Chemo scares me more than the disease
The more I read about the tx plan my MO want me on the more I am thinking of not doing it. I am so afraid of the possible side effects especially the heart and I think I will not make past the treatments. His plan is for Adriamycin and Cytoxan every 2 weeks for 8 weeks then taxol, herceptin and perjeta 1x week for 12 weeks followed by Herceptin and Perjeta for the remainder of the year. The doctors make it sound like the risks are low but I've read many have had heart problems.
I cant believe there arent other drugs for my type of b/c that are less risky....Im getting myself sick over this that I just want to do nothing.
Comments
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Anew, I never questioned my treatment, was too scared & truly clueless. I had an enormous mass in my axillary with extranodal extension. I wanted them to be as aggressive as humanly possible.
Two months ago I had major shoulder surgery. I had to get a echocardiogram before, to see if there was damage from A/C. The ultrasound tech told me, that the odds are so slim, not near what the Drs. used to believe. She said, getting these tests used to be routine with Cancer patients. They found it not really necessary, unless of course you were having symptoms. My personal Dr. that ordered the test, told me she "knew" it was highly unlikely, but a long surgery, with general anesthia, better to be safe.
I completely understand not wanting to do chemo. Age can be a factor, whether or not you have lymph node involvement. I have 2 friends, both had ductal, no lymph nodes involved. One chose chemo, one did not. Both are very healthy now, living life, enjoying there grand kiddos & being very active.
Some ladies get chemo, no A/C. I have heard some treatment plans called "chemo-lite". Only 4 infusions.
If you decide to go with your Dr. suggestion, you will get thru the treatments. They give you meds to help with the crappy side effects. It is not easy, not for me anyway. But, like a bad flu, or numerous other diseases, we manage to survive the nightmare. My goal during chemo was to concentrate on today, what I needed to do to eat something healthy, rest & hydrate. Talk to your oncologist, give yourself time to feel confident about your decision. No one thinks this is easy. ( if they do, they are clueless ).
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Chemo was suggested for me because oncodx number was 34. I just couldn't do it too afraid.
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Holeinone
Age is a factor in my case. I am 68 years old. I am going for my echocardiogram today. Its not as if I cant deal with side effects if I knew I would survive them it just that I think they will wind up killing me faster than the cancer which is what happened to my husband. He was on experimental drug because at the time there was no chemo for him and he died within 4 months. I am supposed to start treatment next week. I should have looked into alternatives but dont have much time to do that now. I am so afraid. Im glad to hear you got thru your tx and wish you well.
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Meow Im glad you are doing well and hope you continue to do so.
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How long ago was your DH in this trial? Things have progressed, and continue to improve as far as treatment goes. Chemo killed my dad in the early 90s. That wouldn't happen today. Are there permanent se's from A/C? Suppose there is, but aspirin and Tylenol do too.
Personally I wanted to throw the book at this. You must be comfortable with your decisions.
Best wishes.
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Spookiesmom
Spookie is adorable Sorry to hear about your dad. DH was treated in 1993. I read your were on AC......how did you handle it? I know everyone is different and so many have done really well .
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I did AC.....I was scared to death to and wanted to run away and hide (the only problem being that I would have to take my body with me-ha!). It wasn't fun but not at all as bad as I thought it would be. I took my anti-nausea drugs faithfully and just felt like I had a minor case of the flu the whole time. Food tasted weird but I could eat. I lost my hair but got a real cute wig so nobody knew I was sick unless I told them (and my 'hair' always looked perfect!). I did everything I had to do and most of the things I wanted to do too. I didn't have any long term negative side effects and now it is far enough in the past that I can look back at it and be glad I did it (kind of like childbirth). Don't let fear drive your decisions. Think of the long term; where you should have many more good, interesting years ahead! The making decisions, putting a plan in place is THE hardest part.....after that you just do what you need to do and get it over with. Best of luck!
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Ruth
I know Im acting like a baby but cant hide my fears. Your post has given me hope. How many AC's did you have? My MO is planning 4 before starting Herceptin Pejeta and Taxol. I know I can get thru feeling lousy but heart s/e and possible leukemia scare the heck out of me........I am seeing him tomorrow.....any hints on questions I should ask? All help is appreciated.
hugs
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AJ, I am 65, and halfway through DD AC+T. My side effects have been minimal, so far, and as Meow13 said, the MO's load you up with meds (which work great). I chose that chemo regime because I wanted the best available drugs to give myself peace of mind in my later years.
