Starting Chemo in JAN 2007
Comments
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Ilene - I've just been using my regular shampoo to wash my stubble since. The bottle is almost gone so I figured I'd finish it off. After that I guess I'll switch to my kids baby shampoo.
Despite my hair falling out everywhere (still have my eyebrows so far) I still have to shave my legs. Although not as often. Somehow I find this very annoying. I thought there would be at least 2 perks from chemo - no shaving and no periods. So far I am disappointed. I had my period right before I started chemo, so I am curious to see if I'll get it again. I hope not! -
I'm curious if anyone been going to a support group? I found a local group with a really fun and upbeat bunch of women that meets once a month. I just had a strong need to hang out with other people that understand (same reason I'm here I guess). It's really a social group with a guest speaker on some topic (last night it was sex during treatment, last time it was acupuncture) which makes it fun. Anyway, just curious if anyone else has found a good group in your area.
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Hi everyone! You have me convinced to check into the Look Good Feel Better Program at the cancer center. I have met with the nutritionist there but have actually avoided many of the other things that they have to offer, including the support groups. It's hard for me to go in there in the first place. Like you, Jan, I think a support group might help but the cancer center just screams CANCER in big capital letters and it's all I can do to go there for my treatments and appointments. Maybe time will help me with this issue.
Robbin....thinking of you today and hoping that your daughter went with you to your treatment and that it went well for both of you.
Joni...congrats on surpassing the half-way mark! YEAH!!!!
Paula, thanks for sharing the "Just for Today" card. It did perk me up a bit. This Illinois winter weather with 9 inches of snow, a drifted lane, and cold temps has me a bit depressed...as well as the dread of starting #2 on Friday. Your posts are always so positive and uplifting.
Skye....wow! I love that wig. I would never have known it was a wig if you hadn't told me and that red color is SO ATTRACTIVE. I do think you should go with the red when your hair returns! :-)
Well all...just wanted to check in. Hope all of you are doing well today!
Rita -
I got my period the DAY OF my first chemo. That was a treat. Chemo blech and cramps all at once. I am now feeling PMSy and wonder if I will get another one. I have lost track of time at this point so I need to check the calendar.
My hair is almost totally gone on my head and I haven't had to shave my legs or pits in weeks--it's only grown a bit and has stayed that way. I assume the next time I shave will be the last for a while. I hadn't heard the only 30% lose brows and lashes part. My brows are thinning, I think, but also still growing and I need to pluck. Of course, once they all fall out, I will dream of that unibrow.
RE support groups: I am not currently attending one but I might. I was told by my wig fitter (of all people) to really watch out and make sure it's a good fit (bahahaaa, no pun intended). Many of them apparently, are doom and gloom, filled with women who went through chemo 20 years ago and are anxious to tell horror stories.
The social worker at Dana Farber said you want to find women who are in situations similar to yours. Many do not interview members before signing them up, and you could end up with women whose stories will scare the crap out of you and will not offer much support. Glad you found a good one, Jan.
Happy Valentine's Day everyone. Next year we will all have a full head of hair, no nausea, energy...dare to dream.
Amera -
I have 2 support groups that I have in town. They are awesome. Great gals.
Today I go draw my blood and tomorrow I go for my 2nd AC treatment. I REALLY NEED TO SHAVE MY HEAD RIGHT NOW!!!! Just gonna' wear a hat today and hope I don't run into anyone I know. I live in a little small town.
Also going to try and take my 21 yr old daughter with me tomorrow. In an above post I wrote how I have to support her while I am doing all this all on my own. I hope she makes it before I have more bald spots!!! She will freak, but I'm gonna' try and take her anyway so she can see how it's really nothing at all.
How do you shave your own head? -
Oh, my two support groups are not at no cancer center. One, we meet at a room in the public library twice a month and the other one we meet at a resturant every other Saturday.
Some of them are survivors, but most of them are very resent survivors and just getting done with treatment. The older ladies (actually they are only 10 yrs older than me which most of my girlfriends are that age anyway) I really love cause they are all so positive and I can relate to them better. -
Robbin, I didn't shave my head. I couldn't figure out how to do it myself either and didn't want to wait for my husband to do it once I decided to take it off. I just cut it really short with scissors. It looked terrible but was easier clean up wise. I still have a tuft or two left. It is just terrible looking and my DH keeps begging me to just shave what's left. However, I figure it doesn't matter at this point. It no longer hurts and most of it comes out in the shower. I am still surprised that what's left is black. I had no idea that was my real hair color. I was a blond child and had darkish brown before it fell out. Who knew?
