Starting Chemo, November 2013 Group
Comments
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bec65-
I spoke to nurse today and asked about neulasta and she said dr said I will get it next time -woooohooo!
I voiced my frustration at feeling soooo ill and tired and missing events as my wbc so low...she told me to
'lower my expectations and rest'...WOW! I am tired of resting and tired of feeling like crap....
on a happy note my husband cut my hair! I look like the new willie wonka!!!! SOOOOOOOOO funny! First laugh I had in awhile ... -
Wallymama, I actually felt full of energy from Decadron for days 1-4. Are you getting a steroid? My taste buds quickly changed to a having a scummy/salty feeling, so I wished I'd prepared different food to have on hand. I'm loving pineapple and anything else tangy.
Audra67, I'm laughing! I chose the day I did to shave my hair because I never wanted it to get to a mangy dog look. Then, when I went to the shop to get it shaved off, the stylist first cut the length off my hair before she could use the razor. For the minute between scissors and razor, I looked like a weird combo of mangy dog and Anne Hathaway in Les Miserables. Fun times! And yeah for you for getting Neulasta! (I don't think I like your nurse, btw!) Do you have to inject yourself? -
Good evening ALL.! It took me a few minutes to read thru all the posts! Yall been busy today!
First note the laundry...my MO gave infor about especially the first 72 hours after chemo dose to make sure that you clean your laundry seperate....especially areas touched by bodily fluids. Sheets, undergarments, towels, etc. Some of the chemo can be both toxic to some or just plain acidic....(I guess left long enough it could eat through it??!) The literature did not say too much after the first 72 hours. Also if you get any body fluids other places...ARF UPS...or Bottom ARFs....make sure you clean those areas using gloves...caretakers double glove. If you have laundry you cannot was right away....seal it in a plastic bag seperate from others until you can wash it. Wash the exposed clothes twice in hot water. Do not rinse/wash by hand.
Do not share or reuse towels. this goes for entire treatment but especially during the first 72 hours. It makes sense! The germs we leave behind on our bath towels can be extensive...even though we just bathed!! When our resistance is down some of those germs that are normal in our home can cause the nastiest infection! Better be safe than sorry...Take it from one who almost died from a hospital caused MRSA systemic sepsis and spent 74 days in the hospital. My MD cried when I left because she said it was a miracle I survived! I now a fanatic with clorox wipes and cans of lysol. Whenever I go ANYWHERE...I have wipes to disinfect. ....We can normally fight off most germs but now with our immunity suppressed....again better safe than sorry! We cant overlook areas of our homes either...especially the potties, bath, kitchen, fridge, sinks and microwave! I keep disposable gloves and disf wipes in the kitchen, and bathrooms.
Generally....we do my RN hubbyies laundry separate as a rule. He leaves his shoes outside and I NEVER touch his stuff! He drops his shoes before he steps in the house...goes to the laundry...puts his clothes in the washer...PERIOD! This began in 2005 after the "incident". You cannot even imagine the buggggssss and nastiness in hospitals and drs offices! ICK....
Anyway....you cant let it run your life but you can do things to help alleviate possible problems!!! -
Bec65-
not sure who will inject me.. I am just holding them to getting the shot!
The nurse acts like I'm 'overanxious and says I need to relax'...am I really the only one concerned or upset by this changing my life and having me ill on the couch daily , really?
Yeah not sure I love her either...but I do love the dr...
My daughters didn't think my hair was too cute
my 15 yr old thinks Im on a 'chemo high' as I was laughing hysterically, my 23 year old said ; why would you let dad cut your hair?'
This knowing that it will fall out changed my whole perspective on my hair- and I finally had a happy day! -
Ok...Now Hi Everyone!
Audrea- sorry about your wrist...hope the doc got you on some good meds! Virginia and yall with the boob refills.....I cant imagine how frustrating that must be....like you're on the runway in holding....PomPom....yes I too feel my heart stronger...part of that may be because the line that comes out of your port is close to the skin at a point. I can make you more aware of you heart...especially in certain positions. Pat...How is your cat bite?...Edlicore HI:::: welcome! Ink I had to have my blood drawn from my arm....boo hiss because there is not an RN at the closest Quest....How are you today Amazon? Audra...cool about the hair! lol!
