TCHP Ladies Late 2014 / Early 2015

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  • loriekg
    loriekg Member Posts: 263
    edited April 2015

    SugarCakes—I just called my BS office and made my appointment for next week, only a week after treatment #5. I really want to have an idea of my reconstruction options and have a whole bunch of questions, plus I want a PS referral. I don't want to wait to schedule after my last treatment and then find out I have to wait a month to get my first appointment. I wouldn't hesitate to call for a consult appointment.

  • DaisyQ
    DaisyQ Member Posts: 123
    edited April 2015

    SugarCakes: I like the way you are thinking..on your way to pCR!

    IndyGal35: Glad you are making it through chemo. You sound great! I have 4 more days of rads. 28 total. It has been very easy. My skin just started getting red and itchy. I was a bit fatigued at first, but kept going. For me, activity reduced the fatigue. I do make sure I get a good 8-9 hours of sleep every night.

    I haven't had any radiation related issues with the tissue expanders or scars. I do see my PS this Thursday and we'll see what he has to say about how my skin looks. Initially he wanted my skin to heal at least three months before the exchange surgery. I'll let you know what he has to say.

    Have a good evening! On to dinner prep..

    Amy

  • CassieCat
    CassieCat Member Posts: 1,257
    edited April 2015

    My BS didn't want to do any recon before rads, so I haven't done anything along those lines yet.

  • IndyGal35
    IndyGal35 Member Posts: 340
    edited April 2015

    I'm getting round #3 today, so I'm hitting the halfway point. I'm going to ask the MO if I'll be getting any scans or assessments to look at tumor shrinkage in the next couple of weeks, etc.

    Round 1 brought fevers/chills/aches, and round 2 brought none of those, but I got the gift of nausea instead. Fatigue, chemo fog, runny nose, big D, and a rash have all been consistent so far.

    It seems like fluids really help. This time, I'll see if I can get fluids on days 3 and 6 instead of 3 and 8. Also, the prednisone (for my rash) really helped with my nausea too. I'm going to ask for a 7-day script instead of a 5-day to get me through the worst of it. Many people swear by Emend, so I'll see if that's an option too. (The Zofran just didn't help enough, and I can't take phenergan or reglan due to allergies.)

    Good luck to anyone sitting in the chair this week! I'll let you know what the MO says and how things go. HALFWAY!!! Hooray! Boy, I wish I could celebrate with a frothy Guinness tonight... :(

  • CassieCat
    CassieCat Member Posts: 1,257
    edited April 2015

    Good luck, Indy gal! For nausea, I always had Aloxi in my IV. It had something like a 48-hour half-life, so it kept working for days. I had some nausea each cycle, but it was very manageable with zofran or compazine. I think the aloxi really helped.

  • IndyGal35
    IndyGal35 Member Posts: 340
    edited April 2015

    They give me Aloxi with chemo too. That long half-life really helps for acute nausea! They're going to see if insurance will cover Emend for delayed nausea when I come back for fluids on Friday.

    They wanted to give me Zyprexa as a daily dose through the rest of chemo, but I'll start that as a last resort. It's an anti-psychotic drug, but it has shown great success in CINV. Still, the thought of yet another med that causes SE makes me nervous

  • raleighgirl
    raleighgirl Member Posts: 98
    edited April 2015

    hi ladies,

    I had chemo #5 last Thursday...one more to go! I am having the worst time this week with the metallic taste in my mouth. It seems to be much worse than what I experienced the first four times. I have probably lost five pounds because everything tastes so gross. I was already lean to begin with, so I feel like I am really starting to look "sick", especially with my eyelashes and eyebrows taking a huge hit this week. Trying to stay positive but it is really hard, especially with major fatigue this week.

    Anyone have tips on foods that might taste decent?

  • MaryJC
    MaryJC Member Posts: 350
    edited April 2015

    what's the deal with lashes n brows coming out near the end of chemo? It's like one last twist of the knife.