Amera -
I just did my 2nd chemo this morning. The Onc gave me a script for the Magic Mouthwash, and I go for a MUGA scan on Friday.
He said my white counts did fall at 10 days, but were back up now, and blood work looks good.
Today's chemo was short. Only about an hour.
I'm eating all kinds of stuff today since I know that I'll soon be back to dry mouth, no taste, blah.
But today went well. -
I went to the support group at the hospital for the first time on Monday night. Everyone went around and gave their stories. Thw women were about 10 years older. I am 46. Since I was new, they asked me tons of questions. I felt better while there, but when I got home, it was too much on mind. ilene
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Glad you are feeling good RobbinJaye!
As far as shaving your own head...ummmm do it carefully
Seriously though, I cut the long parts off with a scissors first, and then used a buzzer like they have in the hairdressers (I use it on my son, so I had one in the house). I could only use the mirror for the front part, and had to rely on "feel" for the back of my head. The buzzer makes a different sound when it is cutting hair, so listening to it can also help you out. I also used a second mirror to check the back once in a while to be sure I didn't miss any spots. Make sure you put a guard on your buzzer (I started with 1/4 inch). I also put a towel in my sink to catch the mess, and then I folded the towel to dump it afterwards (cuts down on hairballs in the drain).
Good luck tomorrow! -
I have an appointment booked for the Look Good Feel Better here in Calgary on March 20. Hopefully they'll help me with my thinning eyebrows, and how to put them on so they look natural.
The other problems that I'm having with chemo is my skin is so dry, of course that could be cold weather, but everything I use, makes me turn red since chemo.
Also, does anyone else have really dry eyes, and what do you use to get rid of it.
Jeepers Creepers...don't we have enough to deal with. I feel like a pharmacy with all the pills I'm taking, and prior to BC, I don't think I had more than a couple of aspirins a year.
Yikers....thanks for any tips....Joni -
Happy Valentines Day!!!
I went out to lunch today with a person I work with who is a 3 year BC survivor. She has been a tremendous help to me: she is so positive and supportive. It was a very good lunch.
Ilene,
I found that a lint remover has helped take off a lot of the remaining stubbles that has been bothersome and itchy. The wig place gave me a product called "Renew" by Jorgen to put on my hair. I use a cotton ball and rub it in. It mainly consists of witch hazel. It feels very soothing and it also removes tiny hairs. My cotton ball is very hairy after. I still wash my "remaining stubbles" with any shampoo that is in the shower. My shampoo is gone- I guess timed it right. I use my husband's flex.
I also went there to have my hair buzzed. That was a free service they provided. The Renew was also given to me at no cost. My regular hairdresser also told me I could call her at any time of the day and she would buzz it for free for me. You should call your hairdresser. They usually will buzz it for free. I have known quite a few ladies who told me that.
Amera, you were given good advice about picking a support group. I tried a support group last week. I enjoyed it at the beginning, but when everyone told their stories, I heard too many stories of recurrences. After that, I had a terrible day thinking of recurrences. It put me in a bad place. No fault of theirs- very nice group of ladies, but I am not ready hear that information. I need positive forces around me. I decided not to go back. If you go to a support group, and if they have a phone number, I would suggest calling first to find out if it is an early stage BC group. That would be the best type of group to join. Jan & Robbin, I am glad you found good groups.
Brenda, I hope you feel okay. Eating lots of comfort foods got me through the last treatment- and of course those nice little pills. They can be your friends.
Robbin, good luck tomorrow.
Ina & Susan, How are you today?
Skye, I love your red hair wig. It looks so natural.
Rita, the Look Good, Feel Better is great and very worth attending. It is a lot of fun and the free makeup is awesome.
Gotta get ready for work. I am getting sick of the wig, but I do not want to answer questions tonight. There will be over 100 people there tonight and it is easier wearing it than it will be explaining stuff to them.
