I feel kind of numb

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itdoesntfeelreal
itdoesntfeelreal Member Posts: 38

Does anyone feel this way? I didn't know if I should post this but some sweet encouraging words from the Moderators made it happen.

First of all, I wasn't completely surprised to find out that I have cancer. I had worked with a gal years ago and saw her appearance changing subtly. Her face was thinner somewhat and her breath was horrible I noticed. One day she wore leggings to work and I was shocked to see how thin her legs had become. Shortly after that she found out that she had stage 4 stomach cancer. I don't really know much about her symptoms but I know she had chemo and lost her hair. She survived one year. I'm an obese lady. But this winter I began to notice a thinner face looking back at me in the mirror. My skin started to hang on me a bit. I joked with my older sister telling her I had developed bat wings, but that's what my arms look like. Even my forearms began to sag. Breathing was very difficult sometimes. I slept sitting up in a chair. And after climbing the few stairs to get to my apartment, I sort of threw myself inside, gasping for breath. It told myself I had a really bad flu, but I suspected something else was going on. Without insurance I hated to go to the doctor, hadn't been in a few years and only went for specific problems, the kind they give you an antibiotic for. I was afraid, too. But in the spring I qualified for Medicare so I went. A doctor visit lead to an appointment with a respiratory specialist which I didn't make. Instead I went to the ER where a very handsome and kind young doctor had the difficult task of breaking the news to me, widespread metastatic breast cancer. Before he spoke I knew what he was going to say, could see it in his eyes, though I was shocked to hear how advanced the cancer is. I felt bad for him and thanked him for telling me. But I was numb. So I called my son, my boss, one of my brothers and my sister, telling them I was pretty sick indeed. 3 1/2 days in the hospital was kind of a blur. Am I going home today? No? What test is next? When the oncologist came in to talk to me the first time, I kept thinking, "Am I supposed to be writing this stuff down? Are they saying it is not so bad? Why is it called stage 4 then? Am I going to live or die?" But I kept flashing back to what the ER doctor had said, "there is no cure for this." They were all really nice in the hospital. But it was good to go home. Kind of felt like a reprieve. Things to do.

I'm retired, single, never married, and rent an apartment with my grown son. He has been an incredible support to me, even coming along to the doctors....he is simply backing me up. What a sweetheart. I also have an older brother living nearby. He has shuttled me back and forth each time I need another thoracentesis (I've had 3 since I went home from the hospital) and given my son rides when I was too tired to drive him myself. My son never got a drivers license but is going to get one before the winter sets in! Since I was diagnosed in May I have been in contact with my other three siblings, my niece, and a few cousins across the country. A couple of my cousins even sent me a box of home made cookies....comfort food of course! The cancer center and hospital here have been incredible, getting me signed on to a Pfizer patient assistance program back in May so I get Ibrance for free at least through the end of the year. They also linked me up with some other programs, one of which is paying a chunk of my medical bills through June. A second program has created an account for me with the health system here and will actually waive all medical fees that Medicare doesn't cover starting in July. I applied for disability and was accepted so starting in November I will get something added to my regular Social Security amount each month. I did have an IRA so I cashed it out and paid the rent through the run of the lease. I went to a lawyer who helped me draw up the medical directives paperwork and a will naming the executor. I also arranged and paid for my cremation. All the legal documents are gathered now and I have included a list of names and phone numbers, account numbers and passwords, and who gets paid for what and when. So it seems like everything is organized in the event of...... But of course not everything, there is still the cancer.

I just feel kind of numb. Aside from an achy shoulder and neck on one side, I have no pain. Once I have the thora done my breathing improves. I have slowed down a lot but I feel fine when I don't have to do much. I have developed a lot of swelling in my legs lately but the doctor has me on a waiting list at the Lymphedema clinic. I will probably get some compression stockings to tide me over til they can take me. My son asked me if I'm sad and the answer is no, I'm ok. The meds don't seem to be creating any problems so that is a good thing. All in all everything is pretty ok. It is just hard to believe I have cancer. It doesn't feel real.

