Starting Chemo January 2015

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  • kbram
    kbram Member Posts: 185
    edited January 2015

    Hi everyone!

    I am new to this thread but not new to breast cancer.  I first had breast cancer back in 2008.  Went thru double mastectomy, chemo and reconstruction.  In addition, I took aromasin for five years.  At year six, my cancer came back!  I was one of the 1% that has recurrence after a DM.  It was in my chest wall.  I had surgery to remove it and will start chemo on January 21.  I will have a port placed this Thursday, the 15th. 

    I was completely numb when I found out about the recurrence!  I thought certainly that the lump I felt was scar tissue!  What 1%?!!  Me??!!  Not sure I completely accept it yet.  I guess because of this, I really have told only a few close friends and, of course, my family.  The look on my older daughter's face when I told her was heartbreaking.  Truly everyone was shocked.  Even though I have known about this for a couple of months I still can't bring myself to tell friends.

    Anyway, back to present day.  I am gearing up for the weeks ahead and would love to join your group of warrior women.  Good luck to us all!

    Hugs, Kathy

     


     

  • hopefulmomof3
    hopefulmomof3 Member Posts: 24
    edited January 2015

    Just wanted to chime in. I'm on my way to get my port in.Starting chemo on Jan 15. AC x4

    I am so glad that this forum exists. The support that I have found here is great. Not looking forward to chemo but thankful that I have this network of support to guide me through.  Hugs

  • RV6gal
    RV6gal Member Posts: 331
    edited January 2015

    kbram, you are absolutely welcomed to join this thread. I am so sorry you have to deal with this again. Did you find the lump yourself or was it found on tests?

    fyre999, I'm so glad you have a chemo start date now. I know I felt loads better once the plan was in place and I hope you do too. Good luck with Chemo#1 tomorrow. Happy Anniversary as well!!!

    hopefulmomof3 - Hope your port surgery goes real well. I am getting a little anxious about getting mine done on the 14th. I was thinking last night that I will likely have to learn another way of sleeping again. That has been one of the tougher things to deal with for me!

    Wishing everyone a great day!


  • kbram
    kbram Member Posts: 185
    edited January 2015

    RV6gal, I found the lump myself one day in the shower!  It was on the very outside of my implant almost under my armpit, but down a couple of inches.  All doctors from my PCP, breast surgeon, MO and radiation oncologist could not believe I could find it as it was very, very small.  Just around 4mm!  I even had to show the MO several times before she could feel it!  The moral of the story is be very mindful about checking yourself!  In addition, my MO said that the lump formed while I was on aromasin.  That is a scary thought!

    The plan is for four AC treatments, every two weeks, 33 radiation treatments (I did not have it the first time around) and another aromatase inhibitor for five more years.

    Thanks for the welcome!

    Kathy

     


     

  • RV6gal
    RV6gal Member Posts: 331
    edited January 2015

    Kathy, thanks for sharing that information. I thought it more likely you found it and I'm glad that you did. 4mm is small so finding it is pretty impressive. It does prove also that we have to be vigilant about checking and knowing our bodies.

  • Cherylfg
    Cherylfg Member Posts: 97
    edited January 2015

    Good luck to everybody who is starting this week and welcome to all of the new members!

    Today is day 5 for me and I feel so much better. I still have some nausea but my energy is back and the pain from the Neulasta shot is gone. I think some of my nausea is from anxiety. I'm anxious I'm going to be nauseous, which makes me feel nauseous. I've always been sensitive to nausea, so I'm not surprised about it.

    Did anybody else have pain from their Neulasta shot? I took Claritin but I don't think it helped too much. I'm going to try Zyrtec for the next round and see if that makes a difference.

    Is anybody else having weird food cravings? All I want to eat is boxed mac and cheese, which is not something I normally eat. I craved it a lot when I was pregnant with both of my boys. My husband joked that I am eating like a pregnant woman again. I'm still trying to eat well but that mac and cheese sure hit the spot!

    How is everybody else doing today?

  • Beachbum1023
    Beachbum1023 Member Posts: 1,417
    edited January 2015

    Hi Cherylfg, glad you feel better! I also had the bone pain with Neulasta, but it was more pronounced with Taxol rather than the AC. What really hurt was my brain when I saw the bill for Neulasta! Wow! I took tylenol and Claritin with the AC, but switched to Tylenol with codeine when I had to with Taxol. When I had the last of 4 Taxol, we reduced the Neulasta to 1/2 dose to cut the pain. But everyone reacts differently.

