TRIPLE POSITIVE GROUP
Comments
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So true and loads of info what you ladies are pouring forth. My daughter had a oophorectomy, the emotional side was the most terrible part, because she was in her mid 20's. But, then she was able to be on different therapies that they only give if someone is menopausal. Of course she still endures the hot flashes, and all that comes with this. So Lupron is in the past.
But the same idiocracy was thrown her way, when Neupogen shots which she has been taken for a long while, was not working, she was literally down to 0.3 WBC, Anc of 0.6 and Insurance was refusing to pay for Neulasta shot, (It gives a bigger and quicker boost). So they would prefer to pay for an ER visit? She practically fainted. It turns out she did end up in the ER, Neulasta was given too late. But, the idea is absolutely insane. Well, now Insurance will have to pay a nice bundle for that visit, that's for sure.
Hope you will feel better.
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I am new to the community and appreciate all the great information, support and positivity. You ladies are true warriors and I admire the strength displayed by all! I am participating in a clinical trial and have been getting Herceptin/Perjeta infusions every 3 weeks since September. No chemo. I need to take Arimidix daily for 5 years. I eliminated alcohol, sugar, dairy, and red meat from my diet. Working hard at reducing stress by meditating daily and I exercise 4-5 days a week. Just had my second set of scans and the cancer has eradicated completely. There are several other ladies in the clinical trial and they are experiencing similar results. Surgery will be the true testto see if this protocol really works. I'm scheduled to see surgeon and plastic surgeon in a few weeks. There is hope for us triple positives. Never give up! God bless you all with healing and comfor
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@tunegrrl that article is chilling
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tresjoli2, yes, I agree Lupron is very expensive. Your 3 month shot is less money tan my monthly shot. I began getting the monthly injections in August and will continue until this August.
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deni1661, i wondered when they will do the H and P alone in a trial! i am glad so far you are getting good result.how long will you take it for?keep us posted.
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Hey everyone. It's been a while since I've posted. I figured that the kiddos are back to school this morning so I'm able to sit down and write out the horrific experience of my first chemo treatment. The infusion itself went well. Although days later I found that my mouth was so messed up I called my doctor. My oncologist took one look in my mouth and found that the chemo meds, carboplatin, and Taxotere had scalded my mouth, throat, and tongue. I could barley talk forget eating and drinking. It was too painful. I ended up having to go to the treatment center daily to get fluids and steroids via my port along with using 3 different mouth washes to try to help and resolve the issue. My mouth isn't 100% now but it's a lot better. On that Friday she decided to give me the Nuelasta shot to boost my WBC. Well now that was a huge mistake. By Saturday I was admitted into the hospital with a severe allergic reaction. The pain in my entire lower extremities from my lower back down was excursitating. I was there for 2 nights till they were able to get the pain under control. Wow. I never thought my first round of chemo would be so horrible. I knew it would kick me down but didn't expect all of that and more. The body aches, my hair was falling out just a few days after which I knew would happen was just wasn't ready for but then again who is. So I had a follow up with my oncologist this past Friday. She's made the choice to take me off Taxotere, and carbo. She says I'm allergic to them both along with being allergic to the Nuelasta shot. Now she's putting me on Taxol for weekly chemo infusions. I'll still receive my other scheduled chemo treatments every 21 days also. I'm highly scared as this Friday is my next treatment. I've been trying to research Taxol vs Taxotere and they seem to be realativly the same. Any advice ladies?? I'm also running into the issue of having a very rare auto immune disease which I think is half the problem in trying to treat my breast cancer. When I google bechets diease and breast cancer it's so very rare. My oncologist called the Dana Farbe Institute in Boston, Mass for some advice on my case. I feel like a statistic, a rare one and that scares the hell out of me too. I just want this go a little more smoothly. I can only hope and pray that after Friday's infusion I won't be so sick to be admitted into the hospital again. Horrified and scared....... 😓
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oh beautifully broken i am so sorry, you are in my thoughts.. no advice regarding Taxol vs.taxotere but i am sure the ladies will chime in later.
