TRIPLE POSITIVE GROUP
Comments
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Great article!
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My cardiologist told me in June that he thought this was going to be common practice. He gave a presentation to the oncologists where I'm treated. I'm on the lowest dose of heart meds to keep my heart from remodeling. My last echo looked good but the plan is to keep me on for another year and then stop.
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I just wanted to join a blog hoping I could meet other women in their 50s 60s that are triple positive. I've seen so many young women going through this that it scares me more for my daughtersvthan I was at my diagnosis. Hope some one reaces out. I'm not a complainer, pretty positive ( no pun intended). Would just like to relate to my age group.
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Hi Loj-57 I was 54 when I was diagnosed 5 1/2 years ago - just turned 60 (YIKES) in September.
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hi, I was 63 when diagnosed, and yes it is scary that so many are younger and younger developing BC . I liked the article on the heart problems and the cancer drugs. My mom had CHF and so did her dad. Now that I am taking ARimidex for the hr2 +, I worry about heart issues. So far both echo's have been fine, due for another in January. No one has mentioned this, but do you think I should seek out a cardiologist because of risk factors? Dad died of coronary, so it's sort of a double whammy on the heart issues, BUT, I have been a walker most of my life, age 40's about 3-5 miles 3 or 4 times a week. Now that I am older have slowed quite a bit, but can walk about a mile on a good day. Any thoughts?
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Are any of you having regular echos while on the aromatase inhibitors only? I think I'll ask my docs about that, I didn't realize, until now, that there was an increased risk of heart issues with them.
Because of all the pain issues I have it's hard to exercise too.
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On Twitter, I asked Dr Moslehi....the doctor cited in the article...if you need follow up cardiac observation if your EF was normal at the end of treatment. He said yes. The risk continues and there are no warning signs in many instances.
Talked to my MO about it yesterday. Going for a checkup.
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THanks ashla - I'll be talking to mine to!
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BTW, on the subject of cardiac care for those of you who may be unaware there is a new field called cardio- oncology. These doctors..Dr Javid Moslehi being one of the first and foremost...specialize in treating patients who have had and have been treated for cancer.
In my search, they seem to be in short supply but it is worth asking around to find one if possible.
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Wow, I thank you for the info. I just started arimidex. Had no idea about heart issues
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jumbled bamboo
My understanding is that the risks are relatively low with all of them... Herceptin, rads and with the anti estrogens but they are worthy of vigilance.
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Hi Cindynic,
We seem to have a similiar diagnosis......I will be starting chemo Dec 7, I've chosen to take the time off work because I work with children with disabilities and behavioral issues. If I had a less physical job, I think I would be able to work. I will use STD to still have part of my income. My MO said my side effects with taxol w/herceptin will be minimal, other than losing my hair...which I'm using cold caps to help keep hair!
G/L to ya!!!
Jodi
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loj57 - I was diagnosed 5 years ago at 54, am 59 now. We're here!
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Looks like my period may be back. Does this freak anyone else out
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my MO shut my periods down with Lupron. I'm on ovarian suppression for at least two years
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had Lupron shot 2 weeks ago and started my first period since chemo today what's up with that?! Still not on my aromatase due to insurance being idiots hopefully get it next week
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jodes001 - my MO did reassure me on Tuesday that I would be able to fully function throughout my whole treatment.....I'll just have to take it a day at a time but I am a little skeptical. There are days I can work from my home so that will help. Looks like our timelines are pretty similar too!!
BS was not happy with my margins so she is going back in Nov 24 - port goes in Nov 20th then hopefully I am ready to get the rest of this treatment started. It's crazy the # of doctors appointments that I have on my calendar - more in the past month than the last 10 years combined!!
I am going to look into the cold caps......my hair is thin enough on its own. Even a little hair loss will make a dramatic difference
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CyndiNic That's pretty positive thinking of your MO. I would definitely take it one day at a time and if you need to take the time off of work do. My regimen was a little different, I tried to work through the whole thing, that did not happen. My one regret is that I wish I had just taken off of work for the whole thing, my company did have Short Term and Long Term disability. Every one reacts differently to the treatments some breeze through, some don't. I found that, even though I lost my hair, I generally didn't look bad, so when I did go to work they just figured that I could do it all, I tried and tried, but with each treatment I was less and less able to work, my MO said he was surprised that I worked as long as I did. Good luck, wishing you minimal side effects!!
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Hi Cyndinic
I just finished TCHP yesterday. I did work throughtout but it got more difficult the further I got into it. I have a desk job and can work from home. But my job can be stressful especially in 4th quarter of the year so that did not help. I had treatments on Thursday, went to work on Friday. I felt horrible on Sat and Sun. Starting after the 4th treatment, I started working 1/2 day on Monday. Like LindaKR said, make sure to do what works best for you and make sure your management understands your limitations. I know more than 40 hours a week is the norm at my job and I had to tell them I could not do that. Good luck
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You would qualify for the ATEMPT trial. You should look into it. 75% chance to get tdm1, no hair loss and minimal side effects. Is being done at all major cancer centers
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CyndiNic, I did 12 weekly taxol + Herceptin, and used cold caps. I continued to work full time, except for infusion days - because of cold capping I took that whole day off. There were a few days when I had to stay home for a few hours to remain close to the bathroom... But for the most part I felt fine. The cold caps work really well with weekly taxol.
