Starting Chemo March 2015

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  • molly1976
    molly1976 Member Posts: 403
    edited April 2015

    Carrie, I don't know mine either and I think it's because we are Her2+, so we need to have chemo regardless.

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

    Theresa- you are a bright shining light to us all. I also believe that exercise is key in managing SEs. But believing it and doing it, like you do , are different. BRAVA!!

  • rleepac
    rleepac Member Posts: 755
    edited April 2015

    They didn't do onco type or mamma print on me because it was in a lymph node.

    Pos node(s) + HER2 pos + grade 2 with ki67 of 40 = chemo + herceptin...case closed per all the docs I've met with.

    Would have been interesting (just in the name of science) to know my onco type though.

  • SueH58
    SueH58 Member Posts: 632
    edited April 2015

    Carrie,

    Both of those tests are done on the tumor to determine the genetic make-up of the tumor. So if you haven't had your tumor removed yet, you won't have an Oncotype or Mammaprint score. And, from what I understand, insurance insists that the Dr. wait 2 weeks following surgery before ordering an Oncotype Dx test. Why? Who knows!

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

    Bekah- truly lovely. I'm so glad you made it through and got your J. You rest now. So glad. You deserved a good day. Glad it came today.

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

    Carrie and others- there is so much info to process, it's impossble to keep up with, especially when we are nerve racked by the very words breast cancer.

    The following article came from this site and explains what the Oncotype dx test is and how it is used.

    http://www.breastcancer.org/symptoms/testing/types...

    If the link doesn't work for you, just go to your profile and do a search on Oncotype.. There are several articles, but this one, to me, is very clear

  • Carrie37
    Carrie37 Member Posts: 331
    edited April 2015

    so I just read that the Oncotype test is done of there is no lymph node involvement. That rules me out...

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

    I agree it would still be very nice to know even if one is node positive, or the tumor is very large.

    The real reason, therefore, must be $$$$. It's about $4,000 to run it, and if you are already being recommended chemo based in some feature ofyour shit sandwich, they figure, what changes or treatment options would be offered? And the answer is none.

    For years, women with smallish tumors (<2cm), clear margins, and no node involvement were greeted after surgery by their BS with a big smile and proclamations of your great prognosis. And therefore did no follow up.

    I myself was greeted so on 12/18/14. Imagine my surprise, 6 weeks later, my MO told me that despite doing a prophylactic bilateral mastectomy, that if I did nothing further, I had a 30% chance of recurrence. To me that was a huge number. The BS's and MOs need to chew the fat more often!

    So. The Oncotpe dx test is designed, I think to plug that hole. Because we are not safe. None of us are.

  • Carrie37
    Carrie37 Member Posts: 331
    edited April 2015

    You're right Katy, no one is safe from this shit sandwich. I'm pretty sure since my shit sandwich includes the HER2+ we went with "doing the hard part first" as my BS says. Fuck that, I'm pretty sure that all of this is hard. Especially since I don't even know if I'm having a mastectomy or lumpectomy yet. At first they said I should do a bilateral mastectomy but since I'm having chemo first I might be a good candidate for a lumpectomy. I don't know what to do! Then I get to have rads. Oh and then the hormone therapy. BUT I have vacation to look forward to when this shit is all done!

    Small vent needed: my DH is making me slightly crazy with his belief that my weekly Taxol will be SO much easier. I have no idea how it will be but I don't have high hopes. I kind of want to scream at him. But I won't because he means well and wants this to be easy for me. I should point out that he has never been to a chemo infusion with me. I'm pretty sure I'll be trying to make him go to round 1 of taxol so he can listen to all the SE's.

  • eheinrich
    eheinrich Member Posts: 792
    edited April 2015

    Carrie, The oncotype/mammoprint are tests done on your tumor after surgery. I don't know the specifics of mammoprint but Oncotype is only done on ER+, Her2- tumors.

    I have round 2 on Tuesday then a consult w PS on Friday. Really torn on reconstruction.

    Good luck this week my fair ladies :)

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

    Carrie- it seems loved ones just cannot get it. Cannot find the right thing to say. To do. I think it would be great if you husband would go at least once. Hopefully he has that in him.

    That's why this group is so important to all of us. We do get it. And our new club card gives us magical powers to cross over into an arena of gentle compassion and emotional intelligence that we so desperately need to fight the good fight. To do our best, we need each other. Since I've met these dear ladies, my optimism has increased greatly..not just optimism that I can beat this horrible thing, but that I can be happy and fulfilled while doing it. No matter what the outcome.

