Told by phone, Invasive Ductile Carcinoma-- little other info

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  • april25
    april25 Member Posts: 772
    edited December 2014

    SpecialK -- I totally value your opinion. Thanks for the info about uptake. I think that's what the radiation PET guy was talking about at KP, but it was hard for him to explain because of stupid phone line static! (gah! stupid non-working land-line!).

    I'm already scheduled for the MRIs and bone scans after Chemo. I wasn't going to do the PET but 2nd Op. MO said he thought it was important. So that sent us all into a tizzy that lasted all of today. And I'm scheduled for the PET outside my provider...! I might be able to cancel it if the Port placement makes it useless...

    Whatever happens, I'm glad to know it isn't a huge mistake. Thanks!

  • april25
    april25 Member Posts: 772
    edited December 2014

    Well... Port is now in. They didn't have mini-power ports, they have to be special ordered, so I've got what they had. It's currently a bit itchy and looks like I'm getting a big bruise... I should tell them, although it's hard to know who to contact. But it's not painful... just can't move neck or arm much, but that's mostly because of big bandages they had to put on to try and stop bleeding...!

    PET scan... out of pocket. Good news-- no signs of organ involvement... Bad news-- they found Coronary ARtery Calcification! Out of pocket MO says to get to a Cardiologist!

    My sister went with me to buy rather expensive (for me! --I'm a bit of a cheap-skate) wig.

    I started taking the steroid pill things DEXAMETHAZONE today.

    Chemo starts early tomorrow.

  • Nancy2581
    Nancy2581 Member Posts: 1,234
    edited December 2014

    April good luck with your chemo. I will be thinking of you. Glad you were able to get your pet scan . I am not really sure what coronary artery calcification is, but I hope it can be dealt with easily. As for the port - you will love having it. I did have some pretty good bruising with my port when it was put in. Now I don't even know it's there. Your oncology nurse can look at it tomorrow for you. You'll do fine tomorrow. Hang in there.

    Nancy

  • april25
    april25 Member Posts: 772
    edited December 2014

    Nancy2581 -- Thanks so much for the good luck wishes! I'm hoping things will start running a bit smoother for me once treatment starts. They say the first Chemo isn't usually too bad. At least the white blood cell count isn't as much of a problem until later (I hope!).

    Thanks also for telling me you bruised after the Port. I'm sure it's natural, given that cutting into the body isn't going to make it very happy! --but it's hard to tell what is normal and what isn't sometimes. You are very reassuring. I'm glad that there isn't pain involved so far!

    Coronary Artery Calcification means, I THINK, that I have Coronary Artery Disease-- That the arteries are getting clogged and hardening! Usually it leads to things like By-Pass surgery. My dad had a quadruple-by-pass when he was in his 70s... so I guess it's in the family... but I was hoping to have it when I was a tad older!!! He was a smoker, too. And sedentary. And ate whatever he liked!!! And I was neither a smoker or as old, although I'm not terribly good at exercise, and I had a decent diet, but it always could have been healthier. Oh, well!

    Heart Disease has been very common. I think it's the #1 way to die in the US? At least I didn't have to have a heart-attack to find it. A friend of mine just went into the hospital with chest pain and he found he was having a heart attack and had to immediately get a stint put in his artery. That may be in my future! We'll see. Hopefully it will wait until after the Chemo!!!!j

    -----

    ANYONE --??? -- How do you get those nice, helpful Signatures? I've written a basic one, but don't know how to format it. Does this board use html? Or BBC? DoI have to code myself? Or is there something I'm missing? I see that the DIagnosis part of the Profile can be made public, but don't see the parts there for Treatment, etc.

    Thanks!!!!

    You all are wonderful!!!!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2014

    Sending good thoughts your way for tomorrow April!

  • april25
    april25 Member Posts: 772
    edited December 2014

    Thank you, SlowDeepBreaths.

      I'm several hours into chemo now.  They explained a LOT of atuff to me.

    The port worked.  It didn't hurt accessing it.  They used lidocaine creme, but didn't even wait a whole hour and still was fine.  They infused benedryl first, which made me drowsy, bit am more awake now.  So far so good.   Hopefully first cycle won't be so bad!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2014

    Don't forget to drink lots of water!

