Told by phone, Invasive Ductile Carcinoma-- little other info

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2015

    April, I think if it wasn't for the big C, I wouldn't have done too bad on chemo. That and the NeuNASTY shot (Neulasta). I called it the bone crusher. My counts dropped so low on Neupogen, they had to switch me. I dreaded that shot more than the chemo and I had to do it with each round.

  • april25
    april25 Member Posts: 772
    edited January 2015

    I had to give myself 5 Neupogen shots! I'm not a big fan of needles, either, so that was no fun. And that's one of the things I'm not looking forward to doing again. But my white counts were OK, at least. But, this is just my first round, so who knows? It could just be that the chemo was concentrating on my poor GI tract and not my blood cells this time-- but next time it could just do something different.

    I haven't had any pain from the Neupogen so far. But I made sure to take Zyrtec and Tylenol each night I took a shot of neupogen, so maybe that headed things off? Or maybe I won't feel it until I have more cycles? I have no idea.

    But I'm glad you didn't have more side effects from the chemo! It's nice to know that it doesn't mess up everyone. :)

  • PMR53
    PMR53 Member Posts: 452
    edited January 2015

    I just read this post and was not sure what plan you went with. My diagnosis was similar and I am doing neo adjuvant with 6 cycles Taxotere, Carboplatin Herceptin and Perjeta. And then Herceptin for a year. The 2nd opinion I got said same thing except wanted to ad Taxol for 12 cycles. I had a pet scan before. Glad I did as it relieved my mind on any mets. Hope this helps. Let me know!!

    PMR53

  • april25
    april25 Member Posts: 772
    edited January 2015

    Hello, PMR53 !

    I've started neoadjuvent chemo on the 17th of December: Taxotere, Carboplatin, Herceptin and Perjeta -- 6 cycles, just like you!

    I'm not sure which surgery I will do. I guess it will depend on how the Chemo goes.

    And 1 year of Herceptin and 5 years of femara MAY be in the future. I think that's what my doctors were thinking. So, also similar to you.

    Taxol instead of Taxotere?

    I'm glad I got the PET scan, too! It did give me some reassurance--that at least I don't have a bunch of obvious spread to nodes. Learning I had some coronary artery disease was a bit concerning, though! Hopefully I can try and keep that from getting worse through this process, although it might be difficult... I'm not exactly eating as healthy as I should--or exercising! Sad

    It was a bit alarming reading some people's stories of discovering something in their OTHER breast. I don't know why my doctors were totally skeptical of there being anything else anywhere without doing tests! "Oh, we don't test your other breast! It would be an entirely different cancer and that's statistically near impossible!" --I went out and paid for the PET myself! Still haven't done a bilateral breast MRI. But hopefully the PET would have caught anything... (but who knows?)

    I did get a brain scan. No sign of mets there... but some other thing! geesh. It feels like my body is falling apart! But oh, well. I guess that's just life! At least I'm fore-warned!


    ---------------

    All my hair fell out in the shower this morning-- 2 weeks and 2 days after first Chemo. Ah, well. Let's see if I can bear wearing a wig all the time???

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2015

    Thinking of you today April. Hope your side effects are minimal with this round!!

  • april25
    april25 Member Posts: 772
    edited January 2015

    Thanks, SlowDeepBreaths -- but.my MO saw me right before starting chemo and decided to delay until Friday. My port looked a little irritated so the nurse didn't want to risk using it. Hopefully it will be better by Friday and the doctor will think I'm better enough to get treatment... he said landing in the hospital after the first cycle was a big concern.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2015

    Sorry to hear that April.
    I guess it's good they are giving your body a chance to recover.
    Hoping you can resume treatment on Friday!!


  • SpecialK
    SpecialK Member Posts: 16,486
    edited January 2015

    april - it is really important to hydrate and eat, even if you are not hungry - preferably every couple of hours.  Eat low fiber, bland stuff.  Fortified Cream of Wheat or oatmeal, rice, potatoes, toast, maybe some baked chicken - I would not eat dairy since it can make the Big D worse, and also avoid sugar/sweeteners, anything carbonated or with caffeine, anything fried or high in fat.  Hopefully they can control your GI distress this time.

  • april25
    april25 Member Posts: 772
    edited January 2015

    Thanks SlowDeepBreaths and SpecialK.

    I'm mostly eating bland foods... nothing too sweet or fried. I've gained back some weight.