    Mac and cheese was my best friend, I love the one they have at Trader Joe's. I also craved mandarin oranges, 100% grape juice, cold water, celery with ranch, and bananas. Weird to me, but the nurses were happy I didn't drop weight eating such a diet. I just added to it when I felt better. Toast and soup, grilled cheese, and baked potatoes. But I got through all of the treatment. I usually ate during chemo so my stomach wasn't empty. Jello, vanilla pudding, and pretzel sticks, fruit. Small amounts but it worked well for me.If you are nauseous maybe you need a different drug? I took it every morning/as needed for 4 to 5 days after chemo. My nurses told me to take them as soon as it started, and not wait. Since I hate that feeling, I just had a regular schedule and followed it to keep the SE's away.

    I'm doing well, just waiting for the Doc to call so I know if I have chemo again first or rads first. The waiting game begins..........

  • goldenpawsKim
    goldenpawsKim Member Posts: 165
    edited January 2015

    Hey girls - I'm 4 days out from first treatment (TC) and seem a little better this afternoon. Woke up dead tired again this morning but seem to be better now. No SE except tired & a bit achy from neulasta injection. Took Claritin & Tylenol seems ok. My tongue feels weird & taste is off but if that's all, I'll take it. Good luck girls. 1 down, three to go. :)

    HopefulMom - hope all went well today!!

    Cheryl - we're almost on same schedule just different drugs. Glad you're feeling better :)


  • spookisgirl
    spookisgirl Member Posts: 96
    edited January 2015

    HI all,

    Oncology appointment went well, so now I am just trying to process everything. I should be starting chemo late next week, provided my incision from my surgery finishes healing this week. I am doing 4 cycles of AC followed by 12 weeks of Taxol, followed by 5 years of Tamoxifin. 6 weeks after finishing I am going to have my double mastectomy and reconstruction and it is looking like I will be doing some radiation, likely under the arm 6 weeks after that. I had already decided to have the double mastectomy, but the doctor today said that if I wasn't she would be recommending at least a single mastectomy because of how close my margins were (one was only .5 mm). I may have to travel to Vancouver for a PET scan to have a closer look at the 'spot' on my bone scan.

    Got a whole slew of prescriptions for anti-nausea meds today and had my first bloodwork done. I also decided to have a port, which they are hoping to put in sometimes next week. It shouldn't interfere with Dance so that's a great plus!

    Just waiting to hear when my appointments will be to get started. Should see the doc first thing next week to get my CT results, and see if my incision is healed enough to start. Had a look at head coverings today and really like the turbans, that is probably how I am going to go.

    Really glad to have an idea now of what to expect! CT scan tomorrow, and I hope that goes really well!

  • kbram
    kbram Member Posts: 185
    edited January 2015

    My first go round with chemo, I craved vanilla ice cream with chocolate syrup!  I wonder what it will be this time!

    Went for blood test this afternoon so that I can get my port put in on Thursday.  Everything was uneventful but the fact that the oncology waiting room was packed.  I felt like I should have had a mask on.  My worse fear is getting the flu or one of the many viruses floating around.  I did get the flu shot, but we all know how that has turned out.  I live in Georgia where the flu has been rampant over the last couple of months.  Here's to healthy treatment days!  I couldn't imagine the flu on top of chemo side effects!  Stay healthy

    Kathy

  • Lrwllms
    Lrwllms Member Posts: 9
    edited January 2015

    day 3 of chemo I'm very weak. It could have came from my shot on Saturday. (Neulasta)...So far, it hasn't been too bad. My taste buds are still there, but I can tell a change in some taste. I did go back to work, but I know my body and know when I need to sit down and rest. My bowel movements have been normal and no nausea yet (thank God

  • Beachbum1023
    Beachbum1023 Member Posts: 1,417
    edited January 2015

    Lrwllms, did you try Claritin to help with the Neulasta? I always took it 1 hour before the injection and used it usually 4 days. It helped me.I hope you feel better soon!

  • LakesideWLabs
    LakesideWLabs Member Posts: 29
    edited January 2015

    tennisfan- love your post! Great advice.