  • Nash54
    Nash54 Member Posts: 837
    edited December 2014

    Wow!!! April, what a whirlwind this has been for you...I've been off the boards for awhile and was just getting caught up on your journey. Praying it's smooth sailing from here on out for you.

    (((hugs)))

  • april25
    april25 Member Posts: 772
    edited December 2014

    Thanks for the thoughts, kayb !

    Nash54 -- Thanks for dropping by with the hugs! *hugs back!*

    -------

    Well, today was my first Chemo day! And as I thought, it was more relaxing than it's been for me lately. I was in the infusion center from 9am until 3pm! The first doses are the strongest, I think. My port worked, despite being put in two days ago. They used the lidocaine cream and I didn't feel a thing. I got benedryl first, which made me drowsy for a while, but I was awake the whole time. I think they had me take some other pills... not very clear because the person in charge of the clinic sat down with me at the beginning and tried to explain everything--now I have tons of notes and am still trying to absorb it all.

    I had an appointment with the Radiologist afterwards. He was very informative about it. I still don't know if I'll get radiation for sure because I have to get through Chemo and then decide what kind of surgery--but it's likely no matter what.

    I was feeling OK so my sister and I went to dinner.

    Now I'm feeling a slight burning in my stomach... not nausea, maybe more irritation? The chemo does attack the stomach linings, so maybe that's it??? I really don't know what to expect! I feel like something could happen at any time, but I don't know what...

    I might take some of the Zofran I was prescribed, although it was "as needed"... and maybe a Zyrtec? I'm not sure. But so far, nothing bad has happened. Several people I know said they felt nausea after the first round, but got used to it or

    I have to start shooting up Neupogen on Friday, though. I've heard that can have some side effects--and sticking myself with needles will be a new fun thing for me! (not) But what can ya do? At least I hope it will be worth it and my white blood count stays in a good range!

    I guess my hair will start falling out in a week or two. That will be "interesting"!!! But I have a wig already! It's much nicer than my own hair which as been thin forever and more thin through menopause and stressful times. And of course I've been dying and highlighting it, so it's really mostly salt'n'pepper which is not quite the image I want to project yet (I still feel young, so why push it?). So I'm wigging it as soon as I need to! And I enjoy buying accessories, so that was fun. (Although very, very expensive! But everyone said to just splurge, since there's little to splurge on that's fun in this process.)

    Anyway--it's good to know that I've finally started treating the cancer! It's still a scary, complex process, but it's one that has to be taken, so I'll just deal as best I can. I'm fortunate to have insurance and a helpful sister (still bossy, and annoying, but relatives! you can't pick 'em). But she's cleaning up my messy house, which is nice... but I'm pretty sure I'll go back to my bad housekeeping ways afterwards!

    ---

    Thank you all who have dropped by here. I couldn't do this without you! Hopefully I'll get to the point where I'm not a newbie and can try helping out and paying it forward some day!



  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2014

    Checking in to see how you're doing April?

  • april25
    april25 Member Posts: 772
    edited December 2014

    SlowDeepBreaths -- Thank you so much for checking on me! You are so sweet!

    I took something for my stomach... Zyrtec? And also an antihistamine, since I have dust allergy, and my sister is totally cleaning up the house for me (and kicking dust around... I was sneezing all night before the chemo!). But hey, I can't complain about her being my personal cleaning service! She's on a total campaign to make sure I get through this (being my only sibling and only close family member, and we're only a year apart in age). I couldn't possibly be as helpful to her--she is a dynamo!

    So far I haven't had any huge nausea problems. I took a zofran? yesterday, just in case, but I'm fine today. Just some flushing in my face!

    My port is healing up OK, I think. I can hardly wait until I can take a shower.

    So far, my appetite is OK and energy is OK.

    I'm not looking forward to the Neuopogen shots... but I'll just deal.

