Starting Chemo March 2015

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  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    Welcome, Neverthought! You have a lot of variables going on with chemo so it's hard to pin down causes. Best to just treat the SE without regard to exactly which poison caused it.

    I for example, am terribly sensitive to steroids because I am bipolar. They make everyone crazy. The primary complaint is sleeplessness. Of course, if you could sleep, you might not notice the pain as much. Your tapes should help, but maybe the doc can prescribe something to relax you, or a sleep aid on a very short term basis.

    You can ask for oxycodone for pain, it is pure pain med with no added acetaminophen or NSAIDs. But you have to prostrate yourself to get it because it's a narcotic. There are no refills allowed, each time you get your prescription, it is a hard copy (no fax or computer submission allowed) that must be handed to the pharmacists.

    If you are receiving Neulasta shots the day after chemo for white count stimulation, this can cause moderate to severe bone pain. Claritin is not a pain reliever per se, but it is scripted to help with that specific side effect. All of this should improve as you get deeper into your cycle of this first treatment. I would definitely call your MO TODAY, no matter that it is Sunday. There is always someone on call. Tell them what's going on. There is a lot they can do to make you more comfortable. This is no time to be a hero. No time to suffer in silence. Take any help you can get! Good lug. Big hug. Katy

  • PTMully
    PTMully Member Posts: 5
    edited March 2015

    Hi All--

    Just finished eight rounds of chemo and thought I would throw in my two cents worth. I am 55, diagnosed in October of 2014 Stage IIB with three Her2+ tumors and several calcifications. Did four rounds of Adriamycin and Cytoxin and then four rounds of Taxol. The AC rounds were rough, although side effects didn't start in earnest until end of second round. I had nausea, severe fatigue, mouth sores and completely lost my sense of smell and taste. The day of chemo was never that bad, even the next say was do-able, days 3-8 were the worst and then I would start to perk up a little, although the fatigue never left. I got a Neulasta shot every day after a chemo infusion and was told to take two Claritan the morning of shot to help with bone pain-- definitely helped. Was given Ambien to sleep which I used every night. Lorezipam for nausea which made me too sleepy to function in the day-to-day, so didn't use. What really seemed to help with nausea and mouth sores was Frozen Coke! Real Godsend for me-- had my husband running all over town to find Frozen Coke!

    Taxol was a different story. Nausea went away, appetite came back, still no sense of smell or taste, but on day three the pain would start in my back, hips, knees and ankles. Could not get through it without Oxycodone. Numbness in fingers and toes still persists today and I have been done for a month.

    Lost hair by day three of second round. Regret not trying ice caps, but it is what it is. Go commando most days, wear a wig when out in public. Exercise helped me feel better on days I could get out to walk dog, but some days could not manage that even.

    I focused on getting through one round at a time. Still can't believe I got through it. Had enormous support from friends and family-- driving kids, walking dog, preparing dinners-- hardest part was just learning to let people help. You don't get extra points for doing it all- let go whatever you can!

    You will get through this and you will be amazed at the strength you didn't even know you had. Hang in there. Any questions, feel free to ask. I will answer. Best of Luck.

  • Moderators
    Moderators Member Posts: 25,912
    edited March 2015

    PTMully, welcome to our community, and thank you so much for sharing your experiences with us. It is really helpful!

    Neverthought, you may want to look at this section for sleeping suggestions:

    Treatment for sleep problems

    Insomnia

    Thinking of all you wonderful women!

  • rleepac
    rleepac Member Posts: 755
    edited March 2015

    Feeling a little better but still have constant epigastric discomfort like I ate too much or like something is stuck and it's worse when I take a deep breath. Now 3 doses of Prilosec are on board and if it's not getter in another day I'm calling him back!

    Hope everyone else is doing better than me!

    avmom? How are you? We both seem to have had pretty major side effect problems. Just wondering how you are.

    I think I might to go a clear liquid diet to try and calm things down. It's what I would recommend for my own patient so it's worth a try...

    Bekah

  • Italychick
    Italychick Member Posts: 2,343
    edited March 2015

    hair is shedding. Every time I run my fingers through it or comb my hair about ten strands come out. Argh. Do I chance wearing my hair to work tomorrow in a pony tail? So frustrating!

    On the positive side, at least I have no scalp pain or headaches. But the whole strand is coming out, from the scalp.


  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    Rleepac- sorry things are improving a little more quickly for you. I think your idea of bland is worth a try.

    And I'm so sorry Italychick. It must be all you can think about right now....wondering. The 3 Ws. Waiting. Wondering. Worrying. Sap your energy. Thinking of you

  • Trvler
    Trvler Member Posts: 3,159
    edited March 2015

    PT: Thank you so much for your post.

    Meme: I can't comment on the medical stuff as the other ladies but I want to send hugs to you.

    I am trying to read all the replies. We just landed in NOLA so hopefully I can get the chemo issue resolved. I have joined the NOLA FB group and several of them tell me they had chemo first.

