Starting Chemo in December 2013
Comments
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jackleak- I just ordered some hair, skin and nails vitamins with biotin. Will ask MO if I can take when I'm done with chemo and doing rads. Right now MO says she doesn't want me to take anything more than a multi vitamin so it doesn't fight the chemo
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Hello ladies - I am really nervous about neuropathy, as my MO told me after my last appt. that it can happen after chemo. However, on a brighter side, I will be attending a 6 week group medical appointment for cancer patients re nutrition, supplements, etc. put on by Sutter. There is just so much info. out there is makes my head swim. I want to add supplements, food changes, etc. into my life plan when I am finished with chemo and my MO isn't much of a help with that. This doctor that puts this class on is more on the holistic side of medicine and I hope will be able to put me on the right track.
For those of us taking calcium (Of which I am not yet, but plan to) - I read that we should try to take calcium that is algae/plant based, as we absorb it better than the rock based... and Vit. D, phosphates, magnesium, and Vit K help us absorb it. Also, we should break it down to several times a day, whereas taking it all at once.
Kim
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Kim - I'd be curious what you find out at your clinic. I had a nurse behind me at the pharmacy the other day and he asked what kind of cancer I had. I told him BC and he said there had been research that a ketogenic diet is best for cancer prevention. I looked up what it was and it is similar to the Atkins (high protein). He also said something about how cancer doesn't like a certain chemical balance in the body - either acidic or alkaline. I forget which one he said. I plan on asking my MO about it but he doesn't seem to be one that is in to stuff like that.
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Had my first round (1st of 4) of Taxol and thank God I did not have any allergic reaction to it. Port problems ... no blood draw but it was flushing so they could still use it for the infusion. Longer day but went home feeling good, still feel good today but I go for my nuestra (sp) shot this afternoon so I know I will have some down days. The best noticable improvement so far is the "chemo smell" is gone...haven't smelled it in my urine or anywhere on me....that alone is a big blessing of being done with the AC!!!!! Hope everyone is doing well after this weeks tx's....we are all 1 week closer to that finish line!!!!
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holli, not remember! I have read so many medical papers whether it was in one of them or if I jus hear it from the ILC group. I will repeat my Medline search and see if I can find a real reference for it. I just know with my Hx of endometrial polyps I do not need the added stess of working about possible uterine changes with tamoxifen
Chicopeach. My MO said the same thing about soy. He said probably not to gorge on it but not to worry Bout smaller amounts. Hope #5 went well today.
Jackieak. Yup know about that nap. I took it yesterday afternoon also. I slept a little better last night with only 8 mg decadron, think I only woke up 3 times instead of 4-5. If the rest of the week goes ok I will push for lower dose agin next time.
Keepthefaith. DEXA is the name of the bone density test.
Barbara
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and that's a wrap! For taxol at least:). Had #12 today and done!!! I had a flight home again which is awesome! Next week I get an ultrasound to see how taxol did I guess. I already have a flight there and back. This Pilot for Patients in our town is the greatest thing ever for all of is traveling to MDA or St. Jude in Memphis. What a blessing.
I wish I had the link, but just today in Facebook MDA page they said no multivitamins!! I read it and it basically said they want you to get it from food. I won't because I just am a but picky. Really trying hard now to make those changes. It said even if you don't change eating habits that it could do more harm than good. Never cited a specific research or anything. It was from a nutritionist there I believe. I am going to ask my oncologist and see if she thinks it nonsense. Weird huh?!
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Way to go Jodi! So happy for you!
The problem with getting the vit/minerals that you need from food is that there are very few foods that give you the Vitamin D that you need to absorb Calcium. You can get Vitamin D from the sun, but hard to do when it's the dead of Winter and can't get outside...
For me, at least, I would probably gain 20 lbs if I ate everything I needed in my diet. I try to eat healhy foods, but I can't see how someone can eat 3-5 servings of fruit and veggies every day, drink 8 glasses of water, have enough protein, iron, Vit C., potassium, etc. Seems like you would be eating all day long. Dr's make it sound so easy....I guess we just have to do the best we can!
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I am only allowed to take the vitamin d and calcium per MO. Multi vitamins have some vitamins in them that are counter productive to the chemo. He feels that the iron/protein are going okay with diet alone, since I have not been anemic when blood levels are checked. We have discussed other supplements and all have been a big NO from him.
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RHGSR - I will keep you posted once this class starts. So far what I have read, it's more of a plant based diet that we need to be on with minimal sugar.
charusa - I forgot how bad the AC made my urine smell... AC is nasty. I hope that you have an easy time with the Taxol.
