Lumpectomy Lounge....let's talk!

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  • LovesToFly
    LovesToFly Member Posts: 1,133
    edited April 2016

    Peggy I will read the article later, don't worry it won't make me more anxious, I know all about my Ashkenazi genes! I did have genetic testing, twice, for the genetic mutations hat I would most likely carry as an Ashkenazi Jew with no family history. Negative.

  • Jclc83
    Jclc83 Member Posts: 246
    edited April 2016

    My test for the Ashkenazi gene was negative too.

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    Jill, that was what I thought. But I was surprised at how many genetic mutations Ashkenazi seem to carry. Seems rather unfair. Makes you wonder what happened to cause them way back when, doesn't it? Were they a response to some outside "force" that made the gene desirable for awhile?

    HUGS!

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    Jclc, rather surprising that the few Ashkenazis I know of here have tested negative. But that's good!

    HUGS!

  • beachw3
    beachw3 Member Posts: 30
    edited April 2016


    Hi, just wondering....i have only just received 4 of 33 rads and every time after I don't feel well.  I go during my lunch hour and when I return to work i feel tired and sluggish almost light headed

    anyone else have this experience? is this normal?

  • beachw3
    beachw3 Member Posts: 30
    edited April 2016


    had another question.  my dcis as high comedia which...is that what everyone is talking about as grade 3?  i am just tryinng to understand diagnosis because mine was stage 0.....  i had lymph node removed and no involvement and have radiation but no chemo....why if it was grade 3?  i am so confused

  • Molly50
    Molly50 Member Posts: 3,773
    edited April 2016

    beach, they don't typically do chemo for DCIS since it is not invasive .

  • ORknitter
    ORknitter Member Posts: 119
    edited April 2016

    Beach, Grade 3 is simply a grade of Stage 0 cancer. As I understand it, all DCIS is Stage 0, but graded 1-3. Comedo necrosis is simply that the duct contains the cancer and is "plugged" with the cells if that makes sense. I truly believe that in years to come this will not be considered "cancer" but defined as a precancer more clearly.

    I have my diagnostic mammo on Monday afternoon, then see the surgeon for results on Thursday. Hopefully the radiologist will give me some sign on Monday, he was the one who sent me for the biopsy last year. I'm still slightly anxious about this, don't know why exactly as usually I am more laid back and know that whatever is going on will be taken care of. Ah well. We are having incredible weather here in the PNW, sun is shining so I have been getting outside more and I think that is helping to keep my mood a little bit upbeat.

    Have a great weekend everyone. Those in chemo, hope you can rest over the weekend and take care of yourselves.

  • LovesToFly
    LovesToFly Member Posts: 1,133
    edited April 2016

    Peggy I think it is because there was a lot of marriages between relatives etc... in our past. Jews often lived in small communities, and would only marry other Jews, so options were limited. I believe in past generations marriages between second and third cousins, etc,were quite common

    I do often wonder if there are other genetic mutations I should be tested for, I met with the genetic counsellor and she said the ones I was tested for were the only ones that I would be likely to carry as an Ashkenazi Jew and given my nonexistent family history of breast and related cancers

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    Jill, I'm sure you're right about the intermarriage. And then the conversos, who after several generations, did not even know they were Jewish. How sad. Obviously you had the right relatives to avoid any genetic component :)

    HUGS!

  • Brutersmom
    Brutersmom Member Posts: 563
    edited April 2016

    beachw3 I was getting light headed after my radiation treatments. The first MO said it had nothing to do with Rads. The second MO (New to the hospital and came from a teaching hospital) He said there is a syndrome that some people get. I forget what he called it. He had me take two Advil about 1 half hour before my treatment and the dizziness stopped. One day I missed taking the Advil and I got dizzy that day. I didn't even realize I skipped it until I was sitting at work wondering why I felt so bad. LOL. Placebo effect maybe but it worked. Also, make sure you drink lots of water.

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    I would get lightheaded when sitting up after my rads. I soon learned to sit up for a minute or so and then I was fine. But it was a bit disconcerting. I'm sure part of it is that I never lay perfectly flat on my back, my head is always elevated...except of course for the rads :) But never any lingering effects. Just that minute or 2 then I was fine.

    HUGS!

  • iammags
    iammags Member Posts: 216
    edited April 2016

    Amanda so well said!

    Nancy- I feel for you. I really do. I've been on Ativan the last couple of days wondering whether I , too, would need chemo. I've said it before and I'll say it again. F$&$@ cancer!! We are all in this with you.


  • Peachy2
    Peachy2 Member Posts: 350
    edited April 2016

    Nancy, at this point, crying is both warranted and necessary to get to the point that you don't need to anymore. At least that was my experience when I went from envisioning what was supposed to be simple treatment over in a few months, and then it got extended for an additional four months. As Sloan mentioned, and the way that my MO described staging as related to chemo: the higher the number, the faster growing the cancer cells are. And the faster growing, the more effective chemo is as a treatment because it attacks the fast-growing cells. Add to that the PR- variety that we both have, and chemo is a really good way to take care of it.

