Just Diagnosed with TNBC
Hello!!
It has been a whirlwind... final diagnosis on Monday the 16th... has been crazy busy with appointments and tests. Still don't have all the info regarding the TNBC... had another two biopsies at two sites. I start treatment on Monday,April 30th... AC to start... My question: How will I feel by Thursday and Friday??? Trying to figure out if I will be up to traveling by car to pick up my son from college? I will just be the passenger and not driving. Thank you for any advise.
Comments
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Hi 78UnbB - sorry you’re here. Your question is a tough one, because everyone reacts differently to chemo. My worst days were always day four and five after treatment. I also had horrible nausea. You really want to take care of yourself to the best of your ability, because treatment is definitely a marathon.
All that being said, I was a passenger from Philly to Universal Studios 2 days after my second treatment with my MO’s blessing! Everyone’s chemo experience is different.
I hope yours is without side effects.
Hugs.
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78UnbB- Oh man such a scary road! I did pretty well with the AC. I would have it on Monday. Get the bone shot on Tuesday and made it to work until Thursday afternoon recooperated over the weekend. Lasted for about 2-3 days. Never had nausea just felt like the flu. Prayers to you and your journey!!
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met with oncologist today for first time. She changed my diagnosis to TNBC, as my ER+was only 1%. She said normally I would have had chemo first, but I’ve already had my mastectomy. She said it’s not that big of a deal and the fact that my margins were clear and I had no lymph node involvement, my prognosis should be good. She is now consulting with Dana Farber on if I should get 4 rounds of chemo (since no lymph node involvement) or 8 rounds. I would love to only do 4, but I am prepared to do what ever projects best results. It was a Definite shock, but I was made to feel like I Willbe ok. Any input welcome. I’m no to savvy with all of the terms yet! But being told I have TNBC really scared me....
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cccmc2 - when I found out I was TN I was in shock for days. I found out after surgery too - it’s like “how can this get worse?” Then BAM!
What chemo regimen are they looking at? I had AC every 2 weeks - 4 doses, then 12 weeks of Taxol.
And yes, you will be ok - TN is scary, but very treatable
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I find out the specifics of treatment on Friday. I know it's 8 treatments /other week. They were looking at possibly only 4 treatments where I was node negative and clean margins, but my dr wanted to confirm with Dana Farber and they recommended 8
I had my echocardiogram today. I just want to start treatments and get on the other side. Thank you for your thoughts!!
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I usually felt ok - just very tired on days 4 to 5. I had nausea on day 1, until we figured out that giving Ativan after the treatment relieved it - or maybe I just didn't care :-). Everyone is different, so it's hard to say how you will react.
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I'm with most replies here, 4 or 5 days after I felt dragged out. I worked hard at telling myself it wasn't going to put a huge dent in my life and I think it helped quite a lot for me, power of positive thinking and all that good stuff. Might be worth a shot. Any small gain in a good thing!
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Well, I thought things were progressing well and I knew what my plans were. I spoke with my surgeon yesterday - very informative and very reassuring. He's a highly recommended surgeon. Today I got the addendum (the final part) of my pathology report after my biopsy. I knew that my CA was considered aggressive, high grade (grade 3), but found out today that I have Triple Negative, and my Ki-67 immunostain is positive at 70%. Now I'm terrified again! As is my husband. I have a lumpectomy scheduled for next week - the 6th. We planned to follow with radiation and then chemo if it was found in the nodes and had spread. According to what I've read here, with a diagnosis of TN, I need to go back to the drawing board.... sounds like some do chemo b4 surgery, but chemo is always involved even without node involvement. I'm really confused. If anyone can shed some light on this, I'd be grateful. I'm going to call my radiologist and my surgeon tomorrow and discuss this more in depth to see if we need to change the initial plans.