    Thinking of all of you.

  • shaz101
    shaz101 Member Posts: 718
    edited March 2015

    Thanks PT it helps yo have some Frank information regarding treatment. Sometimes it's hard to know if our SE'S are common or not.

    Italychick I know exactly how you feel. I was like that yesterday. We went out last night and I was scared it would fall out in clumps. So I wore a scarf and then when we got home Andrew did the deed

    image

    image

  • shaz101
    shaz101 Member Posts: 718
    edited March 2015

    Bekah, I feel like that too. Every time I swallow it feels like there is a big lump of something stuck. I know there isn't because it does go away sometimes. I've been concentrating on breathing into my belly. I'm not sure if it helps but I am breathing better. I was only shallow breathing due to the discomfort.

  • PrincessOfMeh
    PrincessOfMeh Member Posts: 167
    edited March 2015

    Bekah, I've got that now too. Feels like something got caught on the way down, almost impossible to swallow anything. Since I had it on hand, I took Pepcid, but sent my daughter to the store for Prilosec. Sipping green tea and sucking on Chloraseptic Max lozynges helps a little.

  • cja374
    cja374 Member Posts: 2
    edited March 2015


    Good evening ladies.  I started chemo on Feb 26th and am on the 12 week Taxol with Herceptin.  I would love to join you if you have room for one more.

    I was diagnosed with dcis on Oct 14th.  I went in for the lumpectomy.  During the mammogram to place the wire, they found my stage 1 triple positive invasive cancer.  The lumpectomy was canceled and we did a biopsy instead.  Because I was the proud owner of two different kinds of breast cancer, I had a bi-later al mastectomy on Jab 16th and started chemo Feb 26th. 

    My only side effects as of now have been horrible heartburn for which I take Pepcid.  I started getting very painful lumps (pimples perhaps) in my scalp and have noticed my body hair is thinning (I haven't had to shave my underarms since Monday). 

    My only major issue is the port.  My port is in my arm and is rubbing so badly on my swollen side boob.  It's irritated and painful.  I'd love to discuss the arm port if anyone has any suggestions!

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    Shaz- my you look VERY sophisticated! What an opportunity ( though unasked for and unwanted) to play around temporarily with an entirely different look! Nobody but us would ever have the cajones! But you look fab. I'm so glad it's over ands done with, and what a grand gesture of love that Andrew was able to dig deep and do it privately and intimately for you.

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    and a warm welcome to you cja. You started so late in Februrary you're a natch for the March group. Of course we have room for you. We NEED you because you are just that little bit ahead of us that you can shine the light onto the dark path in front of us.

    I can't help with technical info on the arm port. All I can say is I was sore to the touch a lot longer than they warned me I would be. But it is slowly improving.

    How is your surgery reconvert going? What's special in your chemo bag? We have a lot to catch up on, girl

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    And Princess of Meh- please don't think iI'm picking on you but I got a huge lecture about NOT DRINKING GREEN TEA! Just not in the days prior, on, and the couple days after treatment. The rest of the month it's great. Evidently it can make certain chemos less effective. We are on different regimens I think, so this may not apply to you. but I wanted everyone to hear it so they can check it out with their own teams.

  • cja374
    cja374 Member Posts: 2
    edited March 2015

    Thanks Jackbirdie!

    Recovery has been great other than intense swelling.  My plastic surgeon said this is still normal but I have D cup side boob.  Not normal to me.  He assures me that it will go away.  I have expanders and will have the exchange in July. 

    The only thing special in my chemo bag is a prayer shawl that was given to me and pictures of my 4 and 7 yr old daughters.  I'm not a very religious person, but this shawl brings me comfort and the pictures remind me of why I am fighting.  My infusion center provides everything I could need otherwise.

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    here is a very brief statement at the end of the article from Sloan Kettering advising chemo patients to avoid green tea. It's not very thorough, tho. I'll look for something more explanatory. It extolls the many benefits of green tea, just not during chemo. It seems every where we turn there are counter-intuitive pitfalls. Information is not disseminated equally across the board. So scary.

    http://www.mskcc.org/cancer-care/herb/green-tea

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    cja- I'm glad the shawl brings you comfort. Your daughters (and therefore you), are so young. A big but gentle hug to you. Katy


  • rleepac
    rleepac Member Posts: 755
    edited March 2015

    Shaz you look beautiful! Our inner beauty is being given an opportunity to show through :)

    Thanks for letting me know you had the same stomach issue. It's starting to ease up a little. Glad to know I'm not the only one

  • Italychick
    Italychick Member Posts: 2,343
    edited March 2015

    thanks for posting the pics Shaz. They help. I think I am right behind you, sigh. The hardest part for me will be wearing all the contraptions. I don't like wearing things on my head, and I still haven't told anybody at work but my boss and Cheryl, my riding buddy. Oh well, we will see how it goes. My husband is on standby with the hair clippers. We went for a long beach walk so I would quit combing my hair and obsessing over how many hairs are coming out. So that helped.