    I don't have metallic taste but have read using plastic utensils works great. Chemo tongue for me is food tasting like rotten eggs. Only thing that tastes right is extra sweet foods like the worst kind of cereal. I'm glad my tummy is a lil barfy n turned off from food bec I normally don't eat sugar/carbs and put on lbs. grrr

  • PMR53
    PMR53 Member Posts: 452
    edited April 2015

    Raleighgirl

    Congrats on completing #5!! One more to go!! I completed 4 cycles and am almost 6 weeks out. Feel much better. When I was having same tastbud/nausea issue I ate watermelon and smoothies (fruit) with protein powder. Gatorade and lemonade tastes better than water which had a metallic taste. I lost 15 lbs but I needed too.

    Hang in there. Almost done!!!

    PMR53

  • CassieCat
    CassieCat Member Posts: 1,257
    edited April 2015

    Ugh, I remember the everything-tastes-bad SEs. Plain water was horrible, but adding some fresh lemon or lime to it seemed to help. Just eat what you can and try for the best nutrition you can muster.

  • loriekg
    loriekg Member Posts: 263
    edited April 2015

    Raleighgirl-- I just had my chemo #5 on Friday and YES—it DOES seem like I am having a worse time than ever with the taste buds! Normally I would be okay by now…and I AM hungry, but everything is so nauseatingly disgusting I just have to force myself! I have lost 6 pounds since Friday…which I know I'll gain in one day probably when I can eat again! Sometimes I don't know if it's fatigue or if I'm weak from not eating anything.

    Are you ready for my go-to food this week? Chef-Boy-Ar-Dee spaghetti and meatballs in a can! Can't even remember how many years since I'd tasted that…but for some reason it sounded ok and I must've eaten it four times this week. I know…I know! At least when we're all done with this and if I never eat it again, it won't be any great loss!

    While my other SE seem to have lessened (no horrible headache for two days after Nuelasta) …the fatigue is REALLY noticeable now. I have to pause on the landing of our stairs before making it all the way up…and just walking out to check mail today left me feeling worn out. UGH!!

    I met with my breast surgeon today, just a consult so I'd know what to expect. She didn't think I would be getting any more scans. I guess MO could order one after treatment, but this Dr. said nothing the scan would show would alter my next step—having my BMX. I guess there isn't a better diagnostic tool than the pathology from surgery. How long have ya'll been told you need to wait after chemo ends before surgery? I was told today 3 weeks.

    Patty—I forgot, isn't your surgery scheduled soon? --Lorie


  • IndyGal35
    IndyGal35 Member Posts: 340
    edited April 2015

    I just finished #3 on Tuesday, and my tastebuds are already shot again.  Unfortunately, sweets are the only things that still taste good.  I also notice that I have been eating a lot of dairy, because it is soft.  I think my body is craving carbs due to the fatigue.

    Did any of you have an MRI or US done at the midway point to see if the TCHP is shrinking your tumor?  My MO tried to measure mine yesterday, but it is deep, and they can't get a good measurement.  He feels confident that it is not growing, but he's not sure if the chemo is shrinking it or not.  I meet with my BC in 2 weeks, so I will ask her about the MRI then.  Just wondering if your chemo has made an impact on the size.  (That would really bring me some encouragement as the chemo train is starting to run me down tonight!)

  • DaisyQ
    DaisyQ Member Posts: 123
    edited April 2015

    raleighgirl: #5!! Yes, all my SE's got worse with 5, but I did rebound before 6. Instead of two good weeks between, I had one. And water was horrible. I could handle sparkling water so that was my go to drink. Salty and spicy foods were more palatable. And as someone mentioned smoothies with protein powder worked too. Many days I just forced myself to eat anything. I am still trying to get some weight back on..hoping it will be easier now that rads are done.

    loriekg: Congrats to you too! I had weird food cravings too..lots of things from my youth. I can totally understand Chef-Boy-Ar-Dee! The fatigue is crazy, but I guarantee your normal, healthy self is just below the surface. She'll be back. My BMX was 3 1/2 weeks PFC.

    MaryJC: The lashes and brows coming out towards the end is, indeed, a cruel twist. By that time I was too exhausted to care what I looked like.

    Go, Ladies!

  • CassieCat
    CassieCat Member Posts: 1,257
    edited April 2015

    I had an ultrasound just before round 3, and indeed my tumors had shrunk to the point of being undetectable! That was a happy day. The one I'd felt I now know was roughly 2 cm to begin with, and it started shrinking noticeably within the first round of chemo.

