Can we have a forum for "older" people with bc?
Comments
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I second everything you have said Wren. Nuepogin is not as difficult I think as Nuelasta. The down side though is that you have to get a shot daily for seven days starting the day after your chemo tx. They are not difficult to administer -- can be done just like insulin injections. In the fatty tissues around the abdomen. Did have to take a fast-acting Tylenol about 15 mins. before the shot though. I gave myself these shots. Other than that ( and given the current situation that seems not a great suggestion at all ) I am not aware of any other remedies.
Hope you are able to get some good suggestions/answers for your Mom, tsp.
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tsp, articles I'm reading seem (with one exception) to say that neuroendocrine breast cancer tends to be slow-growing. Like with invasive ductal carcinoma (IDC), chemo isn't always appropriate; though the combo your mom is getting is the one most often used for this type of bc because when chemo. Just curious: did her tumor test (stain) positive for estrogen & progesterone receptors and negative for HER2? Was an OncotypeDX test performed on the surgical sample? What was her Ki67? Articles mentioned that chemo was usually not given at all for a Ki67 below 10-15%. You mentioned she was node-negative. This is a very rare (most sources say <1%, only one--the outlier again--says as high as 5%) type of breast cancer, commoner in the elderly, with an average age at diagnosis of 70. 10-year survival prognosis is 87%, which is pretty darn good--as good as or better than for those with IDC.
Sounds like your mom is not tolerating her chemo protocol well--age is definitely a factor, but it might also be that it's not the right chemo protocol or that chemo itself was inappropriate. Where are you located--was diagnosis and is treatment done at a major university-affiliated medical center with a cancer center? Have you considered a second opinion? As for the Neulasta bone pain, loratidine (generic name for Claritin) should be started several days before administering Neulasta and continued for several days after.
I'm not saying the treatment is worse than the disease--but it needs to be the appropriate treatment, not overtreatment.
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I can attest to the bone pain. I had neupogen and was able to cut the dose in half and still get the WBC nuetrofils up to where they needed to be without the bone pain. I gave myself the shots. I also had vomiting and diarrhea. The medicine that comes in suppositories worked the best because they don't go through the stomach. That way I could keep fluids down. I would get a second opinion about the need for chemo. Good luck.hugs to you and your mom.
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Ditto to Wren's post. I don't have any information or advise, tsp, but I wish your mother the best. It does sound like the treatment is doing her more harm than good.
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When things are bad, we take comfort in the thought that they could always be worse. And when they are, we find hope in the thought that things are so bad they have to get better. -Malcolm S. Forbes
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Another beauty of a day happening here this a.m. I have my usual morning chores which take a fair amt. of time. Later this afternoon I will be driving dh to Marion ( our little 145 mile round trip ) to see the eye Dr. there. I hope we can get somewhere, but you never know. Dh is going to be 79 this May and I think is in the range where things just crop up as sort of age - related. I'm all for doing what you can so we will go and see. Just hoping that Dh isn't disappointed ( sad to say he thinks there is a miracle cure for everything ) if it turns out to be something that doesn't have much of a fix. He has already done a lot --- getting a different computer screen, different glasses with special lenses for people who use computers, uses all kinds of eye drops --- and still seems to be having issues.
Anyway, won't get my full days work in here at home but that is all right. I'll still manage. Carpenter helper couldn't come yesterday so we still have our tower --- but in a few more days it will come down. Nothing seems to happen just when I think -- but we get there and that is the point. Did get a lot down in the side yard ( plus a really good mowing ) yesterday and it is looking really good.
Hope you all have a really great day.
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Cooler up here (reached 56 before it fell to our current 48) but still sunny today before the showers move in. Tonight will be our last low near freezing (they're predicting 33 away from the lake, but probably around 40 here); tomorrow chilly with a low of 38; and then by Sunday we can kiss the 30s and even low 40s goodbye. Tonight may be our last frost. So on Monday, the herbs will be repotted in larger containers and brought outdoors, and I will also buy my tomato plants. We head off to Boston (echocardiography course+all the lobster & oysters we can possibly consume) on Thursday for a few days.