Jodi - So glad to hear that you finished up with your Taxol. I am getting so excited that I only have one more. It lifts my spirits just knowing this.
Keepthefaith - I agree with you, who can eat enough every day to get all the vitamins that we need in our food.
Kim
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my multivitamin doesn't have iron ( due to the big C avoidance) or a few others in them. My MO always asks if I'm taking my vitamin, she didn't prescribe it but has never said not to. MO's are really not too great it seems at answering many of our questions, I give her credit for the yoga and and exercise and the vitamin E for mouth sores...but she isn't a nutritionist. That class sounds awesome, I may look for one here.
I often wonder if I should take a certain item , or eat something, or even have a glass of wine...then it comes to me...what else could take my hair away in two weeks, make me look green and pale, and all the other things chemo has caused..I think a vitamin and a glass of wine couldn't possible beat the poison in me. Still going on zero sleep, it's going to be a Valium night. Yeh for Friday!
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Wide awake, thanks steroids!
Hated the smell from the AC, as nasty as it was it should have cleaned my toilet for me. Nope.
My MO doesn't ask or push any supplements or vitamins, just cautions against processed foods and pushes protein. Try to cook in the cast iron as much as possible, especially tomatoe based foods, they help pull the iron out.
Port worked somewhat, it is still positional, have to lay back with the arm up and look to the right.
Had a surprise visit from my OB/GYN today at infusion. He saw my daughter, that he delivered, in the parking lot and she told him where I was so he came up and talked for about 30 minutes. I have been his patient for 29 years, he has seen me through bad Pap smears, ovarian cysts, two pregnancies and now this. He retires in June, will have to get one more check up in before he goes.
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I am up too and have been for 3 hours:(. Steroids for sure since I just had. Chemo yesterday. Starving right now so steroids 100%. I have been looking online and stuff I should not-you know- statistics. I even yelled at myself for that and decided to take a nice bath instead. My hair has grown longer but not new sprouts. I am correct to assume it will all be gone after I start FAC right? Did you go completely bald on AC? Eyebrows and eyelashes made it through taxol too. Will they be going as well? I'll definitely have that alien look down since I already have Barbie Boobs from BMX:). You Know no nipple look! Doesn't bother me but surgeon said he is making new ones anyway. Be nice to not have them!
Anyone got some good protein ideas besides meat? Meat allowance for the week is like 8 -12 oz is what the nutritionist told me. I bought Nature valley protein granola bars, almonds, peanut butter and Kashi cereal, cookies and bars. I really have enjoyed the Kashi stuff and so has my HUSBAND! I HAD two packs of cookies:). Oatmeal raisin with something and Oatmeal chocolate chip with flax. Great ingredients in those. Well- I got one oatmeal chocolate! ONE! Lol! I need to make a grocery run today anyway. And, my parents came to watch the girls two weeks ago while we went to Texas and they ate almost all of my Kashi cereal which was Raisin brand kind but all organic and y'all really is yum!! Please please give me some good recipe ideas for healthy stuff. The kind I can sneak in on my kids!! Some suggested adding squash, carrots and more to spaghetti sauce but purée it or buy organic baby food and dump it in there. Got to help my girls start healthy now praying none of them very have to fight!
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another question:). White count was 9,4 and my red count was low. White is good and red is down. Isn't it the white count they worry about? And what. An I eat or do to help my red? Anyone else having low red? I know it has been for awhile because I see those lights flash or stars like when I was anemic in 2012 during pregnancy.
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my MO doesn't want me to take any supplement during chemo. She suggested to get them from food. I read a book written by a Harvard BS who had BC, she mentioned about taking vita and calcium. I am going to take them after chemo.
Robin, sorry for your hard time with taxol. That' a lot to deal with. I hope your new treatment plan will be easier. Btw, I love the picture you posted.
As many of you, just had my 4th taxol, no sleep, night sweat a LOT, anybody know when chemo pause will be over?
Jodi, my red count is also low. I think mine was low even before chemo, just under the normal range. It doesn't bother me too much. For you, it probably due to chemo, and it will likely come back after chemo. Having high ion and protein diet may help. Most of hairs were gone after 2nd AC. But some hold on. I shaved my hair, now I can see some tiny growth. My eye brow start to fall off much later, thinning, but not gone. As for diet, I also like to learn more. I think beans and lentils have high iron and protein component. Dark leafy greens and eggs are also good. I just heard a 30 (?) years study over the radio that animal protein are suppose to have all the bad effect on your health. Sometime these study results are all over the place. It' hard to know which one to believe.
