Questions about Preparation

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Hanging_in_there
Hanging_in_there Member Posts: 226

This is my first time posting, I haven't even figured out how to make my diagnosis public or how to make an avatar, but given the things I have to accomplish before my chemo, I doubt that will make the top twenty list.

This website and the community of people here have already been a great help, but I'm confused about preparing for Chemo. Thank you in advance for your tips and compassion.

I was diagnosed on Halloween and start Chemo the Monday after Thanksgiving. I met with my treatment team on election day and then I have to spend this week doing more tests and meet with my medical oncologist next Monday, so I don't even have my regimen yet. I spent the days after I got the treatment plan getting more tests that lead to more tests.

I only have a little time to prepare (will be away over Thanksgiving). I have some questions about the "Things to Gather before Chemo". And the "Tips Before and During Chemo"

So here they are:

  • 1)I need a brand of unscented moisturizer (other than aquaphor which is so greasy)
  • 2)What is a toothbrush sanitizer ?
  • 3)Unscented hand cream (what is the difference from #1 ) and need brands to look for
  • 4)I need a brand of non-toxic dish soap and moisturizer (this is the third time they have mentioned moisturizer) How many products do I need?
  • 5)Regular Claritin for Joint pain? I thought Claritin was for allergy
  • 6)What doctor is supposed to prescribe supplements
  • 7)Do I really need a blood pressure cuff?
  • 8)Where can I get a seam free soft hat for sleeping?
  • 9)Where do you buy a hair net? Are we talking made of hair or made of polyester?
  • 10)Why do I need slippers, can I wear my tennis shoes around the house? I have slippers but prefer my tennis shoes.
  • 11) Cold caps, I just looking into that today.. so haven't had time to read the material. Why do I need to get a short hair cut? Maybe it will be less stress on follicles when brushing?
  • 12) Are Playtex gloves allright? I read some account where non-latex gloves were recommended, but I'm not allergic to latex and I think the nitril gloves I bought are not high enough for doing dishes.
  • 13)What type of store would you buy the nail strengthener and cuticle cream at –There is Ulta near me is that the right place?
  • 14) So I can't paint my nails after I start chemo? I'm a little confused here. I do not ever paint my nails but if they are going to turn black (not sure yet) then I would like to paint them so my nails don't scare people. Recommend a color or type of nail polish. Does it matter? I usually buy the cheapest, but I use nail polish to label camping equipment, not for my nails.

I'm 58, have a 9 year old adopted child. I was diagnosed with the breast cancer that 80% of women are diagnosed with. (I would have to leave this page to go look it up, so I'm guessing some people are familiar with the type.) I am triple negative, I believe.

Comments

  • Connie1230
    Connie1230 Member Posts: 192
    edited November 2016

    I'll try to help you out with at least some of the answers.

    1. I agree about Aquaphor. I bought Udderly Smooth ( recommended someplace on this site) and it's better but honestly, I'm mostly still using anything I used before.

    2. No idea what a toothbrush sanitizer is. I just bought a few new toothbrushes

    3. I just use what I always used in hand cream and it is scented but hasn't bothered me yet.

    4. Non toxic dish soap is a new one to me. I use what I always used.

    5. Yes! Regular Claratin for Neulasta pain. I have no clue why precisely but I was told that Claratin has one ingredient in it that other allergy meds don't have which I am assuming is the ingredient that works. If for some reason, you're not having Neulasta, I don't think you need this.

    6 no idea...no one has prescribed any supplements for me

    7 umm...this is a new one to me too. My dr is pretty thorough and she never suggested this to me.

    8 headcovers.com, tlcdirect.com but I don't use that either. Of course, I live in FL and my head hasn't gotten cold yet at night.

    9 I don't know why you need a hair net. It might save your hair for a couple of extra days I suppose but no long term benefit that I know of.

    10 yes, I believe your tennis shoes will be fine. I think the slippers are just for cushioning for neuropathy so any shoes that have a cushion will work.

    11 you just need to read about cold caps and make your decision. As far as getting a short haircut, most seem to find it easier to manage until it starts coming out and it's less of a shock to you if you do this first. There is no real reason that you HAVE to get a short hair cut. It just seems like most do this for mental well being.

    12 I haven't used any gloves. But then I rarely hand wash dishes. I also don't use them for cleaning house which I have seen recommended. I just take normal precautions.