    Mommacat4- I am planning to work 3-4 days/week but it's still too early to tell if this is realistic for me. I'm trying to delegate which I've never been too good at so we'll see!

    A question For Jan sisters on THP: are you experiencing face "flushing"? My cheeks get bright red (this started a day or so after treatment) and are really hot to the touch. I don't have a temp, don't get sweaty, don't get hot anywhere else ... so not sure if this is a hot flash ... I feel a little silly/naive asking ..but you ladies don't judge 😊

  • Beachbum1023
    Beachbum1023 Member Posts: 1,417
    edited January 2015

    My face turned bright red following Taxol also. Usually lasted about 24 hours.

  • LakesideWLabs
    LakesideWLabs Member Posts: 29
    edited January 2015

    thanks Beachbum. Helps to know I am not alone

  • cubbieblue
    cubbieblue Member Posts: 68
    edited January 2015

    Ladies, about the face flushing...

    I had it too and I am on T&C.  The nurses told me it is due to the steroid they pump prior to the chemotherapy drugs. 

    Hope everyone is feeling well.


     

  • Lrwllms
    Lrwllms Member Posts: 9
    edited January 2015

    I didn't try Claritin before the shot, but I do feel better, just a little week.no nausea or other side effects though, thank God

  • Tennisfan
    Tennisfan Member Posts: 114
    edited January 2015

    Bonsoir ladies!

    Wow - we have grown to quite a nice community in such a short time!!! Welcome to everyone who is new and a special thought for Kathy who is going through this again with a big smile on her face - we can see it all the way from Canada! You're such a trooper :0)

    I am writing you between two batches of...you guessed it, kale chips :0).

    So my two fab news of the day are that my colonoscopy was completely uneventful (don't ever let anyone tell you that the prep or the exam is painful - at least in my experience it wasn't at all). I measure everything relative to chemo SEs now so I would consider this exam a complete walk in the park, even if I haven't started chemo treatment yet. One less cancer to worry about :0)

    Now, the bigger news is that I received the news today that I will receive Herceptin as part of the clinical trial that I am in. The story is that I am an HER "low positive" (1-2) while they typically give Herceptin only to truly positives (3 and up). So they have noticed in the past that giving Herceptin to low positive did have an important impact on the HER protein. Hence I was really hoping to be part of the 50% who get Herceptin for a year versus the 50% who don't, although the impact has not been studied formally on low HER cases like me. i just figured it cannot hurt to try killing something (the HER protein) that is not good for me lol.

    Today was a big day as I also got my pre-chemo meds from the doctor: Emend and Dexamethasone for the first three days (I was told they work better together) and Prochlorperazine (instead of Ativan or Zofran) for emergency nausea cases. I am REALLY hoping that I won't have to take the latter, as all those "emergency" solutions are actually primarily used for anxiety disorders, so they come with a slew of SEs, including depression (at least in the case of Ativan). So you end up combatting something that creates something else... Not a big fan of that :0( but I know that I will likely have to forgo my "principles" for the next six months and just go with the flow...

    My doctor walked me through the meds as if it were almost nothing... He said only 20% of people get nausea SEs so I should not worry too much about it... Well I beg to differ but I am ready!

    So I am almost looking forward to my first cocktail on Friday - I want to see what this beast is made of - and have stocked my pantry with every possible bland thing I can think of, especially saltines, apple sauce, pretzels, tapioca, etc. We might have to do a craving contest!!!

    I wish you all a good, restful night and the best possible day tomorrow.

    Marjorie

    P.s. Would love to hear from Tambeth and also from Mommacat4 to see if she found some solutions yet?



  • mommacat4
    mommacat4 Member Posts: 215
    edited January 2015

    Hello ladies, it is great to read all the posts and see all the positive energy here. It keeps my spirits up. I am getting tired of all this hurry up and wait stuff. The anticipation of the treatment and cancer and outcome and end dates are very taxing on me. Maybe I should try taking it one day at a time.

    To all you new ladies, glad to have you here as new friends.

    Justkeepswimming, you and I have very similar diagnosis and treatment. I have delayed my first treatment which was supposed to be last Wednesday so now my first treatment will be this Wednesday. I don't know if I am scared or looking forward to it. I know the sooner I start the sooner I can finish.

