Going from stage 2A to stage 4

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  • Raven4
    Raven4 Member Posts: 128
    edited July 2018

    Hello Everyone,

    Well rx nr. 7 is finished. I feel the cough has almost stopped. I had alot of pain after my last treatment. I am trying to take only 200mg advil at most twice a day. I am also getting the bone strengthener Emox, I think it´s called. every 4 weeks due to my mets to T-11. The pain is achy flu like. Has anyone had this and what are you taking for it?

    Regards,

    Raven




  • MuddlingThrough
    MuddlingThrough Member Posts: 726
    edited July 2018

    Hi Raven,

    I'm so glad your cough is so much better! As to pain, while I was still on the weekly taxol my onc said for me to take only a multi vitamin, Claritin which I've taken for years, and 2 regular strength tylenol each day. No aspirin or ibuprofen etc. and no other supplements. He did prescribe tramadol but I took one tablet and no more!

    After taxol was over he said to start taking calcium-magnesium-zinc, and he allowed glucosamine chondroitin which I've read about here. Since my lungs are so much better now (fingers crossed they stay that way) he said I can take tylenol pm occasionally and one aspirin or ibuprofen "once in a while". I have liver mets so I really try to take as little tylenol as possible and if I have a drink or glass of wine I don't take it at all and use ibuprofen. I also have bone mets everywhere which hurt and bad neuropathy in my hand. I'm never free from pain. I just try to knock the edge off enough to get to sleep. Mornings are better but by bedtime, I'm a mess. I think a lot of it is from letrozole.

    Edited to add that I've had arthritis in my back and hips since I was in my twenties, so I don't blame all the pain on my cancer and meds.

  • Lynne
    Lynne Member Posts: 641
    edited July 2018

    Hi Raven,

    I'm glad your cough is better. I never had the flu like symptoms. I got Zometa, a bone strengthener, every 4 weeks for 2 years, and after that, once every 3 months, for my bone mets.

    I can only take tylenol, because I take an arthritis medication, that has ibuprofen in it. I can take 2 extra strength (500 mg), every 6 hours. I also have liver mets, but I don't take it daily, only when I need to. I also have medical marijuana. It's an oil that you put under your tongue. It helps a little. I always have pain too. I guess I've learned to live with it. The past couple of weeks, the sciatica in my left leg has been really bothering me (I even too oxycodone 2 times), ever since I went for a 4 hour motorcycle ride, 2 weeks ago. I called and am seeing the pain mgt people on Wed. Of course it started feeling a little better yesterday. My sister is taking my place behind my husband, on a motorcycle ride tomorrow for charity.

    I am changing treatments again (this will be number 7 treatment in 6 years), good-bye Taxotere (maybe my hair will grow back, I mostly would like eyebrows and lashes, I'm sick of wearing something on my head for a year too!). There were 2 new nodules in my lungs, and an old one grew 6 mm. They are all in the mm size. The mets in the liver and bones were fine. I'm going to Boston (Dana Farber) on Thurs for a second opinion on what treatment to do next. The dr there is a breast oncologist instead of a general oncologist here. She's up to date with all the latest treatments. All but one time both oncologists suggested the same medication. I feel good about that, but like to have that second opinion.

    I hope you are feeling better soon!

    Good luck and hugs!

    Lynne

  • Raven4
    Raven4 Member Posts: 128
    edited July 2018

    Hi everyone!

    Somehow treatment #7 kicked me hard. I got Zometa with it dose nr. 3 not sure why I was so achy. I have stpped taking the kodine for the cough. So now I take Advil 200mg 1-3 times a day for pain but only when needed.I also take half sleeping pill, and Xanax for anxiety. Not sure it helps much I have been taking them since My first diagnosis. Was offall of it, finally gettingmy life back when I got hit with stage 4 which is a whole new ball game.

    I am going for a CT thorax and abdomen on monday 30.7 at 3pm. Bloodwork on tuesday then Taxol nr. 8 and meeting with doctor on wednesday. I hope I get some good news.

    Thanks for sending me a line. I appreciate all of you. Have a good weekend.

    Raven

  • Raven4
    Raven4 Member Posts: 128
    edited July 2018

    Hi again,


    I forgot to ask you how long youstay on Taxol afterhaving the initial 12 doses weekly. Do you stop after that or just get it less often?

    Raven

  • MuddlingThrough
    MuddlingThrough Member Posts: 726
    edited July 2018

    Raven, my onc stopped my taxol after 12. He had said maybe 16 but thought I'd reached a plateau at twelve so we moved on to I/L.

  • Raven4
    Raven4 Member Posts: 128
    edited July 2018

    Thank you. How are you feeling now. Have you stopped coughing. How is the Letrozole given?