Viddie (Paula) -
Hi Everyone, its been awhile. Tomorrow I have my first Taxol and Herceptin treatment. I finished the 4 AC. I keep hearing this one is better as far as nasea and fatigue. I sure hope so because I am going to receive chemo every week for 12 weeks. I feel like making big X's on the calendar to get thru to the end of April. I'm with Viddie about people putting you in a bad place. I hate going for treatment becuase almost everyone in the Cancer Center is far worse off than I preceive I am. The thought of a reaccurance has made me lose sleep more than once.
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Brenda,
So glad your treatment went well. My treatments take about 2 1/2 to 3 hours so that one hour sounded pretty good to me. How long of treatemnts do most of you other gals have? Anyway, Brenda, I hope you have no side affects.
Rita -
Happy Valentines Day Everyone ! My hair was coming out by the handfull this morning, so I used shears to cut it about 1/4" long. I think before I go to bed tonight I will have to clipper cut it or will have a bed of hair in the morning.
Skye, your wig looks great. Mine still has the tags attached in case I decide to send it back.It is in the chair in my bedroom, and everytime I go in there I think its a dead animal.I guess there will be times I will want the appearance of hair, but I love the scarf look that Rebecca shared with us.
Mizsissy--you are sounding more like yourself--what is the happy pill they gave you, and what is it for, does it help you sleep also ??
I had to laugh about the comment of the tx being like being pregnant. I can not believe the food cravings I have had. One week it was Lemon pie and I could not rest until I made one, then it was pumpkin cookies with cream cheese frosting.A couple days ago, I drove 16 miles round trip to get a Dairy Queen Cake. Its a good thing my hubby likes to eat, because after I have a few bites, I don't want anymore.
As for support groups, we live in such a small town that there is not much here along that line, and I even checked into the Look Good Feel Great meetings. I would have to drive 90 miles to attend. That is why this group is so important to me. I don't always respond to all the discussions but believe me I read everything, and you are all so encouraging.--Nandy -
I'm very interested to hear how your Taxol and Herceptin goes, as that is exactly what's coming next for me after one more AC/cytoxin round in two weeks. I heard it was easier too so I am hoping that is true. Also, thanks for all the insights on the support groups, everyone. I was assuming that you wouldn't start those til after treatment, but I guess if you can find a good one and feel up to going out (which I usually don't) that it would be a good thing according to survival rate statistics. However I'm really finding all the support I need right here for now. I think I'll wait til I'm feeling really better before going to one I have to travel to. Hearing recurrence stories would also be very unpleasant.
Thanks again, everyone for the reassurance on the wig. I have to make a short speech at a conference this weekend and was feeling a little nervous about appearing in it, but if you gals say it looks ok I'll believe you.
Here is another side effect to throw out there in the meantime...neuropathy. Anyone else have problems with numb toes and fingers? At times it interferes with my typing, and I've gotten out of bed and almost fallen forward because of not feeling my toes. Seems to happen most a few days after AC. - Skye -
Same thing with my period and break through bleeding. Called the onc and they said, well you either go one way (into menopause) or the other and we have to see which way you will go. Guess we know that huh! The scary part is I don't want to part with my blood and get more anemic. Started out at blood count of 14 and now down to 10.4 so they gave me a shot with my last tx. Hang in there, Mary
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Hello everybody, my turn to check in. Spent the whole day in Ann Arbor at doctor's appts and meeting with some artist friends.
First off, Nandy, yes there is a *happy pill* -- for me it is Darvocet. Very strange, but each cycle I've gone through a long period of feeling "down" and one darvocet seems to change everything. Wierd...huh. It's a narcotic I think and I should be careful that it doesn't get habit forming.
Ihopeg.. I still can't stop wondering which one in the picture is YOU...the brunette or the blond?!!!
On what to what to wash your head with. I read somewhere, I can't remember where that Neutrogena Tar shampoo is the best thing to use. My husband has a huge supply of it, so I've been using his. After going to all the trouble of cutting my hair out and buzzing it, now it won't fall out, and it actually seems to be growing back! I wonder if I should have kept it...too late now!!!
Most of my problems last week were due to not getting Nuelasta OR Nuepogen due to scheduling screw-ups...which were the responsibility of the new nurse. Today I found out that I am really stuck with her. I saw the onc and let him know that I had had an upsetting week, and he seemed completely in the dark as to why. When I explained all the neupogen screw-ups, he told me he wanted me to meet with the new nurse, that they had my schedule all fixed up and there would be no more problems. New Nurse came in with Schedule, and looked at it, realizing immediately there were mistakes and started drawing lines through things. Disappeared, came back with a New Schedule, and this time my husband wanted to see it. He looked horrified.