I cant keep up with yall! I have a dino computer...hubbys using the fast one!.lol!!
Bec65....I agree with the decadron. Any steriod pumps you up! To me it is a freedom because it supresses my autoimmune problems. The downsize long term side effects SUCK....make you swell up...loose bone mass...increased infection....SLEEPLESSNESS!...but those effects are not at the doses they give with our treatments....except the sleeplessness...and it makes your crave SWEETS!!! HUNGRY! Lots of temp energy....but when you come down youre tired....The benefits of curbing the side effects of treatment are worth it!
PomPom....call your doc...have him/her prescribe DIFLUCAN for the thrush/yeast infection. It is the only thing that will take care of it systemiclly. I ALWAYS get yeast problems on antibiotics. For those who are unsure on thrush...It is worse than just the Chemo nasty mouth. It causes a white, creamy look to your mouth. It feels real slimey..you can literrallly scrape the gunk off your mouth and tongue.....things taste even worse...yes worse than chemo taste. As it progresses....you can get a sore throat, furry feeling mouth, mouth ulcers and just RAW MOUTH! the DIFLUCAN is a pill! I am on one a day for five days but suspect it will be longer! Hey Melrose! Hey Lorrymom! Hey Gia! -
I sure hope I am keeping people straight!!!
Pat....sorry you are in the hospital again....What do they do when your there......are you home now???special prayers for you!
Audra....glad you had a happy day! I too have resigned myself to the fact of no hair! I'm gonna play with it...sometimes my blonde hooker wig....which everyone likes the best...sometimes my normal brunette...sometimes hats...scarfs....but most times...as long as not toooooo cold....I will be sporting a glittery HOLIDAY decorated head! I'll be a walking ornament!!
About the nulasta shot...I got mine with my first chemo round. They said if I didnt...I would likely be there multiple times a week. They said if I could tolerate 3-6 days of pain it was alott easier than getting sick!
I need to see if my hubby can get permission to give my shot as well. Will save us the drive day two ...35 min for a quick poke in the thigh!
Got my first blood results since chemo began....not too bad! The neulasta and antibiotics seem to be doing their job. I am CERTAIN that due to my other medical concerns having a nightly fluid IV has really made a differance. Im sure Id be in the hospital if we couldnt do that.....'re
Praying that everyone gets by another day towards victory! HUGGS!!
T're!!! (shorter than P) -
Sorry Wallymomma about the delay.....How are you doing...Lorrymom?...
Do not forget your local American cancer society....there are diff ones...so if you have close towns check them all! I know in my area they even have BOXES and BOXES of all size BOOBIES! So those of you who need alittle filler to pass the time or have decided not to rebuild those puppies...they are available! They also have all kinds of wigs....ALLL FREE!!!!
They also have a "looks good feel great" makeup/makeover class where they work with you and give you free makeup, teach about scarves, wigs, etc. If you have a local chapter of the ACS...check them out!
I've felt rather punky today...my port is bleeding a bit...so we need to check the site after my fluids tonite. Still queezy and dull headache. FIngertips killing me...they split open when cooler out or too dry....OUCH! Its like a hot dog that bursts in a microwave...little splits! I have this from time to time but...BAD NOW!
I have a pet peeve.....Whats with it with these thermometers! I cant get a consistent reading off of ANY of them...I have from the old fashioned glass to the new fangled ear jobber. I will get anywhere from 95.5 (which is NOT abnormal for me) to 99.7 (which is HIGHLY abnormal for me) anyone else finding this????
Ok...I'll shut up! I need to VENT and saw HI to the world! I am praying for you all!!
Huggs!