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Beautifully...taxotere took me down for the count too. The pain was awful. Not as bad as you, but I ended up sitting at home taking major pain pills for a week after it each time. I don't ever want to take it again. The good news is the women that went through chemo with me (on this board) that had Taxol didn't seem to have the pain I did. I don't know what the difference is, but it did seem to be kinder to them than mine was to me. I hope it's the same for you. Chemo really sucks, but you can't end up hospitalized each time! Good luck with the new drugs.
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BeatifullyBroken4284(just temporarily and scheduled to be beautifully put back together later in 2017), this sounds like you have endured quite a few battles so far. Thankfully, medical intervention was quick and the culprits have been identified. Allergic reactions are horrible. I hope your suffering can be alleviated with the revised plan. Thank you for filling us in and keeping everyone posted. It's not easy to do. I am cheering you on and sending all my best. Suburbs
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beautifully - I would inquire about switching to Abraxane - it is a taxane like Taxotere and Taxol, but it is without the solvents that usually cause the issues with both drugs. Taxol is a milder taxane than Taxotere, and it is usually dosed weekly so you are receiving a smaller amount of the drug, more frequently - most people do better with this approach if they have had issues with Taxotere - but you will still have cumulative side effects by the time you reach the end of the course. Also, there has been some discussion about the need for Carboplatin for triple positives - some MO are eliminating it because of the harshness. I used Caphosol for mouth sores - I am prone to them anyway, and it worked very well for me I had dozens after the first round of chemo, and they cleared in 48 hours. I am wondering if you can forgo WBC boosting meds (Neulasta and Neupogen) and take prophylactic antibiotics if your WBC drops.
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Hello
For those Triple Ps on a year long regiment, did you hit a wall when you wanted to stop? I ask because today I cried before treatment and did not want to go. I am trying to figure out why I had this reaction. I work to have a positive attitude but it was hard to do today. Any advice / insights I would appreciate.
Coach Vicky
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coach about 4 months before I was done...I hit the wall. I was tired of everything. Tired of being poked tired.of being sick tired of side effects. I treated myself to something special as a "prize" for how far I'd come, and had a girls weekend with my best friend to get back on track. Good luck. It's a long haul.
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beautifully I second the abraxane...good stuff Abraxane is. Taxol is mixed with cremaphor. Cremaphor and I are NOT friends...
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kaemd99 - I will be on HP for a full year. Surgery is coming up soon, that will be the real test to see if the protocol is working. I'm a little nervous because triple positive is so aggressive but my MO has been getting good results with his patients who take HP only.
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Hi. I am preparing for 2 surgical consults, breast and plastic. The second diagnosis of DCIS came just before starting TCHP round 1. The goal of neoadjuvent therapy was conservation but the treatment plan did not change with news that conservation was no longer an option.
I was met with surprise and confusion from surgeon when I broached the subject of a double. My reasons and motivation were questioned and even challenged.
My nodes were not biopsied so staging is a bit murky. I am still waiting for genetic counseling.
These are some of the things keeping me up at night: 1.) single or double. 2.) how long after completion of TCHP should I expect to schedule surgery. 3.) radiation 4.) Reconstruction? 5.) What tests should I expect or insist upon before a decision on surgery. Pencil sharpened and taking notes.
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Tresjoli2
Thank you for your kind post. My husband always does a special meal after treatment but maybe I can do something just for me. I could use a pedicure and that might do the trick!Thank you for responding.CoachVicky -
I had my 4th dose of Taxol yesterday, along with my Herceptin and Prejeta. Feel ok right now. MO thinks my rash is from the Steroids she is giving me. So next week she will try a different one. I hope she finds one I can take, this rash is annoying.
She also recommended I take a pepcid daily. Anyone else taking this?