    Raven

  • MuddlingThrough
    MuddlingThrough Member Posts: 726
    edited July 2018

    Hi Raven, I stopped coughing and don't use the oxygen anymore. I am so glad about that! I still have fatigue and pain and weakness but I'm dealing with it. Usually, ha ha.

    Both Ibrance and letrozole are oral meds. Ibrance is a capsule and letrozole is a very small pill. I take letrozole every single day. I take Ibrance for 21days and then skip 7 days. Is this regimen what you will be doing after chemo?

  • Raven4
    Raven4 Member Posts: 128
    edited July 2018

    I don´t know yet. I have CT scan of thorax and abdomen on monday, then meeting oncologist on wednesday. I am also scheduled for treatment # 8 of Taxol on wednesday.I guess she will tell me what my options are after looking at the CT scan. How is your liver doing did the taxol help your liver as well?

    Raven

  • Raven4
    Raven4 Member Posts: 128
    edited July 2018

    Hi Lynne,

    I hope your pain gets betterafter your road trip. I must say that is something. I have no experience with motorcycles. I am also on Zometa every 4 weeks. It will be interesting to hear what the breast oncologist tells you. It is so scarry all these scans and the results. But you sure are an inspiration being alive 7 years, that is with the stage 4 right? You are not counting the time before stage 4. I know you told me your story, I just forget. Medical Marijahana not sure about that...for now I only need the advil 200mg 2-3 x a day. I am not taking the kodine any more, don´t need it. My stomach was upset after last treatment. I am starting to fell the neuropathy in my feet.

    I also get very frightened and can´t belieive this is happening to me. I am also very mad that I wasn´t listened too last year somehow I feel this didn´t have to go this far. I am looking into my legal options.

    Keep me posted on your new treatments. I love hearing from you. I went golfing today again. 9 holes and am able to walk the course. Swollowed a nat and started coughing...just my luck. But the golf was great.

    Lots of warm thoughts to you and your family .

    Raven

  • MuddlingThrough
    MuddlingThrough Member Posts: 726
    edited July 2018

    Yes, the taxol helped the liver. So far, the I/L has continued shrinking the mets in liver and bone. I'm only on the fifth cycle of them and I hope I can take it for a long time.

    You're already to #8. Making good progress! Post an update when you can.

  • Lynne
    Lynne Member Posts: 641
    edited July 2018

    Raven-Good luck on your scans today! I hope they show it's working!

    I've been stage 4 for 6 years (13 years since I was first diagnosed stage 1, it came back after 7 years, that's probably where you got the 7)

    My sciatica, is much better. It only hurts a little bit. Of course I made an appointment for pain management. I am seeing a PA on Wednesday. I'd cancel it, but then it would probably act up again.

    I have the neuropathy in my hands and feet too. I got it about 4 months ago, from being on Taxotere (in the same family as taxol). I asked my oncologist, how long does it take to go away, once you are off the chemo, she said it depends, she had one patient who was a bank teller, on her feet a lot, that it didn't go away for 2 years. I hope lazy me has it go away quicker. It's annoying typing with numb fingers. And walking sometimes, I catch myself almost falling.

    I had never tried marijuana in my life (and I was 55 when I first got it last year), but I was sick of the side effects from the pain pills (and they didn't help much for my pain either). The first one they had me try, only had a little THC, and I felt like I was drunk (and talked like it too). It was awful and I stopped it after a week. I also wanted to be able to drive, and that wasn't going to happen. I am now on one that only had CBD and no THC, so no high. Much better. They also say that it kills cancer cells (not sure if it does by a second benefit, if it does). I don't take it daily, as the marijuana store would like. Only when the pain is bad. It's expensive ($30 for a tiny vial, that would last 2 weeks, if I took it daily). Health insurance does not cover it. My friend who has MS, and is taking it to relax her muscles, pays $250, every 2 weeks, but it's helping her, as no other drug could. Glad you could play golf again (I've never played, but my husband does, a lot).

    It's good to get outside! That nat was your protein for the day!

    My Mom ended up in the ER this morning. She was having a stabbing pain between her chest and belly. After a bunch of tests, it showed nothing. They wanted her to stay over and do a couple of more ones, she said no (she's 80). She is making an appointment with her gastroenterologist , to look at her upper gi. I live in the same neighborhood as her, as does my youngest sister. She called my phone at 5:30 am. I shut the ringers off on my phone in the bedroom and I don't hear the downstairs phones. I was sound asleep. She called another sister at she didn't hear her phone either. She called my youngest sister heading to work, an hour and a half away. She was halfway to work, (40 minutes away, and turned around). My mother finally called an ambulance. She was worried it was a heart attack. Those 2 sisters (the younger 2, I'm the oldest, and our other sister, number 2, is a labor and delivery nurse, but is a half hour away, and we never know when she is working) stayed with her at the hospital (it's usually me, since I don't work anymore). She was out at noontime. We had lunch together and left. She always says that I can't go before her. I tell her it's not my decision.

