TRIPLE POSITIVE GROUP

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  • lago
    lago Member Posts: 17,186
    edited October 2015

    Kate I had terrible acid reflux/heartburn on chemo starting with the 1st treatment. I too was on protonix but eventually had to add carafate suspension. I never had mine reduced but you might be having more of an issue than I did.

    lauragirl My 1st Nuelasta was the worst one but it did get better after a few days. Have you discussed this with your MO?

  • amylsp
    amylsp Member Posts: 188
    edited October 2015

    Kate, I had very little nausea with Chemo, but horrible acid reflux/ heartburn. Like Lago, I added carafate to my regime which included prevecid morning and evening and zantac at bedtime. All of this helped, but by the 4th chemo it got so bad I couldn't finish my last day dose of the steroids. 5th and 6th Chemo, my MO cut back on the steroid and I finally had more significant relief. It sounds like you're only having 4 infusions though, so not that much more to get through!

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited October 2015

    Musogirl,

    How awful! My son (who is on the spectrum and has had problems with depression and anxiety) is the same way. He's had paradoxical reactions to Abilify, Risperdal, Seroquel, Prozac (5 mg and 10 mg), Amitriptyline, Clonindine, and Focalin. The only med that hasn't made him crazy is Guanfacine, and that has a modest effect. I wish we could find his version of your Paxil. Best wishes!

  • KateB79
    KateB79 Member Posts: 747
    edited October 2015

    musosgirl, you're bringing something valid to the table, here: how we treat mental health during cancer treatments. From a purely scientific perspective, it seems to me that it's overlooked to a pretty large degree; from an empathetic, human perspective, it seems like more should be done to address it. The good news is that it sounds like your MO is doing what he can. Here's the thing: from what I understand, BC pills and Tamox/hormone suppression are different animals (not quite opposites, but close), so there's no reason to assume that you'll have the same reaction to Tamoxifen as you did to BC pills. That said, have you/your doc investigated tricyclic antidepressants? They're old-school, but they might be worth a try. And, maybe more importantly, do you have a therapist that you trust? I'm sorry if that's a stupid or overly-invasive question; I just can't imagine where I'd be with this without mine.

    amylsp and lago, I've actually got three rounds left, for a total of six. So far, the Protonix is working great. My mom has taken Carafate in the past for reflux, and my doc is monitoring what's going on with me. After round 2, it was so bad that it was causing chest pains, and we certainly don't want a trip to cardiac care. This round, I've found that I can eat pretty much whatever I want (thank goodness), but I'm prepared to go back to a bland diet if need be. I'm going to ask if we can reduce the Carboplatin. I don't know why I have it in my head that the Carbo is/was the culprit, since it could just as easily be the Taxotere, Perjeta, or--even more likely--the Decadron (for which I've had every side effect in the book--now I only take 8mg a day for three days with no infusion pre-med, instead of 16mg per day plus a pre-med). . . .

    Before all of this, I balked at taking ibuprofen for a headache. Now I feel like I'm swallowing fistfuls of pills! Alas. If it gets me through all six treatments, I'll do it.

    Here's a question: did any of you change your diets or start taking supplements after chemo was over, to boost bone marrow or cleanse your bodies? I can't wait to get my strength back (powerlifting); I've lost almost 10 lbs of muscle mass already. I've gone from deadlifting 185 lbs for reps to having a hard time walking two miles. But I guess that's the trade-off for annihilating this bulls*** cancer, isn't it?

    I vow, in this semi-public forum, not to worry about the second echocardiogram. I'll get the results next Thursday. I feel about Herceptin/Perjeta the exact opposite as I feel about Carbo: if they're the miracle drugs they're touted to be, I want them at all costs.

    Thanks for reading my rambling. Happy Friday, everyone!

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited October 2015

    KateB,

    I added Caltrate (600 mg Calcium & Vitamin D3) twice a day to my regimen, post-chemo. My baseline dexascan revealed that I already have osteopenia, and my AI will only reduce my bone density as it sucks the estrogen out of my body. Otherwise, I haven't added any other supplements.

  • lago
    lago Member Posts: 17,186
    edited October 2015

    KateB79 I have always eaten pretty healthy. To be honest I think I eat a bit more red meat now than I did before diagnosis. You gotta live. Most important is keep a healthy weight and exercise daily

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

    kate - once I was past the first 10 days of the big D after every infusion I ate spinach and red meat almost daily trying to keep my hemoglobin high enough. I now follow the Virgin Diet to try to control inflammation so that I get less joint pain and weight gain from hormonal therapy. Like lago, I was always a pretty healthy eater, but I have eliminated a number of things from my diet. I was osteopenic prior to diagnosis (probably equal factors in that were a hyst/ooph at 45 and the typical slight/petite build that develops it) but it worsened after chemo and six months of AI drugs, so I am now on calcium, vitamin D and Prolia injections. This has restored me to normal density. I also take a number of other supplements, mostly letter vitamins and probiotics/fiber.