T're! -
Onco visit went well. My numbers are all within normal range. My hair is still falling so I went in to Visible Changes again for another free haircut and picked up a free wig. This has been a good week - no pain! Have a wonderful weekend! -
Is anyone taking L-Glutamine? Its supposed to help with neuropathy, diarrhea and vomiting during chemo. -
Paulette- I am doing the Look Good Feel Good program on Monday.... Do they offer the wigs during this or is it just the makeup??? They told me they would mail the makeup kit but I haven't gotten it yet... -
I would like to ask a question of you ladies that decided to get both removed, if you don't mind. What led to that decision? I understand that it's a personal choice, and to be honest my very first reaction was "Take them off!!" My surgeon says that the survival rate isn't that much different, but from this side a 5%-7% difference looks huge. I've got 6-7 months before I have to make such a decision and it may come down to what the genetic tests say. It got my mom, although she was very old and in such fragile health that a lumpectomy was the most they could do for her. I'm just not sure what facts, much less emotions, should even be taken into account. On the lighter side, I really can't wait to lose my hair. I've never had any talent doing anything with it, I've always kept it pretty short, and always said that I'd shave my head if it wouldn't cause a divorce. Now's my chance to see what it's really like. I've decided that the first time a find a clump on the pillow, it's gone. Not sure if there's a Visible Changes in town or not, need to check. I also need to call my navigator to see about wigs I guess.
T're- I'd go with the old fashioned thermometer. New ones may be accurate (or so thy say) but sometimes the old stuff is just flat better. -
wallymama - I did not have much choice but to do the double mastectomy. I am BRCA1 positive, 87% risk for primary BC, and 64% risk for secondary. Before the genetic test results were back it needed to be unilateral mastectomy because so much of the breast was involved (how do you even fit 18 tumors in one breast????) but it was left up to me if I wanted BMX. You may choose bilateral mastectomy also because the plastic surgeon can achieve better symmetry with the reconstruction. Sure they can keep going back with the revisions to your other side and try to match both sides. But in my mind why have all these surgeries and possibly not be happy with the outcome anyway. I also chose the immediate delayed reconstruction with tissue expanders because that way I could avoid one surgery later. And that is a big plus with family and kids, I got two surgeries for one recovery time, I hate hospitals and surgeries that much, wanted to minimize any discomforts for me and the inconvenience for my family. I was out of the hospital in less than 24 hours. But even with BMX there still is some chance of cancer, so do not let it to lull you into false security. Talk to the plastic surgeon before you make your decision about BMX if you are considering reconstruction after BMX, he or she may tip your scale one way or the other based on their examination. -
Wallymama, I think it's such a personal decision for everyone. For me, I decided years ago that if I were ever in this situation, I would want both breasts removed. I felt about my breasts like you do about your hair. I didn't consider them a defining part of me, and they certainly didn't get any better looking after nursing three kids! When I was initially diagnosed, I didn't have a choice and had to have a mastectomy on my left side b/c at the time, they thought I had multicentric IDC and couldn't do a lumpectomy. I'm only 48, and my youngest kid is 13. I told my surgeon I wanted everything removed that improves my risk of recurrence, no matter by what percentage. I'm waiting for insurance to authorize genetic testing. If I need to have my ovaries removed, sign me up. I'm a stage IIIa, and there is no such thing a small percentage for me.
I heard exactly what Inks said about symmetry when I went to the prosthetic bra fitter. The fitter said she sees women all the time who had a single mastectomy and have a hard time getting a balanced look and feel. I don't know this first hand, but it can make sense. On the flip side, I'm sure there are LOTS of success stories too. For me, not having to match my pathetic-looking right breast is a relief! I have great foam prostheses that are better-shaped than I was and are super light-weight and comfortable that fit perfectly in a Coobie bra. My silicone prostheses which I wear in a pretty lacy bra are even better. I tried getting a bigger size than I was (after my 19-year-old daughter said "go big or go home!"), but I like the look of me as a B-cup with a fabulous full shape. I used to have to get mega-pushup bras just to look normal, so I'm glad to have the same feel on both sides.