    I think the pedialyte helps. I wasn't taking that before.

    I really want dairy for the gentleness on my stomach and the protein but am trying lactose free milk to we if that can help.

    I really am feeling better... mostly because my body is slowly recovering.

    I'll be going in for chemo tomorrow. I hope they will use my port (there is a small red dot from where the needle went in... the nurse was hesitant in case it was infected but a radiologist saw it and said it should be ok. ..was probably just irritated maybe from a trace of chemo).

    I sort of want to get my 2nd round and maybe see if I can avoid the dehydration this time since I'll be more prepared... but we'll see what the MO thinks!

    ----------

    MO. called to tell me he's going to reduce thee taxotere. .. I feel a a bit like a wimp for not getting through my first cycle more easily. ..

    Now please let my port look ok enough to use!!!

  • Izzyfran
    Izzyfran Member Posts: 78
    edited January 2015

    April,

    I've been reading through these posts and I'm sorry for your ordeals. I hope they were able to use your port for 2nd chemo. How are you holding up? Thinking and praying for you....

  • april25
    april25 Member Posts: 772
    edited January 2015

    2nd. Chemo achieved yesterday! Had a different nurse who accepted the diagnosis of only a slight irritation of the needle price but port safe to use. Yay!

    Oncologist reduced the amount of Taxotere. He also has me on a prescription of powdered glutamine mixed with water 3 X a day. And BioK probiotic.

    Feel fine today. Had my first solid bm... but I'm sure it's just due to my body recovering. I'll have to see if things go bad again in a week... but the lower taxotere might help... plus being more prepared this time!

  • Sjacobs146
    Sjacobs146 Member Posts: 770
    edited January 2015

    april25, I had terrible diarrhea after my first round as well. Second round went much better for me. I changed my diet to be much more bland (BRAT diet), plus took Immodium at first sign of D. I also added yogurt to my diet to get the good bacteria back in my gut. Watch out for UTI which I'm pretty sure was a result of the D. Good luck

  • april25
    april25 Member Posts: 772
    edited January 2015

    Sjacobs146 -- Thanks for your comments. I totally wasn't prepared for the D problem during my first cycle. I was still figuring out if I was going to be nauseous and if the neupogen shots would cause bone pain (didn't). And I had no idea about what I could eat because my sensitive mouth and stomach just refused to consider a lot of things.

    By the time the D hit the immodium didn't have any effect. ... but I also didn't start early enough. And I wasn't up on what to do and watch out for regarding dehydration.

    Now I check my blood pressure because low bp and high heartbeats is a sign (I had just been watching my temperature. .. but Luckily my blood counts were good). I now know to make sure to have pedialyte to keep my electrolytes up. And eat bananas to restore potassium and magnesium. And I'm taking BioK which is a probiotic. And was prescribed l-glutamine.

    I've figured out what foods work but that was secondary to the D and dehydration which was the big danger.

    I'm a bit sad that my taxotere had to be lowered this round since it would have been less than the loading dose and I do think I'm better prepared this time... but then the big D problem peaked around my nadir and I have yet to get there.... so things may go down hill then. I'm hoping it will be much better this round though.

    Great to hear that I wasn't the only one who had a big problem with this. Also good to hear what helped with it. I can definitely use all the tips I can get as I don't want to wind up in hospital again. .. or have it interfere more with my treatment.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2015

    Thinking of you April. Hope you're doing better with this second round!!

  • april25
    april25 Member Posts: 772
    edited January 2015

    Hydranne -- I know... this totally feels like I've landed in a strange dream where it's all about cancer and medical appointments. *sigh*

    I really am just trying to get by a as best I can. And like everyone else, am posting here to find support and information. This is a journey that people here might know something about... and be able to share their knowledge about. It's certainly more complex than most individuals can handle alone.

    There's a TCHP thread... about results but others have also posted about their experiences and side effects.

    There's also a TCH thread which can be useful since they are getting similar chemo drugs.

    There should look be a thread for those starting chemo this month which will be helpful to join.

    Best to you in your treatment. Plenty of people are doing ok.... it's not all bad side effects! I'm sorry you have to join us in this journey, but it's nice to have your helpful comments.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2015

    Just checking in on your April. Hope you're tolerating the side effects well.

  • Izzyfran
    Izzyfran Member Posts: 78
    edited February 2015

    April,

    Glad to hear the 2nd round went better. Hang in there.