    The exercise idea is a good one. I need to begin an exercise regimen but don't seem to find the time. I just need to make the time I guess. Your input gives me hope and encouragement. Thank you.

    I have already went shopping for a wig. I found one. But I will only wear it out. The rest of the time I think I will wear a scarf or hat. I did get a little head cover for when I am sleeping because I have always had long hair. I just recently cut it and donated it to locks of love. That is a company who makes wigs for children. I figured I would donate my hair so someone else can get some use of it before I tainted it with chemotherapy. My 15 year old daughter also donated her hair. Her hair was down to her waist and now it is up to her shoulders. My other 2 daughters are going to cut their hair but theirs is not long enough to donate. And my son wants to also shave his head. I told them to wait until I loose my hair.

    Ladies, the tips about controlling constipation are all great tips. I will consider all of them. Lol. I forgot that anesthesia makes me constipated. When I had my port put in I didn't think about it. Usually I take a stool softner but by day 4 or 5 I figured it out and drank extra coffee... coffee is a natural diretic. But I have been told that caffeine will not be a good combination with chemo.

    Thank you ladies for sharing your progress.

  • dstar
    dstar Member Posts: 72
    edited January 2015

    PMR53 - How did your first day go? Are you OK? Good to read everyone's posts. Welcome to everyone new. I am glad many are feeling better now. Glad your test was clean, tennisfan.

    RV6Gal, I also walked two miles today also. It is getting much easier, 6 weeks after surgery. Going to do an extra mile tomorrow and work up to 4 miles a day which keeps me baseline fit and feeling good. Hope to keep it up during chemo and keep the weight gain from happening.

    Ordered my head scarves today. Trying to find a place to shave my head the morning before chemo. It does fell more powerful to decide to have it shaved instead of it all falling out - I find that idea to be depressing.

    This weekend I shop for all my chemo stuff. Man. It's a lot of stuff, but I know now what I will need! Thanks for all the detailed posts everyone. I love the tip about cold stuff to eat, Beachbum. Popsicles and jello, that feels right to me. It's weird, I got really angry today about having to do chemo, guess I am still coming to terms with it. But I looked on the website that calculates, based on my cancer, how the chemo (plus hormonal treatment) will change my mortality rate. Without it, in 15 years, I have a 68% chance of dying from cancer. With it, that drops to about 18%. You pay your money and you take your chances. I will take mine with chemo. I have some living left to do!

    Also, I contacted LiveStrong online (they have a simple intake form to fill out) and they got back to me with all kinds of information. For those of you confused about any part of your treatment, they created a referral to a group, NavigateCancer (?) who will let me consult with an onco nurse via telephone (for free) about any aspect of my cancer, from understanding tests to the treatment plan, SE etc. It all happens so fast, seems like a good place to go when questions come up or for a second opinion. Also, I have available some short-term one on one counseling via telephone. Also, they offer a 12 week program at some YMCAs for people transition from treatment to their "new normal", as well as nutritional info etc. Maybe even some possible financial counseling to help manage expenses. Seems like good support. Because we can use all we can get!

    Keep on going, ladies, keep on going.

  • PMR53
    PMR53 Member Posts: 452
    edited January 2015
    • Good morning Dstar. Thanks for asking. I made it through first chemo. Very long day 8 to 5. Met with MO and she said I am getting Perjeta along with Taxotere, Herceptin and Carboplatin. If my SE are bad at all meaning Diarrhea. She is taking me off She said my lymph nodes are negative so it would be okay. Thoughts? Just taking me off Perjeta only if bad SE.

    Mommacat4. I had same constipation issues last week due to pain meds with port last week. I went 2 days and then drank Senna tea. It got everything moving pronto.

    They gave me Benadryl, Aloxi and Emend as pre chemo yesterday. Right now I am not nauseous. I am drinking my coffee. I got some Gin Gins and sucked on that before I got out of bed. I am not taking the rest of my steroids. Do not like. I was given 1 prescription for nausea if needed. Proclorapherazine.

    i am astounded at the amount of drugs pumped into me, oral meds and vitamins I am supposed to take. Ugg I have never in my life taken so many pills. The ND I saw prescribed a bunch of stuff too. It was approved by MO.