Hope today goes good for anyone going to treatment today.
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'Burbs, sorry you had bad news. I like your attitude, though. Powering you way through this crap with good thinking.
Things that come to my mind:
1.) single or double.
A local bc friend chose single to start after being encouraged by our BS, who cited a 14% risk of complications with a double vs. 4% risk per single. I'm guessing the difference is because it helps to have one good arm during recovery.
2.) how long after completion of TCHP should I expect to schedule surgery.
2 to 6 weeks, depending on how worried your doctors are about you. I researched this extensively after a booking error left me with a difficult choice to make. It appears there is not a clear link between survival and time between chemo and surgery, but four weeks is most common. (Waiting longer than 8 weeks appears to show worse survival until you factor out other health problems and age, which are higher with longer waits.) I have a couple of local bc friends who were fitted in for surgery just 2-3 weeks after chemo because they have advanced cases.
3.) radiation
about a month, but if your nodes are clear in the pathology report it might not be offered to you
4.) Reconstruction
Dunno, but reconstruction is easier if you don't have rads. The tissues heal better and more quickly. Rads make a permanent change. Some say fat grafting down the road is helpful for introducing new stem cells. If no rads, immediate reconstruction might be an option. (I was going to go with immediate nipple-sparing mX if my genetic testing came back positive. Surgeon gave the thumbs up to that idea.)
5.) What tests should I expect or insist upon before a decision on surgery.
The genetic testing is a great idea. I did that and had peace of mind with my choice. They had to rush the results though and i only got them a couple of days before surgery. Here in Ontario, a rush order means 9-10 weeks. So another good reason to do chemo first and be on top of things!
I hope you find all the info you need to feel good about your choices. It makes all the difference in the world. With good information and an attitude like yours, women facing cancer can be the heroes of their own journey. Good luck!
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Coach Vicky,
A good cry is good and happens. Normal. All sorts of emotions are normal.Let yourself have them and do not beat yourself up. I find It impossible to stay positive threw this hole thing. I am normally not a negative person but lord do I go threw ups and downs.
During chemo I was keeping it together pretty good, I think it might also have been the shock of it all. During radiation I have been sort of ok but then I just fell apart completely. I visited a psychiatrist a few days ago that gave me some pills against worry and agony. I am hopeful they might help a bit and they seem to work. Then today I went for my herceptin shot and asked about a small (about 1 cm bump) above the radiation area. The nurse called for the doctor and tomorrow morning I am doing a fine needle biopsy to check. I am full of the anti agony pills right now..decided not to worry but hell...can this shit come back so fast? I guess maybe yes. I have been asking myself about the word "aggressive" a lot. Now I got my answer. It is a scary ride and to keep it together would be beyond human. I am not here to try to scare anyone unnecessary but whatever you need to do to get threw this, Do it! Results next week and another needle tomorrow morning. Sorry folks but this is a pure nightmare in my book.
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Thanks for the info on the "taxol thread." Although I have wandered around, I hadn't found it. I have had minimal side effects from the weekly Taxol/herceptin infusions. Second day the worse. I don't know if the fatigue is from the lack of sleep from the steroids (my fitbit is even having trouble tracking my ups and downs the night of chemo) or other things. I do feel tired during infusion but haven't been able to sleep - just keep my pocket kindle handy. I too have the bloody, mucusy nose but again, manageable. Biggest problem for me is the constipation but I seem to be getting better at managing that with each infusion too. Basically more "prep" leading into infusion day.
Week 5 coming up - WE CAN DO THIS
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Hi All- have finished with chemo and single mastectomy is scheduled for April 5th.Got really good response from the chemo and am extremely grateful and thankful! So don't want to complain but quick question-----
Its been almost 4 weeks since my last chemo and I am EXHAUSTED-- more tired than when on chemo did anyone else have this response? Talked to my oncologist and he said it is a response to being off the steroids and my body is just tired. I am SO tired- some days I can barely get out of bed- also single mastectomy is scheduled for 5 weeks out-- want to go back to work in between but so tired would never make it-- sometimes feel like I will never be over this -- I got great response to the chemo and am optimistic - but just dragging through the day-- anyone else this tired when chemo was over? Also is 5 weeks till surgery the norm? Any imput appreciated-- thanks all-
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Thank you Kattis894 for your kind words.
