Chemo Brain

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  • gracie22
    gracie22 Member Posts: 229
    edited December 2016

    Gardengypsy, no; I have found references that indicate that since IGF-1 can promote tumor growth, its use in cancer patients is a problem. They do now use it for people with traumatic brain injuries (presumably those without cancer.) I was unable to find anything about any specific drug therapy in the pipeline to assist with chemo brain symptoms. Most of the more recent medical studies I have found simply quote the 2009 findings of unexpected damage to the brain's ability to create the same quantity of new cells post chemo. This linked article was at least generally informative. No big news, but some common sense help with dealing with it. http://foodforbreastcancer.com/articles/latest-research-on-chemo-brain-after-breast-cancer-treatment

  • gardengypsy
    gardengypsy Member Posts: 769
    edited December 2016

    Why on earth have't we got evidence on chemobrain and toxicity? A cover up by Big Pharma??

  • gardengypsy
    gardengypsy Member Posts: 769
    edited December 2016

    Gracie~ A lot of good links at the end of that article. Thanks.

  • gracie22
    gracie22 Member Posts: 229
    edited December 2016

    Gardengypsy, I think there is now plenty of evidence of brain toxicity at this point, though it is weird that it took so long for serious research on it. "Chemo brain" was often written in quotes until the last few years, and there was just not enough solid data compiled on it for docs to accept that there is a physical reason for cognitive issues. The whole question about the "blood brain barrier" is very interesting; it's evidently a lot more breachable than originally thought. I thought the link on chemo and verbal fluency was interesting too: "Chemotherapy does not decrease verbal fluency, but it has a negative impact on semantic memory"--I didn't know what semantic memory was, and found lots of definitions online, including this one:

    "Semantic memory comprises all our knowledge and understanding about the meaning of words, objects, people, concepts, and events (for reviews, see Caramazza & Mahon, 2006& Patterson, Nestor, & Rogers, 2007& Rogers, Lambon Ralph, Garrard, Bozeat, McClelland, Hodges, 2004). In particular, semantic memory, together with episodic memory, constitutes declarative memory-that is, memories that we can declare or describe explicitly. However, in contrast to episodic memory, semantic memory represents knowledge of objects or events that transcend particular places, times, or contexts. Episodic memory, however, represents memories of specific events and experiences (Tulving, 1972)."

    This would jibe with Ms. Latte's earlier post about her mentor who could easily continue to write technical pieces post chemo, but found it difficult to write pieces more reliant on original, creative thought.

  • gardengypsy
    gardengypsy Member Posts: 769
    edited December 2016

    Gracie~ I am a psychology teacher who studies a lot of neuroscience, and I understand the semantic memory application here. Thanks for pointing it out..

    My working memory is in big trouble as well.

    But, my biggest struggle is the general confusion I feel for most of every day. I struggle to listen, problem solve or communicate effectively. Although I don't have a headache, I feel like my head is going to explode.

    I am sure that my upcoming neuropsych evaluation (2 weeks) will clarify things for me, and I am beginning to accept that I will probably be reapplying for disability.

    I have a career that I love, but I am 7 months out of chemo and things are getting harder, not easier.

    gardengypsy



  • gracie22
    gracie22 Member Posts: 229
    edited December 2016

    Gardengypsy, I am offering this info in the hope that it might allow you to give yourself more time before you decide that disability is appropriate. I have not had chemotherapy, though it is absolutely recommended for someone with my type of breast cancer (20%ER/PR-. HER+++; see my early posts for more on that), nor have I had radiation or anti-hormals (neither recommended). But I have had plenty of "issues" particularly in the realm of work. While there is no doubt that chemo causes physical changes that may lead to cognitive issues, the whole I-am-going-to-die-in-a-very-miserable-way cancer wake-up call does quite a number on you, too.

    My work is important to me, and I very much wanted to continue for at least a couple of more years post diagnosis (which I have just about done), but it has not been easy. I find that my concentration is very scattered; it is hard to remember things...all the stuff you hear about with chemo. But on the other hand, since I do want to still be here at work, I find that somehow it all does seem to come together and I do get it done. Just not in the same way I did before I was diagnosed. I, too, wanted to pack it in if I could not do justice to the job. But I found that I am achieving the same or better results that I did pre-cancer, but my methodology is just different.

    I think when we are given the news that our time here may be much shorter than we had imagined, there is a radical re-shifting of focus. Give yourself some time to settle with that. You may decide that you prefer to spend your time in others ways, and that is of course totally fine. But if you do truly want to continue working, I hope you will give yourself more time to adjust and accept that the way you do things now may simply be quite different than "before".