I already lost my younger sister to cancer in her mouth, not breast cancer like mine. She had surgery that removed about 1/3 of her tongue in 2003 I believe. That gal trundled on for 12 years without any more visits from cancer. But in 2015 it returned with a vengeance, quickly moving from her jaw into her skull and through the skin of her face. For a variety of reasons she took some time deciding how best to respond to the attack. By the time she settled on another surgery it was too late, it had spread too much. The only option was radiation at that point which she wasn't willing to go through. The doctors strongly suspected that it had invaded her brain. She was in horrible pain, couldn't sleep or eat most of the time because her independent nature made the idea of being zoned out from meds unacceptable until the very end when she was admitted to a hospice facility and received palliative care. What a strong person. Her faith carried her in those last months. That is the image I have of cancer I guess. It is just so different from what I'm experiencing. It just doesn't feel real to me.

Does anyone else feel like this? Like they are in Limbo, just waiting it out? Not a good way to live, I think, and I'm definitely still alive! What do you think?

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Comments

  • Grannax2
    Grannax2 Member Posts: 2,551
    edited August 2018

    Yes, I think all of us felt that way at first. Your image of MBC was up close and very personal. I don't know where your mets are. You said your shoulder and neck ache. I assume it's in your lung? At my DX, I only had a cough and thought I had pneumonia. Turns out I had multiple mets in my lung, pleural effusion, many nodes in my chest and, most unbelievable, multiple liver mets. I was shocked it could have spread so much and I only had a cough. How could I not feel worse with all that cancer growing all over? Of course, like you there was no time to think about it. Action was the next step.

    But, now, 20months later, that little pill is working! I knew nothing about Ibrance when I was DX. I knew my mother died of MBC after 13 months of chemo that didn't work. I thought I was a goner.

    As you read more on the Ibrance thread, you will see women doing well for years. That will encourage you. You have certainly done all the right things to prepare, but you are not just waiting to die. Many of us are living, really living.

  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited August 2018

    Oh my, the first few months are a wild ride. You are shocked that your body has done this to you, and worried that death is just around the corner. It is just plain hard.

    But we are a resilient species. You will march into various medical situations and let them do things to you that the Geneva Convention would frown upon, and you'll do it willingly. We are designed to live.

    Having your child around is lovely. I know I will miss mine when they head back to college.

    One thing to mention before I pretend to cook dinner, if your leg swelling is not symmetrical, ask to be assessed for clotting. I have learned from experience that we cancer folk are prone to clots, and limb swelling is one of the first symptoms. My leg didn't even hurt.

    Welcome to the club no one wants to join. I look forward to knowing you better.

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi Grannax2.

    I hope I didn't say too much or the wrong thing. I'm pretty flat footed by nature, particularly in a forum like this which seems to welcome that personal and straight forward approach. But I do tend to ramble, sorry. It sounds like we had similar mets. It was so shocking, definitely. One doctor who stopped by the hospital while I was there said she was the one whose appointment I cancelled due to having been admitted. Then she went over to the computer terminal and began typing away over there. At one point she said, "you're a tough cookie." I said I'm really not. Like you, I couldn't imagine being as sick as they all told me. I didn't feel that bad. Just couldn't breath very well.

    When it comes to the mets I have to go back to the test results from May in order to answer correctly, and even then I might not get it right. I would love to share my chart info with you if possible, A lot to ask, certainly not a requirement! Anyway, the cancer originated in my left breast. Per the mammogram and biopsy "Pathology: Invasive ductal carcinoma, grade 2." The MRI says "probable hepatic mets" ....liver, yes? I believe the fluid in the right side pleural effusion originates in my liver. MRI also says "widespread osseous metastatic disease along the thoracic and upper lumbar spine." The nuclear bone scan refers to the spine and also, " additional areas of uptake in the pelvis, sternum and ribs, likely metastatic disease. There is uptake in both shoulders. This is a common site for degenerative change, but there are lytic lesions near the shoulders on the recent thoracic CT. Metastatic disease may also be present here." The CT says, "probable metastatic lesion in the liver and left adrenal gland. There are small pulmonary nodules in the left lung also suspicious for metastatic disease." I don't know if my thyroid issues are related to it or not frankly. Since being released from the hospital I spent quite a while googling medical terms trying to make sense of all of it. But a visual would really help me. See this spot here? That's cancer. And here, and here. Ha ha.