After AC#3, I was sure I had heart damage (short of breath while doing nothing). MUGA showed my heart was fine, and I proceeded with chemo. Maybe it was just chemo fatigue, maybe it was fear setting in, but once I was tested, the symptoms stopped.
The decision is your, of course. But reading your dx I see this is your second cancer in four years, and you have four positive nodes. I highly suggest you go with the plan your MO has laid out for you. You are only 68 and have many good years ahead...so why not fight hard for those extra and very special years.
I am so sorry to read of the loss of your DH. Cancer is cruel and unexplainable. I am sure his death weighs heavy on your decision. Some get the easy way out within months, some suffer the cruelty that cancer can bring for years. I have seen both and hope I get hit by a bus rather than suffer the years of pain I have seen others go through.
Please do chemo, it is doable. Ladies our age are experienced fighters and quite frankly, we don't have the extra burden of young children to raise or demanding jobs, or premenopausal hormones to deal with. And we have Medicare!
Join the Starting Chemo in April group. The support you will find there will help you tremendously with a place to rant, cry and share without judgment. These ladies and a few good men, will be there for you 24/7 with broad shoulders, many good tips, and they will also reach out for your support when their going gets rough.
Whatever you decide, be at peace with it and know that you are choosing what you are most comfortable with. We are here to share and comfort you through whatever path you take on this journey.
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SweetHope
You are right I do have so much to live for and yes my DH's experience is always on my mind.Today I go for my Echo Cardiogram and then I see MO tomorrow. I read so many encouraging posts from woman like yourself and I so much appreciate the feedback and support. I dont want to be here and always sound depressed (which I am). Everyone tells me how strong I am as I've been through alot in my life but this is the worst experience for me.
Im happy to hear your are halfway thru your tx and hope the remaining one go smoothly for you.
(((hugs)))
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Hi
I just want to reassure you-- I did four rounds of A/C-- had a strong heart going in--no troubles since--my onco type was 26 or 27 so I decided to do what they recommended. Like Ruth, felt slightly "off" but was able to work most of the time-- got a great wig--it was over in 8 weeks (I did not have to have more chemo).... I think Ruth is right-- don't make a decision from fear---- use the data that they have to help you..... I can tell you that I have never lost a minute's sleep over "what if I had..." because I did the chemo, radiation and hormonal therapy.... so that was all I could do at the time--they told me "you are young, you can do this now-- and I think they were right--- I have never regretted it--but this is your decision---- it is scary, but honestly, the thought of it is more scary than the doing it.
my best friend was dx a couple of years after me-- more aggressive-- she had a longer regimen of chemo--she showed up and used the time at chemo to work and that year she was the #1 salesperson in her company--- I loved that she just decided to make it part of her life and keep going (I was way lazier--I just ate and did crossword puzzles). But, it is a good example of how we think influences our experience...
good luck
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Everyone has given such good advice already, I just wanted to give you a ((hugs))
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I don't think chemo is ever a picnic. It was hard on me, I lost 34 pounds. But that's me. Others have far less SE. My heart is fine. I had 4 rounds of A/C. Taxotere was a whole other experience , but again, that's me.
Spookie sends nose licks and woofs.
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I did four rounds of AC.....I did them dose dense (meaning every two weeks with Neulasta shots), as I wanted to get the whole thing over with ASAP. Like momand2, I did everything recommended (chemo/rads/anti-hormonal) because, first of all I wanted to live for many, many more years; and secondly if, heaven forbid, it came back, I wouldn't have to say, "If only I would have done (fill in the blank), maybe this wouldn't be happening." So far, so good (I am now knocking on wood because luck does also factor into it).
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I had the same treatment and it sucked.....but Im here doing great !! You need to have a doctor you trust that will keep a good eye on your entire body !!! Mine sent me for scans and heart test through out treatment for me as much as for him I think. I needed to know it was working and my body was recovering !!! Hand tough and hugs to you !!
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Moma
Thanks so much for your encouraging words.......I think thats what I need to hear to help get me thru thisand Im glad to hear your doing well.
I dont know what my oncotype is, doctor never mentioned it to me. I guess I should ask him when I see him tomorrow. I also think I'm not as informed as I should beabout my case other than it is an agressive cancer and that scares me too. You ladies are such a wonderful group and Im glad I found you all. I dont want to cry and complain all the time so going to try to put "my big girl panties" on.
thanks for all the support!
