September 2013 Chemo Group

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Comments

  • audra67
    audra67 Member Posts: 521
    edited November 2013


    Kbeeeeee!!!!!!!!!!!! OMG that is AWESOME!!!!!!!!!!!!!!!!!!!!!!!!!! I cannot imagine how good you feel!


    SO VERY happy for you!!! Praying for easy 4th treatment and recovery!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2013


    babyruth - awesome on the NED!


    kbeee - yay for the low Oncotype and being done in 4!


    josgirl - I am guessing your onc was not that interested in ordering Oncotype for you because it was originally designed for node negative ER+ patients. Some oncs will order it for 1-3 positive nodes, but I think that is fairly uncommon. If you had a positive node it is proof that your cancer knows how to move, and the treatment protocol for positive nodes is usually chemo. I have seen some node positive women have Onctoype done, come back with a low score, and skip chemo. Not sure I would personally make that choice, but choice is the right of each individual. The purpose behind Oncotype is to see how much chemotherapeutic treatment will benefit a ER+ patient who will be taking hormonal therapy, so if your onc planned chemo, to him/her, the Oncotype result is superfluous.

  • lighthouselady
    lighthouselady Member Posts: 752
    edited November 2013


    Kbeee - HURRAY!!!!!!!!!! I'm so happy for you. I hope you do a little happy dance on your way out of there today. Yay!!!!!


    Peacockgirl - Good luck today, and hope the bone pain isn't as bad this time around. My hemoglobin went up from 9.5 to 9.6, so we're neck & neck again. :-)


    My mom is here - flew in last night and staying until next Friday. Great to have her here for the holiday and my son's birthday, but hope I can stand the level of mothering she wants to do!


    Ugh. I finally got a call on my surgery scheduling. Jan 24th. I'm NOT happy about that. My surgeon said she likes to do it 3-6 weeks after chemo, preferably 3-4 weeks. Well, 1/24 is over SEVEN weeks after my last chemo. I sent a message back to her office asking the implications of that. I realize trying to schedule three surgeons right around the holidays is challenging, but they've been sitting on this for a month since I was there last time. I'm just a little miffed, and worried what it will mean to wait that long.

  • hockeymommy
    hockeymommy Member Posts: 77
    edited November 2013


    KBEEEEEEEEEEEEE YAHOOOOOOOOOOOO!!!!! Congrats on your last chemo that is the best news of the day!!!!


    LHL- I am doing great !!! Waiting for the fun to start...loll ......yesterday was my birthday, so the nurses hung streamers from my iv pole and gave me a beautiful card. It was really cute! We are almost done sista!!! I am starting to see the light at the end of the tunnel!


    Hope everyone is doing well and side effects are minimal! We can do this !!

  • josgirl
    josgirl Member Posts: 231
    edited November 2013

    Hockeymommy - good for you and Happy Birthday!  Not the best one I am sure but really sweet of the nurses and a wonderful distraction from the infusion.

    LHL - I don't know anything about the medical risks for a delay but just your mental and emotional desires to get the move on this whole journey I understand.  I delayed almost 9 weeks for chemo and could have done more but am going to start rads less than 12 days after my last infusion.  I understand wanting to finish this!  Maybe pushing them a little will work of the scheduling but it seems like these docs are so busy these days and being pulled in many directions themselves that to coordinate three might be too much.  But I totally get not wanting to wait any more than they already quoted to you!  Here's hoping they just need a little prodding and something will open up!

  • alfranco
    alfranco Member Posts: 200
    edited November 2013

    Happy birthday Hockeymom!!!

  • KBeee
    KBeee Member Posts: 5,109
    edited November 2013


    Happy Belated Birthday hockeymom! I used to hate birthdays. I appreciate them a bit more nowadays. :)


    LHL, I liked your comment and did decide to do the happy dance across the parking lot. it was icy, so people got a good show, but I did manage to stay on my feet. My parents are here from NJ, so I am enjoying the dinners without having to cook, but trying to tolerate being "mothered" a little much too! I hope her visit allows you to get some R&R before going into your LAST treatment. I sure hope you can get your surgery date moved up.


    thanks for all of the congrats. My gut feeling was 6, somthat was firmly implanted in my mind. The day after my diagnosis, my daughter made me a pink rubber band bracelet. I told her I would not take it off until chemo was done. i have't except during my surgery when i had to. Before chemo, I had a 0745 appointment with the plastic surgeon. While changing at his office, the bracelet caught my sleeve and broke. I was bummed, and then realized maybe it was a good omen that it would be my last chemo. That was my first glimmer of hope. needless to say i was happily shocked when MO gave me the results. Tamoxifen starts Dec 7, and then i hope to schedule my exchange surgery around Christmas break. Sing it now..."All I want for Christmas is my 2 front........."