  • gardengypsy
    gardengypsy Member Posts: 769
    edited December 2016

    Hi Gracie~

    I really appreciate your encouragement and feedback.

    My symptoms are fairly severe, and this is traced directly to the chemo and radiation. Besides the loss of cognitive functioning, I have neuropathy and exhaustion. Healing can't happen when you are stressed all the time, and I have a demanding job as a public high school teacher.

    Right now, I need to heal from the incredibly toxic treatment used to save my life.

    I am planning short term disability, not long term. I think the ADA will cover me.A few more months of recovery time is needed before I completely lose it.

    Thank you again for your input and caring note.

  • gardengypsy
    gardengypsy Member Posts: 769
    edited December 2016

    Wenrisa,

    We are on a similar time frame - my chemo started in January 2016. Your symptoms are/were similar to mine.

    I see that your post was from July. How are you feeling now?


  • Wenrisa
    Wenrisa Member Posts: 94
    edited December 2016

    gardengypsy -

    Mostly I feel like it has gotten better. I had a lot of issues originally just grasping concepts but I feel like that has gotten easier for me. I still forget words occasionally - I did it today in the car with my husband actually. But overall I do think I see improvement. So there is some hope!

    How are you doing

  • gardengypsy
    gardengypsy Member Posts: 769
    edited December 2016

    Wenrisa,

    This such great news. I am super happy for you.

    I really don't know how I am doing. I think a lot of what's going on is tied in to exhaustion. I am having a cluster of symptoms. I am working full-time, and feel very overwhelmed mentally.

    I think my short term memory and fluid-reasoning are absolutely shot.

    I am seeing a neurologist for full evaluation this week. Wish me luck!

  • Nynn
    Nynn Member Posts: 2
    edited December 2016

    Yup, I have it too. Mine is mostly with short term memory, like a conversation I just had with someone minutes before will be gone. Or making a grocery list, the item will just suddenly disappear from my mind. Occasionally, my family says that I am not remembering a certain detail of a past memory correctly, but that only happens every so often...and I did that before chemo, lol. I do have issues spelling or coming up with the right words when talking too...like "the" or other bigger words. It is improving now at 7 months out from last chemo treatment. I still find that I can't think when there is a room full of conversations going on. I don't like being around alot of people right now. I have a few Cancer friends who have had the same experience, and they give me hope as they are very intelligent people who you would never guess had ever had memory issues before. For now, I write everything down, carry my phone around with me for a calendar app and a excel spreadsheet app I use for my grocery list.

  • gardengypsy
    gardengypsy Member Posts: 769
    edited December 2016

    Nynn~ Our symptoms are very similar. Including the part about being around people!

  • macb04
    macb04 Member Posts: 1,433
    edited February 2017

    Hi, everyone. I wrote about my own struggles with chemobrain on another thread here about this very topic. I have started on Lion's Mane, the mushroom supplement. I think it is really helping my memory, along with Ginko Biloba.

    From the Townsend Letter
    April 2015

    Our April 2015 cover
    Order this issue!

    Integrative Treatment Considerations for Cancer–Treatment Related Cognitive Dysfunction
    by Lise Alschuler, ND, FABNO
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    19

    Page 1, 2


    Abstract
    Cancer-related cognitive dysfunction – commonly referred to as "chemo brain" – is a common side effect of chemotherapy, yet many integrative practitioners are unaware that it exists in their cancer-survivor patients. Presently in conventional oncology, due to the still emerging understanding of the condition as well as due the lack of evidence-based therapies, not much is being offered to patients to either prevent or treat this cognitive dysfunction. Although there have not been any scientific studies to validate the use of an integrative approach to reversing chemo brain, given the significant impairment on quality of life imposed by this condition and the high benefit to risk ratio for indicated integrative therapies, an empiric integrative approach is warranted. This approach is buttressed by an understanding of the pathophysiology of chemo brain and utilization of targeted botanicals and nutrients that address aspects of this pathophysiology. Specifically, agents that improve connectivity, ease neurological inflammation, and enhance nerve growth factor are highly indicated in an integrative approach to chemo brain.

  • gardengypsy
    gardengypsy Member Posts: 769
    edited February 2017
  • gardengypsy
    gardengypsy Member Posts: 769
    edited February 2017

    I received my report from Brigham and my onc and I have created a survivorship plan that includes addressing my cognitive problems - processing speed, short term memory loss, executive skills (planning organizing). The psychologist who did the testing said that the chemo and debilitating fatigue from treatment are clearly responsible for my current state of being. Today I made appointments for...