If you decide to have the other breast removed, there are other practical benefits. I definitely enjoy the feeling of "freedom" when I go bra-less. I'm a pretty average-sized person (5'7", 140 lbs.), and I feel really comfortable going out for my power walks rockin' the Flat Stanley look! Also, I still have bra strap issues with a sore I developed on my port, so it's nice to be able to go bra-less while it heals.
So, that's my two cents' worth! Whatever makes sense to you is your right thing to do. -
Hey y'all, Wow, I haven't been on for a couple days and it's tough to keep up with all the posts. Way to be busy, everyone!
wallymama-I went with just getting the one breast removed. I was really torn whether to preventatively remove the 2nd or not. I don't have the BRCA concern. What ended up deciding it for me was that I went with immediate DIEP reconstruction and I didn't have enough on my stomach to do two. I still don't know if that was the right choice or not. I'll let you know in 10 years!
So, I went for the Look Good, Feel Better program on Wednesday. It was a hoot, learning how to use different makeup techniques and coming home with a box full of all sorts of wonderful cosmetics. They did do a talk on wigs and head coverings but didn't offer them at that time. They wanted us to make an appt to go in for a fitting and get the free wig then, which makes sense. If any of you get a chance to go, it's worth it, and nice to meet some other ladies who are struggling with the same things.
Everyday, I think I'll wake up with a lot less hair, but I'm now at day 17, and I just started having a few hairs falling out when I run my hands through my hair. I'm sure it will go in the next couple days. I'm always a bit relieved when its still there, and yet, knowing its going to happen anyhow, I think I just want to get it over with. Sigh, the mixed emotions!
Right now, I'm battling a cold. Where I'm from in Canada, they don't do the Neulasta boosts so I'll just keep struggling along with it here. Weirdly, it doesn't actually feel worse than the typical cold that I normally have!
Wishing you all a healthy, SE free weekend! -
Morning everyone!
Well Happy Birthday to me! I am hoping my hair will hold out one more wash and blow out before I start any excessive loss!
My look good feel great is the beginning of Dec. They said Id get my kit there! I guess they all handle it a bit differant but heard great things about it! Glad you got to go Lissy!
Virginia...my MO took me off any suppliments that were not regular vitamins...not ?
How is everyone today?? -
CBC question....when I talked to my MO they gave the numbers and said it was fine. When I looked em up I was not so sure on how susectable I am to buggies....I would like to go out for dinner to celebrate my birthday but am curious what kind of numbers yall are sporting?
My WBC 3.5 pre chemo7.6
RBC 3.8 pre chemo 3.92
HGB11.1 pre chemo 11.1
HCT 31.5 pre chemo 42.0
Platelets 96 pre chemo 256
neutrophils 1141 pre chemo 6.3
Not sure what the diff in the neutrophils....diff labs count it diff....
I did have my neulata shot day after chemo...I am at day 11 of chemo in NADIR
Any thoughts?
Took my port line out this morning...was getting a bit sore and some bleeding. Im sure low platelets contributed to that. I also am alergic to the adheasives on the tegederm/bandaids etc. We use skin prep but still it blisters. We keep trying diff types...to no avail....
Blessings!
T-re!! -
I agree about the thermo's.....I have one but those buggers are hard to find. I treat mine like GOLD!!!
One thing about the stuff at the american cancer society....They had bra's, prost, wigs, hats and more. Everything is FREE!!! I hear the makeup is top notch and they are very helpful.
Another odd question....since my kids birth I have that wonderful present left behind of Hmrds.....they have been ok for years...but since starting all this I have one that is bugging the butt off me! Anyone with that odd side effect? lol!!
Also....remember...with the chemo...sometimes you think you have a cold because your nose runs...but it because the small nose hairs fall out that normally catch all the "stuff". On the same line...when you do get a cold it will seem much worse because off the same reason!
BIG HUGGS to eveyone!~Hoping to feel well enough and not suseceptable enough to enjoy my B-day celebration!
