Starting Chemo March 2015
Comments
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slothabouttown lol. I have a feeling I will be doing the same thing tomorrow on my way home.
Jackbirdie, I haven't even started thinking about radiation. Surprisingly, I have had four doctor opinions. Two said do rads, two said don't because it causes more cancers. But I have put that on the back burner for now because I have to invest my effort in chemo. And I am still trying to figure out all the real percentages, the absolute vs. relative risk thing. The way I understand it, I have about a 70% chance of no recurrence just with a lumpectomy. Chemo adds 15% of 30%, which is about 5%. I don't know the calculation for adding rads yet, because I can't seem to get straight numbers. My oncologist said chemo adds about 15% to the 70% number, but that isn't what most online sites seem to say, so I am still in a state of confusion about calculating odds and percentages. I do know all four doctors said do chemo to minimize metastasis risk. But in any case, the decision about rads is four months away. It is so tough because my tumor was on my left side. But then it also says online stage 1 is 99% survivable, and I don't know where that number comes from either
Trvler my mom has a ton of stuff wrong with her, but amazingly no breast cancer and she is 71. Her mom (my grandmother), nothing. I am going to talk more to the oncologist before I do the genetic testing. Plus I am 52, soon to be 53, and my biggest issue is what will the genetic testing do to help the situation? That is what I want her to answer.
I guess there are no easy answers. Just risk and benefit analysis.
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you are so right, Italychick. Really hard to nail down consistent numbers. And of course each situation is unique. The one thing I didn't even think to mention was the HT (tamoxifen or an AI) which my MO said based on Oncotype dx of 30, 30% chance recurrence if surgery only, the HT for 10 yrs! (Really? Ugh) reduces it from 30 to 20, and the chemo in addition to HT only reduced it another 4-5%. I wasn't feeling lucky.. So here I am.
My scalp really hurts tonight. Day 17 blues
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I'm sorry your hair has now gone IC and that your head is sensitive Katy. My head is still sensitive but getting better as I am almost completely bald now.
I've just got back from the oncologist and I have to have a CT scan on my brain in the morning due to waking up with migraines at 1am fairly regularly...another one last night. They are looking for brain mets 😢 I'm trying not to worry about it. I'm still having chemo tomorrow. Its Andrews birthday today (its the 23rd here) I'm taking him out to a surprise dinner tonight with family. He'll love it as I've managed to wrangle his kids into making an appearance. He doesn't get to see them much.
HAPPY BIRTHDAY Katy. I know I'm a little early for you but I didn't want to miss out saying it as tomorrow I may not get on here or you may not be on here. Please be kind to yourself. You are a wonderful kind lady and you are certainly my rock through this. Much love and light to you.
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HAPPY BIRTHDAY, KATY! Wishing you a day filled with joy!
Shaz, I hope your CT comes back clear! Didn't you say you had migraines before your dx? I've had them, infrequently, my whole life and if stress is one of your triggers, makes sense to me that you might have them more often right now. I know it's hard, but try not to worry, okay?
As for eating...Other than my diet being a little sugar heavy, we've always eaten pretty well. I love cooking so we rarely do prepackaged/processed foods. Lots of fresh produce, mostly lean meats, etc. If anything, my dx has made eating well worse for me because, for one, I have to watch the fresh produce now. So far, I'm limiting myself to peel-able fruits, nothing else raw/uncooked, and you'd think I was being tortured, LOL.(No fresh berries gives me a powerful sad.) For another, getting the diagnosis provoked utter paranoia about what I should or should not eat, so much so I wasn't eating a whole lot because I was so afraid of making it worse and lost quite a few pounds. My MO essentially told me to stop it, just to eat. Whatever it is, EAT. Once I get this next book out, I'll have more time to research diet and will likely have talked to a nutritionist, but until then...I'm just eating. LOL
About the prophylactic bilateral...This is months down the road for me, when I need to focus all my energy on the step I'm on now. Once I reach the surgery stage, I will have learned a great deal more about it, for sure. But for now, I'm thinking a prophylactic on the right, no reconstruction, and a prophylactic hysterectomy as soon as I'm strong enough afterwards. Extreme? You bet. But I'm not like most of you guys. I'm not stage 1 or 2. I'm 3 and not even a good 3. My chances aren't half as good -- literally. I could die. That's no exaggeration or melodrama. This could kill me. I'm a positive thinker. I don't focus on the odds. I can't or I'd cry myself into a puddle every morning. But the brutal facts are I may not be here to see my son graduate from high school in 4.5 years. Which has been wonderfully clarifying, honestly. Losing my hair? I'm still alive. Not a big deal. Cutting off my boobs? Still alive, no problemo. Basically, if XYZ buys me even a 1% higher chance of seeing my son in his cap and gown, I"ll do XYZ. Gladly. There is never any moment in the day that I'm not fully aware I'm fighting for my life. And no matter what I do, that's a fight I might lose. If I do, I'll go out knowing I gave the fight my all and carpe dieme'd the crap out of every single day. But generally speaking, I don't consider myself a woman who has choices. Other women can choose to skip chemo. Not me. If I don't do it, I'll die. Other woman can take a pass on radiation. Not me. Without it, I'll die. Other woman can get newer perkier boobs. Not me. Higher risk if I leave skin for that so reconstruction is bursting with nope, nope, nope! To me, the only choice I genuinely have is attitude. I will not cower. I will not flinch. My happiness is defined by me, not my circumstances, and as long as I hang onto that, I'll be peachy regardless of what path this journey takes.