(((hugs)))
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Thanks Annika! I know some had it really tuff......my biggest fear it heart s/e and getting shortness of breath if I am home alone and what would I do? I can deal with the fatigue and stuff Im sure its the major things Im worried about.
So happy your past the A/C
(((hugs)))
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Tanga hugs back to ya !
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They can only do an oncotype if you are estrogen positive.
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Oncotype Dx is only done for ER+ and Her2-, so the opposite of your tumor. The purpose of Oncotype Dx is to determine whether there is benefit of adding chemo to hormonal therapy. Chemo is pretty much a given due to your Her2 status, and since hormonal therapy is not available to you the test is not appropriate. I know chemo is scary but I hope you can come to a sense of peace regarding the benefit it may be able to provide. Remember, being brave is not a requirement, we were all scared to do this.
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It is an individual choice, but for me, cancer is the enemy; chemo is my ally and friend. It is a finite amount of time and it is done. I am on my second go round with BC. I did chemo last time and am doign a stronger regimen this time. Both times the side effects were very tolerable.
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I was 63 when DXd (my DX is very different than yours) and I never gave it a second thought - I was going to fight with everything modern medicine could offer me. I was very healthy (only minor issues were arthritis in upper back and osteopenia) when started TX and ended TX with no other issues.
I did 4 DD A/C neoadjuvant and then 12 weekly Taxol adjuvant with a UMX between and followed by rads and Femara/letrozole. The A/C was easy -did not slow me down at all. The Taxol was not as nice though - I was completely and utterly exhausted throughout. Started feeling better a week after last Taxol and felt better every day.
All that was 5+ yrs ago and I am still here NED, very 'hail and hardy', loving life and as active as ever. I'm planning on taking up a new hobby this summer, kayaking so I can get out on lakes better for flyfishing. I also ride (my horses and bicycle), mow my yard and 3 other ones to help some who need a bit of help - so yeah - TX allowed me to still be alive and living/loving life.
Not all have the same reactions to anything so there can be no 'One Size Fits All'. For me A/C was easy, Taxol was not but for some it is the reverse. To me, life is a 'journey' along our individual road/path. There will beautiful area at o relish and not the nicest of areas where we have to struggle through but we can and come out of the 'darker areas' with more strength and understanding if we allow ourself to grow and learn. Then the 'sunshine' is always sweeter when back in it. But even in the darkest times, there is usually a sunbeam(or moonbeam) or 2 that does sneak in if pay attention and notice it.
(Sorry for rambling on so.)
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I'm 62. Dr decided to do TC rather than AC because of heart history in family. Just finished my last round of chemo 5 min ago. Doing the Happy Dance! I was scared out of my mind but while no picnic not so bad
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Chloesmom, tap tap tap following you with my happy dance. Congratulations!
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WooooHooooo HAPPY DANCE WITH YOU!!!!!!
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Congrats Chloesmom - great feeling to be done!
Anew I did AC and Taxol and was scared to death of Adriamycin for fear it would damage my heart. It didn't and I am fine. I was also scared to death of taxol because of neuropathy. Nope didn't get that either. I didn't like chemo but it really wasn't as horrible as I thought it would be. I am glad I did it - still hate the losing your hair part of it but I have three wigs and they look better than my own hair. I hope you can come to a decision you feel good about
Nancy
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Thank you Ruth and all you wonderful ladies. I will get back later on as I am on my way to M/O and feeling a little better this morning after seeing my cardiologist yesterday and having my echo. I needed to read these posts before I go because it has given me more strength and hope. I hope you all have a wonderful day!
(((hugs)))
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Anewbeginning
Did you ask your MO about TCH instead? Its less toxic to the heart than ACT. Most Her2 pos ladies are getting this. If you havent had surgery yet u can still get perjeta as well
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Special K
The more I think about the "alternative" the better I feel about starting tx.
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good luck and best wishes to you. I had ac in 2001. Heart was fine, and I don't remember a lot of issues. Was tired, but prob cause I was still working full time. Hate to tell you this, but the taxol, taxotere , those drug lines I think are the yuckiest. At least for me that was the case. You will get through them all.....they all affect something different. I would think they would be more similar, but they aren't . And that is actually good, I think, cause you wouldn't want them all to be hurting the same things in your body, so nice they figured out how to rotate the side effects. Lol. Hang in ther
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