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Jodi, Iron is what helps with your red blood cells, but you need to have Vit C to help absorb it; iron is found in red meat, liver, green leafy veggies such as spinach...and I'm sure other things, can't remember right now. I bought the "Boost" energy drinks to help with protein; also eggs, chicken, beef. The white blood cells are what fight infection and help your immune system.
Can't answer the hair question with FAC. Maybe there is another thread. I lost most of mine at 17 days. I have noticed my eyebrows are thinning, but still have my lashes, thank goodness! I am 25 days PFC and no new growth yet....waiting, waiting!
I hope you all can get some rest. I think that was one of the worst SE's for me. SO frustrating when you feel like crap bc you didn't get any sleep...grrrrrr.
Have a good week-end ladies! I am having my family over to celebrate my kids' birthdays today! Fixing fajitas...mmmm. They were born 3 yrs and 3 days apart and both of their spouses were born in Feb, also, so we are doing it all at once! Party time:).
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hey Jodi. I lost my hair about 14 days after the first AC. Someone said on here that the pubic hair is the first to go. Odd, but it was true for me. I wonder why? A few days after that started falling out, the hair on my head started to go. I could run my hand through my hair and come back with a handful of it. I buzzed it off. Then ended up shaving it bald.
As for iron, what about Quinoa (sp?). I know it is a good source to protein so I would assume iron too.
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hey Jodi, my hair was on its way out after my second infusion of AC, I had so much hair, but wanted to be proactive with that it was something I had control over, I bobbed it off by the second infusion, and 4 days later shaved it, I was getting handfuls of it and that sucked then I buzzed it and left a bit, and that was irritating as it came out in hats etc, then I just had the hubby get out the bic. god love him, never in his wildest dreams did he think he would be shaving my head.
I have one treatment left, on the 18th I will done with my chemo, my god 16 weeks, Im wearing down, I hate this, I am at the serious hate stage right now, DONE, one more taxol to go, having lots of bone pain and hot and cold flashes yet again, its just like clockwork., each time, treatment Tuesday come Friday I am in full blown SE mode. 3-4 weeks off then onto rads. That's going to be along 6 weeks, I know there are a few of us that will be doing rads at the same time. sorry for the rant.
I did ice my hands and feet at the last treatment, and they reduced my dose a bit due to neuropathy, freaked me out as I wanted to make sure that was ok, oncologist told me I have had plenty of medicine since this started and it was perfectly fine. Fingernails and toenails are stronger then ever, he told me it was more taxotere even though they are sister drugs that you would see nail loss. My feet are peeling on the bottom but not painful, thank goodness. I might sit in a chair and cry if there is one more effing thing to deal with right now. not that I haven't done that.
keep the faith - enjoy party mode great way to lift the spirits.
charusa - happy to read you made out ok with taxol
hugs to all
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kimie- you are almost there! I have 67 more days:(. 12 more weeks, but it will come to an end too.
When y'all start rads come back and give us May chemo finishers some tips!! I've been reading up on it a lot lately.
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the AC took my hair 3 days after 2nd round, pubic first then the head in clumps. I too cut it short before I had too much to pick up all over, then buzzed it.
I see the hair I had longer, but not sure any new growth coming...I'm wondering if I should shave my head soon towards taxol end, because what hair is up there growing doesn't look very healthy...any thoughts? The biotin I will do as soon as I'm towards the end as well, would like to go wigless as soon as I have two inches, then it's on it's own like it or not.
I slept about 4 hours, had to take my rings off because of so much bloating too, I hate how I look like a blowfish from steroid, and I only get it in my IV, I take none before or after, I'm going to ask MO if we can lower this, because it's my main complaint right now...well also the thrush I get each time .I'm sure I will have more soon! Enjoy the weekend ladies.
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jackie, I took 8 mg instead of 20 mg steroid in pill before taxol now since I didn't have much reactions. I still look like a blowfish too and red face is so annoying. What' your dose? My mo prescribed a mouth wash seems to work for thrush.
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I'm not sure , but I think it's like 20mg, the Benadryl is down from 60 to 25 mg which helps. I'm going to ask for much lower dose of steroid...I just took a great long nap....yeh! But there goes my Saturday, spring ahead tonight that is a good sign for all of us.
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December Ladies - Did any of you have lifting of nails? MO says he thinks they will grow out okay, but one of my thumb nails seems to be lifting. It looks like the nail is pulling away from the side. Any suggestions? Will tea tree oil help or is that just to help prevent infection?