    I think it's fair to say that having to endure chemo while not knowing your complete treatment plan and why, is a painful combination of events. Once you get those answers, you can focus on committing to your treatment and stop the wondering and questioning. In the meantime keep doing what your doing. Read. Ask questions. Vent.

    I am with you in spirit. I am holding your hand. Ok? xoxo.

    Katy

  • NurseJules
    NurseJules Member Posts: 12
    edited April 2015

    someone poste a link to a site with treatment recommendations based on specific diagnosis? I can't find it and hoping someone still has it. Need as much info as possible for my pending MO breakup.

  • Carrie37
    Carrie37 Member Posts: 331
    edited April 2015

    Tears in my eyes Katy. Thank you. I honestly don't know how I would handling all of this without such an awesome group of ladies who know exactly what I am going through. I can't wait to meet you all!

  • IndyGal35
    IndyGal35 Member Posts: 340
    edited April 2015

    I'm glad that I'm not the only one struggling with the reconstruction decision. I meet with the BS and PS again after round 3 to start finalizing decisions, so I still have a little bit of time. Summer seems far away, so I try not to get too far ahead, but I can't convince myself that immediate construction is right for me. Delaying or even declining reconstruction would help preserve my FMLA hours so I could take better care of myself during chemo, my dmx, and radiation.

    The PS said that a TRAM sounds like my best bet due to large tumor size and radiation. I just think it might be too much for me right now. Honestly, I'd rather get the hysto first since this PCOS is making me miserable, and I can no longer take hormones to treat it.

    DH is so supportive, but I've never felt so much social pressure to get new tits. Everyone seems to have an unsolicited opinion to offer. A huge part of me just wants to get back to my "normal" life, let the psychological healing begin, and worry about cosmetics later. Our reconstruction decisions are all so deeply hard, personal, and courageous. I'm glad you gals understand!

  • avmom
    avmom Member Posts: 324
    edited April 2015

    NurseJules, I don't think that this is a link that has been posted before, but I found it very helpful. It is a link to the Cancer Guidelines in my home province, and is a comprehensive document with many many links. The site:

    http://www.albertahealthservices.ca/cancerguidelin...


    should take you to a page that has different cancer types listed down the left. If you expand "Breast", there are surgical guidelines, adjuvant chemotherapy and radiation therapy guidelines, neoadjuvant therapy guidelines, etc. I got a lot of information from the guidelines for adjuvant chemotherapy and radiation therapy guidelines.

    If for some reason this link doesn't work, I do have some of the linked documents saved on my iPad as .pdf documents, so could send to you by PM.

    Hope this helps. Let me know if you have any trouble accessing the linked docs, or with your comments as to whether this link was helpful to you.


  • avmom
    avmom Member Posts: 324
    edited April 2015

    NurseJules, the "click" link doesn't work, but if I type the entire address in, I get there. I can try to fix the click link, but I'm not really good at that sort of thing.

    I did try to fix the link, but now you can't see the whole address. It is

    http://www.albertahealthservices.ca/cancerguidelines.asp

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

    Nurse Jules- Last Thursday MaryEllen (Meme) posted this link. I think it's what your looking for. You'll have to read in several pages before you see what you are looking for.

    http://www.nccn.org/professionals/physician_gls/f_guidelines.asp

  • mysunshine48
    mysunshine48 Member Posts: 1,480
    edited April 2015

    I have no started chemo yet, but have been buying some things I may need. When I was at CVS last week, the pharmacist told me they make their own mixture for mouth sores and call it "magic mouthwash" your doctor writes a RX for it. Worth a try if you have a CVS near

  • eheinrich
    eheinrich Member Posts: 792
    edited April 2015

    Indygal,

    I really don't know what to do regarding recon. I'm not sure what/who I would be doing it for. My husband and I are separated. If we were not I wouldn't really worry about it. Part of me thinks that single life will be easier w 2 boobs. If the surgery was "easy" I'd be all down with it. Clothes are hard to fit into w/ one boob. The fake insert isn't quite correct and it's not comfy. I mostly go just as is, but now that i don't have hair I have been using my falsie more. After all this other stuff I am not sure I'll be up for multiple surgeries for something "unnecessary" - I know that's not the right way to put it.....sigh......