First, he noticed that she had in me two places 60 miles apart on my chemo day. Then he noticed that I was getting my last chemo only 9 days after my next chemo. Six neupogen shots were scheduled afer the next chemo, but not after the last chemo. New Nurse explained hastily that this was only a *provisional* schedule, and told us we should leave immediately to talk with the scheduling ladies...but again, she forgot that she hadn't given me my Neupogen shot. When is my onc ever going to figure out he has a problem with this nurse? It's not as though scheduling is the only problem; there doesn't seem to be any thinking going on other areas either.
The next thing to check out was the *suspicious new lump* --dh wasn't supposed to know anything about this unless it turned out to be something..but there was a big snow storm in Ann Arbor and we arrived there this AM the snow was so thick driving was very treacherous, so he decided he would personally take me to my appointments. So, I just went ahead and told him. He just got this look like OK, it's time to get ready for the worst. I spent the next hour trying to reassure him that it was probably nothing, even if it wasn't, it was already getting chemoed, and we'd already been through this once and it wasn't so bad. However, the tension was very short lived, because both the oncologist and surgeon felt the lump and they don't think it is glandular and probably not anything to be concerned about. Whew!
So alls well that ends well.
Hope everybody had a nice Valentine's Day! Love to all,
Mizsissy -
Mizsissy,
My 16 year old daughter is the brunette. I am the (former) blonde. I will put a new pix up. I am so glad that things are better for you. Congrats on the so-called lump!!!!!!!!!!!! not being anything.
About the support group thing, I don't think I will go back either, not yet. This online support group makes me feel better not worse.
Brenda,
My treatments take about 2-3 hours too. Then the next day it is about 1.25 hours, because I get more decadron and fluids.
Viddie,
Do they sell Renew at the regular drugstore? -
Thank you Ihopeg, Now I know who's you...
Terry and Tae...we haven't heard from you in while, how is everything going?
What does Renew do? -
Hi Mizsissy,
Good to see you're back. We have been withdrawn the last few days. Tae was just bombed Sunday thru Tuesday and today was a little better. After the 2nd tx last Friday the blahs hit a little earlier than the 1st tx. Just total fatigue. She could barely crawl from bed to sofa and back again. No appetite. Better today and tomorrow will improve even more, I'm sure. I hope it is not worse next tx! Still two to go on the AC, then four on Taxol. The Taxol is supposed to be different. Less fatigue but more bone pain. What do they use to manage the Taxol bone pain? Does anyone know? Thanks for sharing your experiences all. Cheerio.
Terry 4 Tae. -
Hi,
Renew is mainly consists of witch hazel. You rub in your hair and it feels refreshing. It cleans the head as well as helps loosen any loose hairs. I use the lint brush, then I apply renew. Here is a link I found:
http://www.discounthairsystems.com/store/us/itmidx4.htm
Hi Terry,
I am sorry Tae has not been feeling well. Did the Zyrtek help with the bone pain? I read somewhere on this site that B6 helps with the bone pain of the taxol. I am going to ask my onc about it. I hope Tae feels better tomorrow.
Viddie -
Hello all, I'm back. Had my second chemo yesterday and it was fun. My husband and daughter came and we brought goodies. We watched Wooster and Jeeves, a fun British comedy from the 80's I believe. The time flew. Today I worked six hours. I got tired in the afternoon but had a meeting starting at 2:00 until I had to leave for my Neulasta shot. The nurse was more in a hurry than the previous one, so the shot burned. When I told her so, she slowed down. That was better. I got home a little after 5:00 and crashed on the couch. Someone from my church came by at 6:00 and brought me a wonderful Valentine's dinner. What a work. And there will be enough for tomorrow. After some dinner I went back on the couch and crashed again. I saw some of Medium and some of the news, but I kept falling asleep. Yes, there is definitely more fatigue. I'm still planning on going to work tomorrow.
Miszissy, document, document, document. You have a nurse from hell. And maybe you should inform the doctor your are domumenting too.
Joni, if you're talking about really dry eyelids, mine were. They were flaking, and I use night cream and special eye cream and nothing worked. However, lavisly put vaseline on them at night and the dryness will go away.