  • lighthouselady
    lighthouselady Member Posts: 752
    edited November 2013


    Happy Birthday hockeymommy!!! :-)

  • simplelife4real
    simplelife4real Member Posts: 563
    edited November 2013


    Lighthouse, I'm getting neoadjuvant therapy too and really understand why you want the surgery sooner rather than later. I hope they find nothing but dead cancer cells when you have your surgery.


    I just went through my last taxol steroid crash tonight. I HATE those crashes. They have me sobbing uncontrollably until I can fall off to sleep. I wonder if I will have to go through the same thing with my AC infusions. I get my first AC infusion in two weeks. My thought at this point is that I can manage anything 4 times. I may not like it, but I can get through it.


    Kay

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


    Hi,


    Has anyone been successful in reducing the swelling that comes from chemo?


    Thanks, V


  • PeacockGirl
    PeacockGirl Member Posts: 162
    edited November 2013


    HIV-apples really debloat me have you tried that?


    Simple life- I hate those steroid mood swings too! Ask about the dose on a/c it was higher for me...my steroids got dropped for taxol. I did find a .5 dose of Xanax while in the roid roller coaster really helped level me out...hated the uncontrollable crying jags and angry thoughts..


    I'm enjoying my morning without side effects until neulasta shot at 230. Feel good enough to train a client and teach a yoga class this morning!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2013


    HVV - I had to go on a low-dose diuretic to reduce swelling, my MO prescribed Triamterene at the lowest dose, but instructed me to use half of that dose (1/2 tablet)

  • knightzoo
    knightzoo Member Posts: 171
    edited November 2013


    KBee- congrats chemo grad!! Woohoo!! I had a dream after my post taxol MRI they said no AC. Doubtful though!


    LHL - hope your legs are better, your mom is tolerable, and you get your surgery moved up!!


    Simple- yeah for finalizing taxol! I'm nervous for AC too, I had to reduce my steroids by half on taxol to tolerate, I hope I don't have to go back up?!


    My chemo nurse yesterday told me fat only reconstruction sags since it's real tissue. She's seen 10 year old ones look droopy. She recommended implants. Huh.


    Question: will they fill TE during rads?

  • 70charger
    70charger Member Posts: 963
    edited November 2013


    Feeling really yucky still. Like I have really bad flu. Today is worse, lots of intestinal cramps, spinning tummy overall yuck. No fever. Trying to keep hydrated. Still living on jello, pudding, broth, couple of cookies. Can't wait till next week when side effects should be less.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2013


    knightzoo - you need to talk to a PS and RO about the process of fills during rads - I suspect that it will be either fully filled prior to rads, or no fills until after rads. Some RO think that the TE interfere with the field, and some PS prefer that the skin be fully stretched prior to being radiated. There are a lot of individual opinions and no consensus - so this is frustrating. I have only seen one autologous recon in person and there was already sag, but that may have been a surgical skill issue. The flip side is that implants will never sag so having perky breasts while the rest of you is down around your ankles when you're 80 is a whole other deal, lol! Mine don't bounce and they don't move.

  • alfranco
    alfranco Member Posts: 200
    edited November 2013

    Woke up with a clogged ear. Any suggestions?

  • knightzoo
    knightzoo Member Posts: 171
    edited November 2013


    ok one more question. If they rad before fill do you have saggy skin or do they take the skin even if you do nipple sparing? I'm not really sure if I care if they save them if they have no feeling. Does insurance pay for tattoos? Ok that's two questions. Thanks!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2013


    knightzoo - If you have TE placed at the time of mastectomy they are sized according to your individual physical frame so the firmness of the TE fills out the skin to a large degree. I woke up with smallish breast mounds and no saggy skin at all even though I was smaller right after surgery than I was naturally. Nip sparing is also skin sparing, but I would worry about asymmetry with nip sparing with rads if you have contraction of the skin and pectoral muscle. You would also have to find a PS who is willing to expand radiated skin if you don't fully fill prior to rads - could be a challenge I am not sure about whether insurance pays for tattooing, but there is a nip recon thread and those people would know.