    I do think the Ibrance is working. It has been over a month since my last thora and it doesn't feel like I'm overdue, not struggling quite as much. That is a huge change. How wonderful that little pill is doing such good work for you and the others! Gonna keep on taking it! Thanks for the kind response.

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi blainejennifer.

    Wild ride is right, and I don't like roller coasters! You're right about living. Absolutely. However I hope you're wrong about the medical situations and the Geneva Convention. As it is, back in May I got through one MRI, but wouldn't do a second one. I just couldn't climb back in that torpedo tube again. So the ONC actually arranged for me to have an open MRI done on my brain offsite instead. What a gift!

    Does you child stay in touch while at school? Hard to do while being slammed with classes and homework I bet. My family likes to email and text. We swap pictures and anecdotes. It doesn't matter what we say, just so long as HI and I love you are in there. It isn't the same as having them with you though.

    Oh,when the swelling started I went for ultrasound on my legs looking for blood clots. AOK. Thanks for the suggestion though! And thank you for your kind response. I haven't been in a club since Girl Scouts, a long long time ago. Glad to be with you, Take care.

  • candy-678
    candy-678 Member Posts: 3,950
    edited August 2018

    Itdoesntfeelreal-

    I like your screen name-----it says it all.

    If you can update your profile it will help us as we read to give you advise.  I am not very "techy" and I did it , so can you.  Go to the right upper screen to My Profile and follow the directions then go to Settings on the left and set for private or for us to see. Also if you want to you can put on there where you live--State only if you want.  We have women from all over the world posting and it is nice to see where we are posting from.  

    Also, I post quite a bit in the Ibrance thread.  I read you are on that med so you will get a lot of support  and information from that thread.  

    I am also single.  I am 47, will be 48 in a couple of months.  Not much in the way of family support.

    Glad to meet you.....just not this way.


  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited August 2018

    Itdoesntfeelreal,

    I made the snarky comment about the Geneva Convention because I am completely needle phobic. I used to faint and vomit for simple injections, and required shock support for blood draws. I'm not proud of it.

    So, here I am getting a one inch needle plugged into my port quite often, injecting myself twice a day with anti-clotting meds, and getting medical procedures that require needles all. the. time. Ativan helps. The liver biopsy I had, I swear I thought the doc was looking for his keys in there - it seemed never ending.

  • Grannax2
    Grannax2 Member Posts: 2,551
    edited August 2018

    itdoesntfeelreal. Like others have said, entering your profile is really helpful. But, when I tried to enter min, I got completely overwhelmed. I need to go back and try again. My problem is that this is my fourth DX. There would be so much to fill out. It all started in 1992. Through the years I've had six types of chemo, so many hormonal therapy I can't count, so many surgeries and radiation I've lost track.

    From what you wrote , this all started in May. It sounds like you have quite a few bone Mets in numerous places. I know they can be very painful. I had pleural effusion too but I didn't need thora procedure. I assume your biopsy was from your breast. It sounds like they have not done a liver biopsy. I'm assuming your brain MRI was negative for mets. I wonder why not. Maybe it's too small.

    So, your only treatment has been ibrance and letrozole. Sometimes radiation can help with the pain from bone Mets.

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Glad to meet you too, Candy-678. I just redid my settings, hopefully it worked! Can you tell the difference? I sent a message to my ONC asking for visuals from my original tests so I can see the METS. That way I know I'm answering the questions correctly here. Sounds goofy I guess, but my focus has kind of been on 3 words most of the time. stage four cancer. Xgeva shot and ONC visit in an hour. So I'll make sure I have the right DX info when I get home. Sounds like we all have a very huge extended family here, Candy-678. Yes, I am on Ibrance and have read some of the posts there. I will definitely keep up! I have to get ready to go. Take care and thank you for your kind words!

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    I can totally relate to the needle phobia blainejennifer! I don't watch! So I can't imagine giving myself injections. How long did it take you to be able to do that? I had a old male cat years ago who needed fluid injections under his skin pretty regularly as he got older. The Vet set me up with the fluids and syringes after allowing me to practice on their "office cat" but I just never felt comfortable doing it. My cat was pretty ok with it, but I thought about hurting him the whole time and wound up squirting the fluids across the room!

