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  • LaughingGull
    LaughingGull Member Posts: 560
    edited June 2019

    And I am still not 100% normal. I also have allergies and still carry tissue everywhere. But not the constant drip anymore. At least I see progress. At points I thought this could be permanent.

  • Wheatscapes
    Wheatscapes Member Posts: 52
    edited June 2019

    Thanks for your support everyone! Good to know that my chemo regimen is doable. Wish my port placement had gone smoothly...They used twilight sedation along with local anesthesia. Twilight did not work. I wasn't asleep or even remotely “out of it" during the entire thing. The surgeon was blaming me for being awake and then mid-way threatened to walk out of the surgery because I wasn't asleep. Mind you, I wasn't talking. The versed made my face itch and since they had my arms strapped down I couldn't scratch it. So I asked the nurse to do so. I'm pretty sure I had an allergic reaction to the versed. Anyway, he got so desperate he started blaming my BS for not placing the port during my BMX. 🙄

    Anyway, I’ve purchased some 8 hour ice packs for my hands and feet. I think I’m ready to go. I’ve had to d/c my Wellbutrin antidepressant due to interactions with Herceptin. No biggie, family doc said it wasn’t doing anything anyway since I’ve been taking it forever.

    I’m already so ready to be done with all of this, and I haven’t even started chemo, yet 😬

  • Taco1946
    Taco1946 Member Posts: 645
    edited June 2019

    Wheatscapes - seems to me that your surgeon should have been blaming the anasesaolgist (spell check isn't helping me here) rather than you! I'm glad I got my port as I'm not a particularly easy stick. Hang in there - we TP do have a long haul but herceptin has made a huge difference!

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited June 2019

    wheat...fyi...there are 4 antidepressants you can take if you need to : lexapro, effexor, celexa, and trintellix

    Just in case... 😳

  • coachvicky
    coachvicky Member Posts: 1,057
    edited June 2019

    Wheatscapes...

    Feel the fear and do it anyway! DH played Stephen Halpern music during my chemo.

    Take a look at this information: https://www.stevenhalpern.com/

    Cut your nails (hands and toes). Special did a nail paint of some sort so ask her about it.

    I had great success with cold capping. Cut your hair short too. Get thermal gloves to handle the caps when in dry ice.

    You got this. You are stronger than you realize...you just don't know it yet.

    Ingerp ... It took several weeks for the nose running to stop. Then "gunk" came out as if my internal nose lining was starting new.

    Vicky

  • Princess_Meg
    Princess_Meg Member Posts: 80
    edited June 2019

    hello everyone. So I had my revision surgery last Tuesday and port removal yaaaay!

    I do have a question for those who have been on hormone therapy for over a year especially letrozole and lupron shot. Lately I feel my symptoms are getting worse, joint pain and my hands ache so bad and can barely use them minutes after waking up and I have been feeling depressed too. Which is very unlike me, I am naturally a hyper and happy person. I wasn't this down while talking care of my mum during her last days dying of stage 4 breast cancer while going through radiation myself but lately, I have been feeling really awful and it doesn't help that I do not have a partner ( I haven't been in a relationship for over 3 years now and I haven't had sex at all too)

    I am only 39 (40 in August ) and I want to start dating again but I don't feel alive in my head or in my genitals.

    I am seeing my MO on Thursday, I want to know if it is possible to switch to tamoxifen instead and stop the lupron injections too because I don't feel like I am having the best quality of life right now.

    Too young to live like this....

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited June 2019

    Princess Meg,

    I'm also doing Ovulation Suppression (Zoladex) and an Aromatase Inhibiter (Aromasin). I've been on this regimen for over four years. A few months in, I also felt very moody and depressed. I asked my MO for an anti-depressant, and she prescribed Celexa. That definitely lifted my mood. However, I have not suffered the joint pain you are describing, though that is a common side-effect. I do feel a little creaky when I get up, especially if I've been seated for awhile, but that's it.

    Switching to Tamoxifen is definitely an option if you don't want to try a different AI or brand of Femara. Of course, there are side effects to Tamoxifen as well; hopefully, it would be gentler for you.

    ((Hugs))

  • Princess_Meg
    Princess_Meg Member Posts: 80
    edited June 2019

    Thank you Elaine, I have taken some notes from your reply and added to what will be discussed with my MO on Thursday.

