Starting Chemo in December 2013

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  • atlbraves
    atlbraves Member Posts: 50
    edited November 2013


    Woo-hoo, you go, girl! I am so glad you're doing well. Hugs and high fives!

  • Goldie8469
    Goldie8469 Member Posts: 90
    edited November 2013


    I am having my port placed on NOv 27th and having chemo the same day but it isn't at the same location. I hope the grogginess makes me not so nervous. I am had my first fill during my Bilateral Mast. My second fill is Dec 2. Did anyone get a prescription to numb the port before hand? I don't have one yet and I am learning I have to ask for everything. I am so happy to have found this site. I am going to put smiley faces all around my house. I am happy that I have options but I am grumpy. I finally feel better from the surgery and on to chemo. Does anyone else feel like they want to break a window? ugh. I dont want to be that person. I am grateful but bitchy.

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


    goldie - are you asking about numbing the port for your TE fills, or the chemo port? If it is the fills - you should not have feeling for the TE fill, the port moves as the TE is enlarged so you will not know where to put the numbing cream. Your Ps will have to use a magnet device to locate the fill port. The chemo port numbing cream is a prescription lidocaine cream called Emla, and pharmacy can fill it. If you are having the port installed but having chemo in another location ask them to access your port after installation and leave it accessed - that way they do not have to access your newly installed port. It will eliminate some soreness for you.

  • Goldie8469
    Goldie8469 Member Posts: 90
    edited November 2013


    Thank You Special K. I would have never known to have asked. I was so naive, i didn't realize that I would have chemo at a different location. WHen do they give me the prescripriton for Emia? I would have thought they would have had me take care of this beforehand. I feel like I dont even know what to ask when I do go to the doctor. I really like him but I am lost. just lost. Any questions that I should ask him on Monday would be so helpful. I appreciate it. I cried and I didn't think clearly. I gp every other week for four weeks for adrimyxin and Cytoxin then have a two week break then they change medicines to a Taxol and that will take 4 hours. When I call to ask questions, my calls get returned when I am picking up kids from school and I have to pull over and write stuff down. Any info is appreciated. Thanks again.

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


    goldie - if your port is left accessed - this means they will already have a connection for the IV where you will be getting chemo - you should not need the Emla for that first chemo - ask for the prescription when you go and then use it for the next time. Put a blob on top of the port an hour prior to leaving your house and cover it with a piece of plastic wrap. You can mush it flat on your skin. For the second chemo go with your cream on and then ask them for the freeze spray on top of your cream - you should not feel a thing when they access your port - it is the best combo. You should also either have your take home anti-nausea prescriptions already called in to your pharmacy, or get them on that first chemo. It is important, particularly with Adriamycin, to stay ahead of any nausea. Usually they will give you several different anti-nausea drugs - this is because not all of them work for everyone, so sometimes you have to take several to see what works. You will also receive anti-nausea medicines in your pre-medication given by IV before they start your chemo. I am going to link a thread with chemo suggestions for you, read the header, it has a bunch of good info. You can PM me if you have questions or ask them here:


    http://community.breastcancer.org/forum/69/topic/706846?page=45#idx_1340

  • Brioche78
    Brioche78 Member Posts: 37
    edited November 2013


    good morning ladies:)


    Lorreymom I'm glad your treatment went well. I have the same treatment as you the FEC part and I'm starting on Wednesday so to hear that it's do able from someone else makes me less nervous. How long is the infusion for? And were you able to eat to same day?


    Hope everybody is having a nice Sunday !

  • emq2
    emq2 Member Posts: 60
    edited November 2013


    Goldie:


    I am in the same boat as you. I met with my OC on friday for the first time. She is recommending either TC tx, or CMF. The "potential" rare side effect of TC tx scares the crap out of me (permanent hair loss), so I am leaning more towards CMF although I too feel lost. Lost about everything, and yes, my emotions are out of control. feel strong and hopeful, scared, lost, confused, and YES Angry and want to punch windows. I don't know which has the greatest success rate. I have to make a decision by my next appointment on 12/03/2013. At which time I too will get a port. So, if I understand this correctly, the port is just for chemo infusion? or is is access for blood work also?


    Special K, you seem like a wealth of information. I don't feel so alone when I am here. Thank you for your guidance and words of wisdom.

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


    emq - thank you! Yes, your port can be accessed for blood work as well. That can be very beneficial if both your arms are compromised by having had sentinel node biopsy, or nodes removed. At my center they can access the port prior to chemo and do the blood draw, then leave the access so the oncology nurses can hook up your IV. I was also nervous about the Taxotere permanent hair loss, have you considered cold caps - they are supposed to work well with taxane chemo. My onc said that in 15 years he has only had one patient end up with permanent hair loss - but I wouldn't want to be that one! There is a thread on this site with posts from ladies who were on Taxotere who now have hair issues, so it def happens. I do not know very many people who have used CMF, methotrexate is a drug that has been in use for a long time, but that regimen is often referred to as "chemo lite" so it is worth discussing effectiveness on grade 3, node positive cancer versus TC. I would also ask about using Taxol, it is also a taxane but does not seem to have the permanent hair loss problem.