    One of the doctors at the hospital offered to give me something for the 2nd MRI anxiety but I turned it down, big baby. In the end it allowed me to do them open sided which works much better for me! Not so claustrophobic feeling!

    Hmmmm wonder if your doctor had to get a locksmith to get home after your liver biopsy! And how many times has he had to do that! I've only had one biopsy on my breast. It didn't take so long and I just had to look away, didn't want to watch. The nurse reached over and held my hand though it all. How kind.

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Yes, my brain is too small, Grannax2! LOL! I'm certain my family wasn't surprised that the brain MRI came up negative. Nothing up there for the cancer to latch on to!

    That''s the weird part. I don't have pain except in my neck and shoulder and that is very mild. That's why this all feels so unreal to me. Gotta hop in the shower then head off to see the ONC for Xgeva, blood tests and talk. I've messaged them saying that I would like visuals today...wanna see the cancer from May's test results. I'll get some questions answered about receptor positive/negative etc too. I know they told me but it just didn't seem to matter at the time. All that mattered was stage four cancer.

    I tried to update my info. Did it work? Thanks for your kind words! Talk to you again, Grannax2!


  • candy-678
    candy-678 Member Posts: 3,950
    edited August 2018

    itdoesntfeelreal-

    The updated info looks good.  You can also add your treatments/meds you are on.  You will get the hang of it.  Let us know how your appointment goes.  And keep the questions coming.  We all have them from time to time.  We are here to support each other. Take care.

  • Grannax2
    Grannax2 Member Posts: 2,551
    edited August 2018

    itdoesntfeelreal. I should have written that over. Lol. I was trying to say I wonder why they haven't don a liver biopsy, maybe because the met

    is too small. Was your brain MRI negative? What about your adrenal glad?

    I hope you get to have of visual of the cancer. I think that might help

  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited August 2018

    Real,

    Not wanting to have a stroke made me OK with the injections. Fear, pure fear, makes me a compliant patient. Otherwise, a team of wild horses would not compel me to do it.

    To survive medical procedures, I do take Ativan. All my nurse regulars know to ask me, as I think they've had enough of the fainting and barfing. It's been six years, but I still get asked, "Meds on board?", when I show up at the infusion center. It's asked with love.

    How are you feeling lately? The first (and I guess the last) few months are the hardest.

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Good morning Grannax2!

    No worry about the typo. I laughed out loud because I had said as much to my family when telling them about the negative results on the brain MRI.

    Wow, 26 years with cancer. How amazing and wonderful. Not the challenges, procedures and difficulties of cancer, but the obvious strength you must possess! I'm in awe, honestly.

    Yesterday was good. The ONC had visuals all set for me and printed some info to go along with it. I was correct about the METS pretty much though, described as multiple nodules or lesions in the bone (spine, pelvis, sternum, ribs), liver, lung, lymph node, and adrenal. I got to see the spots lit up on the screen. I was wrong about the pleural effusion though. The fluid didn't originate from my liver, but from the pleura area itself due to cancer. Anyhow, I didn't ask why they hadn't biopsied my liver but I did see the lesions. The obvious breast tumor and areas of METS are sort of text book for breast cancer instead of liver or lung anyway, I guess. Now if I understand it all correctly, the Ibrance/Letrozole are trying to stop any further spread and may shrink some of the existing spots. Haven't had a thoracentesis since 7/19 and don't seem to need one! That is improvement! How long does the ONC wait before some retests to check the effectiveness of the drugs?

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi blainejennifer.

    I would take injections over a stroke as well, and will remember Ativan for the future. I'm not much of a drinker and never spent much time experimenting with drugs so the concept of getting chemical assistance to relieve anxiety doesn't thrill me. But neither does fainting and barfing! Definitely not! So thank you for the info. Wow, 6 years! That is wonderful! You are a fighter alright in spite of the fainting and barfing. Fear is a good motivator for me too.

