had been coughing for weeks but no coughing. Talking to doc tomorrow :(

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited September 2013

    Aaoaao,

    Yes the nurse is a moron. Thing is, I work all day walking and carrying computers around, climbing stairs, etc. I'm overweight thanks to all the steroids so yes, it is definitely treatment that is causing me issues. It's really hard to work when I see spots and feel lightheaded whenever I get the slightest bit busy. I just need some relief!

  • KatiAK
    KatiAK Member Posts: 138
    edited September 2013

    Dyvgrl - I cleaned my house for about 30 minutes Sunday morning and was in a full sweat and breathing like I'd just sprinted 5 miles.  I've read that it's a symptom of Taxol and what aaoaao says makes sense to me. 

    Tomorrow is my last chemo!  Yay!  And yet somehow I feel like I'm losing my security net . . . ?

  • NisaVilla
    NisaVilla Member Posts: 574
    edited September 2013

    Dyvgrl - Aaoaao makes so much sense. I agree your nurse is a moron. I have no weight problems and have to stop half way to take a break when going upstairs. I can go downstairs nonstop but definitely need to sit down on the last step. My legs hurt, I go from chair to chair. Onco said it is a bad case of chemo-induced anemia and her nurse, another moron, said it will go away in 2 days - and that was 3 weeks ago. Iron supplements and high iron content foods seem to be helping a bit. Good luck, wish there was a way you could work part-time for now.

  • NisaVilla
    NisaVilla Member Posts: 574
    edited September 2013

    KatiAk - last chemo tomorrow, hooray! Welcome to the other side. The side where we are all wondering what to do next. Maybe shopping is the answer? lol. Best wishes for no SEs

  • AryaS
    AryaS Member Posts: 131
    edited September 2013

    I have the same issues plus joint pain in my hips. I asked my Onc and SHE told me all my problems are because I've been sedentary. I think not.

    Then I look and the research says the Taxol does a lot of this. Breathing problems etc.

    Did you know Taxol can cause hearing loss? I was wondering why I keep needing to say "What?" when people speak to me!

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