As far as support groups are concerned. I have you guys, and that is enough. I would like to think of something besides cancer during the day and so I go to work. I did tell everyone in de department (the secretary sent an email) and I did tell the women's group in church. I set up a webset at Caring Bridge and I keep a journal there. You can also put some pictures there and it's very easy to do. People can leave message for you, which really is uplifting. There is an easy way to inform friends and family about the website and so people can check my website to see how I'm doing and it reduces the number of phone calls I have to answer. If you're interested, here's the link http://www.caringbridge.org/cb/inputSiteName.do?method=search&siteName=inarobertson you can see me with real hair. I've started my site about 2 weeks ago, and so about 20 people read my journal a day. It makes me feel good to know that people are interested in seeing how I'm doing. And, it's free. Oh, and I have to shave my legs less, but I haven't lost any hairs on my head yet. Guess I'm starting at the bottom -
Hi Terry & Tae,
I am VERY sorry to hear that Tae is having such a bad time with her AC; sounds like I felt, except that I think that AC is a lot harder to deal with than TC; I'm taking TC so I don't know how AC is. Strangely enough, the thing that helped me was getting exercise, even when I felt tired. A walk around the block if that's all I could manage. One day I felt totally done in and decided I'd just take a very short slow walk, but I felt so good once I got going that it turned into a long brisk, 45 minute walk, and by the time I got back I felt like my old self...I don't know what it is but I think it is just getting the blood circulating.
Another wierd thing that worked real well was a Darvocet on about Day 5, then I went back to feeling like my old self. Darvocet is a mild narcotic...but it sure worked for me. And I only need one or two.
The bone pain, from my understanding, is not from the chemo, but from the Neulasta because the hormones are stimulating new blood cell colonies there...so it's a good pain.
I SO much appreciated the kind message you wrote last week when I was feeling so low...I am not sure I would have come back if I hadn't seen it.
You two take care!!!
Mizsissy -
I have an eyebrow tip. I went to Sephora last night (big make-up store) and found some eyebrow stencils. They have some you hold up to your brow and fill in and some you stick on while you fill in. The young man who helped me actually seemed to know a lot about "chemo skin" and suggested the ones you hold up because the glue on the other ones will pull too hard when you take them off.
I thought it was kinda funny when he asked if I was "doing chemo," as if it were some new beauty preparation. Very helpful though.
http://tinyurl.com/2hnewg
Amera -
That is hilarious (and helpful) Amera! "Doing chemo" indeed. Actually one of my friends, when I told her that my eyebrows were falling out, started to go on about how nice and fresh that skin underneath would be...as if that would somehow compensate! People are so funny.
When I went to my Look Good Feel Better thing, the lady there gave us some instructions on how to fix eyebrows as well, but I have to admit the result was that I looked like two caterpillars died above my eyes. Granted I am not so swift with the makeup, but still. After that, I decided that I would go eyebrow-less if necesary, but maybe I will try Sephora (they have one in my local mall). Perhaps they can give me some tips on being a bit more subtle. I also found a website that has instructions and products for henna eyebrows...
Henna eyebrows
...as well as this (to bring a smile)
Bald is Beautiful
The chemo skin is dreadful...but I found so much relief just switching moisturizers. Since I did it, I have not had a single sore spot next to my eyes.
Ok, off to the college trenches...my adoring public awaits. Feel great today, everyone! Check in later! -
good morning everyone :
mizsissy hope that your troubles are over hang on there and advocate for yourself , no one else will do it . sounds like you are getting the nasty weather we are here . Just had a snowstorm yesterday and today is bright and sunny .
aldora hope your 2nd fec went well and you are handling the side effects . I go for my third and last fec on Monday (yipee hope its the last of the puky dope ) hate the nausea .
I also ahve been starting a journal a blog and its there to keep my family informed as they live all over Canada from here in Ontario to Yellowknife in the NWT .
http://shortiscabin.blogspot.com/
Its also a good way to keep your head above water . I know sometimes I feels like I am treading it .
As for the hair stuff , mine fell out in patches and i had it shave to about 1/4 " my balding head looks funny , but the scarves keep it warm , my eyebrows and eyelashes have not fallen out . BUT everyhing else has , I do not have to shave anything even my armpits ....... yipee .....
