Anxious about the port..
I had DCIS, unimx in 2011, less than 1% possibility of recurrence. Feb 2015 found lump, turned out to be a 2.2cm tumor. ER+, PR+ and HER2 Saw oncologist yesterday. Will need 6 rounds of chemo, hormonal therapy and targeted therapy for the HER2. I'm handling it pretty well but the port they will put in freaks me out. My dad had one while in his last round of chemo, developed a staph infection, became agitated and psychotic. I'll never forget it. He died shortly after. Does everyone have a port for the chemo? I'd love to hear from other Stage 2 ladies. I feel a bit like I'm floating on an island and a little isolated. thanks!
Diane Davis
Comments
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I'm sorry about your father's experience. I just want to share my positive experience with the port. I started AC using an IV and boy... did that mess with my veins. (I've always had "good" veins, too. Really easy for me to give blood). After 2 infusions, I was sent to get a port. The surgeon told me he prefers to do ports before tx starts because the body heals better and he also told me that my vein (artery? Cant remember which) was possibly to small and he might have to go deeper for a bigger vein, which also increases risk of complications...so I was a bit scared before surgery. Fortunately surgery was easy and I healed really well. There are risks to port surgery but mine went well and I suspect most do. However if you are concerned have you talked about the possibility of IV infusion? Again for me IV didn't work well but for others it may. Best wishes.
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Had port put in during mastectomy but was under so can't say I felt anything. It's been a week today, and I can feel it, but no pain or discomfort. My surgeon recommended it as well as onc for future treatment.
Fears are real, but God is good!
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You will have a minimum of 17 infusions, not counting blood draws, over the year of treatment for Her2+ disease, so I would strongly recommend a port.
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I'm sorry about your father's experience with his port and the fear that has put in you. I will say that my port has been absolutely problem free and I've had it more than 3 years. A port saves a heck of a lot of discomfort and anxiety about whether you've had enough water and if your veins are good enough, etc. I believe that the statistics about port safety support this. When my port is stuck, I don't even experience any pain and I've never used the numbing cream. For me, it has been a great thing.
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I will say that everyone I know loved loved loved their port and I wanted to love mine too. My story is a rarity and if I were you, I'd go with the port because you will be fine.
I got my port in a week before my first chemo visit. It took about 2 weeks for me to adjust, but I always felt the catheter in the vein and it was visible. After my second chemo treatment, I had a really stiff neck. After going round and round with my BS and MO, I was sent for a PVL and had multiple blood clots in my jugular, under arm and shoulder and was put on Coumadin. I had two more treatments and on my 4th treatment, I had a lot of pressure when the drugs were being pushed. Before my 5th treatment, I was experiencing too much pressure on the push and was sent for an US under some type of fluoroscopy. They found that the catheter was completely broken in my vein and had to be removed immediately. It was removed that week and I have successfully had chemo treatments 5 and 6 through a vein in my arm.
My BS said she had never seen anything like mine and talked with the manufacturer. It turns out that there was something wrong with the port/catheter to begin with.
The point of telling you is that my story is an abnormality! Most people with ports love them rather than having chemo through a vein in their arm.
I wish you all the luck in the world!
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Diane,
I am sorry that you are facing another breast cancer diagnosis. I got my port installed and SNB two days before my first round of chemo. I am thin so it was a little uncomfortable until I healed. Now I am used to it. As SpecialK mentioned, chemo along with the many blood draws..I was relieved to have the port. It will be removed in September after I complete Herceptin treatments.
Feel free to PM me if you have any questions.
Amy
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Wow, thank you all for your input! It's snowing heavily here and my office was closed leaving too much time to think about "what if?" It's amazing how just hearing that I'm not alone in this and the majority of you had positive experiences (I'm so sorry for your experience Mandy) My Oncologist said the drugs would mess up my veins and I would just have to have a port. I didn't push it and I think I'll just hope for the best.
Can anyone tell me why my diagnosis, treatment isn't showing up w/my sig? I set everything for public...I'm new to this and want to share since everyone else is being so open and honest. You all are terrific! thanks
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Never mind. It seems I've corrected the sig sharing setting!
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Diane--I think there is a commenting software problem with the initial post not showing treatments, etc. I'm glad that you've come to a decision about the port and if you are typical, you'll have no problem with it. All these decisions are hard, but later on, the pieces fall in place and it doesn't seem so overwhelming.
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Diane,
There are several TCHP and TCH threads that have been helpful to me. I would suggest checking those out if you haven't already. I found BC and treatment to be very emotionally isolating. This site helped me through many days.
Amy
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If you all wouldn't mind to share a little about how you dealt with the hair loss due to chemo? I work as a homeless outreach worker for the seriously mentally ill. We outreach to some folks for years before they're ready for treatment and often develop meaningful connections. I do not want them to be overly concerned about my health and think I may need to wear a wig to work even though I have an easily itchy scalp. Does anyone else have sensitive scalps and if so have you found a cover up that is comfortable?