T're!! -
I'll jump into this group. Saw oncologist yesterday and start TC in early December. I had a 4cm tumor that surgery removed. But had a score also of 9. Tumor grade 3. We haven't received the Oncotype DX score back yet but because of the 9--chemo. What is a neulasta shot like. What are the side effects of all this. Oncologist also wants me to try a clinical trial of Herceptin. What's that like? Hopefully, I'll find some answers here! -
Paulette23- I also had the wonderful side effect of "herrhoids aka hemorrhoids" because of the constipation side effect from the Zofran. I did talk to my onco about this and she said to get the constipation under control. I ate 1-2 Sunsweet Ones individually wrapped prunes with breakfast, lunch and dinner, increased my fiber intake and fluid intake. Sitting in a tub of warm water also helped. Fortunately, they were a minimal problem.
Joanmj58- If you have questions about the Herceptin B-47 clinical trial, please feel free to private message me. I participated in that Herceptin clinical trial and was randomized to receive the Herceptin. My chemo regimen was Cytoxan/Taxotere.
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welcome Joan!!! Everyone here is really nice!
Melrose....ya...a real pain-in-the patootie!! I have chronic C because of gastroperesis...but yet have always been able to keep em down....got one that is a real painin the ***!
Hope someone has some info about my counts....I want to make sure if I do go out...I avoid the dinner rush...but am not sure what else to avoid. As always the internet has a variety of info...Pat what counts put you at the ER? what symptoms? How are you feeling today? -
wallymama- I elected for a lumpectomy the first time bc it was not emotionally ready to make a radical decision with such a small cancer. With that being said, I have thought about/obsessed about cancer since I am 14 years old (when my mom was Dx'd). I was just too "chicken" to have the mast in '07. Flash forward to this year, when I got my new dx, there was never an inkling of a question in my mind that I would do a bmx. Turns out my cancer came back in the same breast, so mx was the only option for the right. My surgeon was not pro taking the left "healthy" breast, though there was some suspicious cysts in the left. she also quoted me similar stats as ur surgeon did... I basically lost it in her office stating how I've lived in cancer land since I'm 14 and that I was convinced that I would get cancer in the left.....so basically she agreed to the double mast to save the sanity of her patient (though I feel like I am quite ready for the loony bin).
I originally wanted to do the diep recon, but the earliest I could do that was Dec 6th and my BS said that I could absolutely not wait that long for recon....that the cancer had to come out of me ASAP bc I am TN. turns out my ps said I was not a candidate for diep bc I don't have enough belly fat! (I went on weight watchers and lost 50 lbs). In the end I did bmx with immediate reconstruction- tissue expanders. I had my last fill this past Thursday and can get my implants 8 weeks post chemo (so hopefully mid march for my exchange). -
wally - I was a lumpectomy candidate who requested BMX - my palpable 2cm mass was not seen on mammogram, so I could not count on imaging going forward. Post-op pathology also revealed ADH and ALH in the non-cancer breast and positive nodes on the cancer side that were never seen on mammo, US or MRI that were done pre-surgically. Lumpectomy and radiation virtually equal mastectomy in recurrence and survival stats so your decision should be based on other factors.
inks - doing a BMX does not insure symmetry, or the guarantee of fewer surgeries. It is important to acknowledge the risk of complications, there are many who have to have a TE removed, replaced - or have other issues with healing or infections.
veronica - I took 30g of L-Glutamine, 1500mg Acetyl L-Carnitine and 100mg of B-6 daily to try to prevent Taxotere induced peripheral neuropathy.
joan - important to note that participation in a clinical trial means you may, or may not, be sorted to the arm that receives Herceptin. -
why do I not get yalls post till all at once??? do yall get mine? I'm starting to feel like a red headed srepchild who doesn't belong.....its wacky!!!!! -
I'm glad to see everyones honesty as to dev isions!!!! hope ur doing well....!!! -
getting ready for Bday dinner......so far hair is behaving! one last yahooooooooooo!!!!!!! -
SpecialK - BMX does not guarantee symmetry but would you agree that with BMX and any type of reconstruction will give better chance at symmetry than UMX with reconstruction. Since most people will need some surgery (either right away or down the line) to the healthy breast (breast lift, augmentation, reduction) to achieve symmetry with UMX. And there is a greater risk that with weigh gain/loss, ptosis due to aging of the healthy breast will affect the symmetry (the insurance will cover surgeries to fix that). But BMX with reconstruction there is a better chance that both breasts will age/change the same way.