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Hi aijh123 ,
I'm so sorry you have found yourself here. I have found the women here to be very supportive and very informative!!! I too was recently diagnosed with TNBC in April 2018. Within two weeks I had all the pre-testing, procedures and a mediport implanted for the chemo treatment. By April 30th I had my first AC Chemo treatment. I currently just finished my 3rd AC treatment . Only have one more on June 11th. It's 4 weeks of AC every other week. I have a two week break and I see my Breast Surgeon and Oncologist. Then I have Taxol every week for 12 weeks. I have a break of 4-6 weeks then surgery. I just got the Genetic Testing results and it came back Negative!!! My oncologist and her PA were very happy!!! It means I have no cancer gene mutations!! Not sure how this will affect my breast surgery decision...have always been leaning towards Double Mastectomy. Just know now I won't have a hysterectomy!!! I think the protocol for TNBC is AC and Taxol Chemo first and then surgery. Once you have a plan and start it you will feel more in control !! I know I did. I'm wishing you all the best on this unexpected bump in the road of life. You are Strong.. We are Strong... and your doctors and family and friend are all there for you!!! Hugs to you and keep us posted!!!
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how is everyone doing?? I wish more people posted on this thread. I went in for my 3rd of 4 AC treatments today, but I have a really bad cold and possible bronchitis so my Dr put it off another week. A little discouraging but I'm sure for the best. I need to get better. Good news is I think I'm on the mend. I hope everyone is doing well!!
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cccmc2 - yeah, the monthly chemo threads are way more active than this one. Glad you're healing up - I hope next week you'll get your treatment. The delays suck (I had 2 during AC) but it is what it is - just have to go with the flow.
I'm doing Taxol now and for me it's been way easier than AC.best wishes
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is it true hair starts to grow back on taxol or is different for everyone?
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My hair is starting to grow back on Taxol but my eybrows & eyelashes completely fell out. From what I see on the chemo threads, it really varies from person to person.
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moth’
Do you ice your hands and feet for the new treatment
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Hi all- I am over 5 years out now and feel like the old me except for the aches and pains in my joints. I recall not really feeling bad until my last round of chemo. I had only 4 rounds, every other week of both cytoxan and taxotere. I felt a slight malaise on day 4, generally. I might have milked it slightly so my husband would cook
The last round about killed me. I could barely get moving. Went to see my oncologist and needed a blood transfusion immediately. That was day 4 after my last chemo. My chemo killed the cancer to the point of no evidence of disease.
What an amazing feeling!
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hollywood - I'm not icing. If I start getting any neuropathy then I'll start doing it but right now I'm not bothering and I have no side effects really, other than my neutrophils and platelets are low'ish, in spite of 3 days of grastofil injections every round.
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Hi everyone, I was diagnosed with TNBC June 15th. Starting chemo tomorrow. AC followed by Taxol. Any tips on what to expect from the AC? I've read the information but hoping to get information from someone who's been through it. Fiercer, thanks for posting! Gives me hope!
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3LBirds - sorry you find yourself here but welcome!
I'd suggest you check out some of the current and older monthly chemo threads. On the chemo subforum there are threads for people starting each month. If you read through one that is 3-6 months old, you get to see how people progress through the whole thing, and I'm guessing most thread have enough people that most of the common side effects and tips and tricks are all discussed.
(fwiw, I'm in the Feb group)
Chemo sucks but it's doable. -
Hi 3LBirds
Sorry you find yourself here. I have finished with the AC and start Taxol tomorrow. I would suggest keeping ice chips in your mouth as you get the A drug.. I mean a full mouthful. It helps with the mouth sores. And also tell them to have the C drug drip as slow as possible. I would get a stuffed nose and a cloudy head from it if it was too fast. Good luck.. Hope it goes well..
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i finished AC and start 4 taxol in 2 weeks. My experience with the AC treatments was getting progressively more tired from each treatment. Slight nausea but taken away by the zofran. Good luck to you!
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Thank you Moth, 78UnbB and cccmc2 for responding. I need to make sure I put more ice in my mouth next time for the A drug. The C drug gave me some nasal pressure but not too bad. And tingling to my scalp. Thanks again for the advice
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Im about 2 months post chemo. Taxol/Taxotere and AC. I am also TNBC. During chemo I felt great some days and not so good on others. You get into a routine where you know you'll feel like crap on days 3-5 after the infusion and then plan your life around that.
I had some neuropathy. Its totally gone now. I tried to ice my hands and feet but not sure that made any difference. I lost all my hair but its returning now. If you have Taxotere (I had to because I had an allergic reaction to Taxol) then cold capping your hair may be good as it can cause permanent hair loss. I still have very faint eyebrows and I'm hoping they will darken in time. The only thing I feel now is stiffness in my joints and my oncologist says that it will go away in time.