  • april25
    april25 Member Posts: 772
    edited February 2015

    HI there, SlowDeepBreaths and Izzyfran !!! Thanks for checking in! I hope you are all doing well!

    Actually-- 2nd round was pretty much like the first!!! I went into hospital for 5 days at exactly the same time as the first!

    For round 3, I have different meds, but still no cease in "D." SO they are giving me a home IV drip! I've got it all in a black bag I carry around with me, with a line into my Port! If it's like the other cycles, I should be done with it in just over a week. Then the cycle lets my body recover and I get a few days of no diarrhea before starting again!!! Crazy, eh? Looks like this will be happening for my three remaining cycles.

    BUT... at least I'm in no pain. Just got my kidney's checked, just in case they are getting messed up with all the IVs. If I didn't have the big D problems, I'd probably not be having a bad time... I do feel tired at times, and can't eat some things, but it's all manageable, except for the stupid diarrhea and dehydration!!!

    Wig wearing, not the most fun, but at least I have a good wig that isn't uncomfortable.

    Most of my hair is out on my head. Still have the rest, although I bet it could all go after a few more cycles!

    Another friend just sent me a knit cap, which is just so sweet! People really are being very nice. I don't like attention but it's very appreciated.

    ---

    Just got Genetics Test results: No BRCA and no 23 other genes that might mutate and cause BC.

    Got a Bone Scan. No sign of cancer, but it looked like something was up with Kidneys, hence the ultrasound today (which looked normal).

    Got a Brain Scan. No sign of cancer, but some weird artifacting that needs to be checked out.

    Got a Bone Density Test... Not sure of results but I bet I need Calcium supplements...

    JUST got a Bilateral Breast MRI. No results yet, but I think it'll be OK.

    Got a Echo-cardiogram because my heart rate was fast due to the dehydration. Looked normal--yay!

    Got a nasal CT in hospital just in case I had a sinus infection raising my WB count-- Negative.

    Will be getting a Kidney scan next week just to double-check.

    ... Pretty crazy amount of tests!!!

    ---

    Getting white fogging at the base of my nails, and slight numbness at fingertips... but no pain, and nails look fairly healthy, otherwise. I'm putting some strengthening coats on them, but not doing anything else.

    Appetite this 3rd cycle seems a bit better... I think because I know more what to expect and am taking anti-acids and anti-nausea at first sign. I'm still a bit picky about what I want to eat, but it isn't as bad as the first round where a lot of foods just couldn't be eaten!



  • Izzyfran
    Izzyfran Member Posts: 78
    edited February 2015

    April,

    Sorry to hear that you were back to the hospital again. I hope your third round will be better. I'm glad the tests are coming back as good results. You sound so positive even with what you're going through. Hang in there, April.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2015

    Good grief April. We gotta keep you out of that hospital!! Glad your BRCA was negative. Hang in there!!

  • april25
    april25 Member Posts: 772
    edited March 2015

    LATEST NEWS:

    Nearly through 4th Cycle! I'm getting 2 weeks of 24 hr a day IV drips with a home unit to keep me hydrated and out of the hospital. Will probably have to continue to do that for the remaining cycles. Nothing is making a dent on the diarrhea... but as long as they can mitigate any danger by using the IV drips, I guess I'm good. Hopefully things won't get worse during the last 2 cycles due to cumulative effects... I haven't been able to get any exercise, so my muscle-tone is nil these days. Hopefully I can get back into some basic kind of shape after the chemo ends!

    I just saw a surgeon, Dr. Giuliano at Cedars-Sinai (who helped pioneer SNB so fewer nodes would be removed). He said he should be able to do a lumpectomy with no problem, even though my breasts aren't very big (smaller with the weight loss!). That sounds OK to me. He said it looked like my tumor has shrunk... looking at an MRI from several weeks ago. Not a lot... maybe down to 2cm from 3cm... but I'll take any shrinking at all... and I do have several more cycles to go.





  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2015

    April, good to hear from you. So sorry to hear about all the trouble you're still having with the big D. I'm happy to hear your tumor is shrinking!! That is great news. My HER2 went from 1.5 to 1.4 cm - not too much progress. A whole cm sounds really good to me!! Plus, you're not finished!! Keeping you in my thoughts!! Two more to go!!

  • april25
    april25 Member Posts: 772
    edited March 2015

    SlowDeepBreaths-- thanks for the good thoughts!