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Andrews surprise birthday dinner. He wore a hat to make me feel better. He's so sweet.
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PrincessOfMeh- Your calm logic in the face of chaos amazes me. Your bravery in the face of "odds" has me in awe. Your attitude has humbled me. You have inspired me this morning, on an already special day. I am proud to know you.
And thank you for the birthday wishes. I don't think I was ever so grateful to have one, and plan to do my best with it
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I love Andrew's solidarity, Shaz! Happy Birthday to my fellow Aries!
And thank you so much for your warm birthday thoughts which I got just as I lay my battered body down last night. And the roses! You shouldn't have....
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Princess: I am kind of with you on the stage 3 thing. I still don't have the nerve to go over to the stage 3 area and read. I was restaged last Monday from 2 to 3. I kind of had a gut feeling because I knew my node was positive. I am starting to have those I could die thoughts a lot.
Also, I hope you don't think I was telling people NOT to have the genetics test. I just hate seeing all these women do it out of fear alone when the odds don't support them having the gene at all.
Katy: A great big huge HAPPY BIRTHDAY TO YOU!! I am so happy you have become a part of MY life, even if it's online. Enjoy your walk with Jack.
I have to laugh a little because I think I am the odd man out with the changing of the diet. I kind of think along the same lines as Katy with the barn door thing. And I am guessing I am going to have a hard time eating for a while. We try to eat well and not eat many processed foods but I admit I have a little sugar addiction going. I don't eat a whole cake or anything like that.
Shaz: I will be thinking of you today having your CT.
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Trvlr, 3a isn't that bad. If you've got to be a 3, a's the way to go, LOL. Like I said, I'm not morose about my BC, nor do I constantly ruminate on the possibilities. Not my style. It's always in the back of my mind, though. Always. But in the best sense. Something like this can cripple you or you can accept the tectonic shift in perspective, your psychological frame of reference, and push forward. I've chosen to push forward. What will be, will be. Worrying won't change that. I might as well enjoy the ride.
I haven't been to the Stage 3 area of the forum, either. I've mostly been nowhere except this thread. Maybe later. Just not now. And no, I didn't think you were telling people not to do the genetic testing. Not knowing half of my family history has shaped so much of my life, at least as far as health decisions go, I honestly couldn't tell you what I would've done if I'd known my mother's family history. Maybe I wouldn't have said yes to that very expensive test. I don't know. I think we can all agree that in certain circumstances, the test is necessary, though. With half my family medical history a big fat void, I just happen to fall into the necessary category is all. Not everybody does. Most everybody probably wouldn't.
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even though my bs said my prognosis was good, when I learned from the MO of the odds of recurrence within 10 years being 30% before doing HT and chemo, I started thinking a lot about dying. Not obsessing, but it does seem to be there always, like a little bird on a fence.
After years of working at rebuilding my life, I could, if I wanted, finally afford to buy a modest house. Right now I am living in a very cute little house, but it's a rental property. A month to month. Expensive. I keep flashing forward and imagine being too sick to move or to afford ever increasing rent. Not having room for family to come stay. Things like that. Dying in a rental property.