    I have been on letrozole for 11 months but looks like the bone pain and emotional / psychological side effect is getting worse now

  • coachvicky
    coachvicky Member Posts: 1,057
    edited June 2019

    PrincessMeg...

    My follow on is different that yours. However, when the side effects were not what I wanted to endure, my MO switched me to Aromasin from Arimidex. I barely notice anything now except for left thumb pain and an occasional hot flash.

    Search this site for a forum about follow on treatment.

    Like your journey thus far ... you are in charge. Get what works for you.

    As Elaine shares, if you need an anti depressant get it. I would recommend seeing a Psychiatrist to 100% ensure you get the correct medicine. I personally believe that the average MO is not qualified to neither diagnosis nor prescribe what you would need emotionally and take into account your sexual desires. I saw a Psychiatrist. He diagnosed PTSD not depression. My MO's Nurse Practitioner pushed anti depressants which would not have worked for me and what I experienced.

    Best wishes. You got this girlfriend!

    Vicky


  • Princess_Meg
    Princess_Meg Member Posts: 80
    edited June 2019

    Thanks Vicky, I will definitely make some calls and see a psychiatrist soon. I don't like how I'm feeling.

    I want to ask, being on Aromasin do you also get ovarian suppressants like Elaine? Or you take it alone and still have your periods?

  • coachvicky
    coachvicky Member Posts: 1,057
    edited June 2019

    PrincessM ...

    Great decision! My GP said that the Psychiatrist / Patient relationship is the one medical relationship that must work. Find one you can click with.

    I was post menopausal at diagnosis. After diagnosis I had a complete hysterectomy. I take Aromasin daily and Prolia injection every six months.

    Vicky


  • neeli
    neeli Member Posts: 83
    edited June 2019

    coachvicky - is psychiatrist usually covered in insurance during cancer treatment?

  • WC3
    WC3 Member Posts: 1,540
    edited June 2019

    Ingerp:

    My nose runs like a leaky tap the day after my herceptin/perjeta infusions. I don't get a warning either.

  • WC3
    WC3 Member Posts: 1,540
    edited June 2019

    Wheatscapes:

    I fell asleep during at least one of my port placements but was awake during one as well. It wasn't a problem as they managed to numb me well and I couldn't feel anything.

    Sounds like the guy who placed yours was inexperienced.

  • Princess_Meg
    Princess_Meg Member Posts: 80
    edited June 2019

    Hi Vicky oh yeah I must click with whoever I will be talking to about my mental issues.

    Pardon me thinking you are in your early 40s at most... lol. That's what your profile picture looks like. Beautiful picture by the way.

    Okay I will see my MO today and discuss my options. Fingers crossed

  • coachvicky
    coachvicky Member Posts: 1,057
    edited June 2019

    Neelie ... Our insurance covered all but the co-pay. I did have to get a referral thru my PCP

    PrincessM ... you made my day! Thank you.

    OK, Ladies, go do some fighting the BC and win today!

    Vicky


  • LilyCh
    LilyCh Member Posts: 193
    edited June 2019

    Thank you all so much for previously replying me about keeping port or not.

    After one (long) year, my wife is going to have the last HP infusion late next week. Finally!!! I understand we would not need to see the MO as often as before now, so during the last infusion, does the MO usually give a checklist (about follow-up appointments, how often the mammon or US or MRI need to be done)? are there any important questions we should ask?

    Thanks again.

  • Tresjoli2
    Tresjoli2 Member Posts: 868
    edited June 2019

    princess...my guess is the pain and depression is the lupron...I had terrible pain til I stopped the lupron shots...

  • hapa
    hapa Member Posts: 920
    edited June 2019

    Lily, my cancer center gave me a survivorship plan after I completed herceptin. I met with a nurse who did this as her full time job. It was not all that helpful imo. I got a huge binder of crap to read that I have not looked at yet, plus some yoga and meditation DVDs. I will continue to get bloodwork as long as I'm on anti-hormonals, but this I learned from my MO not from the survivorship lady. You should ask your wife's MO what the plan is going forward, how often she'll get checkups, bloodwork, mammograms or scans, and if you'll be seeing the MO or a mid-level, and for how long. My cancer center releases people at the five year mark and then follow up is with your PCP unless there is a problem. Some MOs continue to see patients for the rest of their lives.

  • LilyCh
    LilyCh Member Posts: 193
    edited June 2019

    hapa, thank you very much!