    The size of my tumor has been a little worrying for me... I'm still annoyed that it wasn't caught earlier in a mammogram. Sucks to have dense breast tissue, I guess... Or maybe sucks that my regular tests didn't include something a bit more effective at catching bc earlier? But oh, well! (although... one wonders how effective future tests will be, if they seem to miss so many things???)

    Size mostly worrying since a big size might mean a MX was called for, which would mean I'd have to think about reconstruction and maybe BMX...

    So having it shrink a bit was good. And hearing I was still a good candidate for a LX was good. Sure, things could go south and I'd need a MX down the road, but why worry about that now?

    Anyway, it's all very reassuring, seeing the course of treatment sorting itself out a bit more!

    And I can't wait until chemo ends... geesh. What a bother it's been!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2015

    april, mine wasn't caught my mammogram either. Even when we knew it was there, mammogram still didn't see it.

  • april25
    april25 Member Posts: 772
    edited March 2015

    SlowDeepBreaths -- So... since mammograms don't seem to catch these things... Will you be getting a different sort of regular screening test in the future? I'm really curious about that... I'd really like a better way to catch these things before they grow too much!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2015

    April, I don't do mammos anymore. I will only do a bilateral ultrasound. I feel that is what works best for me.

  • april25
    april25 Member Posts: 772
    edited March 2015

    SlowDeepBreaths -- Oh, that makes a lot more sense! I hope I'll be able to do that, too, when it comes to future screenings. (and I'd prefer ultrasounds any day... those mammograms are just awkward and painful, as well as being no good at catching my tumor!)

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2015

    It was an uphill battle April. Anything that isn't standard of care typically is I've found.

  • april25
    april25 Member Posts: 772
    edited March 2015

    SlowDeepBreaths -- Yeah... I bet it's an uphill battle! I was asking about other screenings than mammograms even when I was getting my diagnostic mammo. I mean--I'd heard that mammograms weren't that effective with those with dense breast tissue. I'd had mammograms and yet found a lump in my breast... It was a no-brainer that mammograms weren't all that useful! So I asked them while I was getting the mammogram, and then when I was getting the ultrasound with needle biopsy (by then I was pretty sure things were NOT looking good)... and they STILL kept telling me that mammograms were it... that they could not possibly use ultrasounds for screenings since they needed somewhere specific to look for things...

    So right then and there I was a bit disillusioned and frustrated.

    I also asked why they didn't mammogram my other breast while they were doing the one I'd found a lump in... I mean, if I had to find a lump myself, who is to tell there wasn't something smaller that I couldn't feel in the other breast? But they said, "Oh, No... it doesn't work that way! You won't have anything in the other breast! It would have to be another cancer and the odds are against it." But--the odds were against me having the cancer in the first place, and yet I had it (I wasn't diagnosed yet, but I knew...). It just seemed to all make no sense at all. I mean--it made a little sense, but hey, if mammograms don't catch things like tumors, then there has to be another way! And there ARE people who have tumors in both breasts! And what if it had metastisized? Geesh...

    Anyway-- good to know that you can at least TRY to get them to do ultrasounds... *sigh*

    ----------------------------

    NEWS:

    SO... It looks like I'm having problems with neuropathy!

    I have no nerve pain at all. I tripped over my own toe and twisted my ankle and then discovered that the top of my foot is now numb and I can't lift my foot at all ("drop-foot"). My MO sent me to a podiatrist. He did an MRI that didn't reveal anything obvious and sent me to a neurologist. The neurologist said it was most likely neuropathy... from the chemo. That it was affecting me peroneal nerve in my lower leg... that I tripped over my toe because it was gradually becoming affected... and now the nerve is blocked!

    He said there's not a lot to do about it. He believes in infrared light therapy, but it's still in the testing stage. I asked him about possible homeopathic remedies and he suggested tumeric and alpha lipoic acid-- but said to go to a reputable homeopathic pharmacy, because there's no regulation on the over-the-counter stuff...

    So... I'll probably need a foot brace to walk more easily... and i'm thinking of paying for my own infrared light kit (around $500-- no insurance coverage), and will need to check out the tumeric and whatever... Neuropathy is no fun, even if it isn't painful in my case.

    Getting weak legs and a foot that drags is no good...!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited April 2015

    Oh boy....just read this April. Hope your ankle is feeling better. You must be done with chemo or getting close??? Keeping you in my thoughts!! :)

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