    Surgery - my MX was about 4 weeks after chemo.

    Fatigue - I too got tired and achy climbing the one flight of stairs to my MO's office some days. My legs really ached, as if I'd worked out hard, even when I hadn't done anything. That all passed and I feel good as ever now.

  • IndyGal35
    IndyGal35 Member Posts: 340
    edited April 2015

    Thanks for the info, Cassie!  That gives me encouragement, and that is awesome news for you!  It always makes you feel better when you know that the treatments are working!

    I have a 5 cm tumor surrounded by 2 other 2-3 cm areas.  There is a third area that was inconclusive on the MRI.  They are estimating the total size to be just under 9 cm, but the MRI showed a very tiny area of spacing between the tumor clusters.  They aren't sure if it is all one tumor that is connected by traces of tissue or if it is 3-4 different clusters.  It started deep in the tissue, so that is why they can't palpate it as well for ruler measurements.

    I will advocate strongly for the MRI when I see the BC.  My original US only detected the primary tumor, and it didn't even capture the other areas.  I'd love to hear that it has shrunk even the slightest bit.  That would make these sucky SE's feel more worthwhile.

  • raleighgirl
    raleighgirl Member Posts: 98
    edited April 2015

    Thanks for all the tips ladies! I'll definitely try the lemon trick with water, etc

    Daisyq-good to know you didn't feel better for two weeks. At least I know there is a light at the end of the tunnel!

    Loriekg-so funny about the meatballs...I ate ravioli out of a can after the first two chemos. It was the only thing that seemed palatable. I also have the worst fatigue I have had. And it makes it tougher having an 11 month old and a 2 year old. I feel like I can't be the mother I like to be.

    Indygal35-I also had multi focal tumors, the largest being 5.5cm and the doctors could not feel them after day 6 of the first chemo! At my last appointment chemo a doctor I had never seen before did my exam without looking at the imaging or notes first bc he said that can bias him. He also felt nothing! I have not had any ultrasounds or imaging since chemo started.


  • CassieCat
    CassieCat Member Posts: 1,257
    edited April 2015

    I had another echo today, to keep tabs on my heart through these Herceptin infusions. It never fails to bring up anxiety in me, and my tech was so nice that I actually cried during the scan. :( Fingers crossed for good results.

  • loriekg
    loriekg Member Posts: 263
    edited April 2015

    IndyGal35 No scans so far (since chemo began). They were been able to tell it shrank (by almost ½) after one chemo treatment by just measuring with a tape measurer. After 2 treatments, they couldn't feel it at all, but mine was not deep either.

    Thanks for the encouragement Amy and Cassie! It is kinda scary, this feeling like an 80 year old. And hoping/wondering if you'll ever feel like your old self again.

    Oh boy, ralieghgirl—an 11 month old and a 2 year old!! My hat is off to you! At least your kids will not remember this time.

    --Lorie


  • CassieCat
    CassieCat Member Posts: 1,257
    edited May 2015

    My echo results came back good enough to keep going, so I'll have my 12th Herceptin infusion next week. On we go! I'm glad things looked ok.

  • Jill900
    Jill900 Member Posts: 13
    edited May 2015

    I am curious. Is it now the standard of care to give herceptin and perjeta to all HER2+ patients? I was treated successfully (achieved a pcr) in 2011 with taxotere, carboplatin, and herceptin and am holding strong and cancer free as of now.

  • IndyGal35
    IndyGal35 Member Posts: 340
    edited May 2015

    My MO told me that Perjeta was very recently approved for neoadjuvant treatments in early breast cancer. That's why he opted to go with chemo first for me. He wanted to make sure that, if Perjeta can do anything extra to reach a cure prior to surgery or prevent recurrence, I get the maximum benefit of trying it. I'm not sure if it is the new standard of care overall, but it is for my MO.

    I'm so pleased to see that you are made it to a cure on the other side. I noticed that we are the same stage, and that comforts me greatly. Would you mind sharing your tumor size and involvement with me?