Coach Vicky
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Let the feelings blow through like storms on the weather radar. Intense sometimes, but they always blow over in time. There is peace in the storm that way, knowing it is just passing through
Fear is the worst side effect of breast cancer treatment.
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Just received results of my annual mammo - 3 years NED! Bone density improved with Tamoxifen from osteoporosis to osteopenia. I know how very fortunate I am, especially since I took a 3 month break from Tamo and took Cymbalta for a while. Still, I need to find something to replace the Cymbalta (which totally eliminated the pain but I stopped taking about a month ago per advice from you ladies and also my new PCP) and also the Gabapentin (which doesn't help the CIPN pain enough to pay for itself). Seeing my new onco tomorrow and won't let her out of my sight till she comes up with a med that works as well as Cymbalta but won't interfere with Tamo or dope me up. Same with hotflashes. Summer in Texas is tough when you have hotflashes to go along with the heat. I intend to revisit Icool - maybe should have tried it for a longer period of time the first time I tried it.
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sportsmom - most people see an improvement in energy at about the 6 week PFC point - it is almost universal. In addition to not having steroids, you also most likely have the lowest blood counts, particularly hemoglobin, of the entire experience - as that is a cumulative side effect. Since your blood can't effectively oxygenate your muscles, everything that involves muscles feels like a monumental effort. This gets better. As far as the surgery, you need to have stable blood counts, particularly WBC for infection control, and chemo out of your system so you don't experience inhibition of healing from your surgery. I can't speak to mastectomy specifically as I had BMX prior to chemo. Perjeta had not been approved when I was treated and fewer of us did neoadjuvent chemo at that time unless they had a big tumor that needed shrinking prior to surgery, but I did have surgery about 7 weeks after last chemo to put a new expander in my left side to replace the one removed before chemo started. I had no problems at that point.
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I realized that what I thought was nausea was really some acid reflex (and the anti-nausea drugs were adding to my constipation). I went to a daily nexium and dissolvable acid reliever (150 cool) and that seems to be helping with both problems.
Week 5 of taxol/herceptin coming up. Hair just about gone.
I just found you ladies and am glad I did.
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Tunegrrl - thanks for the helpful response to 'burbs. I have a similar situation. I'm at the 6 month point of neoadjuvent treatment, which thankfully shrunk the tumors. I assumed lumpectomy but surgeon told me I still need mastectomy because tumors were far apart and there were enhancements on outer quadrant. Nodes were never biopsied so that's a concern too. I'm trying to decide single or double. I fear cancer may return in other breast even if margins and nodes are clear in left. The surgeon told me if i do develop cancer in right, it would not be recurrence but a new cancer. This is causing me angst; I feel take them both now and eliminate the potential of getting cancer down the road. Your comment re: more complications with a double is something I need to consider. I meet with surgeon and plastic surgeon in 3 weeks. What do you mean by "rads"?
Your post prompted me to write down a few more questions for the docs. Appreciate your input!
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Blownaway, congrats on the mammo results - great news!
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Congrats, Blownaway! I have my mammogram on Monday. Hope I have similar results.
deni -- Rads refers to radiation.
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Hi all having issues with Hercepton, one week after 7th round went into A Fibulation and high blood pressure, went to hospital and blood pressure came down, one week later blood pressure back up to 176/110. Feeling dizzy and tired, eye site funny. Going back to the doctor tomorrow to check blood pressure to see if it has come down. See my Oncologist next Wednesday so will be asking heaps of questions or whether it is worth being on Hercepton
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