May 11 is my show in Madison--first gig since Christmas. Still having wrist pain, but less than before. Still icing if swollen in late evening, then slathering on the Voltaren gel and sleeping in the brace. I think I can handle playing for an hour at a time if I use Voltaren or arnica gel immediately before and try to avoid playing barre chords. Kinda nervous, as I haven't even picked up a guitar or dulcimer (except to monitor my pain and range of motion) since I fell and then hurt my wrist opening a Tylenol bottle in Feb.
I now have a gig every weekend in June except the first one, which is Bob's 40th med school reunion in Seattle (but I doubt we'll go because it's too close on the heels of the Boston trip and I will probably need to be intensely practicing by then).
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Jackie, I hope your dh gets some help with his vision problem, whatever it is. Or at least some good information about what is going on.
Sandy, I know you'll be happy to get back to performing your music. Boston and lobster and oysters certainly sounds like a great idea. I look at the lobsters in tanks at supermarkets but never think about buying them. I noticed a sign recently that you can have them cooked. Maybe I'll give that a try and make some lobster rolls. DH is not a big fan of lobster but I like it. We both like the fried clams we ate on travels in New England.
I played golf this morning and did some sewing this afternoon. I'll have to post some pictures of the placemats I've been making to sell.
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Yeah, the fried clams in New England are unlike those anywhere else--because they're whole "belly clams," not the frozen quahog strips.
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ChiSandy, Speaking of dulcimers, I came across Michigan's annual dulcimer festival information. You can check out their web site if interested: evartdulcimerfest.org This is about 20 miles from my home.
Jo
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You cannot fail at being yourself. A cat doesn't try to be a tiger, and you shouldn't try to be something you aren't. You are a process, not a product. Your job is to discover what you are and create that creature. You still won't be perfect, but success isn't about perfection--it is about authenticity. You are a success if you are being your real, authentic self. -Bernie Siegel
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Another gorgeous day here if a mite nippy if your out of the sun. I love it when the sky is clear and clouds ( if there ) are light and wispy. Makes these days while Spring is settling in just so very nice. I noticed that the coming weeks temps. are not only going to be a bit higher than this week but the night temps are going to start staying at a higher level. That is always good because it almost guarantees nice warm ( but not hot ) days.
Dh it turns out will be fine. He needed some other type of eye drops as well as to take fish capsules at least three times a day. The Dr. did say if things got "too fishy" to put the bottle in the freezer and that would not happen. I think this will help reduce the heavy dryness of his eyes which seems to be the only issue she was able to find. Nice to know that it is something which sounds not too dangerous and hopefully easy to fix or keep up with.
While I have no wish to be in any way disrespectful, Dh has some idea that there are real miracle cures. Indeed I'm sure there are --- but I really don't think Dh will find them lurking on the Internet. I do think he has heard me say a lot about snake oil and is paying a bit of attention as of late. BTW -- not sure why but he quit taking his fish oil a while back -- likely in favor of something else that may have seemed better to him. Sometimes you maybe are better off if you don't try to self medicate -- so back on the standard cure of fish oil.
Hope it is as beautiful where you all are as it is in my hard here in southern Illinois.
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The tapestry of life continues to be woven. Occasionally a chance arises to repair an older, tattered piece of the weave. Something happens to jolt our awareness back in time to an event that resulted in tears and rips. With new, more mature vision, we see the circumstances in present time and have compassion for the unclear events of the past. While the new experience is being woven into the design, the old rip is simultaneously being repaired. All is well. -Bessie Senette
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First warm up day for us along with a beautiful sun. I hope it is as nice as it looks. Getting ready to go out and feed the feral cats and I will of course, veer off course coming home and stop by Good Will. Then coming home to fry some Polenta and eat with butter and maple syrup. One of my old timey -- mom used to make it for us kids -- a lot recipes. Haven't made it for a long time because I'm squeamish about the calories. I have though been doing a lot lately and burning off calories a bit better so I thought I'd take advantage.