    I guess for me it just makes it more real because right now I have no external physical evidence of what I am going through. I'm not depressed, actually I'm kind of pissed off that the only tool we have is this barbaric treatment with chemo. And since I am Er/Pr negative and only slightly Her2, chemo is all I've got other than Herceptin, which may or may not work for me given that they had to do three levels of testing to figure out I may benefit from Herceptin. No Tamoxifen or AIs down the road. I just keep telling myself that the majority of women do fine with just surgery, and the chemo is insurance.

    I actually had a doctor say to me oh, your breast cancer is the worst kind with a terrible prognosis. Needless to say, I tore her up and fired her that same day. I mean, how insensitive can a person be? My current oncologist has scanned the crap,out of me, and is being so brutal with treatment because she said she is going for cure. I hope so.

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    Rleepac- the depth of insensitivity never ceases to amaze me. Good for you for ripping that MO a new one and getting a doc that wants to partner with you for a cure! I mean, I'm shuddering. What an a-hole!


    And for those interested, there is a wealth of pro and con info regarding green tea. The bottom line seems to be it is very helpful in protecting a body from getting many types of cancer. That has always been my understanding. The problem comes only during the treatment phase, radiation and chemo. The argument, far from being proven beyond a shadow of a doubt, is that the anti-oxidant properties of the green tea help to protect cancer cells and possibly aid in their repair, when what the aim is, isto jamb the circuit board and have them die. Oh well. If you want to read more, it's out there in spades.


    http://www.cancerrd.com/faqs/faq83.htm


  • DavisD
    DavisD Member Posts: 338
    edited March 2015

    Welcome C! Auto correct on kindle kept changing your acronym ha, argh I can't say much about the port since mine goes in tomorrow. I plan to add pics of my kids to my chemo bag for ties. They are grown but still a huge motivation to stick around. Shaz you look great and since my short cut looks bad I may buzz sooner than necessary. Rip the bandaid off I guess

    Italy I could just see you and hubby walking on the beach. I know you must be worried about the work situation, I am too. I did decide to not be so secretive...what if someone else gets BC and they could use me to talk to? How would they know if I don't let the rumor mill pick me up?

    Katy thanks for the info on green tea. I will read up. Hope you're enjoying some nice weather this weekend and little Jack is well.

    Have a great week everyone!



  • so-she-did
    so-she-did Member Posts: 202
    edited March 2015

    Shaz, I like the braided look of your scarves. Is it basically wearing two scarves and intertwining them?

    Tomorrow I attend my chemo class and then Tuesday it all begins. Yikes! I've done a great job of being in denial but I think tomorrow is going to rip me right out of that and back into anxiety.

  • avmom
    avmom Member Posts: 324
    edited March 2015

    Good morning! I'm getting ready for my friend to pick me up and it's off to AC number 2. It's about an hour's drive, so I'll take me Zofran, Emend, and dexamethasone just before I go - that way, my med levels will be up by the time the infusion starts.

    It's two weeks today since the first one. My hair is pretty "loose" - not quite falling out on its own, but if I touch it or grasp any hairs, they come right out. Won't be long now.

    Wishing everyone a healing day. Gentle hugs.

  • Leighrh
    Leighrh Member Posts: 317
    edited March 2015

    Anyone else not getting the nuestella(sp) shot?  My MO says I shouldn't need it and that he will monitor me close but he doesn't think I'll ever need it.  But everywhere I read it is the norm for ppl to get it.  My MO also says I should quit reading..LOL

  • BBwithBC45
    BBwithBC45 Member Posts: 727
    edited March 2015

    Leighrh, I'm not getting Neulasta shot either, it has never been mentioned to me by my MO. Only heard about it on these boards .

  • Jackbirdie
    Jackbirdie Member Posts: 4,693
    edited March 2015

    I will be thinking of you today Avmom! all day! You sound prepared.,hugs.

    Katy

  • slothabouttown
    slothabouttown Member Posts: 449
    edited March 2015

    I'm not getting the shot either. I wonder if it's because of not getting the Adriamycin, as that seems to have the most SEs.

  • Kazza2108
    Kazza2108 Member Posts: 19
    edited March 2015

    thinking of you Jackbirdie! I'm right behind you just waiting for my CT scan before chemo. Hope & pray all goes well for you. Hugs

  • wrmbrownie
    wrmbrownie Member Posts: 114
    edited March 2015

    I am lurking here even though I'm part of the February group. I think the Nuelasta shot comes into play when you do a dose dense A/C. I'm trying to decide whether to do one or the other right now as I'm still doing Taxol.

    If you do a dose dense A/C, you can get your infusions two weeks apart and take the Nuelasta shot 24 hours after the injection. If you do the routine A/C, then you get the infusion three weeks apart and no need for Nuelasta.

  • Leighrh
    Leighrh Member Posts: 317
    edited March 2015


    I am doing A/C so I guess we will see.  Doc says he will monitor me but he has rarely given it to someone my age.

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