  • emq2
    emq2 Member Posts: 60
    edited November 2013


    Thank you Special K. What is "Chemo lite"?

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


    CMF is referred to this way because it is regarded by some as a milder chemo - although probably not by those on it, it has been around as a chemo regimen for a long time - more than 20 years. There is a thread on this site for those receiving it:


    http://community.breastcancer.org/topic_post?forum_id=6&id=243424&page=1

  • emq2
    emq2 Member Posts: 60
    edited November 2013


    Thank you. Wow, great questions to ask my OC. I will review the link you sent. Thank you.

  • lorreymom
    lorreymom Member Posts: 149
    edited November 2013


    Brioche78... Yes, very do-able so far. I was very nervous, but it wasnt that bad. My arm ached a bit during the push drugs & I felt very tired during the infusion of the C. I had no restrictions on eating...you can even eat during the process if you like. I took ginger snaps with me. I wondered about a coffee that morning & erred on the side of caution & skipped my morning coffee. But I asked the chemo nurse & she said it would have been fine. Drink lots of fluids. I did & my urine was clear of the red stuff (E) by 24 hours. I also didnt have any burning or irritation when I urinated. I made sure to empty my bladder as often as I could.


    The whole chemo process took about 2 hours total.


    I ate a light supper (soup) that night after chemo.

  • Goldie8469
    Goldie8469 Member Posts: 90
    edited November 2013


    How do you deal with the bitchy? I do a lot around my home. I am damn good at it. I want to order Thanksgiving dinner from a restaurant because i am having port and chemo the day before and well, that did not go over well. I bet I break a window before the week is ended. Really? I made a binder of every schedule and the month of November was great. I was very organized. I wish could check in the hospital and have the port, chemo and spend the night. I am tired. I am 3 weeks from my bilateral mast tomorrow but I am tired. I have fight I just want to be left alone a bit to deal with my emotions. How do you vent? I don't want to be grouchy and sad.

  • Brioche78
    Brioche78 Member Posts: 37
    edited November 2013


    Goldie,


    Don't forget that what we are going through is extremely difficult ,be kind to your self you have the right to fell sad and grouchy you have to live through those emotions completely so that you can let them go... And we are here whenever you need to vent. Stay strong

  • sueshen50
    sueshen50 Member Posts: 8
    edited November 2013


    Hi There!


    I started chemo ( Adriamycin) on November 12th. I wanted a port to be put in and I was told "no way". Here the decision was made was based on the length of my treatments . 4 cycles of Adriamycin and 2 of Taxon. If I could not accept the infusion then and only then would I get a port....

  • QuirkyGirl
    QuirkyGirl Member Posts: 383
    edited November 2013


    Goldie, those emotions are totally normal and will wax and wane. Order in Thanksgiving! This is ONE Thanksgiving during a very trying time in your life and if you wanted to serve hotdogs and Poptarts you'd be totally justified. What helps me is to go to my favorite place outside and just sit in my car and be still. Looking at the mountains in solitude is very restorative. Sometimes I have very dark days but I know they will pass. The very worst days of our lives still only have a maximum lifespan of 24 hours before we get to begin again. ❤

  • atlbraves
    atlbraves Member Posts: 50
    edited November 2013


    Oh Goldie, I am sorry you are having a rough patch. This is a crazy roller coaster we're on. I have found that I am short on patience these days and my tolerance for whining is at an all-time low. We feel how we feel...but I hope you can find some time that helps you recharge.


    Sueshen, the relatively few treatment dates (four) was a major consideration in not having a port recommended to me, too. How are you feeling?

  • kjfromca
    kjfromca Member Posts: 283
    edited November 2013


    Hi ladies, I start my AC treatment on Dec. 5th. (4 doses), followed by Taxol (4 doses). Originally, I was supposed to have the weekly Taxol doses, but my onc. changed her mind. I will be getting the Neulasta shot the day after each treatment. Looking forward to getting rid of any rogue cancer cells in my body, but not looking forward to the treatment. I find that I am getting really grumpy thinking that my life will be on hold for awhile, but then I feel guilty for thinking this way because I am alive. I will also have 6 1/2 weeks of radiation after the chemo.


    Lorreymom - I am pretty freaked out about the Neulasta shot - I have read that this can be a tough one. The chemo. class nurse said that usually the first one is the worst. Have you been told this?