I hope you are all going to have a really pretty day as well.
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Interesting meal, Jackie. I've never eaten fried polenta with butter and syrup. Sounds tasty.
Another glorious day here. I'm not taking advantage of the opportunity to be outside. This morning I watched Sunday talk shows while doing some little chores. This afternoon I will do some cutting and sewing. A peaceful day.
Happy Sunday to all.
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Mom used to make polenta with butter and syrup, so perhaps it's a northern thing. I never liked it but love polenta with butter as a dinner dish.
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I like polenta with Parmesan cheese (even the little plastic cups of the pre-grated stuff that come with takeout Italian meals--good way to use it up, even on instant grits in the morning, if I don't want to waste the expensive stuff).
Still chilly here by the lake--mid-40s (got down near freezing overnight). The burbs and western parts of the city are looking at 70s, maybe even 80 by Tuesday. Forecasting 61 and windy for us tomorrow, then storms every day for the rest of the week. At least not snowstorms. We're leaving Fri. for a few days in Boston--hope they, too, have finally said goodbye to winter. (Still packing gloves, however).
Getting very frustrated with the growing limitations of my hands, partly from the spill I took in Feb. (and trying to open the painkiller bottle it necessitated) but now pain in my right index finger (the one that triggers in the morning). Been testing my L wrist daily, but I'd be lying if I said it didn't hurt to play certain chords up the neck or barre chords. I can still do it if I ice at night and use heat and then analgesic gel before playing--the tough part is to not wince or grimace. Am performing in two weeks and then the last four weekends in June.
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I decided to smell the roses today
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Beautiful roses, Lisa, but they are a big favorite of mine.
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Ooooh, Lisa--nice to see it's summer somewhere!
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Mornin all,
tsp, I have no great advice for you and your mom, and I know I am coming in late here! But my best advice would be a second opinion, and a serious talk with her current Dr. Did he or she know about these side effects- are they common, if so, why weren’t you told? I have never heard of nueroendicrin breast cancer, and it sounds like I am not alone in that. Have you researched that here on BCO, or on another reputable source? I am really hoping you have already gotten some answers and both your mother and you are feeling better.
Last week my DD from Atlanta flew down to see my youngest daughter’s new home and especially her children. We had a good time, but on Sun, Nancy felt like she was getting a bad cold. By the time she flew home on Tues, she was miserable and I started getting the same symptoms. She had an awful cough by the time she got home and ended up at the Dr the next day, diagnosed with acute bronchitis an sinusitis. I had a clogged head. I was flying up to Atlanta on Fri, so figured I should see my Dr. She gave me steroids, and an antibiotic and told me to take mucinex, Claritin D , cough medicine and Flonase. By Thurs night I was miserable and the daughter I live with had to do most of my packing. When Nancy picked me up from the plane, I must have looked awful, because she said we had to get me home and into bed. No exaggeration, in less than ten minutes of arriving at her house, I was in my PJ’s and in bed, where I remained until yesterday morning. I got out of bed only to use the bathroom. It’s been a long time since I’ve been bedridden like this. I am feeling better but still have frequent severe coughing spells. The funny Part is hearing all kinds of funny noises when I breath. I was supposed to go with my SIL and grandson to start in emptying his dorm room. He only has one more test and one more project and he will be done with his first year of college. The school is 45 minutes away, and I don’t think being in a closed area with the two of them is the best idea
We were going there tohave lunch on campus, but I am so stuffy,I can’t taste anything- so I’ll stay put and let it them have some father/son bonding time.
Hoping everyone is healthy and enjoying some Spring weather
Anne
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Nature tops the list of potent
tranquilizers and stress reducers.
The mere sound of moving water
has been shown to lower
blood pressure.
Patch Adams -
Anne, sure hope your meds kick in really hard for you. Thank goodness you got a bit of a head start. I do think the seasonal changes can bring on bronchial issues. You sound like you REALLY needed that rest and just hope you keep on improving.
Its another beauty of a day here. 70's today and 80's tomorrow. These temps now won't be consistent, but we should stay higher at least and with the night time temps. staying up for a change. All helps to get us thru Spring.