    My mother-in-law just had a lumpectomy on Fri. We went to see her yesterday. She's doing well. She had an ice pack under her arm (her incision is on the right side, near her armpit). She only has taken 1 tylenol (that's all that was left in the bottle, she now has a full one) the first day. We played 3 games of whist (a card game) with them. I would have rather gone for a boat ride on the beautiful day we had yesterday. Oh well. She was very happy (even though my father-in-law and husband beat us 2 games) we went out for lunch and visited them. She's 85 and he's 86.

    We are going to see our youngest, next weekend. It's 7 hours each way. I think I will put my seat all the way down, and take a nap.

    Nice day here again today. The humidity we had all last week, finally left yesterday. I guess I should go out and enjoy it!

    Have a wonderful Monday!

    Lynne

  • Raven4
    Raven4 Member Posts: 128
    edited August 2018

    Hello all,


    Well I got good news and bads news today when I went to see my Oncologist with results of my ct scan . My lungs and lymph nodes have cleared up very well after 7 treatments of Taxol. But my liver mets has increased. So plan is to stop the Taxol and start a new treatment plan. I am now getting the first treatment which is Epirubicin and Cyclophosphamide together for 6-8 treatments every 3 weeks.I really need to hear from girls with liver mets. I am also to have a liver biopsy to confirm that it is breast cancerinthe liver. I have been crying my eyes out here in the chair. She told me this only happens in 5% of the patients being treated so very rare that the liver should react this way. I am soooooo upset.

    Raven

  • MuddlingThrough
    MuddlingThrough Member Posts: 726
    edited August 2018

    Raven, I'm sorry to read of this complication. I've never had those medications but I'm sure others here will reply to you with their experiences and tips. Ask your doctor about whether you are a candidate for localized liver procedures once you have this under control. I'm with you in support as are all of us.

  • Lynne
    Lynne Member Posts: 641
    edited August 2018

    So sorry, Raven. It's good that your lungs and lymph nodes have cleared up though. I have had liver mets for probably 5 years. They sometimes get bigger (as well as the ones in my lungs, or lymph nodes, or there are new ones, that show on my every 3 month scans), and I have to change treatments. There is a liver mets board on here. I have it as one of my "favorites". Maybe some who have had more liver procedures than me on there can help you (I have had no procedures). I have not heard of those chemos they are putting you on though (I do see them listed on here under chemotherapy medicines though). You may find a board on here for those chemos too. I've been on 6 different treatments and will be starting number 7 next week (once I get my second opinion from Dana-Farber, in Boston, tomorrow). The longest lasting 2 1/2 years (Xeloda, a chemo pill), and the shortest 3 months (Doxil, a chemo, and Letrozole, an aromotase inhibitor). Each drug works differently for everyone. There are going to be a lot of ups and downs with this disease. Just breathe. I hope the new ones work better for you! HUGS!

    Lynne

  • Lynne
    Lynne Member Posts: 641
    edited August 2018

    The liver mets board is called "How are people with liver mets doing?". I just looked on my favorites!

    Lynne

  • Raven4
    Raven4 Member Posts: 128
    edited August 2018

    Girls with liver mets,

    I had my live biopsy. My CT scan from july 30 , 2018 said Many widespread tumors are seen in the entire liver and many new lesions have come since last CT from May 16 2018. lesions have run together and formed a 5.8 cm tumor which was 4.8 last time. some lesions have have become smaller since last time. All my liver function test are triple normal. anf all TM have increased. I am supposed to go for chemo tomorrow does 2 of the new regime, but I don´t want it if everything is getting worse.

    Do any of you know what would work best in this situation??

    Raven

  • MuddlingThrough
    MuddlingThrough Member Posts: 726
    edited August 2018

    Hi Raven, just my opinion and I'm not a doctor, but if you've only had one dose of the new regimen, that may not be enough time for it to show results yet. What does your oncologist say about it?

    Fingers crossed that you will soon have the right combo in place soon!


  • Lynne
    Lynne Member Posts: 641
    edited August 2018

    Raven-I agree with Muddling. The drugs sometimes take time to work. That's why they do our scans every 3 months. I know they did mine at 2 months last time, because of my tumor markers jumping way up. But I had also been on that chemo for over a year. I have no idea what would work best. Everyone is different. I have been on now 7 different treatments in 6 years. Half worked for a long time, the other half worked 6 months or not at all. You have to give it time.I still have plenty of liver tumors, but as long as they do not grow, or there are more, we continue on the same treatment. Big hugs!

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