My home care nurse led me to a wonderful website
http://www.healingjourney.ca/main.htm
The site is based here in Toronto but you can download level one of the program . I did reading it has helped with the mind body , spiritual aspects of healing . If anyone is into this it has helped me when I am on a "bad" day the days when you feel like !@#$ and cannot get out of bed . For me its the 2 - 4 days after treatment .
I am also out to get some benadryl as I have broke out in a heat rash ... itchy man , no fever nothing , but my last chemo was the same around day 15 wam .... rash all over me . The cancer clinic thinks it may be a delayed reaction the the drugs they give me .
And yes I feel like a walikng drug store .... one side effect another drug , puking another drug , cannot sleep another , reaction to one no try this one .....
Then we wonder why we feel funny ?
Hand in there , this is supposed to help us blast thoe "c" cells right ? -
Hi Robertin,
We must have been writing at the same time last night, because I didn't see your post 'til this morning. Nice to see you; those avatars do give a feeling that somebody is standing there behind their words, and I must say, you look so good without your hair.
I am glad you noticed what I wrote about the Nurse from Hell. She is a real problem. Having to undergo chemo knowing that is the person who is going to be making day-to-day decisions is very scary. The first nurse I had was wonderful and managed to get my chemo changed from AC to TC a couple of days before treatment, just on the basis of an article on of my BC sisters sent me. My husband and I are both horrified at the thought of what we would have done if New Nurse had arrived a few weeks earlier.
ON Support Groups...Viddie, Ilene, et al. I think we have an exceptional group here. By some luck of the draw we turn out to be very proactive, positive group of healthy active ladies. I've been told over and over Attitude is so important in compating this beast. I am so happy to have made the friends I have made here; you BC sisters pulled me back from the Twilight Zone a few days ago. I'd like to think that we'll stay in touch for years and years; I feel like we've been to war together.
I will have my *LAST* chemo on March 5. We're going to have a party mid-March celebrating DH's birtday and the end of my chemo. I am already beginning to wonder about things like when can I start taking aspirin again? When can you stop using condoms?
Shorti, nice to see you after a hiatus!
Mizsissy -
HI everyone! It's good to hear that most of you are getting along fine. Robertin...I think you are so right about work serving as a positive way to handle our situations. This is the first time since I have retired that I wished I actually had a job where you had to get up, get organized, look good, and leave the house. I never thought I'd ever say that!!!!
Mizsissy, so glad you're doing better, even if you still have to face that "witch with no brain!" Just stay on top of things and question anything that she does or suggests that doesn't "sit right with you." Also glad to hear that the suspicious lump appears benign. Whew! Breathe in, breathe out!
Ilene, you have a lovely daughter!
Nandy, I am the world's worst cook. I wish you were closer. I love lemon pie and those you get at the grocery store leave a lot to be desired! Are you located anywhere near the Rolla area? My son spent 5 years there at UMR.
Terry and Tae...So sorry that Tae is having such a bad time with all of this. It just doesn't seem fair that she's feeling the brunt of everything. Hang in there. Like I said earlier, the view from the top of the mountain will be great! :-)
Tomorrow is #2 for me and I hope I do as well as last time. The anxiety has already started.....imagine that!
Skye...don't even think twice about going out in your wig. It is very flattering! :-)
Lynn...How are you doing today?
Well, I'm going to try to keep myself busy today doing little projects that I've put off.
Hope everyone is fairing well today!
Rita -
Quote:
I will have my *LAST* chemo on March 5. We're going to have a party mid-March celebrating DH's birtday and the end of my chemo.
Mizsissy, you are having your last chemo on the same day as my half-way mark chemo! I will certainly be thinking of you on that day! And it's 5 days before my 35th birthday so even more of a reason to celebrate!
I'm now 3 days post 2nd chemo and I'm starting to feel a bit more normal except my brain feels fuzzy today. I've got to snap out of this soon since I'm taking care of my little guy on my own today. I have a feeling that our day is going to consist of a lot of flaking in front of the tv watching Dora the Explorer.
My hair is almost all gone, just annoying stubble left now. I've got to get something comfy to wear around the house, my head gets so cold now!
Enough whining for now, off to get the kiddo some breakfast!
Hope everyone has a good day today!
Susan
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- 285 Who or What Inspires You?
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- 50 Immunotherapy - Before, During, and After
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