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

    I'm with you IndyGal. A lot of people pessured me about recon. I have decided against it. I really didn't handle my bmx well, and still haven't recovered. These discussion boards are loaded with people complaining that it hurts too! Lots of people have them removed. More surgery. I just cannot willingly go under the knife for boobs that have no feeling. And if I am not mistaken, can you get a local recurrence with them? I think you can. Yikes!

    If I need to have a dress hang right once a year, I'll put the nerf balls in the genie bra. My breasts never did define me. Ok. Maybe they did a little. But then they tried to kill me. And since I was such a large breasted woman, there were a lot of clothes I simply could not wear. Now in a way I feel I can dress more femininely. I know that sounds weird. I am weird.

    The only surgery I might consider is a scar revision if it is determined that I can minimize this ongoing pain. I'll trade some pain for less pain. But that's it

  • eheinrich
    eheinrich Member Posts: 792
    edited April 2015

    If I had a double instead of a single I wouldn't even consider recon. I'm so lopsided....

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

    E- yes. I understand it's a different decision entirely. I've been ranting a bit today. Sorry.

  • greenae
    greenae Member Posts: 540
    edited April 2015

    eheinrich

    I so understand. I am a 34 DDDD on right "healthy" breast and had a left MX. I already have a TE on left with 450cc in it. Still lopsided. Wearing very busy print button downs that have breast pockets and are over sized. Am scared of recurrence on right. Almost want a right MX just so I can stop worrying. Implants or DIEP? Can only do DIEP once and its a looonng surgery. And I have been more afraid of recon than the MX or chemo, all along. I was to be a LX, but location of stinkin mass changed to an MX one week before surgery date. I flipped that nite. Asked surgeon to do BMX, she said "why do u want to get rid of a healthy breast?" I hate them both, now. They terrify me. And now to have to worry about recon? Ugh. I just want to be even, symmetrical and healthy. Boy , has life changed since December 28. I dont know who to talk to about this, but I thinking I want a right mx and the same recon to each breast. And I want every bit of tissue that could harbor a rotten cell scraped out of me.

    I am sorry for complaining, but my wig hurts, my buzzed head hurts, and I am getting nervous already about round 2.

    Thinking of you all

    Arlene

    PS

    Trvler,

    The satin pillowcases came 2 to a pkg, standard size for 29.99. Some cheaper on BBB website. I had to have them immediately to sleep without a hat. Gonna post a pic. They washed well in a lingerie bag and feel good against this awful scalp. image

  • Carrie37
    Carrie37 Member Posts: 331
    edited April 2015

    Sunshine, the Magic Mouthwash is what my doctor gave me and it seemed to really help. It was a little pricey but worth it to me.

  • shaz101
    shaz101 Member Posts: 718
    edited April 2015

    Bekah, I'm so glad you made it through church. Your scarf looks great! I just wear scarves when I go out. I didn't bother looking atwigs. My hair was so thick, curly and long iI'd never be able to replicate it. 

    I went to the MO today. They are writing up a referral to a neurologist, but apparently it may take up to 7 months to get in. I've told them I will pay privately if they can find one that will see me earlier.

    They don't have any answers for the headaches. They're happy with the drugs I'm on and have suggested that I go to hospital if I can't get the pain under control. I hate the hospital when I have a migraine. Its so light and noisy. But I will go because I can't continue like this. 

    I have my chemo tomorrow at 9am so I have to get up around 6-6:30 and leave by 8. Its times like this I wish I lived closer. I'm exhausted from today. 

    Does anyone know what it may mean if my white cell count is high? I did the blood test on Friday and they have had me repeat the test again today. 

    Nice to hear from a few that have been absent and I'm glad your well.

    Where's wpmoon and princess? Who else haven't we heard from? 

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

    Did you have Neulasta, Sharon? My white cells were high and they eased off the Neulasta a bit. I hope you don't have to go into the hospital and the neurologist can give you some relief. You amaze me how you function with those headaches.

    Bekah: I am so happy you had a good day and were able to go to church. I am sure that is a great comfort to you now.

    Sue: Please don't feel like you are clogging up our board. I don't think there is a woman in here who isn't happy to help where she can.

    Nursejules: When you fire your MO, please tell him/her it's not you, it's HIM/HER. I might have to fire mine at some point but so far I see very little of her, which is fine with me. I wish you guys could see this chick in her big old high heeled boots and moused hair.