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


    kj - ask your onc if you can take regular Claritin 24-hour (not Claritin D) an hour prior to the Neulasta injection, and then continue for several days afterward. This help with swelling within the bone marrow that is overproducing the extra white cells. The first injection is sometimes the worst for many since it will be the first time the marrow expands. I had a Neulasta injection after each TCH, and did not have any pain that could not be handled by a Tylenol and a warm bath. Here is the link to the clinical trial for this in case your onc is unfamiliar with this:


    http://clinicaltrials.gov/show/NCT01311336

  • kjfromca
    kjfromca Member Posts: 283
    edited November 2013


    SpecialK - Thanks, I will do that. I see her on the day before chemo.


    Kim

  • joanmj58
    joanmj58 Member Posts: 68
    edited November 2013


    Hello! I start TC treatments the first part of December--for 6 rounds. What is the difference between having 6 vs 4? Why two more? I have the port placed tomorrow and my class on the 5th. Naturally I am a little nervous! I've been reading the threads on chemo. Any advice on the TC treatment? I get steroids and the Neurolasta shot too.


    Joan

  • lorreymom
    lorreymom Member Posts: 149
    edited November 2013


    kjfromca-the Neulasta is very doable too. I was a bit achy & tired & headachy, but it didnt even last 48 hours. I am better now. I just took tramaset or extra strength tylenol. I slept well last night. Just get lots of rest. If the first one is the worst, then I am laughing!!!! :). It isnt too bad.


    As for grumpiness...Don't stress over it. What is the point. If your grumpy, so be it. We are going through a life event (life trauma, if you will). Family & friends need to learn to deal with it too. Your emotions are your own & completely understandable. We all have our own way to cope. Me? I try to focus on the positive (hey, I won't need to shave my legs for awhile & I get to wear some funky headwear). I go for walks with my favvourite upbeat music in my earbuds. And I meditate. I have learned mindful meditation which has allowed me to keep my sanity!

  • KLI
    KLI Member Posts: 52
    edited November 2013


    Hi, I have just learned I will be starting 4 cycles of T/C the week of Dec.9. I was directed here to try to connect with others who will be going through this.

  • RobinLK
    RobinLK Member Posts: 840
    edited November 2013


    hi KLI, you are in the right spot. We are all about to start this part of our fight together.

  • KLI
    KLI Member Posts: 52
    edited November 2013


    Is anyone else doing TC and is anyone considering the cold caps? My onc had a patient who finished TC two years ago contact me and she used them successfully. I have been trying to speed read on these sites there seems to be so much to figure out and decide quickly.

  • Brioche78
    Brioche78 Member Posts: 37
    edited November 2013


    hello,


    Starting FEC tomorrow very nervous, i couldn't sleep a all last night. I just want to start so I can stop imagining the worse...

  • QuirkyGirl
    QuirkyGirl Member Posts: 383
    edited November 2013


    welcome KLI! This is a great place and will really help you on your journey. There is a very active TC thread that may offer you much on the cold cap question. Here's the link: http://community.breastcancer.org/forum/69/topic/800978?page=56#idx_1676

  • lorreymom
    lorreymom Member Posts: 149
    edited November 2013


    Brioche- you got this! You can do it!!! :). PM me if you want to chat...our diagnosis & treatments are so similar!!

  • gia444
    gia444 Member Posts: 68
    edited November 2013

    Welcome KLI

    I was on the Nov chemo forum but since I have 2 treatments in Dec I thought I would join here.    My next is Dec 4.     It helps so much to talk to people that are going through this and understand.     I don't know what I would do without this board.     It has been my therapy...

  • keepthefaith
    keepthefaith Member Posts: 2,156
    edited November 2013

    Flu shot-check, dental cleaning-check, hair cut-check, wig ordered-check, pre-meds-check. Let's get this party started!:) (JK-I know it's not a party, but it sounds better than what it really is!)

    KLI, I am doing  4 rds of TC starting Dec. 3rd. I have heard that cold caps work for some. I think the challenge can be having the help to keep them cold and in place, etc... I wish you the best of luck if you go that route! My fear with TC is neuropathy.

    Brioche, best of luck with your upcoming treatment. In your pockets! (I am nervous, too.) My MO said the majority of her patients said they of course,  would not want to go thru chemo again, but it was not as bad as they had anticipated...

    lorreymom, nice to hear about your experience with the neulasta shot. Thanks for sharing.

    goldie, I have found that since I have been DX'd, my emotions are all over the place...and anger has def been part of them. I have to remind myself, that it's okay-its' about you and not how everyone is going to react to you right now. I hope you can come to terms with what you are feeling. You have a right to be "grumpy":). I think as women, we get caught up in being the better person, nurturing and caring for others ..now the roles are reversed and sometimes it's hard to accept. 

    I am looking forward to getting to know you great ladies while we go thru chemoland together.

    I hope you all have a wonderful Thanksgiving with your loved ones!

    ((HUGS))


     

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