  • audra67
    audra67 Member Posts: 521
    edited November 2013


    My plastic surgeon said it is all covered...he did fat grafting (lipo) on me to add fat to breasts (implants) and I had nipple and skin sparing...no radiation though, he said radiated skin is hard to work with and is like tough leather...but he said he can do the tattooing, etc. and lipo and all is covered...there was a law passed in 2009 or something pertaining to just that..


    he is our family member and he has a great site to give you info. www.parkmeadowscosmeticsurgery.com


    maybe that will answer some questions...

  • lighthouselady
    lighthouselady Member Posts: 752
    edited November 2013


    Hockeymommy & Peacockgirl - how's the pain so far this weekend? I'm feeling OK.... Not great but not as awful as last time. Don't know if this round is going to be better or if the bad stuff just hasn't hit yet. I'm achy like the flu but not real bad bone pain yet.


    We are in the middle of a winter storm warning... Odd for this part of TX. It was icy yesterday, cold today and now tomorrow into Monday they are calling for sleet, freezing rain and maybe some snow. I love it, but my kids are going to go stir crazy. Thank goodness my mom is here visiting so she keeps them entertained. :-)

  • PeacockGirl
    PeacockGirl Member Posts: 162
    edited November 2013


    lighthouse lady thanks for checking in on me, I had neulasta shot at 230 today, no signs of impending doom yet. I also took a nap today without any medication at all and that is unusual for me. I'm bolstered by the fact your not getting slammed as much this time. I often wonder if the first taxol was so hard because we were still feeling with left over effects of A/C...a double whammmmy so to speak. Hope you continue to do better this time, sounds like time for cozy blankets, board games and hot chocolate stay warm!


    My chemo brain is in full force..I swear my short term memory is just shot! And really having trouble eith putting coherent thoughts and words together....it's just so not me!

  • BetterDay
    BetterDay Member Posts: 116
    edited November 2013


    Congrats to Kbeee and BabyRuth and a belated happy birthday to Hockeymom. Mine is today, and I'm trying to feel celebratory, but this breathing/cough thing is getting me down. Hoping tomorrow's CT scan doesn't have any surprises. Tomorrow is also Taxol number 11. As worried as I am about starting AC, I'm anxious to have Taxol behind me. Only two more to go! Simplelife, I'm triple negative too and also hope AC wipes this out. My tumor is smaller now than when I started Taxol, but it's still there.


    In keeping with the spirit of this week, I am incredibly thankful for all of you. I don't post much but I read this thread every day. From the inspiring words to helpful tips to mood-lifting jokes and stories, I truly appreciate your shared experiences. I even appreciate the vents, because it lets me know it's normal and ok to have bad days.


    Happy Sunday, everybody!

  • BabyRuth
    BabyRuth Member Posts: 264
    edited November 2013


    BetterDay-Happy Birthday! Hoping you feel better today and can celebrate this special day!


    KBee- Awesome that you have finished chemo!


    HVV-I had such a hard time with bloating and weight gain on taxol. Now 2 weeks out of finishing, I have already shed 5 pounds with out even trying. I was so worried during chemo that I was putting on weight but now I realize that it was mostly from medication.


    Knoghtzoo-there is so much information on these boards about the reconstruction process. If you have the time, try to read over it. I think it will help you with some questions that you can ask your PS. There is so much we do not know ahead of time and I think the boards can be a big help to open our eyes to things we might not have realized or known to ask.


    I hope everyone has a good day.

  • mercedes60
    mercedes60 Member Posts: 171
    edited November 2013


    kbee, congrats on finishing chemo! Are u done everything?


    70charger, hope ur feeling better, try apple sauce is also good for upset stomach. Btw, were getting that artic cold front that u had eralier this week. Yuk,yuk. Hate winter.....


    Specialk, please enlighten me on this oncotype. Is it a blood test, when is it done, the only thing i have done is bloods the day before a treatment, my onco has planned 4 AC which are done as of nov 13 and i start taxol for 12 treatments once a week. Starting dec 4. Should i expect to have this test during my treatments? Thks.