    -Speech Language Therapy with a specialist in chemo brain. The neuropsychologist said this is really, really important.

    - Mindfulness meditation classes

    - Acupressure

    -Occupational Therapy

    -"Steps to Wellness" A physical therapy program devoted to oncology patients.

    I have upped my dose of Lexapro as well. She also recommended me seeing my therapist - who specializes in oncology - much, much more..

    The doc who did the neurotesting used the phrase, "self-care" many times. So in order to access this health care, I will be taking a long term disability leave (via employer's insurance).

    Ladies. It's a full time job taking care of ourselves. My thinking skills are so bad I could barely schedule the appointments.





  • gardengypsy
    gardengypsy Member Posts: 769
    edited February 2017

    mac- I thought that the Townsend Report was one of the most thorough examinations of chemo brain I've seen yet. Everyone on the board should read it - the link works.

    I will look into the Lion's Mane. I am surprised they don't mention Mind-Body practices. I don't think the brain software recommendation is a good one. I've read research that says those programs offer meager and temporary results.

    I can barely look at a screen anyway..

  • danesmom
    danesmom Member Posts: 7
    edited April 2017

    Hi I was wondering if you still suffer from Chemo brain? I too suffer from Brain fog, but my oncologist told me that chemo brain can only last about 1 year after chemo.

    Arimidex and Tamoxifen can cause brain fog and I know that the Arimidex is the cause of my short term memory loss and confusion, comprehension problems, cognitive issues.

    I am trying to get an attorney for a class action suit against the makers of Arimidex.

    Let me know how you are doing?

  • danesmom
    danesmom Member Posts: 7
    edited April 2017

    Hello Everyone:

    I believe that chemo brain exists but not past a year post chemo. I was in a chemo brain study at UCSD that tested me pre, during and post chemo and one year after chemo. I did not have any changes. MY changes started when I took Tamoxifen which was in Sept 2008. I took it for 4 years and then switched to Arimidex and have had severe brain fog ever since I started this estrogen blocking drugs. Brain fog includes short term memory loss, problems finding the right word, cognitive difficulties, comprehension problems. I have seen many doctors from my primary doctor to neurologists, to psychiatrists, to neuro-psychiatrists.....not one of them could give me a diagnosis. I took periodic breaks from Arimidex ( a month here and there) just because of the hot flashes and my oncologist was ok with it. Then the last break I took was for 75 days and about 2 months into the break I noticed my brain felt clearer. I started back on the Arimidex because 4 spots were found (3 on 3 separate ribs and one on my right lung).

    If you are taking Arimidex please contact me as I am trying to start a class action law suit agains the makers of Arimidex.....and possible Tamoxifen. My email address is danesmom@me.com.

    Thanks God Bless you all.

    Connie

  • ForeverOptimistic
    ForeverOptimistic Member Posts: 16
    edited April 2017

    Chemo brain is nasty. I'll be discussing something and the word just vanishes from my mind. There one minute, gone the next. I joke about it when around friends, but truthfully it isn't funny. It's annoying. They injected poison into us. Of course it affected our brain.

    A post on this sight says it lasts up to six months. I wish. I finished chemo in October. Back to the brain strengthening games. We'll come through this better, smarter than ever.



  • MeToo14
    MeToo14 Member Posts: 493
    edited April 2017

    Chemo brain is very real. I first noticed it when I was going through chemo and since starting on AI's it's even worse. It's embarrassing and when I forget things or am talking and just stop and can't get the words out, I look like I don't know what I am talking about and look dumb. Also, people get angry with me when I can't get the words out. But it's more than that. I forget everything, appointments, meetings, what I was in the middle of doing. My MO says there is nothing I can do about it. It really does impact my life.

  • lintrollerderby
    lintrollerderby Member Posts: 483
    edited April 2017

    Danesmom: I assure you chemo brain can and does last for more than a year post treatment for many people. I am one. My cancer was triple negative, so I've had no anti-hormonals. There are many triple negative patients who can attest to chemo brain lasting longer than a year. Every oncologist I've had has agreed. I also was involved in chemo brain studies and trials.

    I'm glad that the study you were in did not show the effects of chemo brain and perhaps your issues are either caused by or exacerbated by Arimidex. I wish you well in your pursuit of a class action suit, but please don't minimize the difficulties of those of us who have chemo brain and have never taken anti-hormonal drugs. There are studies and research to prove chemo brain exists and can plague patients for many years.