    Tennisfan glad your colo went fine. I had one of those a few years back and I agree it was a walk in the park.

    My goal today is drive 30 miles by myself to get my Neulasta shot. Not have nausea and enjoy the hair on my head. It's days are limited. 🙆 my wig is coming soon. I ordered a cap with hair too. Oh and a sleep cap. I am not a scarf person.

    Ladies keep on keeping on. This is our new normal but not forever.

    Thanks for all the tips. Thank you to Special K. She is a great advocate for all of us.

    PMR53

    Just call me Patty

    Ps my nurse yesterday had what is called compassion fatigue. She just ripped the bandage off a fresh surgical site to deaccess port. I said ouch. She didn't even say sorry. She did not use alcohol wipes when she hooked on each different bag to current tubing either.

  • PMR53
    PMR53 Member Posts: 452
    edited January 2015

    tennisfan

    I was given Ativan and it has really helped me get through all of December. I was crying constantly and really helped me. I don't need it as much now. It works as anti anxiety and diarrhea too. I was so upset with this diagnosis and was a mess. Just bawling at the doctors office. if you don't need it don't take it. But it helped me to level out my emotions and stop the waterworks.

    Patty

  • PMR53
    PMR53 Member Posts: 452
    edited January 2015

    lakeside no flushing yet!! We have similar diagnosis. Mines bigger though. Haha.

    Patty

  • PMR53
    PMR53 Member Posts: 452
    edited January 2015

    Cherylfg. So glad you are feeling better!! Giving me hope for this ! Going to get Neulasta shot later. A couple of ladies crave Mac n Cheese. I have a great crockpot recipe. Easy and yummy. I can post it if you want.

    Patty

  • dimccleland
    dimccleland Member Posts: 59
    edited January 2015

    Hi ladies ... sorry I haven't been round much. I am finding things quite tough going at the moment, but must admit that reading all your posts and seeing how well you are coping with the chemo is inspirational. I've had two false starts now and it looks like I may have to opt for surgery first and chemo later if my liver doesn't settle down.

    I was due to start chemo last Tuesday (the 8th) but my liver enzymes were on the high side and the oncologist postponed it to Sunday this week. When I had the blood work done my liver enzymes were off the chart - more than 5 times what they should be so no chemo again. My oncologist referred me back to my rheumatologist (I have Ankylosing Spondylitis) who referred me to a liver specialist. He seems to be concerned that the cancer cells may be infiltrating my liver which and ordered an ultrasound yesterday. The ultrasound showed that my liver is slightly enlarged and the specialist then ordered a whole load more blood tests and a CT scan. I had the CT scan today and am now anxiously waiting for the results.

    Both the oncologist and the breast surgeon are in agreement that the chemo cannot go ahead until my enzymes come right down and it may be that have the surgery next week and the chemo later. The other alternative, if the enzymes start coming down is to start with the Taxol component of the chemo first and follow it with the AC component but my oncologist says there has to be a huge improvement in the enzyme levels before she will even consider that.

    When I was first diagnosed, my initial reaction was that I wanted a mastectomy immediately but then when my surgeon told me that there was a good chance we could shrink the tumour with chemo and just do a lumpectomy, I was very happy. All of sudden, the thought of having a mastectomy again terrifies me.

    My oncologist keeps on telling me to focus on the positives but at the moment I am really struggling with this. Sorry to be such a moaner today but I just needed to vent. Hopefully, I'll feel a little more positive tomorrow.

    Hope you all have a wonderful day xx

  • Cherylfg
    Cherylfg Member Posts: 97
    edited January 2015

    dimccleland-I'm sorry to hear about your liver enzymes. Once they have figured out what is going on, what will they do to help? I have been thinking about you. Definitely feel free to vent here as much as you want. I know we are all here for you and want to support you.

    Patty- I feel even better today, so there is definitely hope! Yes, please post your crock-pot recipe. How do you keep the noodles from getting mushy? I'm always looking for more crock-pot recipes.

    Also, Patty, I'm sorry to hear about your nurse. I have four siblings who are nurses and am a huge advocate for nurses but the one I had on Friday, was not my favorite. I felt like she was not listening to me. My brother, who is a nurse, had come with me on Friday for my IV fluids, was surprised too. I spoke to my MO's nurse and asked not to have that particular nurse again. I'm sure she is great but she was not listening. I've lived in this body for 39 years and I think I know it pretty well! My MO's nurse said it was not a problem and patients make these requests all of the time. I was glad I spoke up about it.