    Hockeymom, happy belated birthday!, mine was in july a coule of days after my biopsies, so next year i think we need to celebrate a liittle more, its strange how when ur told u have cancer, u look at holidays anything differently and im anxious for xmas, before i was the humbug mom.........

  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2013


    Mercedes - Oncotype Dx is a genetic test done on a tumor sample that determines how much chemotherapy will benefit when added to hormonal therapy for ER+, node negative patients. Some docs will do it for 1-3 positive nodes, but many won't as the result for node positive has less confidence among docs. Since you are already getting chemo there is most likely no reason to do the test now. It is usually done when making the decision whether or not to have chemo. Here is the link for more info:


    http://breast-cancer.oncotypedx.com/en-US/Patient-Invasive/WhatIsTheOncotypeDXCancerTest.aspx

  • alfranco
    alfranco Member Posts: 200
    edited November 2013

    Happy birthday betterday. Hope you feel better.

  • Miss_Mama_Bear
    Miss_Mama_Bear Member Posts: 252
    edited November 2013


    KBee: Congrats!!! What a wonderful surprise! and great news, too, BabyRuth!!!


    Happy birthday BetterDay and hockeymommy! My middle boy's birthday was yesterday. I can't believe he is five already! I spent ALL day cleaning Friday and had people here until midnight last night, but I got the party done. Hooray. My company helped me clean up after too so that was awesome.


    Thanks SpecialK for that info on reconstruction. What if you had a DIEP flap done and then implants later? That would reduce the sag and provide more movement maybe? I don't even know where I am at right now as far as all that. If there is only a 2% difference in possible reoccurance, I don't really know if I should do a mastectomy. Ugh this is so agonizing making this decision but I know I am the only one who can make it. I got scheduled for a sentinel lymph node biopsy January 15th where she will also do a lumpectomy since my tumor is right near there anyway. Might as well get the cancer out then there is not such a rush to do surgery if she gets clear margins, or I may decide not to do any more surgery at all. I am just trying to take things one step at a time. If my lymph nodes are positive I have to have rads regardless so I will just get prepared for that possibility, I suppose. Better to be prepared unnecessarily than not prepared and need it. I haven't even really read up on rads at all because I was so adamant that I would just have a mastectomy to avoid them. The surgeon had told me that there was likely no way that my mom died from side effects, but I know that was what we were told at the time. I guess I will never know for sure unless I could get a hold of her medical records. I will just hold fast to the fact that was over 20 years ago and things have much improved and hope that she wasn't just "weird side effect girl" like myself lol.


    Speaking of weird side effects. the tips of my fingers, where my fingerprints are, have all developed vertical lines on them. They almost look like a subtle version of when your fingers get wrinkly from being wet. I know they weren't there before and I'm sure they have even changed my fingerprints. Weirdness. My identity has officially been complete changed by cancer. Not exactly off target.



  • SpecialK
    SpecialK Member Posts: 16,486
    edited November 2013


    mamastewart - the good thing about doing a lumpectomy first is that it does buy you time and information from both the pathology on the mass and the sentinel node biopsy. If you have good clean margins and are node negative with a good cosmetic result you might want to stop there. You can always do more but if you start with a larger surgery you can't go backwards. I do not have as much direct experience with DIEP and/or DIEP + implants, but the threads on this site should provide some insight. If you do a lumpectomy you will need radiation regardless of your nodal status, unless you plan on a mastectomy in very short order. You might want to have a rads consult to discuss IORT, Mammosite, Canadian Protocal and a regular course of rads. These are considerations to discuss prior to a lumpectomy as IORT and Mammosite have a role during the lumpectomy itself.

  • kjsimpson
    kjsimpson Member Posts: 445
    edited November 2013

    Josigirl,

    I've planned a trip to Arizona for in the Spring as something to look forward to after chemo, surgery, and rads.  It is part of what is keeping me going!

    Whomever mentioned appointment fatigue, I'm with you!  In the next two weeks I have 7 appointments in 10 business days.  Uggh!! 

  • Ekaterina
    Ekaterina Member Posts: 34
    edited November 2013


    specialK can I ask how bad was your swelling and itching red rash during chemo? Where you worried that you were allergic? Did all your symptoms pass? I amstill worried about my last TC which is on Tuesday. I have spoken with my ONC and waiting to hear what she thinks but just worried I am allergic and that my reaction will be worse this time and possibly damaging long term. Thanks so much for all your wonderful advice. K

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