    Italy: You are my exercise inspiration. I am trying to work up my courage to go to Jazz this am. I need to get back on the horse. I am trying to do an hour of exercise at least 6 days a week.

    I realized what is so great about our group. Or at least one thing. We are here for each other 24/7. If you had to go to some meeting, you would be waiting for the meeting and then having to take turns talking. This is instant gratification support. :)

  • TerryMarie
    TerryMarie Member Posts: 77
    edited April 2015

    Well this is day 3 since my 4th chemo , this time with herceptin and I'm feeling pretty bad. I had a terrible night of muscle and joint pain and tylenol 3 isnt helping. It was a real effort to get up to let my dog out. Im trying to get thru to the hospital to see if they can give me something for the pain , I wasnt expecting this and Im hoping the pain subsides between treatments. I can't sleep and it hurts to sit, lie down, walk, anything. Has anyone had severe pain from herceptin and if so , does it subside? What did you take to help ease the discomfort?


  • DavisD
    DavisD Member Posts: 338
    edited April 2015

    Hi ladies! I've been off the grid for the past 30 hrs. After two nights of tach/no sleep I finally slept about 12 hours last night! Only got up for some unwelcomed diarrhea from that Chinese food yesterday. You all have been busy. I think I'm caught up but without a LIKE button I may have a hard time commenting on all-

    Sharon-Your grandkids are adorable! Makes me want some of my own but don't know if that's gonna happen in my lifetime haa!

    Jules-Thanks for the feedback about tachycardia and meds. I think it's a great idea to record everything I take, that first night I felt like I took everything in the med cabinet trying to slow down my pulse. BP was fine/low but pulse between 100-125! My resting is usually around 49 or 55. I was done with steroids too so that wouldn't explain it. I reject this has anything to do with anxiety and I find it offensive..not because there's any shame in that but when you wake up out of a deep sleep with a pulse of 115 and BP 90/70, it just doesn't make sense. Your expertise is appreciated and I'm going to ask about changing from Lorazepam to Valium or Xanax

    Indygal-Thanks for sharing your issues with Tach and I have to believe it's related to the chemo. Same time rounds one and two??

    Katy-I'm going to look for that movie on Netflix I think the idea of passing the bracelet around is a great idea. I'll send my address to you on private message and if you could send yours I'll put you on the Christmas card list! Didn't send ANY this year but I have high expectations for next year!

    Ninjamary-I'm lifting my finger in solidarity with you and FB vacation hogs, hee hee!

    Meme-I looked up Newtown and you're only 3 hr 48 min from me! Quite a drive but nice to know someone is fairly close. I love your dog Southern. He reminds me of my Oliver who is more tan and less black but looks like similar breeding. Ollie is sulking since my DD left after visiting for two weeks; me a little too..

    Sue-I'm thinking you'll be rocking a hot, short hair do by the time your daughter gets married! Most importantly YOU WILL be there.

    Bekah-I love the scarf and you look beautiful as always. So glad you made it through church this time and that you have a super support system...I wish I still had my MIL, mother or any parent really. During times like this I wish so much I had my mom still and often have the impulse to call her..

    Theresa-I love reading your posts and how authentic you sound. I know we will get along well Thanks for keeping the positive momentum train running here!

    I have thought about "Why me?" mostly because with the unimx I had a less than 1% chance of recurrence and it came back with a vengeance in less than 4 yrs even doing all the right things. Just makes me wonder why and did I do something to cause this?

    Anyone doing the false lashes while on chemo? I don't know how hard they are and I haven't gotten to go to a LGFB class yet so wondered how it works. My eyes are so dry but I just want to look a little more female you know?

    Last day before returning to work tomorrow and it's sunny and forecast is for 78 degrees. What could be better??

     

     

  • DavisD
    DavisD Member Posts: 338
    edited April 2015


    image

    Paddled the New River in W.VA with my daughter and friends last summer 2014. I'm the one with big thights, ha!
  • BBwithBC45
    BBwithBC45 Member Posts: 727
    edited April 2015

    TerryMarie, I have bone and joint pains, most likely from Herceptin, but mine are not nearly as debilitating as yours. I have read somewhere on these boards that if they slow down the Herceptin drip from 30 to 90 minutes, it might help with the pain. However, if you've had just one Herceptin so far, you probably had it over 90 minutes anyway.

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