    Gotta tell you the most "compliant" feeling thing I've had to do so far was back in May, in the hospital. I was having a tough time falling asleep the first night but finally dozed off around 11 pm or so. I looked at the clock so I know it was midnight when a gal woke me up. She asked me to get out of bed and stand on a big scale she had rolled in so she could get my weight. Out of a sound sleep I needed to be weighed. I told her I felt sorry for her, because it wouldn't be hard to imagine other patients really hating being disturbed for that. You expect to have vitals taken, but is my weight so vital that it couldn't wait til dawn? I was compliant, but couldn't go back to sleep. It did take my mind off cancer though! Hope I don't have to spend too much time in the hospital.....

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi Candy-678.

    The appointment went well yesterday. Got to see the cancer and had my interpretation of the info I read online pretty much confirmed. So the DX info should be pretty accurate now. Hey! I just got a call from the ONC office. There was a blood draw yesterday and it included measuring the CA 27.29. In May it was 435. Yesterday it was 266 apparently indicating that the meds are working on the cancer! OK! I feel great now! My legs were still very swollen yesterday, of course, so I was sent to imaging for another ultrasound just to make sure no blood clots were missed the last time I had one back on 6/21. Still AOK. Gonna try diuretics for a couple of weeks and compression socks to see if that will relieve situation any. All in all, not too bad. Thanks for the support Candy!

  • Sadiesservant
    Sadiesservant Member Posts: 1,995
    edited August 2018

    Hi Itdoesnotfeelreal,

    I can also relate to how you are feeling. Even now, more than a year an a half after being diagnosed as stage IV, I have many days when its hard to believe my situation. Like you, I found out the BC had returned (originally diagnosed at 38 in 2001) due to shortness of breath. I thought it was the stupid flu that had been making the rounds - everyone said the cough was hard to get rid of. Well, a chest x-ray and CT scan later and we found that I had a significant pleural effusion in my right lung. At one point they drained 3 litres off of that lung! Who knew that it would hold that much? I was fortunate in that they installed a PleurX catheter which allowed me to have the lung drained twice per week for about six months. Now, there are still small pockets of loculated (trapped) fluid and the bottom lobe of my lung is completely and irreversibly collapsed but it really doesn't impact me much.

    I also have significant bone mets and, unfortunately, we found out last October that it has spread to the peritoneum (lining of the gut), particularly around the capsule of the liver. At this point it is unclear if the liver is actually involved. (My mets seem to be sneaky... my bone mets are sclerotic which makes it hard to differentiate from areas of healing and pleural/peritoneal mets are devilishly difficult to monitor with CT scans.) I've had some bone pain which they have treated with radiation and I get twinges/pain in my right side around along the margin of my ribs. Beyond that, I feel fine. I work full time (also single), look after a large house/garden and walk my dog two or three times a day depending on how hot it is. I have had a few curveballs thrown at me (infection in my lung last year and pneumonia following a vacation in May/June) but keep on trucking do pretty much everything I did before being diagnosed.

    I'm sorry that you had to find yourself here but you will find this forum as supportive and informative place as you work through the process of living with the disease. I'm glad to hear that you have a solid medical team - that seems to be a big hurdle for many on the site. I hope Ibrance gives you a good solid run!

  • Grannax2
    Grannax2 Member Posts: 2,551
    edited August 2018

    itdoesntfeelreal. I'm glad you have a good sense of humor. You will need it to get through the next years.

    Yes, it looks like it might already be be working. Scans are usually every three months. Ibrance is known for being kinda slow. Slow and steady. You may see it working faster in some areas than others.

    I'm very visual too. I'm sure that helped you see the real areas where the cancer is. Now, we will wish them to respond and get smaller every three months. You can ask to see that too.

    Yes, you wait, they wait we wait. We don't like waiting but it's part of this thing called MBC. You must be incredibly strong to have all that going on and you're busy, active continuing on with your routine. Now, you have a handle on what's really happening and where.

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi Sadiesservant.

    You have certainly been on a cancer journey for a long time and been through a lot in that time. The strength and fortitude written in each of the comments and posts on this forum are an inspiration to me and to many more people, no doubt. Thank you so much for sharing your thoughts and experiences with me.