Amy-thank you for the offer to PM. the offer goes both ways! it looks like you've had a lot going on since Sept. At least my mastectomy was four years ago. Please stay vigilant about monitoring for lumps, especially around the incision area. I had less than 1% chance of recurrence and only noticed it because my PS really stressed I needed to massage the implant w/cream every night (I had skin and nipple sparing). That's how I knew it couldn't have been that big for long/had it out and biopsied within a month!
Sorry if I'm being a little needy, I haven't really talked to anyone about my fears. It just seems less draining to reassure others which comes across as being "so brave" pfh...not in the least.
thanks-Diane
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Diane,
I understand your need to wear a wig. I opted for scarves and the baldy look. I am sure a wig shop has something to cover your scalp to address the itchiness and to keep the wig more secure. I was surprised how many wig options are available and that you can take it to a stylist to make it look just like you want.
Ditto on the fast growing tumor. I had a mammogram 6 months before my dx. It was not seen. With what I know about grade 3, HER2+ cancer, I get it. I was in a high risk group and was pretty vigilant about self exams.
I totally get the "you are so brave" comment! Seriously, if they could spend a day in my head.. Ha! The other comment that makes me laugh is, "You look so good!" Hilarious, really. But, I understand the intention and completely appreciate it. I am sure I have said the same things in the past, but never will again. I have better things to say to be supportive now.
My cancer center has so many resources to help patients and families handle the diagnosis and treatment. I jumped at counseling opportunities. Where else can you get free therapy sessions? And there's no better time to clean up the mental house than when you're shaken to your core with a cancer dx. I am also seeking out support groups and meditation classes. All available through the community.
Do you have a date yet for your port surgery and when do you start chemo?
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Thanks Amy. Ha ha! "you look so good!" yes! and "you know your hair will grow back thicker and better than before" I'll take no cancer same hair thank you very much. What about "You know chemo isn't as bad as it used to be. My friend yada yada, worked all the way through hers." I really understand the intent is genuine. I'm probably guilty of saying some of the same things...well maybe. Never again though. I just smile and agree. That's why this site is so freeing.
I go in next Thurs for the extensive appointment with the RN to get final details before chemo starts. I just found out I was supposed to call the BS to get the ball rolling to have the port put in. Left them a message. I go next Tues for a bilateral MRI to make sure nothing's going on with the "good side." It had Atypical Lobular Hyperplasia in 2011 but has remained unchanged every year since. I also have an Echocardiogram scheduled Tues as well.
I went to the support group twice after my mastectomy/DCIS but felt like I didn't deserve to be there..I didn't "fight cancer." I had one breast removed and an implant put in. Now I "qualify" for the second group...Recurrence or Metastatic BC group. I'm actually anxious to go this time around. I think you're right to take advantage of anything the Cancer program has to offer. I remember they even had some free yoga, meditation etc.
Argh...I thought I would be much older before my life revolved around doctors appointments. Thank you for your support, it has truly been reassuring. How are you doing with treatment now? I'll be tagging behind you it looks like.
Warm wishes, Diane
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Port installation Monday and Chemo demolition starts the next day 3/17. Thanks to good folks on these boards I will kick butt next week!
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Hi Diane
I'm coming into this conversation late but I hope you're doing well with your port. I was adamant against having one at first ... the thought of "something in me" freaked me out. I had a long talk with my oncologist and although he was very neutral in his thought of getting the port in, he did mention to me that the chemo drugs are very strong and could do damage to my veins/arm (I had 6 rounds of TC, followed by a year of herceptin). His concern was the fact that I play piano for a living and if I had severe issues with my arm it would effect my job. I took the hint and got the port.
It was done under twilight sedation and I can honestly say it was a great decision for me. I've had no problems with infections. The only issue I ran into was when it got very cold the area around my port got very sore (first time it happened I thought I was having mild chest pains and was convinced I was having a heart attack ... I tend to over-react). It was explained that when it gets cold, the bottom plastic part of the port also gets cold and irritates the chest muscle it's sitting against. So I just layered up and wore a big warm scarf and was fine. My family refers to it as my "Perdue turkey button" ... like the ones that pop out of a Thanksgiving turkey when it's done cooking. My own personal temperature indicator
My port and the catheter are both visible under the skin (the port sticks out, and you can see the cath tube if I point it out). Now that summer's coming I'm a little concerned about that and wearing tank tops in the hot weather but I figure when I get hot enough I won't care.
So in the grand scheme of things, I'm glad I did it. It causes very little discomfort and I think it hurts less to get the needle poke there then when they take my pre-treatment blood draw.
Good wishes for continued success with your port!!!
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