  • KateB79
    KateB79 Member Posts: 747
    edited October 2015

    lago and SpecialK, duly noted. :)

    Has anyone been following the GP2 vaccine clinical trial saga? How about Neuvax? It looks like there are some promising immunological treatments on the horizon. . . .

  • Musosgirl
    Musosgirl Member Posts: 387
    edited October 2015
    Kate, I have an amazing therapist specialing in trauma/PTSD. She is just a phone-call away, but I am only seeing her the week before my big infusions--partly because the big D keeps me home for 12 days and partly because I just want a good pep talk to get me through the next 3 weeks. Her SO is also going through cancer treament, colin maybe?, and she has two other clients further along on this breast cancer journey so she is full of upbeat info and positive attitude.
  • SpecialK
    SpecialK Member Posts: 16,486
    edited October 2015

    Kate - GP2 saga, as in the argument between the maker and Dr People's? I participated in the GP2 trial in Washington DC, and fluff queen did the trial in Wake Forest

  • KateB79
    KateB79 Member Posts: 747
    edited October 2015

    SpecialK, yes, that saga. It looks like the phase III trial is set to go, though, so maybe that blew over. Sadly, I'm not eligible, because I had clean nodes and autoimmune thyroid disease about 15 years back, but I'm hoping the trial looks good enough in a year that more of us can get it! What was your experience with the vaccine? Just a regular vaccine, or was there more to it?

  • Musosgirl
    Musosgirl Member Posts: 387
    edited October 2015
    What is the GP2 vaccine for?
  • SpecialK
    SpecialK Member Posts: 16,486
    edited October 2015

    musosgirl - it is a Her2+ recurrence prevention vaccine trial. It is an effort to bring this vaccine, currently given in the trial to patients who have completed treatment, to the market. There is a possibility, if the trials succeed, that thee vaccine could be given concurrently with treatment

    Kate - GP2 is combined in the trial with another vaccine AE37 and you are sorted into each arm by tissue type, Like for an organ transplant. Within each arm you are sorted into the vaccine arm or the placebo arm. One of the reasons I participated in this trial was that the placebo arm still consisted of a drug - GM-CSF, an immune booster, similar to Neulasta. I had a very good experience with this trial, well organized and relatively easy - I had no physical issues,but due to the blind aspect I do not know if I received the vaccine or not. The hardest part was the repeated trips to Washington, D.C. - I think I made about 15 flights total

    Where are you seeing that phase 3 is imminent? If they start it, it should recruit for a number of years. I believe phase 2 was like 6-7 years. The drug, even if the trials are successful, is years away from being available for use.

  • KateB79
    KateB79 Member Posts: 747
    edited October 2015

    SpecialK, I thought I read yesterday that the phase III trial is almost fully enrolled; of course I can't find the link now, so I can't share it here (I've got to start bookmarking these things). My new search tells me that I may have been mistaken--it looks like Neuvax is the one that's into the phase III testing period. I apologize for sharing bad information. I'd blame it on chemo brain, but I haven't had that problem--I honestly think I just misread the data (I'm not that kind of doctor).

    Either way, I wasn't thinking that GP2 would be approved in less than a year (and, frankly, I wouldn't want it to be--these things take time for a reason), but that it might be possible for high-risk women to get it before it's approved, a la the early days of Herceptin. It might be a pipe dream.

    Phase II Neuvax/Herceptin link: http://www.cancerinsight.com/active/phase-ii-trial...

    There are quite a few trials enrolling for more advanced HER2+ BC. Here's a link to a list, for anyone who might be interested: https://www.breastcancertrials.org/bct_nation/brow...

    Again, I do apologize for misinterpreting data. That's kind of embarrassing. :/


  • Gretagirl
    Gretagirl Member Posts: 182
    edited October 2015

    Kate thanks for the info. I still wonder about HER2 treatment and results and when I ask all I am told is there is no way to tell if herceptin did it's job unless you get BC again! No thanks! I have echo on Monday and hope my heart is good and strong. I will have herceptin til July 2016 or that's what's scheduled.

  • KateB79
    KateB79 Member Posts: 747
    edited October 2015

    Gretagirl, we're on a similar schedule. I had my second echo last week (still waiting for results) and, assuming my ticker is ticking in an impressive way, will get Herceptin through next August.

    Glad the links were of interest!

