TRIPLE POSITIVE GROUP

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  • HelenWNZ
    HelenWNZ Member Posts: 485
    edited July 2016

    Now have a plan. Pretty scary stuff all the same.

    Met with my oncologist who seemed like a very nice person although I would rather not be meeting her. She didn't tell me anything about my diagnosis that I didn't already know except that I should have been seen sooner given my extensive lymph node activity. So we are now rushing to get started.

    Blood tests and an ECG to find out that I have past damage to my heart - which isn't going to change any of my treatment options. Tomorrow I go to chemo class and then start on Thursday 7/7.

    Docetaxol and Herceptin every 21 days x 3

    Fluorouracil/Epirubicin/Cyclophosphamide (FEC) every 21 days x3

    Then back to Herceptin to complete the 12 months.

    I have a huge amount of reading to do about all the side effects so I know what I will be doing tonight. I start taking Dexamethasone tomorrow for the next 3 days and have been told to start taking pain relief so I have a build up in my system before I start for bone aches. At chemo class tomorrow I will be given more pointers on what to expect etc. Plus I have requested a referral to talk to someone professionally as I am still having trouble coming to terms with the speed of things and basically being pretty pissed off.

    Brought my first block of chocolate in over 2 months as I felt I deserved it.

    So that's it for the time being. Had a good study of my scars today and my surgeon did a pretty tidy job. My son split his trousers at school and I bet my needlework will not match his.

    I'm interested if the treatment plan is similar to a US plan for the same DX

    Take Care Helen

  • Yoshi_Falls
    Yoshi_Falls Member Posts: 22
    edited July 2016

    Yay Helen, finally on your way. Sounds like a good plan. Let us know when you start. Ask any questions if you need to.

  • Yoshi_Falls
    Yoshi_Falls Member Posts: 22
    edited July 2016
    Helen. Visit your local cancer society and get a copy of the book "Life, Happiness and Cancer. Survive with Action and Attitude!"
    I found this book great for getting my head in the right place.
    The book is free. They also provide free counseling. I booked counseling but it kept on clashing with chemo and I was too tired to attend.
  • KateB79
    KateB79 Member Posts: 747
    edited July 2016

    Helen, I'm so glad you have a treatment plan in place. Stay hydrated: I received that advice prior to my first chemo, and it makes all the difference in the world. I'm talking, like, super-hydrated--at least 128 oz (or close to 4 liters) per day.

    Here's the thing with side effects: be prepared for them, but don't expect them.

    I haven't seen anyone in the states doing FEC, but it's very common in NZ and Australia. One of my pals from the August 15 chemo group got it; she lives in Australia.

    You've got this.

  • Bird-of-light
    Bird-of-light Member Posts: 167
    edited July 2016

    Hi Zoziana, thanks for the protein tip. I have not been posting regularly, but I have been reading your posts. I will start my chemo (taxol + herceptin) on July 14. I am dreading it. I have been following your cancer journey since late April, because you remind me of myself. I am sorry that you are having issues with your feet. I know how much you loved being outdoors and active. What triggered you to shave your head? I plan to do the same, but I am unsure when. Had you lost much?

    Thresjoli, I understand your concern. It is scary.Keep us posted.

    Bird

  • lago
    lago Member Posts: 17,186
    edited July 2016

    Helen I assumed I would get every SE (side effect.) I didn't even come close. Everyone is different but almost no one gets every SE. The hair falling out is a yes though unless you wear cold caps. And I hear that doesn't work will all the chemos.

  • HelenWNZ
    HelenWNZ Member Posts: 485
    edited July 2016

    Hi lago - Id be a wreck if I got everything wouldn't I !!! I am hoping to be able to go back to work so better not get everything. I had my hair cut short and next week am getting it either shorter or shaved and to be honest its not big issue with me as I have organised headwear and a wig ready. Its like the op itself I only had the one boob off but looking at things now wish I had had both off.

    Must be off am going out for lunch before things taste yuk.

    Take care Helen

  • Jerseygirl927
    Jerseygirl927 Member Posts: 438
    edited July 2016

    helen, your already more prepared thanmost, just hydrate, hydrate,hydrate. Thats half the battle and join a start group, you will have lots to share with them. Blessings

  • lago
    lago Member Posts: 17,186
    edited July 2016

    Helen my taste changes weren't that bad. I think it's because after my 1st chemo I got a mouth sore. My oncologist told me to suck on ice chips during the infusion. Not only did I not get another mouth sore but like I said I didn't notice real taste changes till 1/2 through. I did Taxotere/Carboplatin x 6 and a year of Herceptin. So a little different from you.