    Thanks SO much!!! Much love to you! :)

  • SpecialK
    SpecialK Member Posts: 16,486
    edited December 2014

    april - the regimen you are on is not as prone to cause nausea, but can cause some GI issues, and also bone pain.  Be careful with the Zofran - it can cause a headache too.  Some get a headache on their first chemo - possibly because it is the loading doses, but they don't have issues on subsequent infusions.  The flushed face is most likely a side effect of the steroids - it usually lasts about 24-48 hours, and kind of feels and looks like a sunburn on face and sometimes chest.  This is a common side effect and will dissipate on its own.  The antihistamine should be taken (usually Claritin, but Zyrtec works for some) prior to the Neulasta or Neupogen to help with the potential bone pain from that injection, and you should continue it for several days or as long as you are doing the Neupogen.  The drug is helping your bone arrow to produce additional white cells, this is to protect you from opportunistic infection, and as the marrow expands it can cause discomfort.  Aleve seems to work best for this type of pain, if you do experience it, and also a hot bath.  Ask your oncologist what you can take though.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2014

    April, I also had the flushed face. It is caused by the steroids. I get it when I get a steroid injection too. Mine was usually gone by the next day. As SpecialK said, digestive issues are common. Some people get very loose bowels, and some go the other way with constipation. I had severe constipation.

    It's nice you have someone there to take care of you. Sending good thoughts that your SE's stay minimal!!

  • april25
    april25 Member Posts: 772
    edited December 2014

    SpecialK and SlowDeepBreaths -- Thanks for the info! I had no idea what to expect after my first Chemo session. I was wondering if and when I was going to start feeling nauseous... I think they gave me some zofran during the chemo. I didn't get a headache even when I took one at night, just in case. But I think I also took a Tylenol, so maybe that stopped it?

    The loading doses took a long time! I almost missed the Radiologist appointment because someone didn't expect it to take so long (I told the Radiologist that someone in his appointment department said I'd have no problem at all making the appointment--so it wasn't my fault--I was kind of joking, but really! Not my fault!)

    I think the face-flushing is starting to go away. Got a bit red for a while, and was mostly just warm in the face (some on the chest)... it wasn't terrible, though. I'm glad it doesn't last so long, though. I guess I'll get it back again the next time, though. But at least I'll know what to expect, more then.

    I'm doing Neupogen for 5 days, I think! So antihistamines during all that time? ... I was looking through my notes and I'm not sure the managing nurse at the chemo clinic mentioned what to take for Neuopogen side-effects... --Oh-- found it. She said to take Tylenol if there's pain. She said to do the shots at night and hopefully I'd sleep through the worst of it!!!

    Thanks for the explanation of why the Neupogen makes bones ache. That was interesting. And it's good to know why something is happening.

    Oh, the nurse said the Carboplatin can cause nausea. But hopefully, since I escaped being sick this round, it might not be bad the next times.

    Sounds like the Nueopogen might be worse, SE-wise, than the chemo! Well, I'll see, I guess!

    Thank you both for your help. I've been so busy just getting to this point that I hadn't had too much time to find out about the whole Chemo process. It's great to know what to expect, particularly with this particular regimen.


  • Kicks
    Kicks Member Posts: 4,131
    edited December 2014

    Did you have morning sickness or not during pregnancy? There seems fo be a correlation beteeen rather or not you will have nausea issues from chemo and how bad you had morning sickness. I had no morning sickness wifh either of my boys and had no nausea at all with A/C and Taxol. I even quit taking anti-nausea meds 1/2 way through Taxol with no problems.

  • april25
    april25 Member Posts: 772
    edited December 2014

    Kicks -- I've never had kids, so I wouldn't know (and it's one of the things that put me at higher risk of BC, but what can ya do?). SpecialK says that TCH/P chemo isn't too prone to nausea, so that's a relief. The stomach/GIT issues, well, I'll have to see how that goes. So far I'm only getting a slight burning feeling in my stomach that the acid-blockers help with. I'm feeling a little tired, but I think that could just be due to having been running about like a madwoman for a month getting tested and figuring everything out. I'm actually letting myself be able to feel a little tired and slow down, now that some things are more settled...

  • Kicks
    Kicks Member Posts: 4,131
    edited December 2014

    Not having had kids does increase 'risks' as does not having kids before 30 (I was 31 and 32) and not breast feeding (I didn't). Just a thought to have passed on.