    I think the flu fools a lot of people. I don't usually bother with flu shots even. But I thought I probably should have gotten one once I started struggling just to breathe this past winter. Guess it wouldn't have helped! Wow, your effusion situation was very severe. It is terrific that the catheter they installed made the multiple thoras easier on you. So many of them. What a relief for you once they were finished and you could breathe again. I had 2 done during the 3 days in the hospital in May when I was first diagnosed. Each time one liter was tapped out of me. Since then I've had 3 more done, one liter tapped from the first of them and 850 cc's from each of the other two. The last one was over a month ago now. A couple days ago the ONC said it's a bit hard to hear me breathing at the bottom of my lung so there may be some residual fluid left in there. But I can take much deeper breaths. I'm feeling both more relaxed and more energized. So the meds are doing their stuff. I see you are taking Ibrance too. I feel pretty confident about the effectiveness of it now that I can see the reduced number of the tumor marker CA 27.29. I hope it is doing the same or better for you when it comes to your widespread mets. Such a little pill having to do such a lot of work.

    I'm not working, haven't since May. I was only doing a part time job, about 16 - 18 hours per week. Once I went in the hospital, my position was filled by someone else. Makes sense. Now that my breathing has improved, for me the next challenge is my legs, so swollen. I'll be taking diuretics for two weeks now. With any luck they will begin to look less like tree stumps and won't be so tight, won't feel so much like lead. That will certainly improve my mobility. Recently I've been using one of those rolling walkers. It is a bit embarrassing. But heck, all winter I rolled a metal shopping cart across the parking lot so I would have something to lean on when I suddenly couldn't breathe. This walker rolls much better, has brakes, and comes with a seat just in case. I have no pain with the bone mets. But I will definitely remember to ask for radiation if it starts. I've read that in several places. But big time fatigue. I fall asleep a lot now even if it's just for an hour or 2. But much more often. Gotta get up and get going more, get the heart pumping more. I've never been an athletic person. But the jobs I've had kept me moving. Finding a job at my age and skill level is not the easiest. But I did it once before and I should be able to do it again. If not working, at least I could volunteer somewhere. So Ibrance, keep doing your stuff. I'm only 3 months into this journey! Gotta keep on trucking! It is so wild that you used that phrase. Back in the 70's I traveled to Ireland with my best friend from high school. We both carried back packs, of course, and mine had a keep on trucking patch attached that I picked in a head shop. Those were the days! On we all go!

    Gotta ask, is Sadie the gorgeous collie in the picture? How beautiful! Take care and thank you for the kind words.



  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi Grannax2.

    Waiting is ok. What choice after all. But I haven't been so strong, and don't have so much going on. I haven't worked since May. Someone else does my job now. I used to drive my son to work but he walks now so I don't have to hop out of bed so early, Even when he works later he has been walking the 2 miles. Unlike his mother, he is very healthy, does yoga exercises, is on his feet all day at work and then walks home. We usually shop together but he lugs the groceries up the stairs when we get home. He takes the trash out to the dumpster and picks the mail up from our box down at the front door, both of which I used to do. He also lugs the laundry down the stairs and then back up when we're done at the laundromat. I used to do some of the lighter lugging but not much any more. I cook, clean all but his area, elevate my legs, and finally doze off. Not the best routine. It's a work in progress I guess. Take care Grannax2. And thank you again for the kind comments.

  • candy-678
    candy-678 Member Posts: 3,950
    edited August 2018

    Itdoesntfeelreal-

    Good to read your posts.  You seem to be a down-to-earth person.  Wish we lived closer.  Hope the swelling in your legs goes down soon.  Keep posting.  

  • Grannax2
    Grannax2 Member Posts: 2,551
    edited August 2018

    itdoesntfeelreal I didn't realize your legs were so swollen that you have to use a walker. What do docs think is causing it? I think you mentioned previous blood clot, lymphedema maybe. Are you on blood thinners? I think you mentioned diuretics. That must make getting things done a bit more challenging.

  • Sadiesservant
    Sadiesservant Member Posts: 1,995
    edited August 2018

    Hi Itdoesntfeelreal,

    Yes, Sadie is my collie. She runs the house and keeps me from sitting still for too long. As to Ibrance, unfortunately we had to part company fairly soon after I started it. I was on it from April to July of last year and with each round my hemoglobin dropped. My MO decided we needed to stop as clearly my bone marrow had issues with it even after a dose reduction. It took months and months for my hemoglobin to return to low normal and even now it still has a tendency to drop. I would have liked to have tried lowering the dose again, combining it with the Faslodex that I am now on but insurance will likely not cover it given that I was on it and then stopped. Waiting for Verzenio but it's not available in Canada yet.

