Is there long term survival without long term "side" effects?
HI. I was diagnosed the end of January & have already had my first chemo treatment. I am looking at a double mx sometime in July/August. After the surgery they will decide if I need additional chemo and/or radiation. More then likely the radiation will happen as I do have lymph node involvement. I am an active mommy of two (9&5). I eat VERY healthy. I realize it has only been one chemo treatment and I have five to go. The most annoying effect for me was the fatigue. I was reading the "Breast Book" and she has a chapter on the long term effects from chemo, radiation and surgery. I am just wanting to know if there are those out there that have gone on to have minimal to none long term effects. My quality of life is an important part of this process and moving on. Thanks for all comments.
Comments
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Hi azrescue!
I can't help much (my treatment was quite different than what you've got planned, but for what it's worth I haven't experienced any long term effects from radiation over seven years ago), but wanted to mention if you don't get many positive responses, it may be because the people who have had minimal to no long term effects tend not to come back here and post. That is, if things have gone well, they go on to other things in their lives.
So don't take a lack of responses (if that's what happens) as some sort of harbinger of doom.
HTH,
LisaAlissa
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I had chemo & radiation. I stayed as active as I could during treatment and I think that really helped me bounce back faster & more thoroughly once I was done. I've read that however long you are in 'active treatment', expect that it will take you that long again to get back to 'normal'. My personal experience would say to double that amount of time. That being said, I had no negative long term effects from either chemo or rads. I am nine years out now and have probably never felt better in my life (no doubt because I am now very conscious of taking good care of myself), and I am having lots and lots of fun too. So, this year will be crappy for you; but you can have a great and whole life at the end of the tunnel!!
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I'm considered one who basically skated through everything so far. BMX last Aug, I had really no pain and full range of motion of the bat. Next in treatment was chemo. I had read all sorts of bad stuff and was really paralyzed in thinking how on earth am I going to do this all alone. What people were saying, wow. But I kept positive and I really think that's how I pretty much skated through. My MO says I'm a rock star compared to what she sees. I had some nausea issues and taste sucked, but other than that, I wasn't too different than before. I'm going to be starting rads soon and hear it's much easier than chemo. I think the best advice I've ever gotten was keep positive. The mind has a lot more control over what happens to us than we give it credit for.
Also I have read many folks here who had a rougher time with chemo come back just fine afterwards.
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As Ruth says, the key is to keep moving which I suspect you are doing anyway with a couple of little ones at home. I would say at this point, my long term effects are minimal. No worse than my ankle which hasn't been quite the same since I trashed it with back-to-back cycling accidents. None of this has stopped me from cycling, or skiing for that matter. Took up running a couple of years ago to fill in those gaps when not enough time to get on my bicycle.
I was chased by, and had a wonderful time with, a much younger guy a couple of years ago.
Just this week, I nailed a final report and presentation of research findings. A project that tested my mettle in all sorts of ways, and took my career to a new place. This gives you an idea that my brain is still just fine too. There will be more work from this client.
Hang in there. Remember that really dire consequences are not that frequent. I think that my big learning is that we often set too low expectations post treatment. I went for "better than ever" and really do believe that I am there. - Claire
p.s. I found the flu I had about 18 months ago far worse than chemo. BLECH!!!!
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Ladies: This thread is so hopeful. I saw my MO this week to discuss hormone therapy after completing rads about a month ago. She actually told me that my recurrence risk is so low that the absolute benefit of hormone therapy will be small for me (reducing risk from 9 percent to 5-6 percent, or from 5 percent to 3 percent, etc.) I want to believe her and be able to relax, knowing that I am likely over the most difficult humps.
But I remain nervous and on guard...Small challenges seem really stressful. My husband went with me to appointment and was thrilled, but instead of being excited, I feel anxious. Is this pretty common, after all the intensity of dx, waiting, treatment decisions, more waiting, actual treatments, more waiting, and then trying to "graduate" after all of the above? It feels hard to let this be the life- and mind-altering event it is, without dwelling on it too much. Will time bring some balance to this lingering feeling of "rawness"/vulnerability? Would love to hear others' experiences.
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You'll find many others share this sense of vulnerability. There's a thread called "Why was I stronger DURING treatment than I am now?" that addresses exactly these issues.
HTH,
LisaAlissa
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It absolutely takes time. When I was in treatment, I was in a survival mode; just trying to get through each day. I could not bring myself to even try to think about what this all might mean to me. I am a teacher & finished radiation 4 days before school started (which was also the beginning of my son's senior year in high school), so I just threw myself into that year & it wasn't until the next summer that I could catch my breath and try to make some sense of it all (I did a lot of walking & walking & walking that summer). I do think a person can't help but have some sort of a post-traumatic stress thing happen at some point. I guess my advice would be to deal with it however helps you best get through it, and afterwards know that you will have some tough moments; but if you acknowledge them but stay busy, active and involved with life. If you make plans, do fun/interesting/meaningful things, then it will recede (you will be amazed one day when you realize that you have not thought about cancer at all and it is 10 pm). You will always remember it, but eventually you will put it in perceptive and might (very shockingly) even find that some positive things have come out of the experience.
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One side effect of surgery and/or radiation that will be a lifetime risk (although very low for some people) is lymphedema. It can show up years and even decades after treatment and, once present, never really goes away. Talk about a constant reminder of survivorship! Constant precautions to avoid infection are required.
Many do not realize that it can exist without visible extremity swelling. Most of us can measure & monitor arm/hand circumference however there is no standard metric for diagnosis of truncal or breast LE. A feeling of tightness or fullness may indicate collection of stagnant fluid. Treatment includes compression and light massage techniques.
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