  • april25
    april25 Member Posts: 772
    edited December 2014

    Yeah... I definitely thought all about the risks when I first found the lump in my breast. I thought: Oh-oh. I'm over 55. I never breast-fed. I didn't have kids before 30 (or at all). I had aunts with BC on both sides of the family. Not a LOT of cancer in the family, but enough... and the age I was--it was just too much to ask that I would suddenly have something benign when I'd never had any lumps or cysts ever before... So the DX was shocking, but not really a surprise. And it's something like 1 out of 6 women these days, right? Crazy, bad odds of it, it seems.

  • clarrn
    clarrn Member Posts: 557
    edited December 2014

    Don't beat yourselves up ladies. I had my daughter at 27 and breastfeed until she was 17 months old and said 'thank you mommy.' one day after feeding her. And I still got it. It is unfortunately not foolproof :)

  • voraciousreader
    voraciousreader Member Posts: 7,496
    edited December 2014

    Had all my kids before age 30 and breastfed. No family history either. Risk factors? Ha!

  • april25
    april25 Member Posts: 772
    edited December 2014

    Well, it's true-- no one is totally safe even if there don't seem to be any risk factors. And people with a ton of risk factors can manage to get lucky and never have BC! There are so many factors involved. Plus--a lot is just getting older and having cells go wrong for various reasons. Just look at the stats for BC... it is so high in women (and some men). There's probably environmental factors and dietary factors and regional factors. And maybe weird little genes that no one has figured out. There's still so much that is unknown and just being researched.

    Hopefully a lot of that research will get results in the near future so people without it can benefit and people who have bc can also get targeted treatments and different kinds of treatments, rather than just the same chemo and radiation. We can only hope, anyway!

  • Nancy2581
    Nancy2581 Member Posts: 1,234
    edited December 2014

    April so glad you got the first chemo over with. That was the hardest one for me just because I was scared to death. After the infusion I thought sheesh that wasn't so bad. How are you feeling? Oh and I see you are in Southern CA. Me too - I am in San Diego

    Nancy

  • april25
    april25 Member Posts: 772
    edited December 2014

    Hi, there, Nancy2581!

    I'm in So. Orange County (Irvine), just an hour and a half from San Diego. I love San Diego. I have friends down there and it's just a great area. I also used to go to Comic Con a lot.

    I'm still figuring out the whole Chemo thing. I've only had 3 days of it and just took my first Neupogen shot last night... so it's still a big mystery as to how it affects me. I'm feeling a little tired today--got up really late! But no major aches and pains, which is great. Slightly unsettled stomach and not much appetite, but if that's the worst, I think I can deal with it. Some people say the first chemo is tough, but others have a harder time farther along. I guess I'll just have to see how it goes!

    Not looking forward to my hair dropping out, but I've got a wig already, so I think the transition from hair to wig will be the most unsettling time.

    Thanks for dropping by, Nancy! I hope you are doing well, and that your radiation goes easily.

  • april25
    april25 Member Posts: 772
    edited December 2014

    kayb -- My sister has been getting a bit grumpy at me because I only had a cup of yogurt so far, today. I know I have to eat... I'm not feeling nauseous, but my stomach is feeling a bit unsettled. I'll try and eat something more. My sister has stocked up my fridge with almonds and cheeses and snacks. She's really going all out with this! Keeps trying to get me to keep hydrated, etc. She's been here all week, cleaning up and sorting through things. I'm totally spoiled!

    Thanks for reinforcing how important eating is right now. I'll definitely try to make more of an effort. Maybe taking another acid-blocker will make my stomach feel a bit more receptive!

    I really appreciate your help! It's just so easy just to curl into a ball somewhere and just try to sleep it all off... but I know that's only good for some things... have to keep up with the rest (eating, drinking, etc.) too. Thanks!

  • april25
    april25 Member Posts: 772
    edited December 2014

    Tried to eat and got sick for the first time. I felt better right after... it was weird. Took a zophran. So now I know that the burning feeling can lead to nausea. And I really need to figure out how to get more protein down!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2014

    Just checking in on your April. Hope all is going well for you!