My side affects were very minimal because I did a 30 minute exercise video almost every day and also walked as much as possible. I also ate a lot of fruits and veggies. The exercise was the best way to reduce tiredness and its also known to shrink tumors.
Best of luck with the chemo. So sorry you have to go through it too.
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Thanks Waytooanxiousmommy. I’ll make sure to be aware days 3-5 could be bad.
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Hi 3LBirds
I was not myself last night, was running a low grade fever and worrying about today's Taxol treatment. My fever broke this morning and I was able to complete my treatment and stay on schedule. I had no allergic reaction to the Taxol!!! Now back to you and the AC drug. Everyone is different and will have different side effects. You will lose you hair... it grows back and don't put too much energy worrying about it. I cut my hair really short, so that when it did start falling out there wasn't a lot. I never shaved my hair because all my hair did not fall out and the two weeks between AC and Taxol some more hair grew back.. it also provides some cushion for my bandannas. Buy some Biotene mouth wash and toothpaste with fluoride.. your mouth will get sensitive and dry both will help. Drink as much water and fluids as possible everyday. I shoot for 80 oz. Did they give you a Neulasta patch? If so,by day 5 and 6 I had bone pain and was tired and rested. The off week you start to feel like yourself again. I seem to have experienced a lot of side effects so just reach out to me if you do and I will let you know what worked for me. Keep moving forward and let everyone help you!!
The ladies here are great and really helpful. We are strong and toghter we will beat this!!!
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87UnbB, glad you didn’t have a reaction to Taxol and were able to stay on your schedule. I now have a low WBC count and have had to stay home starting on Day 7, tomorrow will be day 11 and I’ll get another CBC. Hopefully my WBC will be up. I did get a Nuelasta patch but I guess it didn’t help enough. I had some bone pain but not much. I’m wondering if maybe it didn’t work on me. Kinda got me down a little. I feel fine but have to stay home to avoid getting an infection.
Completely agree with you about the ladies here. So great and helpful! Let’s fight this, be strong, and not give up
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3LBirds, I've had a horrible time trying to keep my WBCs up on both the AC and the Taxol. The colony stimulating injections just don't work very well on me. My MO said they just don't work on some people. I've been neutropenic for pretty much the whole time since Feb, except 1 week where my counts went into normal range. I do a lot of hiding and my family does a lot of cleaning and disinfecting.
I've only got 2 weekly taxols left but yesterday I noticed something wrong with my eyelid - looks swollen. I'll have to get it checked out tomorrow. -
Happy to report that my WBC is back up! I feel like I’ve been on an emotional roller coaster. This past weekend was down and then yesterday I’m so excited and happy to be able to go to the grocery store! Moth, how is your eyelid?
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Moth, I finished my TC a couple of weeks ago, but had the swollen eyelid; mine was caused by the dryness of the eyes and possibly a blocked eyelash follicle. Turned into a sty, I got antibiotic eyedrops from the doc and it cleared right up. Sorry you are dealing with that too...my eyelid was swollen again this morning (2.5 weeks post my last chemo!) so I'm using saline drops and hoping for the best.
My oncology nurse assures me it's a normal side effect. Good luck!
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thx Lisa_Maria, it definitely started to look like a stye and I haven't seen a doc about it yet. It actually popped in the shower this morning - I had little cotton wipes set aside for drying my eye after as I didn't want my towel anywhere near to it spread infection and noticed it right away on the wipe. I'm seeing my gp tomorrow morning for something else so she can look at it then but between dry eyes and eyelashes regrowing, I guess this is not unexpected.
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hello;
Nice to meet you. I was diagnosed 4/30 and had my first AC on 5/21. I found it very manageable. Fatigue and body pain from the Neulasta OnPro around day 4-5. Always felt “myself” by day 4-5. I did experience blurry vision throughout AC. I just had my first taxol on 7/16; and no major side effects ~ just fatigue. My hemoglobin dropped and is still dropping and I am eating as much iron rich foods as possible and walking 2 miles daily.
Hope this helps!
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