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

    kate - no worries, and the Neuvax trial is very similar - easy to mix up the alphabet soup of GP2 with E75. I believe that they have to fully report out the phase II results before they will enroll phase III for GP2, but because of all the legal issues I am not sure about the phase III status. Phase II just recently ended, so it will be a bit if it happens at all. It would be a shame if they cancelled any further trialing on GP2 because of the promise it shows. My understanding of the FDA process is that once phase III is initiated, that combined with the FDA review process, could take another several years. Since this is recurrence prevention I am not sure they would accelerate since it is not considered treatment per se, but I believe that there is consideration of giving it in the future concurrently with treatment, so who knows?

  • lauragirl
    lauragirl Member Posts: 20
    edited October 2015

    Thank you everyone for making me feel welcome :)

    Lago, I discussed it with MO, just got some painkillers but the pain is still there and its been a whole week and half. Think tomorrow I shall see a physio.

    Think that neulasta really had a bad effect! Thank you specialK, I'm gonna start claritin before the next one for sure!


  • Kthielen
    Kthielen Member Posts: 194
    edited October 2015

    Kate,

    The hot flashes will go away after chemo stops, or at least they did for me!! Although I just had an oopherectomy so I am getting them again although not as bad as when I was on chemo:)


    Kathy

  • KateB79
    KateB79 Member Posts: 747
    edited October 2015

    Oh, thank god. I was starting to think I was never going to get a good night's sleep again. . . .

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited October 2015

    Kate,

    I suppose this isn't a good time to mention that many women who take Tamoxifen or an AI get hot flashes.... I'm on Aromasin, and I get several a day. Thankfully, I don't get all sweaty to the point where my clothes are damp. At some point, they may fade away, I guess. Maybe someone who's been on antihormonals longer can chime in.

  • KateB79
    KateB79 Member Posts: 747
    edited October 2015

    Elaine, I had a feeling. Alas. Perhaps hot flashes are a part of the new normal.

    So I finally looked at all of the reports from surgery, which was back in July. On the chest X-ray, the radiologist noticed what is "consistent with calcified granuloma," and didn't seem overly alarmed. Of course I took to Google, and learned that almost 30% of people, young and old, in my part of the U.S. have these things. Something about air quality and fungal infections.

    I'm trying not to stress about this (even though it's tiny and calcification is usually a good sign, of course my first thought is mets). Anyone ever have anything similar? Should I be alarmed, or just let it go?

  • Stephmoen
    Stephmoen Member Posts: 563
    edited October 2015

    kateb79 I also have a calcified granuloma that has been seen on X-rays as well as pet scans the fact it's calcified means it's Been there a while and it didnt light up on the pet my dr said its common in Midwest from fungal infections spread by bird

  • SusanHG123
    SusanHG123 Member Posts: 414
    edited October 2015

    Kate,

    Effexor is used off-label for the hot flashes caused by the treatment to kill the cancer :) With the lovely side-effect of helping with depression.

    I started at 37.5 mg/day and slowly increased to 150 mg/day of Effexor ER. I almost never have a hot flash or a warm flush or anything. My prescribing therapist recommended. Probably because I was leaving every chair I sat in drenched in salty sweat. I do not plan to stop this drug. Ever.

  • ang7894
    ang7894 Member Posts: 540
    edited October 2015

    Hi, Ladies ok I need to vent : My original oncologist moved away about 4 months ago, when she left my area there is only a nurse practitioner doing the job and the real doctor Skype;s you at a later date. NOT my original doctor. I just got a bill for $216.00 for the nurse practitioner. my mammo is always due in Oct so I go to my hospital for that. The results go to my oncologist/nurse practitioner . They want me to come in for results that means I will be charged Again for nurse Practitioner PLUS the real Oncologist when we skype in the Office.. I have never heard of this I was at the point of only seeing my oncologist every 6 months and they always called or I called them with my mammo results. This is going to cost hundreds more that I don't have .. Have anyone of you been through this?

    Devil

  • Mommato3
    Mommato3 Member Posts: 633
    edited October 2015

    Ang, my gyn's office orders the mammo. I go have it done and they send me a letter in the mail. Maybe your MO orders it because you had a LX instead of MX. I don't understand why they can't send a letter or make a quick phone call. I'd ask why it has to be done that way. Who wants to continue paying all these medical bills!?

  • colleen1013
    colleen1013 Member Posts: 50
    edited October 2015

    is anyone experiencing finger trembling after chemo? My index finger just starts trembling and I am out of chemo already5 months.

  • ang7894
    ang7894 Member Posts: 540
    edited October 2015

    Mommato3- Thank you . I think I will call and just ask to send my results.

  • ashla
    ashla Member Posts: 1,581
    edited October 2015

    Ang7894

    My breast surgeon orders and reviews my mammograms. He follows his patients for life .

    My mammo results are always mailed to me. A few times when I was anxious I called and was given the result over the phone. Never had to go in person.

  • ang7894
    ang7894 Member Posts: 540
    edited October 2015

    ashla-- Thank you. I plain on canceling the appointment and just wait for it in the mail. Will save me some money.

    Winking

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