  • 70charger
    70charger Member Posts: 963
    edited April 2017

    Anyone have hand tremors? If I am tired or under stress I get hand tremors & can't get any words out, just stutter.. My fine motor skills are also shot (example.. writing, chopping food.) Hard trying to figure out what type of job I can get when I can't talk or write.

  • Jackster51
    Jackster51 Member Posts: 357
    edited April 2017

    I am 5 years out from chemo and still have pretty bad chemo brain. I've tried lots of different things with no real help. I just feel pretty dumb mostly, like I can't follow topics, I havent been able to read a book since before chemo - just don't have the concentration skills or attention span. I cant recal words and just zone out a lot. It's frustrating. I used to plow through books. And now the best I can do is maybe finish a short people magazine article. And I have not been on any anti hormonals - so this is definately from the chemo - for me atleast.

  • HappyHammer
    HappyHammer Member Posts: 1,247
    edited April 2017

    Glad but not glad to read this thread.  While my active treatment ended in May 2016 still am having "chemo brain" though not as severely as of now....initially could not keep a thought in my head.  Now, often forget common words or say words in a sentence and then realize -wrong word and self correct.  The worst part is that I cannot seem to learn or re-learn info that has many steps.  Just cannot keep the info in my head.  Ugh, as this is debilitating to me as a retired counselor/teacher doing contract work or tutoring. And, just personally, cannot make simple decisions and cannot read and enjoy a book....just can't keep up with dialogues, etc.  Had no idea this would happen when starting treatment.


  • chi-girl
    chi-girl Member Posts: 21
    edited June 2017

    I'm 5 years out (TNBC so no hormones) and still have chemo brain. Like others, I lose my train of thought mid-sentence, I spell things wrong or say the wrong word entirely. My autopilot doesn't work either--one time I stopped myself from putting trash in the refrigerator. I can't concentrate/focus, multi-task and some times I do things wrong that I've done a million times. One time I set the alarm to the house wrong, the alarm went off and the police came. It's something I've done correctly for 10 years. I have no idea why I started pressing the wrong button. I know it wasn't an accident because I did the same thing the next day, but I was purposefully paying attention so I caught it. :-( Then I started forgetting to lock the car door. It's to the point that I don't trust myself anymore.

    I've been told it's lack of sleep, depression, nothings wrong with me etc. I started taking an anti-depressant so that the doctors would rule out depression. I kept telling them I wasn't depressed and this was the only way to get them to stop thinking that's why I was having memory issues. My neuropsych test came back great in all areas except for working memory (duh), attention (duh) and some parts of language. But they are all in the average range, so the doctor says "great news, I'm fine." All the other areas are higher.

    I suppose there is nothing I can do to fix this at this point. However, I really wish someone had told me this was a possiblity and allowed me to use that knowledge as part of my decision to take chemo or not. I may have decided against it.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited June 2017

    I'm 2-1/2 years out from active treatment and am glad to say that my brain finally seems to be working correctly again. At one year I was still in a fog. I must say that I still use the chemo brain excuse when my son insists that we already talked about something.

    chi-girl, sorry your side effects seem to be pervasive. I might have changed my decision too, but it would have been for neuropathy.

  • JustJean
    JustJean Member Posts: 327
    edited August 2017

    Twelve years since first diagnosis. Seven years out since chemo and still have chemo brain. How I wish I could read something even semi-intellectual again. How I wish I could find the correct word. How I wish I could remember what happened two days ago. Thank goodness my partner tries to understand and patiently tells me the same thing over and over and over and over again.


    I used to be a highly intelligent person. Now I wonder how I manage to get through a day and am attached to the hip to my calendar. If it's not on the calendar, it doesn't happen.


    It doesn't matter to me whether it's from chemo or AIs or something else. It's here, cancer is responsible, and I hate it.


    JJ

  • Shellsatthebeach
    Shellsatthebeach Member Posts: 316
    edited August 2017

    I'm not sure if I have chemo brain. Prior to be diagnosed with my cancer, I started having short term memory problems. A colleague of mine also started having similar issues, and whenever we would have a conversation, it was the saddest thing to watch. We would sit and try to come up with names and just couldn't figure them out and just say I think it starts with the letter "__". She is one year older than me. Than during the month of Jan. I was trying hard to complete some course work that in the past would have been easy. I struggled trying to write the paper. I just couldn't stay on task or simple focus very long, and would get very frustrated to the point of tears. I was also getting hot flashes. My colleague was too. We chalked it up to peri-menopause. I know chemo can also mess with hormones. The good thing is once the hormones settle, all should go back to normal.

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