    13. Ulta may well have it. Amazon does and Sally Beauty Supply probably does. Look for OPI Nail Envy and OPI Avoplex cuticle cream.

    14. Worst case scenario is that your nails darken but I don't THINK they will turn black. It depends on which chemo and I haven't started that chemo yet. I don't remember reading that you can't paint your nails. I only paint toenails anyway. My first choice of nail polish is OPI. They have a zillion colors and I assume any are fine except maybe the very lightest sheerest colors if your nails do darken.

    There were a lot of things I've not heard of that you brought up. I'll be interested to see what others say.

  • Kicks
    Kicks Member Posts: 4,131
    edited November 2016

    A couple of questions you didn't deal with. What type (DCIS, IDC, ILC, IBC)? IDC (invasive/Infiltrating Ductal Carcinoma) is the most common. The suspected Stage, ER/PR +/- status and HER2 +/-status? Will you be getting a port and what Chemo will you be doing?

    A lot of your questions I have no answers for as I was never told these things -others may have been it not me. My experiences with Chemo (slightly different with rads though).

    1. 3. & 4. I was told to use whatever I normally used for lotions/moisturizer/creams that I usually used. Aquaphor was never mentioned during Chemo but was one that was suggested during Rads (the Rads Dr gave out lots of sample of different creams/lotions and they definitely had mild scents). Perhaps this was mentioned as some will develop issues with sense of smell - some it will becomes more intense and some will loose sense of smell - me for one. Dish soap was never mentioned - I always use Dawn.
    2. I always poured H2O2 (hydro peroxide) over toothbrush before and after use.
    3. See above
    4. See above
    5. Regular Claratin (NOT the 'long activing) is recommended to take before and after getting a Neulasta shot (if you get one). This shot given the day after Chemo, is to keep your white cell count up to fight infection. The most common SE of the shot is to cause bone/joint pain and the Claratin helps.
    6. Talk with your Chemo Dr about what Supplements are OK for you to take. My Chemo Dr gave me permission to take Vit. D and Super B Complex for my SAD and for energy but was told NO multi Vit/Min as there are antioxidants in them which can effect the Chemo. In my Chemo Education class (one on one with a Chemo RN) before starting Chemo, it was stressed NO grapefruit or pomegranate. (Your education class will give you lots of great info on so much. You will be prescribed pre and post infusion meds to deal with possible SEs
    7. Do you already have BP issues and have to check it routinely? Be sure you TX Dr are aware of all your preexisting health issues (can effect the best TX plan.).
    8. Most stocking caps are seam free if you want/eed one.
    9. Do you usually wear a hair net? I don't know, in today's world, any who do. Why do you want one?
    10. I always wore my usual footwear around the house. All I can think of is that they are not wanting you to go barefoot so no small cuts/sticks that could lead to incection.
    11. Know absolutely nothing about 'cold caps'. There is no way I could have done them (IF I HAD WANTED TO!) as I had big problems keeping my temperature above 96 - sometimes down to 94 during Chemo - not as bad during neoadjuvant DD A/C but really bad during adjuvant Taxol.
    12. I never used gloves for dishes. I hate gloves period but did get some playtex type gloves for bathroom cleaning.
    13. I highly recommend Nail Envy by OPI for nails. When I went to my Look Good - Feel Better class, we were given a same size of Nail Envy and it is by far the best 'nail strengthener' I have ever seen. I have crappy nails to begins with but quite decent when I use Nail Envy. Definately not the cheapest but is worth the price from my experie ce with it.
    14. The only 'blackened' area I got on any of nails was on big toe nail - Chemo had nothing to do with it. 2 days after 2nd A/C, I drove in a Powder Puff Mud Bog and in my aggressive driving - I bruised it. Oh Ha Well, got 2nd over ones with 'bigger better' bloggers - so worth it. (I very seldom wear nail polish - to much into outdoor activities to be bothered.)

    Before deciding what you want to take with you for infusions - find out what your facility offers. We were offered fruit, crackers, soup, hot beverages, juices. Each cubicle had a reclinner, individual cable TV in them. The glassed in cubicles/rooms had the individual TV, a hospital bed and a thermostat for that room only (Thankfully during the worst of my temperature issues).