It looks like my BMX will be on April 7th unless there is a cancellation, and I can get in earlier. This is a little over 6 weeks past my last chemo which was onFebruary 21st. My BS says this is about as long as the MO wants the surgery to be done, but that is earliest everyone is available. Should I be worried about that? As if I can change it, right?
On a positive note, the MO and BS said they can no longer feel the tumor. That is a prayer answered. I am praying for the same for all my BC sisters on this forum and everywhere around the world!!!
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SouthernBling, My middle finger nails are pulling up. They are still attached in the middle and bottom so I just keep them really short and am really careful. They are growing out fine. I put tea tree oil on both my fingers and toe nails. Not sure it does anything but I still put it on.
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southernbling - no nail issues here at all, asked oncologist about it the other day he did say you see it more with taxotere then taxol even though they are sister drugs, I have been using opi nail envy on fingers and toes religiously and my nails are the nicest that they have ever been, go figure.
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southernbling, no nail issues here...yet! Keeping my fingers crossed. Just a few ridges so far. Almost a month PFC! Just curious and feel free to not answer, but wondering why you had chemo prior to surgery. I see a lot of that with a larger tumor. Regardless, I am happy for you that it is non-palpable now! whoo-hoo!
((HUGS))
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keepthefaith - my onco was mad basically when I got there because I had surgery! They said they do chemo first now. I think it might spare lymph nodes and they can also tell if the chemo is really responding.
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I talked to 3 doctors (my BS and 2 MOs) about doing chemo first (neoadjavunct ?sp?). They all said studies don't support it one way or another. My BS said it was for "style" points - like if you were going to have to have a lumpectomy then the tumor gets smaller with the chemo and you don't have to take much out. I was kind of irritated at her nonchalance attitude about it. Since I read it was a good way to judge of you were responding to chemo. But they also didn't realize the extent of my cancer or the positive nodes. I know at MDA chemo first is pretty much protocol - maybe more for so trip neg?? It is the one decision we have made in this journey that I'm not certain was the right choice. I almost wish I had pushed for chemo first. It would have saved me from having 21 lymph nodes removed. Of course on the other hand we may not have known about the ILC or LCIS had we done that or that I had positive nodes - which is what triggered the recommendation to do rads after chemo and validated our decision for electing to do a BMX. I guess it really depends on the individual circumstance and tumor. At one point you just have to trust that you've made the right choice that is best for you regarding physicians. That isn't always easy when it's your life you are trusting someone else with.
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my BS first recommended chemo first, we knew there were at least two positive nodes, she said we could save the breast if chemo first. We then saw spots on left from an MRI, they were benign cysts, but since I have such dense, crappy breasts at this point I just wanted them both off, I didn't want to save the breasts just to worry about not seeing it again and missing things in my dense breasts. I wanted them both off and ASAP, took all the right nodes and no disease found in left, I don't regret my decision, and my BS also said later I made right decision, she has to give me the option of chemo first and breast conserving surgery. I also did not want to do rads if I didn't have to.
I will have my temp implants replaced with the gummy bear formed implants about 3 weeks after chemo, I'm so far happy with this process, even though it was painful to fill the temp ones. On the left I kept my nipple, so the right will have a better chance of matching...it's a long haul
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My tumor was 1.2cmX1.7cm and MRI showed no indications of cancer in Lymph nodes. I'm having chemo first because I'm HER2+ and Perjeta which was just FDA approved October 31st requires chemo first. Perjeta in combination with Herceptin and chemo has shown to significantly increase the chances of a pathologic complete response. Fingers crossed!!
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My BS was thinking the surgery first, but after consulting with the MO, he agreed to chemo first. They were looking at my grade 3, high Ki67, and the size. They thought originally my tumor was 1.3 cm, but other tests said more like 1.9 cm. The BS, MO, and RO all said I would be an excellent candidate for lumpectomy given the size and location and my breast size if I decided to do that. They also consulted with Sloan Kettering before going with the ALND. I had my ALND and port placement at the same time.
The MO was concerned about lymph node involvement, and the radiologist got my BS in the room because she was sure from the ultrasound she was looking at that the lymph nodes were cancerous. BS said they wouldn't know until they were checked. Thank goodness they were clear! I got that news late on the night of Friday the 13th!!! I usually don't like Friday the 13th!
I guess the chemo vs. surgery first depends on a lot of factors. I just trust that my MO and BS made the best decision for my treatment. That is helping get me through this nightmare!
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