I mentioned these feelings to a very good friend who called me out, saying the steroids were making me manic, and that this is no time (meaning during chemo treatment) to even be thinking about a house. I lectured Shaz (in the nicest most loving way possible) not to make any plans to hitchhike around the world until well after chemo was over.
But still I persist in dreaming of being somewhere where I can't be forced to move at a time when I wouldn't be able to. I still keep looking at houses, though now in secret, to avoid those lectures I freely give to others
myself.
When I look at houses I feel I am being proactive. I feel that I am planning for my future. Taking control. The whole "project" aspect of looking at a homely house and envisioning what I could do to make it look loved and cared for, expressing myself through paint and garden, offers me hours of entertainment. Helps me believe there WILL be a life after all this
This is what I'm contemplating while drinking my coffee, early on my 58th birthday. Crazy? Steroidal mania? Irresponsibility? Who knows. Just like we never know if we make the right choices for ourselves regarding treatment.
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Katy, the only comfort of being 3b is never having to second-guess treatment choices. I suppose technically I do have choices. I could've said yes to reconstruction when I met with the surgeon. Would've been contrary to her recommendation, LOL, but I could've said I wanted it. Same for the bmx. Granted,, my genetic testing results aren't back yet and the prophylactic decision will wait until it is. Still. It's my life. I can say yes or no. A "no" just wouldn't be very smart.
And I say go ahead, dream about your house! I'm dreaming of a cruise. When all this is over, I want to go on a cruise with my husband, just the two of us. Gives me something bright and happy to look forward to and as I push closer to treatment's end, the fun of planning that too.
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And like clockwork...my hair is starting to shed all at once.
I thought it would hold off until our trip to Florida but no such luck.
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Happy Birthday Katy!! Enjoy your day and absolutely look at houses!! We are not moving ever but I still like to look. It's fun!
I did get the genetic test. My surgeon recommended it because of my age. No family BC but plenty of other cancers. It came back neg so that's good!
If anyone is having trouble with constipation, there is a shake I drink daily that has a bunch of vitamins and probiotics that keeps me really regular( like I usaually have to go within an hour of drinking it LOL) and I am hoping the continue them through chemo. I will def let you all know if they continue to work. If any one is interested you can PM me!
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Hi to All
Happy Birthday, Jackbirdie! I hope you are enjoying your day. And keep looking at houses...we always have to have goals and dreams!
I am happy to see birthday celebrations went well, and that you are still riding your bike, IC. My surgeon won't even let me get on my exercise bike. ugh. And I am signed up for the NYC 40 mile Bike Tour, May 3. I did my first 2 years ago at 55...and not sure I will make all of this one because of chemo...but really want to try! But no real exercise for a month... my legs are going to Mush!
To IC and SC, I am sorry to hear about your hair and irritated scalps...it seems I am exactly 3 weeks behind a number of you, schedule-wise, as my first infusion is this Thursday, 3/26. I have been trying to calculate when to buzz. Seems around the 16-17 day after first chemo?
My anxiety is mounting. No chemo "classes," just given instructions for pre-meds...and then Rxs came with different dosages and instructions...so guess I need to make some calls. Ugh...mistakes make me worry more. I don't want to feel anxious...does anyone use Ativan or Xanax for anxiety? Can that be taken on infusion day?
I am wishing everyone well, trying to keep positive and busy (not always working-feel so emotional, too often), praying everyone's SEs stay manageable, and wishing Spring would hurry up to NY.
Happy Monday...
arlene
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Greenae: I think they told me to take Ativan the day of and day after (also Neulasta shot day). I can check. But you have a little different regiment than I do.
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I LOVE looking at real estate. I used to be a real estate appraiser for a while in my former life.
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I am finally getting a port next Tuesday. They say I will need someone to drive me home - did you guys find that to be true? My husband has just started a new job and can't really take time off. I can call in a friend if I need to, though.
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Molly: I would have someone bring you home. Are you getting a sedative? Because I f-up and had clear liquids after the allowed time (my mind wan't functioning properly), they could only give me a mild, mild sedative. It was absolutely enough and fine but I wouldn't have wanted to drive home myself. But if they are putting you out, they will make you have someone drive you. I don't even think they would have let me drive.
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I don't know, I hope I won't be put completely out because anesthesia makes me very very nauseated. I am meeting with my doc today and I will ask.