  • peyton3
    peyton3 Member Posts: 43
    edited November 2016

    Hi Hanging in There,

    I was very anxious and concerned about taking chemo, in fact I gave my oncologist a really hard time but in the end I was very glad I listened to him and I actually did quite well. I had four treatments of what they call the red devil and Cytoxan, then 12 treatments of taxol. I did take the Neulasta shots with the first four treatments, they recommended that I take Claratin so that I didn't get the muscle aches but I could not tolerate it so I took Benadryl and it worked just as good. I also used a clear polish called Nail Replinish that I got at Sally's and it worked great. The best advise I can give is drink lots and lots of water, I drank at least eight glasses a day, it really makes a difference. I used the Aquafor, but like you I really didn't care for it. Aveno works well. Best of luck.

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

    1)I need a special moisturizer--Huh?  never heard of this

    2)What is a toothbrush sanitizer ?  Never heard of this either3)Unscented hand cream (what is the difference from #1 ) and need brands to look for--see #14)I need a brand of non-toxic dish soap and moisturizer (this is the third time they have mentioned moisturizer) How many products do I need?--Holy cow! Where did you get this list?5)Regular Claritin for Joint pain? I thought Claritin was for allergy--Claritin helps prevent bone pain after Neulasta. It really worked for me.6)What doctor is supposed to prescribe supplements--check them with your MO. They are the last word on supplements during chemo.7)Do I really need a blood pressure cuff?-- No.  Unless you have high blood pressure. 8)Where can I get a seam free soft hat for sleeping? -- Headcovers.com9)Where do you buy a hair net? Are we talking made of hair or made of polyester?  --I have no idea why you would need this...10)Why do I need slippers, can I wear my tennis shoes around the house? I have slippers but prefer my tennis shoes.--You can wear your tennis shoes, no problem.11) Cold caps, I just looking into that today.. so haven't had time to read the material. Why do I need to get a short hair cut? Maybe it will be less stress on follicles when brushing?  --I didn't cold cap.  I cut my hair short about 7-10 days after I started chemo. I felt like it would be less of a shock when my hair fell out. And it was.  12) Are Playtex gloves allright? I read some account where non-latex gloves were recommended, but I'm not allergic to latex and I think the nitril gloves I bought are not high enough for doing dishes.--I never used gloves for anything other than cleaning the toilet  handling food (disposable vinyl gloves)13)What type of store would you buy the nail strengthener and cuticle cream at –There is Ulta near me is that the right place?  --Have no idea. I didn't use this 14) So I can't paint my nails after I start chemo? I'm a little confused here. I do not ever paint my nails but if they are going to turn black (not sure yet) then I would like to paint them so my nails don't scare people. Recommend a color or type of nail polish. Does it matter? I usually buy the cheapest, but I use nail polish to label camping equipment, not for my nails. --I usually wear gel nails, but I did not during chemo. I stopped having manicures entirely because I didn't want all that pushing and clipping around my cuticles. I DID have my nails polished about every 2 weeks. I'm a serial nail biter and if my nails are naked I'll eat them down to the quick. So, polish was necessary. I did continue to have pedicures about ever 6-8 weeks because I can no longer see my toenails well enough to cut them. The chances of me getting an infection from my treasured pedicurist is a lot lower than if I go at them myself.   Incidentally, I had NO darkened nails or any other nail problems.

      I'm 58, have a 9 year old adopted child. I was diagnosed with the breast cancer that 80% of women are diagnosed with. (I would have to leave this page to go look it up, so I'm guessing some people are familiar with the type.) I am triple negative, I believe. --I don't think triple negative is the one that 80% of women are diagnosed with. That would be ER+ PR+ Her2-.

    I think the biggest issue you might have is keeping the 9yo from bringing home germs from school. He/she may be the best little hand washer in America, but I guarantee you her classmates are not. Give then a small bottle of hand sanitizer to keep at their desk or in their bookbag.  Keep a jumbo squirt bottle of hand sanitizer by the door and EVERYONE who comes in the house has to use it, no exceptions. Also, get your flu shot before chemo starts and have your child get one, too. Half of keeping you well is keeping your child well this year.

    I really didn't change much about the way I live, other than becoming fanatic about clean hands. I also ate NO raw food--no salad, no fresh raw veggies or fruit, no rare meats. I handled meat with vinyl gloves. I was very grateful to not have any stomach viruses until about 3 weeks after final chemo--I think I may have let my guard down too soon!