  • april25
    april25 Member Posts: 772
    edited January 2015

    SlowDeepBreaths -- Thanks for checking in with me! You are so sweet!

    Well... I had a bit of a crash and burn. Christmas Day my power went out (100 homes) for 12 hours! So I thought I'd curl up with a protein shake and drinks... BUT it wasn't enough.

    I had an appointment with my new (formerly my 2nd Opinion doc) the next day, but it's all the way in town. I was feeling so out of it, I took a taxi (1 hour drive... so it was expensive). New oncologist said I was dehydrated and needed to get an IV in right away--either urgent care or ER, probably ER. So I went all the way back home to the ER there on Fri. the 26th. They admitted me and I was in the hospital until Monday the 29th--8pm, getting IVs and Potassium and a bunch of blood tests until my arms looked like a very bruised pin-cushion. (Infusion clinic was one floor below, but everyone in the ER liked using IVs and blood draws the regular way.)

    I did a follow-up visit to a doctor (general), today and had to get another IV drip.

    Pretty much, I guess I don't need to worry about nausea so much as losing all fluids the other way! I'm on max. anti-D meds and it's barely controlling it. But am trying to suck down pedialyte to try and keep me hydrated.

    At least I now know I need prescription-strength anti-diarrhea meds! And electrolytes. I'm hoping I can head things off before things get so bad the next time.

    Aside from that, and feeling a bit fatigued from the dehydration, I feel pretty OK. Low energy, but not sick or dizzy or uncomfortable.

    ... I still have my hair, but I think it's starting to come out...

    ---------------------

    I hope you and everyone else had a nice Christmas! Or other celebrated holiday!

    And I hope everyone has a Happy New Year!

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited January 2015

    Happy New Year! April, glad to hear that you're on the mend. Hopefully, your next chemo will be easier now that you know how you react to it. BTW, ER personnel don' "like" to use veins, they are just not certified to use ports. The goal in the ER is to get things done as quickly as possible. After all, you are there for an emergency. Using a port involves a bit more time and prep, two things that ER nurses are less concerned with.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2015

    Happy New Year April. So good to hear from you!

    Oh boy....the dreaded D. I went in the opposite direction and ended up in the ER with a bowel impaction. Funny how our bodies react so differently. I do hope they get a handle on it for your next treatment. If my calculations are correct, your next one is Jan. 7th?

    Happy to hear your doing well in all other areas. My hair fell out exactly two weeks from starting chemo. I went to wash it and it all just came out. It was very shocking - I thought it would be more gradual. I never did lose it all completely - I had ostrich fuzz all over my head.

    One round behind you!! Keeping you in my thoughts!!

  • april25
    april25 Member Posts: 772
    edited January 2015

    exbrnxgrl -- Yeah... the surgeon who did my port placement warned me that most everyone wasn't qualified to use the ports and that it was likely that I wouldn't be avoiding all those needle-sticks that happen outside of the infusion center... I just have to complain about it because I am now seriously in pin-cushion territory after my hospital stay and then another IV yesterday! The poor tech/nurses had to hunt down a vein... I had bandages on both arms before they got one! Ah, well... At least no vein-collapse yet... And of course the dehydration didn't help with the vein problem.

    I just had to chat at them (nurse/techs) about all kinds of things. I get very chatty when I'm nervous... I was talking all through the Port placement! Poor guy working on me just had to put up with it. And you can see I am chatty, here, too. It's a great stress-reliever!

    SlowDeepBreaths -- Heh... yeah, I was worried that they'd fix up the D so well that I'd have the big C! But so far--not happening. Still too much D, even with me taking a TON of meds. It's beginning to worry me. They are now doing more tests to see if it's some infection or something--but I'm pretty sure it's just the chemo. They just tested me while in the hospital and found nothing... Ah, well. (Maybe if it CAN be fixed by antibiotics, that would be good, too!)

    Yep-- 2nd Chemo is scheduled for the 7th! I hope I don't have to delay it because of the D, though. :(

    (weird that I WANT to do the stupid chemo... but that IS the important part... I really hope my SEs don't get worse from here, though... !!!)

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