    I too wasn't panicked about loosing my hair. Oddly enough my hair is shorter now that it was when I got it cut short the day the hair fell out.

  • HelenWNZ
    HelenWNZ Member Posts: 485
    edited July 2016

    thanks everyone I have joined the July chemo group and that has been really helpful and fun as much as you can have. Will still keep in touch here too.

    My chemo class today was a really helpful one on one and I have received heaps of advice from the experts that seems to be the same so must be good. Roll on 930am tomorrow.

    Catch you later

    Helen


  • lago
    lago Member Posts: 17,186
    edited July 2016

    Helen wishing you are uneventful 1st chemo!

  • HelenWNZ
    HelenWNZ Member Posts: 485
    edited July 2016

    Hi lago not quite uneventful more like non existent - only yesterday I said two steps forward and one step back well it blimmen happened again today.

    After no sleep at all last night because of the steroid meds we are at the hospital in plenty of time. No hurry here obviously... Blood pressure 121/76 all cool here.

    Line in - port all checked and ready to go until nurse says I will just go and get your chemo drugs from pharmacy only to find they are in our Dunedin hospital (as we a regional hospital) and they wont be here until tomorrow. Talk about frustrating - had a good cry as I do and said this is bullshit.

    Asked for sedation as now I'm on these steroids for a few more days and I get grumpy if I don't sleep. No blood pressure taken on way out would have blown the machine I expect. Human error as well as they are rushing me through as somewhere along the line I have been missed so a catch up happening.

    So here I am needle in place in my port, still to save time tomorrow. Went for a walk which was to clear the head but did struggle being fatigued.

    Back we go tomorrow. Poor partner has to take an extra day off work.

    Sorry for my rant - have a great day

    Helen

  • Yoshi_Falls
    Yoshi_Falls Member Posts: 22
    edited July 2016

    Oh Helen. II'm so sorry that chemo was delayed. I think if that had happened to me they would have had to cart me to the loony bin! How frustrating. Hang in there.

    I don't think the hospital realises how much mental prep a patient has to put into chemo.

    lots of love to yoy

  • Zoziana
    Zoziana Member Posts: 114
    edited July 2016

    Hi all-have been following but was just wiped out coping for a while. But doing better. This is a welcome to Helen , a foot update, and lots of hair thoughts for Bird!

    Helen: Well, I am sorry that the drugs weren't there, but maybe there is a good side to it, which is to learn early on that you can plan and plan, and expect and expect, but nevertheless, unexpected &*%$ will happen as we travel this cancer road that none of us wanted to be on , ever. The anxiety of the first session is overwhelming, and I am sorry you had to endure it even longer. I hope by the time you read this, you will be well into or finished with your first session! I second the hydrating advice. I hope they have also given you meds to help you sleep; if not, ask for something. Ativan (Lorazapem) will help you sleep and help anxiety, too. There are probably other things, and there are always cannabis products (not sure if they are legal in NZ, but they are in California for medical use and my MO will prescribe them in certain situations.)

    Bird of Light: Good luck with your start. Waiting to start was almost the hardest part (but not quite--the foot complication was!)

    But, the latest re: my hand-foot syndrome is GOOD NEWS! As of the last two days, my feet are drastically improved! I waited to be sure, but tested it today and it is for real! The 10% dose reduction finally gave my body time to sort things, and I can actually NOT USE THE WHEELCHAIR when I go to the doctor's or a store! Today was the first day--I have waited 2 days and kept resting because I wanted to be sure. But yes, I drove myself AND walked into the clinic today for my blood draw and dressed for the occasion: makeup, my best sunglasses, a skirt, and my fanciest wig! When I got home, I even went in my garden and cut roses , unloaded the dishwasher and cooked something small, threw in laundry (exciting to do when you haven't been able to ), etc. I was up and about and thrilled. The feet are painful tonight, and much more red, but not swollen and not needing ice and pain meds and pillows and I can still walk on them without fainting.....so I am thrilled. Will take it easy tomorrow and one day at a time, but I am feeling grateful for a bit of ordinary life back!