  • MuddlingThrough
    MuddlingThrough Member Posts: 726
    edited August 2018

    Itdoesntfeelreal, my legs and feet were horribly swollen at first and my oncologist said I had to eat more protein, a LOT more protein. He would not put me on a diuretic. So, ask your doctor first but if you can, and if he agrees, get that protein in you! If a person weighs 140 pounds, take half of that, 70, as grams of protein each day. Clear it with your doctor first though because it might not be right for you. In less than a week I saw improvement and in two weeks my legs and feet were just about normal. I thought they were going to burst and it made it hard to walk and I couldn't wear any of my shoes!

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    The docs haven't quite decided yet what is causing the swelling, Grannax2. A couple days ago the ONC said it probably isn't lymphedema which is what the primary suspected it was. Both doctors thought maybe the thyroid med should be increased. That was done, no change. Twice now checked for blood clots, aok. I am not on blood thinners, never have been. In the last 6 or 8 months I've been sleeping sitting up with my legs on an ottoman instead of laying down most of the time. Originally the point was to make it easier to breath. When I was flat in the bed breathing became really difficult so sleeping was impossible. But now I'm sort of used to falling asleep in the chair. Well maybe my bod needs to be flatter. I've started doing that again. Two weeks worth of diuretics just started yesterday so time will tell. I have my Mom's varicose veins. Before menopause my legs would get puffy every month. Not this puffy though. I do have circulatory problems, even had one leg ulcer. It still looks ugly but isn't an open sore any more. It developed when I was "transitioned" from a (disappearing) desk job to one that required me to go up and down stairs picking orders at a company I had worked for since 1995. That was how I was eventually "transitioned" to the unemployment line! LOLO!!! Anyway, I used to wrap at least one of my legs but they never got this funny looking. Certainly my size, weight and lack of activity is involved. Gotta get moving more now that I do feel stronger. The walker is probably more of a mental than physical crutch. I hated feeling like I couldn't get any air so having something to lean on allowed me some time to slow my breathing down. I stand up straighter when I roll that thing along. Eventually I'll do without. But for now if it helps I'm using it, no matter the stigma attached to it. I'm a mixed (old) bag of symptoms. Oh well.

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Thanks, candy-678. I hope the swelling goes down too! Thanks for the kind words!

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Thanks for the tip Muddling Through! I will mention it to the ONC. Yeah, I have been wearing my older sneakers because they were always a bit too big. Now they come in handy!

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi Sadiesservant. I checked my numbers just now and my hemoglobin is dropping also, if I'm looking at the right number. It was 14.5 at the beginning of June and 13.7 at the end of July. That's still in the normal range. Isn't WBC white blood count one factor that Ibrance can negatively affect? That number keeps getting lower each month. It started at 3.6 which is below normal on June 1 and is now 3.1. I may be reading it wrong. Our poor chemistries are trying to figure out what's what! I hope you have success with the meds you're taking now. Who knows, maybe they will be more effective! Keep us updated!

  • blainejennifer
    blainejennifer Member Posts: 1,848
    edited August 2018

    Real,

    What sort of cardiac oversight are you on? Given the shortness of breath, the leg swelling, and your disinclination to sleep flat, you need to ask your MO how your cardiac enzymes are looking. Maybe even an in-office EKG. It's definitely a zebra*, but still needs addressing.

    * Old med school aphorism, "When you hear hoofbeats, look for horses, not zebras."

  • itdoesntfeelreal
    itdoesntfeelreal Member Posts: 38
    edited August 2018

    Hi blainejennifer. The shortness of breath was pleural effusion that had built up during the winter due to the mets. After having 5 thoracentesis done that problem has subsided. I can actually sleep flat now, and have been doing so for a couple days now. I just had to get back in the habit. I will ask about my cardiac enzymes, thanks for the suggestion! I did have both EKG and echo cardiogram back in May....results were ok. After 2 days of diuretics one leg does look a little better, but both feel pretty tight still. I'm gonna ride it out and see if this helps. Thank you so much for the suggestions though!

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