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Molly --- YES!! you will not be able to drive! I just had mine this past Thurs. I was not completely out but really woozy and then after it was done I was really tired. Fell asleep in the car on the way home!
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Warmest birthday wishes, Jackbirdie, and Shazz, I'll hold you in my thoughts for your scan today. It does seem that we are all going bald right on schedule. I'm finding that in the places where my hair is mostly gone, my scalp is much less sore and sensitive. I've had more nausea and more fatigue this round, but have managed to avoid constipation, which is a great relief.
I live about an hour and a half drive from the nearest big city, twenty minutes away from the nearest small town (where I was working, until this), and five miles from a tiny village. Our home is in farm and ranch country, and our nearest neighbour is about a mile away, in gently rolling country. Our weather has been warming up, and things are drying out. Soon, there will be new tender leaves on the trees. The migratory birds are arriving, and the "puddle ducks" are pairing up. Many of our neighbours have cattle, and the new calves are out and about, playing in the corrals.
Gentle hugs to all.
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I know not many of you had a port in your upper arm but would that cause pain/shortness of breath in upper chest for any reason? It's not unbearable, just a little uncomfortable. I know they said it might cause shoulder pain.
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bb , katy- i found this great brushing rinse at whole foods. i've been using it along with my biotin mouth rinse: essential oxygen's BR (Brushing rinse). it's a combination of hydrogen peroxide and essential oils. it's been helping me keep my mouth from being funky.
i did start getting tooth sensitivity late yesterday- my two front teeth really started bothering me, kept me up googling chemo/tooth falling out. insomia is so not our friend.
today is the start of my good week (next monday's chemo day again). it really took until mid friday for me to feel like i was more normal (except for the easy to fatigue, constipation and the dreaded insomnia). for chunks of time i felt like myself- pushing hard to have that be all of this week.
the SEs were so crummy from the first treatment, i'm scared of next week (the MO told me last week the first were the worst and they wouldn't be as bad from hereon in, but he said the first would be the least bad before i started so..). but i'm pushing through past my desire to bolt and head to a beach somewhere instead. it's been helping that my friends have been holding me up and carrying me through- my family's been mia for the most part (i finally heard from most of them at the end of this past week- but they're not able/capable/want to be present for the tough stuff) so the friends, they have been my "family". thank god for them.
wishing you all an amazing/doable week.
michele
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and-- katy happy birthday!
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Michelle: I was beginning to wonder about the SE's being the worst at the beginning or at the end because I also thought I had heard both. I am glad you have your friends stepping up to the plate for you.
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greenae-- seems like day 16 - 17 for hair loss is about right. Yesterday wasn't bad, but today I can pull hair out just by touching it and it's shedding like crazy. DH said he's bringing out the clippers tonight. My son needs a haircut as well and he's afraid of the clippers so maybe seeing momma go through it first may make him less afraid (we use a vacuum hair cutter for him right now, it's the only way I can cut his hair).
Molly - As for driving after port surgery, you will need someone. They use "heavy sedation". It's not full blown out anesthesia but you're still given heavy medication and sedatives. You won't be able to drive. My first infusion was actually worse than this second one because I had my port and infusion on the same day. When I had my initial port put in (my first one was defective) I also needed a ride home. I honestly can't remember that afternoon!
1/2 way through the AC! Whew!
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Hi all. Molly, yes you will need a driver from port installation. I was under twilight and there was no way I was driving home after that.
Regarding the going on shopping binges...I'm there. Nothing pricey, but I bought two end tables (around $100 each) news shoes (granted I needed them) and I treated myself to one of those pandora/troll bead bracelets. I'm adding a charm after every chemo treatment. I also bought a special blanket for chemo and earrings for my head bling. I'm also on a decluttering/organization binge at home.
For those who still work ....are you minds there or do you just not care. I'm the latter.
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Ninjamary- loving your idea of the charm after each chemo. Fantastic job on the shopping A++
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Happy Birthday Jackbirdie! I hope you have an enjoyable day!
Shaz - my fingers are crossed that the migraines are migraines and nothing more.
Decided not to get a wig at this point but I did order a bangs headband and a halo wig online. I live in the desert and hate to be hot so I am hoping that this will be a better option as the temps increase. I can wear both under a light hat or scarf. I hope they look decent!
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Happy birthday Jackbirdie! Hope you have a great day with Jack.
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