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Thanks for posting the article ang. I am one of the "rare and unusual" with a toxic side effect of herception. My left ventricular ejection fraction was 60ish at base line. Dropped to 50s. Took a break from herception. Moved up. Started again and dropped to mid-20s. I also had adriamycin AKA The Red Devil. Thus--I am banned from herceptin forever and a day. Only completed 17 week doses. I am on cardiac drugs, have tried to wean several times, but my shortness of breath becomes overwhelming. Now that I am on my 2nd cycle of IV iron I run out of air constantly.
I recommend anyone on herceptin have a cardiac consult. And maintain contact with the cardiologist. One of my scariest events was during a non-stress stress test (I did not run on the treadmill-was on a table and injected with drugs) and suddenly I was surrounded by those in long white coats. I asked one of the docs to move a bit so I could see the monitor and he gave me a look of WTF. My unfiltered response-well crap. All of you are here because you think I might crash and burn. Not a fun day. Call cardiology and have a baseline screen. Please.
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Hi Susan
I knew you had cardiac issues but had no idea the extent. It continues to amaze me the courage and strength people ..that's everyone here in this forum.....like you can summon to get through all this. I cannot imagine how you are able to continue working though. For you newbies....Susan has had a really, really, really rough ride both medically and personally.
I love my MO but he has never encouraged me to get cardiac followup. In fact his attitude is that if your EF was normal at completion it was not an issue. I suspect many mo's feel that way.
I never told him what Dr Moslehi told me in the Twitter forum.
Oh...and now you're only gonna get 2 cabana boys and one bottle of Patron;)
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I have an appt with a cardiologist on Mon. I made it myself. I am a retired NP and worked in internal med. for years. My EF is good but I showed grade 1 diastolic dysfunction on my recent echo which was ignored by my clinical trial team. This at the #1 hospital in the country. I will be on kadcyla till Aug. Oncologists have to start looking at the whole picture. Not just the EF. You can be on your way to CHF with a normal EF
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wabals
Hear, hear! I also believe there's a lot more to the AI story than is apparent right now.
Change comes very slowly in medicine.
We are our best advocates. Pay attention to your bodies and speak up so your medical teams becomeaware.
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Ashla, I wish it was that easy to get them to listen. Well, I think they may be listening, but until just a week ago, they didn't offer any help, and no response but a blank stare. So it really makes me wonder how many of the side effects are under reported. Like way under reported. I am back on tamoxifen too, because even though some of its scary side orders scare me, it is much better than what femara did to my feet. It has been over eight months, I am pretty sure they are permanently wrecked. So, now, as of a week ago, I have a pain management/anesthesiologist doc. Weirdly, one of the first things he did was put me on a blood pressure medication. Weird to me, because my blood pressure is always the one thing that is perfect on me. That worried me that that might potentially wreck that, but he assures me it will be fine. Side effects of that medication-- besides the extremely dry mouth is... a surplus of energy! It makes me feel like I used to feel- pre cancer bullshi. And I am loving it! Spiders in the corners beware!
So, yeah, I agree with you, they just don't know what happens down the line, like ten years after you finish ten years of A.I.'s. I don't want to be the petri dish, really.
Hello Sula! And hello SusanHG123!!! Congratulations to everyone I haven't met here yet, that are finishing/have finished treatment!
Hello Ashla! And SpecialK! And Moonflower! And lago! I had so many pages to read, cause it fell off my faves, i had promised myself to read each and every post before I posted, so I could be all caught up again.
Too many newbies, as usual
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Ashla,
Only 2 cabana boys! Darn. We really have to plan a trip.
Tomboy. What is this magic BP medicine of which you speak? That gives energy? I would buy it on the street corner. Femera is causing this worsening pain in my feet? I thought it was because I weaned off neurontin from the Tamox days. I would like to wean off everything. Except scotch.
Anyone heard from PBrain?
Much love
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Its clonidine. I swear, the first day I took it, I was running up and down the stairs two at a time at my house. My shop where I make things is downstairs, and you kind of have to be a mountain goat to get to my house proper, lots of twists and turns and changes in elevation. I use to fly up and down them, pre-bc. Then after femara especially, I turned into a very slow and feeble goat, on account of my feet. So, I have noticed the energy has calmed down just a little, but still, I am getting like the cobwebs out of the corners, moving furniture and cleaning all resident bugs out! Banished! All the stuff I have put off for 3 years. Getting rid of crap. Working on my writing and my art for a change! So I am grateful, but I have noticed, I need to chew gum because my mouth is so dry! So the clonidine does that. I am wary of doing this for long, I don't want to mess with my perfect BP!! He did raise my neuron tin to twice a day, but it is barely affecting the pain of my feet. I can't believe I have to live with my feet like this for the rest of my life? Ok, and I am supposed to see him for a possible nerve block? That's freaking me out! One in the shoulder blade area that is supposed to take care of the breast and rib cage pain. And one in the base of my neck? For head aches? All I know is that if something went wrong, it can paralize parts of you, and I don't want to risk that. Can anyone tell me that they are safe? I wish they were.
And I am wondering about pbrain too.
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Another "finisher" here. Last Herceptin was Wednesday and had my port out Friday - yes I was in a hurry to get the darn thing out! All your stories and encouragement meant so much, I can't even imagine what this year would have been like without this board. Thank you to everyone who took the time to post and provide that support! Now I just need to tough out the Arimidex SE
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Tomboy -- It's interesting that clonidine gave you such a burst of energy! My son's psychiatrist prescribed him clonidine to help him sleep! It actually ended up making him anxious and aggressive, so we took him off of it.
TTfan -- Congrats! I'm hoping to join you soon. I haven't had the "port removal" discussion with MO yet. I wonder what she'll recommend? I guess I don't hate my port as much as you did, so I wouldn't be opposed to keeping it for a few years.
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