  • ksusan
    ksusan Member Posts: 4,505
    edited November 2016
    • 1)I need a brand of unscented moisturizer (other than aquaphor which is so greasy): I use Cetaphil.
    • 2)What is a toothbrush sanitizer ?: Not necessary. Rinse your brush in a water/peroxide mix after use and air dry.
    • 3)Unscented hand cream (what is the difference from #1 ) and need brands to look for: Cetaphil.
    • 4)I need a brand of non-toxic dish soap and moisturizer (this is the third time they have mentioned moisturizer) How many products do I need?: Never heard of this.
    • 5)Regular Claritin for Joint pain? I thought Claritin was for allergy: It decreases pain from chemo.
    • 6)What doctor is supposed to prescribe supplements: Review your supplements & medications with your MO. They may want you to stop most during chemo.
    • 7)Do I really need a blood pressure cuff?: I don't know why you would, unless you're hypertensive.
    • 8)Where can I get a seam free soft hat for sleeping?: Amazon. But a satin pillowcase may be more comfortable.
    • 9)Where do you buy a hair net? Are we talking made of hair or made of polyester?: Couldn't tell you. I buzzed my hair when I started chemo.
    • 10)Why do I need slippers, can I wear my tennis shoes around the house? I have slippers but prefer my tennis shoes.: You can wear tennis shoes. Your toe joints may ache and your nails may get cruddy or lift from chemo.
    • 11) Cold caps, I just looking into that today.. so haven't had time to read the material. Why do I need to get a short hair cut? Maybe it will be less stress on follicles when brushing?: I didn't use.
    • 12) Are Playtex gloves allright? I read some account where non-latex gloves were recommended, but I'm not allergic to latex and I think the nitril gloves I bought are not high enough for doing dishes.: I'm sure they are.
    • 13)What type of store would you buy the nail strengthener and cuticle cream at –There is Ulta near me is that the right place?: Amazon.
    • 14) So I can't paint my nails after I start chemo? I'm a little confused here. I do not ever paint my nails but if they are going to turn black (not sure yet) then I would like to paint them so my nails don't scare people. Recommend a color or type of nail polish. Does it matter? I usually buy the cheapest, but I use nail polish to label camping equipment, not for my nails: Your MO may want to see your nails. However, some people use dark polish because they feel that it helps keep the nails intact. I didn't use polish and my nails didn't come off.
  • Hanging_in_there
    Hanging_in_there Member Posts: 226
    edited November 2016

    Thank you Kicks, Connie1230, peyton3, mustlovepoodles, and Ksusan for all your kind answers to my questions. I'm in testing everyday this week (except Friday) and am finding I have to conserve my energy even before Chemo. Testing is taking a mental toll on me. So I want to pare the list to what I might really need. I will be on AC then Taxol, but don't know the timing of the treatment until next Monday when I meet with the doc.


  • ksusan
    ksusan Member Posts: 4,505
    edited November 2016

    In my opinion, the bottom line of what you need (if you're not going to cold cap, with which I have no experience):

    • Buy
      • A moisturizer you like (unscented may be best if you're nauseated from chemo)
      • A new toothbrush or two
      • Hydrogen peroxide 1% or 2%
      • Claritin
      • A forehead thermometer (your MO may be having you monitor your temp)
      • Rubber gloves for dishwashing (to avoid cuts that could get infected)
      • A box of disposable face masks in case you need to go out when you're immunosuppressed
      • Antibacterial hand and surface wipes
      • For my money, a tea tree-based anti-fungal nail treatment, which you can buy on Amazon
      • Hard candy or popsicles in case your nauseated or your mouth is sore
    • Do
      • Get a haircut if you're not cold-capping--your scalp often hurts when your hair drops
      • Identify comfy shoes or slippers that don't press on your toenails
      • Talk to MO about supplements to start or stop during chemo
      • Look at threads about bland or non-nauseating foods (I had no nausea and ate Thai throughout, but others have different experiences)
      • Look at threads about mouth sores and perhaps ask your MO for a prescription for "magic mouthwash" so you have it on hand (I rinsed my mouth with salt water and baking soda, which was sufficient)
    • During chemo
      • Exercise if you can--even a little walking is good
      • Take the anti-nausea meds and the Claritin
      • Don't eat your favorite foods if you're nauseated--you don't want to associate them with nausea
      • Take your temp if you feel hot, and do what your MO tells you to do if you hit a certain temperature
      • Stay away from sick people
      • Wash your hands and face with some frequency
      • Put a strainer in your shower/tub drain--you don't want to have it clog if you're losing a lot of hair
      • Stay very well hydrated. My MO had me drink 16 oz of Gatorade every day (sugar-free since I have diabetes and had no loss of appetite)
      • Eat plenty of protein so your body can recover--a cold protein shake can be a way to get protein, hydration, and calories if you're queasy
      If I think of anything else, I'll add it, but you can find all of these suggestions in the various chemo threads on BCO.
  • Bagsharon
    Bagsharon Member Posts: 200
    edited November 2016