    About the hair loss: I am not sure if I would have lost it all. I really don't know. I had gone "bald" on both temples, and at the crown, in classic male pattern baldness, but I could cover it with other hair. But then chunks underneath at the nape of my neck started just coming out with washing, and same with random places. And my head really hurt , which it had in all the areas that went bald. I do wonder if maybe I had been on the "right" dose of Taxol for my body (obviously, I was a delicate flower in this chemo picture) maybe I would have just thinned a lot, but not enough to make it necessary to shave. I don't know. My stylist--who I have had for over 26 years, thought it looked moth eaten, especially from above and behind, and that it would grow back unevenly and badly, and that I would be better off shaving it. I didn't do it right then...I just cut it short. And I think that was a good move. I did cut it when my 22 year old daughter visited and told me it looked horrible, unless I was trying out for a role in a cancer movie or trying to imitate a moth-eaten sweater....(amusing.) I would recommend a cute shorter cut that you've had before and liked, if your hair is long. It was disturbing having longer hair fall out, and much less so when it was shorter.

    I have two favorite fake hair things: a Henry Margu baseball cap with hair attached (I put it in a ponytail; you could hike or walk in this and it wouldn't be hot like a wig would), and something I call "headband hair", same manufacturer. I have the "Classic" length black headband and it's a medium bob. It's a little puffy for my taste, but I've played with it and learned to brush it into a more natural shape. Super comfy. My wig is pretty and fine for a few hours And scarves work well--I prefer the pre-tied ones . Hope that helps you sort things. I guess I would say to wait and see how much you are thinning. I was okay until about week 6--so you can get some more time with your natural hair. I am glad I did that.

  • roziekat
    roziekat Member Posts: 15
    edited July 2016

    I was wondering if anyone knows the range in her2neu3 gene/cell copies on my pathology report. It said my number was slightly elevated at 5.43 copies and 2 was the cut off for negative. How high can the gene copies go? Would this be to my advantage with my treatment plan or does the numbers mean nothing with her2neu3.

  • lago
    lago Member Posts: 17,186
    edited July 2016

    Helen that does suck (yeah I'll say it). Sorry you are having such issues with the steroids. I think everyone does (well except me. I loved them. Loved the energy and as soon as I stopped I retained 5lbs of fluid). But I'm a bit unusual. So I hope by the time you read this you will be done with your 1st chemo and stopping the roids!

  • jax31
    jax31 Member Posts: 2
    edited July 2016

    adotson79...I am also in the medical field. Go on NCCN.org for the very specific guidelines on treatment. It spells everything out very clearly. I just finished Carboplatin, Taxotere, Herceptin and Perjeta and am scheduled for a BMX on 7/19. It is all very overwhelming with all of the information out there but I think this website is a good summary. Hope that helps!

  • jax31
    jax31 Member Posts: 2
    edited July 2016

    Hello everyone! I'm new to this group. I haven't felt mentally ready to start blogging until now...I just finished my six rounds of chemo and am preparing for a bilateral mastectomy in less than two weeks. They are hoping to do direct to implant reconstructive surgery at the time but we'll see if that actually can happen...if not, it will be the tissue expanders (which I am really hoping doesn't happen). I am getting very nervous about the upcoming surgery and healing time and what I will experience. I am also meeting with a gyn-onc tomorrow to discuss prophylactic total hysterectomy (I also screened positive for a genetic mutation--PALB2). Lots to think about!

  • KateB79
    KateB79 Member Posts: 747
    edited July 2016

    Welcome, jax31!

    Quick question for all: I had a CBC yesterday, just because my MO was worried that I had a UTI (I don't), and my neutrophils are lower than they were during chemo and lower than they were in March. . . . Should I be worried about this? I tried to call, but the office is closed for the weekend--go figure.

    They're at 1.1, down from 1.4 in March, and the bottom of the reference range is 1.8. I feel fine. Maybe Tamoxifen is affecting them? Herceptin? Or turmeric--could turmeric lower them? Again: I feel fine, but these numbers weird me out, especially since I finished chemo in November and only have one Herceptin to go. . . .