And while both reconstruction surgeries have risks, the reconstruction with tissue expanders is a little less involved than any of the autologous tissue replacement surgeries. But the downside is that implants are not lifetime devices and that stuff can go wrong with them. -
Paulette --This was posted on the April/ May Chemo 2012 discussion thread by dancetrancer which may help you to determine if you have Neutropenia ( low white blood counts.)
So here's the scoop on the whites. It is not just your WBC.
The number you want to examine is your ANC (absolute neutrophil count). ANC = white blood cell count X % of granulocytes (they are also called neutrophils). There is a more complicated formula, but this one gets you close enough and is the one I use.
For example - say your white blood cell count is listed as 3.0 K/uL (scale is important - so look and see how yours is listed) and your neutrophil/granulyte % is listed as 25.2%. You convert the WBC to 3000, multiply that by .252 and get an ANC of 756. This would be Grade III neutropenia.Grades of Neutropenia
Grade 1 = 1500 to 2000 = slight risk of infection
Grade 2 = 1000 - 1500 = minimal risk of infection
Grade 3 = 500 - 1000 = moderate risk of infection
Grade 4 = < 500 = severe risk of infection
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inks - yes I would agree that BMX can possibly provide a better shot at symmetry than UMX - and potentially TE/implant recon is less involved than autologous recon, at least initially - but my post was also for those that may read in the future - it was intended as a warning not to assume that BMX was a guarantee of symmetry. If you look at my sig line you will see that I have had a lot of surgery and most of it was for issues with the "prophy" breast - that side has had 7 surgeries so far, while the cancer side has had 2 so far, my BMX did not provide symmetry after that many issues/surgeries. -
SpecialK - I get your point now. If you decide to do anything with the healthy breast you are taking extra risks that something can go wrong. So pretty much it's a catch 22 situation for those who need a mastectomy, you are damned if you do, and you are damned if you don't.
On a lighter note - my PS gave me a thick handout about the risks of all post mastectomy reconstructive surgeries, some I clearly was not aware of but one made me laugh... you may not be able to breastfeed after the surgery..... wow that one came as a big surprise. But apparently warnings like that are just as necessary as warnings on coffee cups about the contents being very hot. -
Hey! Glad to be home. I landed at the er because my arm contained a lovely infection so was hot and hard (better in men than extremities ;-). The red area was increasing in size daily, so the oral antibiotics weren't doing the trick.
Joanmj58 a neulasta shot itself isn't a big deal at all. It's wonderful because it means that we don't have to live in a bubble afraid the slightest thing will make us sick. It's the side effects that aren't so great. I've got back pain, which I'd thought was spinal. Nope, the dr at the hospital examined me and said my entire back was in a spasm, so she put me on muscle relaxers. You know what it's like when you decide you're superwoman and can lift the 100# rocks for the garden? Well my back feels like it does the day after. Except I haven't been doing ANYTHING. Sigh. Bone pain is more common, but muscle can come too. For research on tc, go to the cytoxan taxotere chemo ladies February/March 2013 discussion (it is current despite the title). Scroll through it to get a good education on the regimen. Personally, I'm doing ok. It's not the best thing to have to do, but hey, it's not as bad as a nail in the eye.
You're scared now, give it a little time and you'll adjust and calm down. Grade 3 is grade 3. Oncotype is just a piece of the puzzle. Grade 3 pretty much sends us to chemo land. Breathe, read as much as you can handle at a time, if you start getting overwhelmed, let it go. You'll be ok.
Happy birthday Paulette!
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