I am counting blessings. The other day when I took Dh to the eye Dr. at Marion, Il ( that 140 or 145 mile round trip ) we stopped part way home at a gas station. Running late before we left for Marion so all I had time for was a car wash. Well, my gas card wouldn't work right ( Dh used the wrong pin number ) and the man behind him was in such a hurry he paid for our gas. Not too bad as I don't usually let my tank get below half. My Aunt ( RIP ) always said it was easier to fill from the top half than the bottom and after all these yrs. and this newer car I've taken her advice. I was floored when Dh told me. I would have liked to have acknowledged him for the kindness but didn't know.
Now today Dr. B's wife called and said they had been given some gifts ( Omaha steaks ) and there were way too many and would I be interested in taking the excess off her hands. As we seldom even try to afford steaks here that was for sure a blessing. As well, I will get to visit with some of my favorite doggie pals too. So we will go over later and visit for a bit.
Went about three days ago and got a hair cut and perm. Wow !!! I was as shaggy as they come. Had let my hair grow for the winter knowing it would be cold this past one and so was well past due. Sure feels a lot better.
Does anyone have a good or favorite steak marinade? If you do would you mind sharing???
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Hi tsp4420,
I am Stage 4 with recent mets to my liver that are neuroendocrine tumors, unlike my primary breast tumors. I've had two years of complete stability, but that ended with my last scan early in April. Next week, I'm starting on a regime similar to your mom's, only I will have 3 days of infusions of Carboplatin with Etoposide, then three weeks off. I'm so sorry to hear that she is having such a rotten time of it and am trying to prepare my husband for these possible severe side effects. I'll be 66 in August. My best wishes and hopes for your mom's comfort.
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We did have a second opinion at The James Cancer Center in Columbus Ohio. Her current oncologist use to practice there also, so she is still in contact with them for my moms treatment. We did receive the pathology back from Columbus and it is "Neuroendocrine Cancer located in the breast", so not breast cancer. Her oncologist talked to the Neuroendocrine specialist at Columbus about her treatment also. The side effects she had her onc had never seen before. SHe just got out of the hospital Monday evening and is feeling a little bit better. She was extremely dehydrated, uncontrollable diarrhea, wasn't eating and has a hard time taking her pills. I am continuing to be the mother hen and try to get her to take her meds.
The most concerning part I guess for me was her behavior and personality change. Is this normal? She had no filter, She would call us kids at all times saying she need neosporin and bandaids, because I am sure the hospital did not have those. She continues to say her husband is mad at her and never coming to see her in the hospital, every time after he left. It was just not her and very off the wall.
She will start chemo again next Monday. They did say that they were going to premedicate her differently and cut back on the chemo drugs. I hope to goodness those work. She can't go through this again, and honestly she probably won't. Can't blame her though.
Please continue with the prayers and any suggestions you may have.
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KattySmith
Many prayers to you!!!!
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Storms make oaks take deeper root.
--George Herbert -
tsp, sounds like you are doing all you can at this point for your Mom. Just continue on being her rock. Hopefully the changes for next time will be ( I hope and pray too ) very sufficient to make things a lot easier for your Mom.
Sun, 82 degrees, birds chirping away and a nice breeze blowing through the house. It's a perfect day here. A real treat and I'm grateful.
Hope you are all going to have a fantastic day.
p.s. Katty -- so glad you joined in to help tsp and to educate us more on neuroendocrine cancer. I will include you in my prayers as well that you are able to tolerate your upcoming infusions with as few se's as possible and as light as possible.
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tsp, Have them check your Mom for a urinary tract infection. Often the first symptom in older people is them sounding crazy. Easy to test for and easy to cure.
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Thanks and best wishes for your mom! When I had AC chemo (aka Red Devil) late in 2015, they pre-medicated the bejeezus out of me for an hour before the infusion with ativan, steroids, anti-emetics and I had very little trouble. I hope your mom's next round is much more tolerable. Comfort and courage to you both.
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