  • loriekg
    loriekg Member Posts: 263
    edited May 2015

    Jill...another criteria for Perjeta, in addition to its use prior to surgery, the tumor needs to be larger than 2 cm.

  • raleighgirl
    raleighgirl Member Posts: 98
    edited May 2015

    I hope everyone is having a good week. Tomorrow is my last chemo! Whoop whoop! I am so looking forward to tomorrow and yet dreading the post chemo effects. I have a mammo in the morning tomorrow before chemo to see how well the treatment has worked. I will keep you posted

  • MaryJC
    MaryJC Member Posts: 350
    edited May 2015

    good vibes and luck to you! Dare I say I'm jealous it's your last one🙊.

  • loriekg
    loriekg Member Posts: 263
    edited May 2015

    Hey raleighgirl! Congratulations on your LAAAAST chemo! YAY! My last one will be next week and I'm dreading this one more than the others--feel like I haven't fully recovered from my last round, strength-wise. Will they let you know right away your mammo results? Keep us posted! --Lorie

  • DaisyQ
    DaisyQ Member Posts: 123
    edited May 2015

    I've been thinking about you TCHP ladies.

    RaleighGirl, good luck tomorrow. #6 is a kick in the pants, but it will be the last kick in the pants for you! I was so wiped out that I ended up sleeping through most of the bad days. Fortunately,my husband was off from work (Christmas holiday) so child care and meal prep was covered.

    Lorie, check in before next week. I remember that I felt the same way..you still have a few days to recover before the last round.

    I am still plugging away with Herceptin. I am happy to report that now the SE's from Herceptin-only treatments are almost nonexistent. Just a few days of D. I think I have 6 more to go then exchange surgery in September. I decided to have my ovaries removed at the same time. Although my breast cancer was not ER+, I would feel better having them removed. I'm 51 so they aren't doing much anymore.

  • CassieCat
    CassieCat Member Posts: 1,257
    edited May 2015

    raleighgirl, congrats!

    DaisyQ, Herceptin-only has been pretty non-eventful for me too. Slight D the week after, and tired the afternoon/evening of the infusion. My next one is this Friday.

  • SugarCakes
    SugarCakes Member Posts: 353
    edited May 2015

    congrats raleighgirl / neighbor!!! I had my 5th chemo yesterday and my last will me the Tuesday after Memorial Day. May I ask if you have decided on a surgery? I met with my BS today. At diagnosis, she was clearly promoting double mastectomy and full ALND. Now that I am clearly responding to treatment, she says I'm as candidate for lumpectomy... and if mastectomy, she ispromoting unilateral vs double, adding that's something I could decide to do later if so desired. Good news, I guess, but the decision making just got harder.

    I will consult with two plastic surgeons between this week and next about reconstruction options

  • IndyGal35
    IndyGal35 Member Posts: 340
    edited May 2015

    Ring out loud, Raleigh!!!! Woo-Hoo!!!!!!

    I met with my PS this week and got an ultrasound for my midway (3 out of 6) visit. The tumor hasn't shrunk much, but the change in density was very impressive. It's so much thinner and softer than it was, and it is starting to look more like normal tissue. Keep us posted!!! It's nice to know that this horrible garbage is actually working.

    I meet with the PS tomorrow. I'm still not sure that I'm going to do reconstruction, but I have a list of questions for him. It should be a productive visit.

  • loriekg
    loriekg Member Posts: 263
    edited May 2015

    Hi DaisyQ…glad to hear you (and Cassie) aren't having any issues with the Herceptin only! You know, nobody has even mentioned to me having my ovaries removed, and I am ER+. (I'm 51 too, so don't have any reservations. I'll have to ask about this.)

    SugarCakes…did I read (maybe on another thread) that your BS said no way to SNB? Why was that? Or was that no to just SNB only? But then if the SNB was negative, wouldn't that end the ALND discussion?

    Just got back from meeting with second PS. Thank goodness I really liked this one—the first one, not so much. First PS was jumpy and rushed and I didn't even get all my questions answered before he was out the door. This one today was relaxed, sat back in his chair like he had all the time in the world. Surgery hopefully (if all goes well after chemo #6) might be first week of June…(gasp!)

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