    MLP, such sweet dogs! You remind me of my friend in NC who for years had three labs, one of each color like yours. When the two older ones passed, they were replaced by the same color. We teased her that she needed to keep a complete set. Her dogs all came through breed rescue, and she is now down to one.

    Molly, I am sorry to hear about your daughter's test results. It must be a lot for her to think about, though good that there is a plan in place to watch her closely.

    Moondust, we both drive too darned much for work! The company where I have worked for 26 years is 34 miles from home. 50 miles to Boston is not a big deal, though the first 45 miles takes 45 minutes, and the last five miles often takes another 45 minutes. Dana Farber is not close to highways, and construction, and traffic... driving in Boston means you are always in the wrong lane, or behind someone who is!

    Jan, yay for hair!

    I went for my first two-week check in for Pablociclib (Ibrance) clinical trial that I am participating in. My bloodwork was good, and I'll be back in two weeks to check in again. I might be feeling a little tired, but other than that no side effects.

  • Lovinggrouches
    Lovinggrouches Member Posts: 530
    edited April 2016

    is it unusual to wait 3 weeks for oncotype and to not have blood work drawn for tumor markers, even though my nodes were negative and had clear margins with second surgery? A nurse friend of mine that worked oncology for years stated that they normally want a pet or ct scan of chest , abdomen and pelvis to be sure of no other cancer anywhere else too. Wasn't sure if they weren't doing it because insurance may not pay because of negative nodes and margins?

  • Heathet
    Heathet Member Posts: 257
    edited April 2016

    hi tbalging - welcome! I was just diagnosed in March and this discussion board has helped me so much ! I think half the battle is just waiting for all the results but it sounds like you have a plan in place!

    This week I'm on spring break! I'm really looking forward to relaxing. Then the following week is my last at school before my mx surgery. April 19th is the big day. I've been talking with my principal about finding a long term sub, but it's really a district issue not mine. He said who ever we get for your classroom they can call you with questions! I gave him a big NO! That is going to be my time to heal and recovery! I'm usually such a yes person it felt great saying no!

    From my biopsy to the date of my surgery, it will have been 48 days. It seems like a long time but it's really not. I guess its like the kid waiting for Christmas, I'm just eager for my surgery. I have some planning to do before my surgery. We need to move some furniture, buy a few things for post surgery relaxation and get house ready for some visitors . I've heard after the mx arm movement is very limited. Any advise on what to expect?

    Everyone have a great Friday!

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    LovingGrouches, the Oncotype test takes at least 2 weeks (from the time they actually send it in!). So 3 weeks isn't unusual. I had no bloodwork done for tumor markers. I also had no tests for cancer elsewhere. The only test I had after surgery was my Dexascan for my bones. Oh, they did a scan when setting up for radiation to make sure they were positioning me correctly then I got my tattoos. My understanding is that for my cancer anyway, there aren't any tumor markers. My DIL who had colon cancer, her type of colon cancer DOES produce tumor markers and they check her regularly. But not all colon cancers do have markers. I'm not sure if that's good or bad. A lot more anxiety I'd think.

    HUGS!

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    Heathet, I can't advise you on what to expect for surgery since I didn't have an Mx but I know others will. You are very smart to take time off and to say NO. It is possible after awhile you'll be ready to answer questions but it needs to be on your terms. Good luck!

    HUGS!

  • Sloan15
    Sloan15 Member Posts: 896
    edited April 2016

    Lovinggrouches - my Oncotest took 4 weeks! So, no, it's not unusual.

  • Sloan15
    Sloan15 Member Posts: 896
    edited April 2016

    Molly - Sorry about your DD snd the chek2. I'm sure you are her rock right now. So, they don't do a preventive mx or meds for chek2 like they do with BRCA?

  • njnancy
    njnancy Member Posts: 45
    edited April 2016

    I know im the girl of 1000 questions but you guys are so helpful. During chemo I do not plan to work. i have a fantastic leave program and get paid regardless and because my work is really fast pace and requires international travel, they actually prefer that I take the leave rather than half ass it (win for me, Ill take it right now). I have three kids and I have a nanny who lives with me and is here through the summer. She has really been getting on my nerves. Trying to decide if I need her at all. What percentage of the time would you say, on average are your "bad days" and what does that really mean. Are you able to take care of your kids by yourself? What about driving on those days? When you go for chemo, how many hours is it, from start to end? Would I be home before they get home from school? Just trying to get a feel for things to help with my decision.

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    Nancy, I can't answer any of your questions but I would ask how old your kids are. That makes a huge difference. And we don't mind questions at all. We all have asked a lot of them and are willing to share what we've learned.

    HUGS!