    The good news is that all of my RBCs are back in the normal range. Hip, hip, hooray.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited July 2016

    kate - it is important to keep in mind that ranges on labs were formulated for adult men, not women - often we fall into the low, or slightly lower than low, end of the range occasionally. I would not worry about results on a single CBC, but rather worry about a trend. If you have a low result in a category on the CBC ask if you can have another done in a month and see what it shows. If your WBC was in the normal range, having a low result on a white blood cell component is not that big a deal. And, yes, Herceptin can depress your counts. I just had a CBC one week ago and had two low results - MPV (mean platelet volume) and lymphocytes (lymph#) were both low for me - I finished chemo 5 years ago.

  • KateB79
    KateB79 Member Posts: 747
    edited July 2016

    SpecialK, right, I agree. My leukocytes are low overall (3.0), and the trend is downwards. That said, I think your advice to ask for another CBC in a month is solid. Thanks.

    *edited*

    I think what bothers me most is that my MO's office didn't call to tell me this; I saw it in my digital medical record. The NP said she'd call if she had anything to report, so my assumption is that this is no biggie. Still: to have numbers like this all this time after chemo is pretty disheartening.

  • Musosgirl
    Musosgirl Member Posts: 387
    edited July 2016

    I am still dancing on the border of anemia. Never enough to do anything about it other than have a talk about eating spinach. Hopefully our counts will ease their way up after Herceptin is finished

  • Bird-of-light
    Bird-of-light Member Posts: 167
    edited July 2016

    I had my port put in today. I was very emotional about it prior to surgery. More so than the BMX. I guess it makes chemo "real."

    Zoziana, thanks for the reply. What brand of wig do you have? Did you by your "hair" items online or locally? I was thrilled to read that you are walking and cutting roses. Yay! Happy for you.

    Helen, I think it's stinks that you were delayed after receiving your pre meds. I am suppose to start next week and my insurance is denying Herceptin with Taxol. It is such crap! The insurance company will approve it with taxol+carbo, which my MO says is overkill for my particular cancer, so we are appealing. I hope the appeal process doesn't delay my startdate.

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited July 2016

    thanks Jerseygirl. I had my port out June 10th and it's nice to be able to sleep on that side. I got my insurance all sorted out. Will be calling Monday to schedule my ultrasound. Lump is still there Scared

  • GratefulA
    GratefulA Member Posts: 1
    edited July 2016

    I started chemo on 6/27/2016: Carboplatin (Paraplatin), Taxotere (docetaxel), with Herceptin & Perjeta. I would like to get an idea when my hair will fall out? I've already cut it short. Please advise- thanks!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited July 2016

    Hair usually falls out at 14-16 days, mine hung on until day 24 - but that is pretty unusual

  • mltdd
    mltdd Member Posts: 87
    edited July 2016

    My hair fell out day 15

  • HelenWNZ
    HelenWNZ Member Posts: 485
    edited July 2016

    Hi everyone - so far surviving day two after chemo. Not much to report as the side affects have been minimal to speak of, Bit thick in the head but probably no more that usual lol. Drinking heaps and have been for a walk.

    I'm trying to follow the regime that the hospital gave me pretty much to the letter and so far its working. No nausua to speak of and I'm not aching too much. By the end of the day yesterday I was tired and a bit achy with puffy hands.

    Today I have noticed a bit of a sore mouth.

    I did wonder about the hair loss when to expect it. I have cut it back already but thought I would just bite the bullet at the end of the week and shave it off, which is only a week after 1st treatment but I just cant be waiting around and checking all the time.....it is a hard one.

    My port was put in when I had my op and has now healed and thank goodness I can sleep better.

    Bird of light - Listening to your trials with insurance companies sounds quite scary. In NZ we mainly go through the public health system and I guess get what we are given treatment wise. So I am always curious whether we are keeping up with what on offer - I hope we are.

    Take care

    Helen

  • lago
    lago Member Posts: 17,186
    edited July 2016

    My hair fell out on day 16

    HelenWNZ I never had any nausea with chemo. Never took any of the nausea pills they gave me except for the emmend during chemo.

  • SerenityNow
    SerenityNow Member Posts: 8
    edited July 2016

    Hi ladies,

    So.... I've found another lump in my breast and I'm terrified. I have not been taking the Tamoxifen like I'm supposed to, for the last 6 months and now I'm wishing I had.

    I know I shouldn't worry until I see my doctor but I'm freaked out. It feels the same as the first and it's right beside my scar.

    Anyone else here had a recurrence within 2 years of surgery???

    Thoughts???

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