    Tennisfan-Great news about the Herceptin! My IV nurse said it is an amazing drug.

    I feel even better today. I'm still struggling with some nausea but it is even less today, and constipation. I just need to find the right balance of drugs to get things moving enough but not too much. The other SE that has started is a decreased sense of taste. I think my taste buds are going. This particular SE makes me sad because I really enjoy food. Things either taste bland or just weird.

    I think I'm going to shave my head this weekend. Waiting for my hair to fall out is stressful and I would like to just get it over with.

    Cheryl

  • Beachbum1023
    Beachbum1023 Member Posts: 1,417
    edited January 2015

    Hi Cherylfg, I am glad you are feeling better after the AC. I used the nausea meds for 4 to 5 days after so I could eat. I usually felt ok after that. My MO suggested that I use Senokot or Senokot S for the constipation issues. I took it the night before chemo and for the next 4 days depending on how I felt. I tried to eat foods that would help keep it all going so to speak. I was good with water, beans, fruit, and pork and sauerkraut. I know, weird! But it worked so I just kept it going.

    I had my head shaved before it started to fall out. It was my choice, I picked the day, and felt so much better after it. I put on my wig and walked into my new life. I guess we all pick the battles to win the war, but I won the hair issue. So I felt very free and relieved, and I love my wig. It's so easy to do, and takes less than a minute to put on and go. So even if I feel crappy, I have great hair and that makes me feel better. I had my wig made with bangs so I didn't have to worry about eyebrows, I do them with make up and the bangs hide them. The good news - my hair started to grow back after the second Taxol treatment. My hair is now about a 1/2 inch long!!!! My eyelashes and eyebrows are growing back also. So that is something to look forward to!!

    Try the spice aisle, I used a lot of lemon pepper to add flavor to veggies and chicken. Try eating with plastic forks and spoons. I also used paper plates, and solo cups. I tried anything until I found the combo that worked! And no dishes to wash - bonus! Feel better.


  • Tennisfan
    Tennisfan Member Posts: 114
    edited January 2015

    ladies,,

    just taking a minute to chime in. Patty, I am glad you were not shy about asking for someone else. i read on another thread that we have only one body and so little control but control over good treatment we should have so let's not hesitate to speak up when we are not happy! I am also glad Ativan worked for you - as I said, I will be glad to change my mind if I need to - I am not stubborn that way!

    dimccleland, this is what we are here for!!! If all was peachy it wouldn't be normal so take the opportunity to vent all you want. I truly think it's better than to keep it inside or share with people who do not want to hear about my constipation issues (as a silly example), and I think that physical pain is easier to control than emotional pain so... Remind me- do you mean you are scared of mastectomy generally speaking or aree you actually having a second one?

    Cheryl, glad things are getting better...

    I have also made my shaving hair appointment for saturday. I have been wearing my wig at work for the past two weeks and glad it turned out this way. I feel like beachbum like I will look pretty and fresh all the time and chose bangs to hide eyebrows falling (even if it means learning to play tennis with hair in my eyes lol). Don't tell anyone know but I did miss a few balls during my wig "test drive". Better than not to play though.

    Now, I am a visual so I am actually going to put 16 sheets up on my wall with the numbers 16 to 1 on it, and I will RIP IT or cross it off on the wall after each chemo session with a big, colourful Crayola felt marker. I have used this technique from very young to keep me encouraged when counting down to a goal or deadline. I find that crossing the number out is particularly liberating, on a big calendar in display also. Call me crazy if you want but I have a lot of friends who have adopted the "Marjo cardboard method" where you write the steps and cross them off but leave the bristol board up to show continuous progress - try it, you might like it too!

    Back at work - just took a few minutes to see how my BC sisters are doing - break over :0)))

    A bientôt,

    Marjorie (aka Tennis Fan)

  • mommacat4
    mommacat4 Member Posts: 215
    edited January 2015

    pmr53,

    I would love your croc pot recipe.

    Thank you

  • goldenpawsKim
    goldenpawsKim Member Posts: 165
    edited January 2015

    Me too :) sounds yummy

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