    Hanging In There, I know people really mean well when they come up with these lists but as you can see, it is overwhelming. You have plenty of time to buy things in between treatments if you should need them and you'll probably have people looking for things to do for you anyway. The only thing I think you have to get beforehand is Claritin because you will have to start taking it a few days before treatment. And yes, it is an antihistamine but for some reason it does help with bone pain. Maybe stock up on foods/drinks that you usually tolerate when your stomach is upset. And if you should choose to cold cap you'll have to research that and get what you need beforehand as well. That's it. I pretty much used/or did none of the other things on the list. Good luck on your chemo. It's not easy but it'll be over before you know.

  • Hanging_in_there
    Hanging_in_there Member Posts: 226
    edited November 2016

    Ksusan, What is MO (modus operandi, medical officer)

  • reflect
    reflect Member Posts: 576
    edited November 2016

    Hi Hanging in there, MO is medical oncologist--your "team leader". I agree that you shouldn't worry about stocking up on a bunch of things you may not need. What I needed most was the rx antinausea meds, which you should take in advance of nausea, on a schedule! Also lots of water and whatever you like when you feel crummy (popsicles?) I had a great lightweight plastic mug with a cover and a straw which was helpful. But not required! And you only need Claritin if you are taking Neulasta, as mentioned already. Good luck, you may sail through (or not) but you will get through!

  • Italychick
    Italychick Member Posts: 2,343
    edited November 2016

    To add to ksusan's post, I got two prescriptions for anti nausea meds filled, zofran and compazine I think, but never used them. I also got Benadryl for having at home and Pepcid AC. I did use the Pepcid after round 5 of chemo but have since discovered that Tagamet may have been a better choice. Also used coconut oil everywhere, mouth, head, fingers and toes, vagina, butt, I mean everywhere. Took magnesium to stay regular in the poop department, but doctor also wrote prescription for stool softener. You don't want to get constipated cuz things down there can bleed and scare the bejesus out of you. Also got my primary care physician to write me a Valium prescription just in case I freaked out, but never used it either. Used the Claritin for a week surrounding Neulasta and never had bone pain. Had primary care physician write a prescription for a broad spectrum antibiotic (Keflex) which I had to use when I got stung by a bee during chemo. Easier to have it onhand than go sit in urgent care or emergency. Some women on our March 2015 chemo forum were given an antibiotic course with each chemo treatment, but I only took it when I had to.

    Watch potassium level, chemo hammered mine and I had to take some horse pills. As for water, try to do the Gatorade thing or else something like smart water that has electrolytes.

    Chemo was doable, not pleasant, but doable. Hang in there, and hoping for the best for you.

  • Hanging_in_there
    Hanging_in_there Member Posts: 226
    edited November 2016

    I wanted to thank you all again. I sped through reading the responses a couple of days ago but have read them thoroughly and have taken notes this last time. In the last 3 days I have had various tests each day, so I didn't have much time or emotional energy to concentrate on anything but getting thru the tests.

    The good news is that distant places in my body which could have had cancer, did not. So I am celebrating tonight after a very long 3 days of testing.

    Some of your answers have provided me with questions to ask my doc (now I know what a MO is), so my MO. Everyone is up-to-date on flu shots. And I agree it will be hard staying cold free with a child in the house. He has a cold right now and we are blowing air kisses to each other. We have lots of Purell and I will ask everyone in the house to use it all the time.

    I thank you fellow BC sisters for all you knowledge and willingness to share it. So far the hardest thing has been the emotional side of this diagnosis, but soon it will be the physical side.

    Hanging_in_there ... but hoping to be thriving soon.

  • ILSunrise
    ILSunrise Member Posts: 130
    edited November 2016

    There are so many acronyms used in these forums, I recommend you take a look at the discussion board abbreviation key. Here is a link - https://community.breastcancer.org/forum/131/topics/773727?page=1#idx_1. Your list overwhelmed me...but I'm getting ready to start chemo on December 15, so will review the list and for sure buy some Claritin.

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