  • njnancy
    njnancy Member Posts: 45
    edited April 2016

    I have three between 11-13. As a result, a lot of driving. One is autistic so he requires more attention.

  • tbalding
    tbalding Member Posts: 449
    edited April 2016

    Thanks Heathet! The waiting is awful, and now I'm really gun-shy every time I have a test trying not to jump to worse case. I've been trying to keep to my same routine & stay busy. It helps that work has been very busy. I also had committed to speaking at a work conference on April 27 before I was diagnosed. That will be 2 weeks after surgery. So I'm making plans to go, hoping that the margins come back good & I don't have to have more surgery.

    Good luck to you with your surgery

  • Peachy2
    Peachy2 Member Posts: 350
    edited April 2016

    Nancy, glad that you are thinking ahead to logistics! You will get a lot of different answers, but I think that most would say that it was not like having the flu for three months straight, which was what I expected. My work doesn't require travel, and I was able to continue throughout. My chemo routine was every two weeks, with eight treatments. Treatment days were a lot like travel, in that you have a lot of hurry up and wait. You start with a blood draw, then an oncologist visit, then infusion which can be 2-4 hours depending on the drugs used. The days that I started early my husband and I went out to lunch after, and I was home in time to pick up my son from his after school program and get some work done. It really all depends on whether the facility is running behind that day. The next day I'd get up early, take my son to school, work from home, need a nap around 11:00, then have lunch and go get my Neulasta shot. Days 3 and 4 were fog-headed days, when I needed another nap, and days 5 and 6 I'd get tired earlier in the day than usual. By day 7 I felt like myself, and then had a week of feeling energetic until the next treatment. There were only a few times that I didn't feel up to cooking and we got takeout because of it.

    Just saw your post about your kids' ages. My son is ten. There were a few times that I missed his baseball games because I needed to rest, but otherwise I was able to do everything.



  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited April 2016

    I had chemo for 4 hours every 3 weeks, followed by another 2 hours of IV fluids the next day. I gave my neulasta shot to myself later that afternoon. I found that my energy really tanked about Day 3 after chemo and I was fatigued until about day 10 or so. Once I got to days 14-21 I pretty much had my energy back.

    My biggest issue, besides losing my hair, was low concentration and fatigue. I really struggled with grocery shopping and cooking. Thankfully, I had friends at church who filled in that gap for several months until I could get back on top of things. If I were having to provide all the meals for my family, I would seriously look for things that are easy prep and budget for take-out from time to time. There's only so much pizza and McNuggets you want your kids to eat.

    You need to identify your local supports, whether that is family, friends, Sunday School class, womens group, etc. Whoever you can call in to help. Sometimes people are good at one thing and not good at another. When people ask what you need, give them a specific answer. Say, " I could use some help with meals" or "I need someone to take the boys to soccer practice and bring them home." People really do want to help and I know for me, I had to get over my tendency to be stoic and do everything myself. The true is, I couldn't do it all myself. Someone once told me that when I refuse to allow people to help me, I was taking away their blessing. I think that may be true. Learning to let go and let others take over is a behavior that goes against the grain for us women, but it's in our best interest to save our energy for those things that ONLY we can do.

    Best of luck to you. I didn't find chemo to be terrible, certainly nothing like you see in the movies. I never threw up and I looked decent, especially in my hot new wig. Just fatigue, hair loss, and some changes in taste, which were temporary. My hair is about 1" to 1-1/2"long now.

  • iammags
    iammags Member Posts: 216
    edited April 2016

    I also had the BRCA tests because of my Ashkenazi heritage. Both were negative. I don't have any BC in my family that I know of except for my aunt who got it after menopause so that's a bit different. But I have a lot of other cancers in my immediate family so I'm waiting for results on all of the other gene mutations that they are aware of. Looking at that list were so many genes thought to effect breast and pancreas. Great. Mom and Grandpa both died for pancreas cancer. That is serious.

    So I'm waiting on those. But today I got some good news, finally. No chemo for me. Radiation and tamoxifen here I come.My oncotype score was only 14 so yippee!

    Have a beautiful weekend everyone!

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited April 2016

    IamMags, YIPPEE!!! What a great Oncotype score. So glad you can move on to rads. I agree that the list of cancer causing gene mutations for Askenazi is rather daunting. Hopefully you'll come back negative for all of them! Now pop open a bottle of wine and celebrate!

    HUGS!

  • LovesToFly
    LovesToFly Member Posts: 1,133
    edited April 2016

    Nancy my kids are 7 and 13. I can drive everyday, but my bad days (about 3 really rough ones a cycle) I need to conserve my energy a lot. I have had little help with my kids beyond my husband when he's home. It's not always easy but it's been okay. Both my kids are neurotypical but the 7 year old is...7!

  • LovesToFly
    LovesToFly Member Posts: 1,133
    edited April 2016

    awesome iammags!!

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