  • AngelsGal57
    AngelsGal57 Member Posts: 145
    edited June 2019

    Hi Everyone,

    had my 6 month PET scan today. Hope to have the results via email by Monday. I meet my oncologist on July 9th and we will see what if any steps need to be taken besides the Arimidex. I have been on it for 2 weeks and so far I have had fatigue, tingling in my fingertips, some slight bowel issues and very low energy.

    I dont know what I would do without this community to talk to and read encouraging storys about. What a tremendous blessing.

    AngelsGal57

  • Taco1946
    Taco1946 Member Posts: 645
    edited June 2019

    So far, I have seen MO, not PA, every 6 months to monitor letrozole. After my mammogram this spring, they moved me to once a year mammongram followed by a visit to BS. I have never been given a survivorship plan. It was my understanding that was given when one is released back to primary. MO's PA has been readily available by phone. I had a vaginal infection last spring and they got me into a gyn very quickly. I wasn't real happy when she tested me first for STD's after I assured her we hadn't been sexually active for years (DH has heart condition) but got it cleared up. I feel as if there is very good communication between primary and MO and I try to stager my 6 month appointments with them.

  • MACTAZ
    MACTAZ Member Posts: 597
    edited June 2019

    My OC said he will do six month visits for the first first year, although I did see him every 3 weeks during chemo) and then once a year. I finished chemo in Dec and my last H&P Infusion is the 1st of August. (Happy days). My BS scheduled my Mamo 1 year from my initial scan that found the cancer but because of my reconstruction surgery they had to postpone it until November. My PCP said the BS will schedule mamo until she is comfortable no complications have arisen and then will release me to PCP, I believe that will happen after the mamo in Nov as long as it is clear. My OC said he will do at least annual reviews for the duration of the time I’m on meds, 5 years?, then release me to PCP. I will see him right before my last infusion and plan and verifying the timing.

    It’s been a long journey, not done yet but close. I have another surgery scheduled for July 2nd for tweeks, my brain scan came up clean so no worries there, and have an appointment to take the port out early September. After that I will feel relieved, I just want to get back to a semi-normal life.
  • Suburbs
    Suburbs Member Posts: 429
    edited June 2019

    Hi everybody. I need to understand the scans. I’ve never had a pet scan and this makes me extremely nervous. What is your experience? Has anyone not had PET scans? Thank yo

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited June 2019

    Suburbs,

    I got a PET scan because my tumor was big (5 cm + a little satellite friend) and I was node positive from a fine needle biopsy. My MO just wanted to make sure my cancer was local. I got another PET scan after chemo to see whether or not I still had active cancer. I did not, which meant I ended up with a lumpectomy.

    PET scans produce lots of false positives, so they can sometimes cause unnecessary worry. My left hip lit up on my PET scans, and my MO would have biopsied it....except that it couldn't be found on an MRI. So, she considered it to be a false positive.

    Is there any particular reason for you to have a PET scan, Suburbs? If not, I wouldn't worry about it.

  • Kat22
    Kat22 Member Posts: 111
    edited June 2019

    LilyCH: I saw my MO this past week. Will see her again in 3 months, not sure after that if it'll be every 3 months or every 6. Also saw my BS, I am on every 6 month visits w/her for 3 years. I had a mammo on the left (non-affected) side in April, will have one on the right (affected) side in September, then bilateral next April. Port removal is whenever I want, probably will get it done in October if all my testing in Sept. is good. BS said flush it at least every 6 weeks. It doesn't really bother me, I'd just rather it be gone.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2019

    My post systemic treatment oncology schedule was to be seen every three months for the first year after the end of Herceptin, then every six months until I reached five years, then annually with no cutoff. I'm at nine years from diagnosis and still see my oncologist, not his PA or NP. I have also never had a year when I haven't seen him for at least one additional appointment due to a question or an issue, and he writes the prescription for my lymphedema garments. I have blood work done (CBC, CMP, CEA, CA27/29, and VitD) before each appointment. I saw my BS every six months for the first couple of years, then annually for a couple, now not at all - but he did consult after an abnormal PET at year six. I had a BMX, so no routine imaging. I see my PS annually. None of these docs are in communication with my primary care, who I only see for new routine problems, but I have recently discussed with my primary having a cardiac assessment by an oncologic cardiologist - I have a pre-existing murmur which she wanted checked, and I brought up that I have had no long term follow up post Herceptin - so that is pending.

    Edited to add - I am right down the street from an NCI center, was not treated there for a variety of reasons, but am very familiar with their policies and have friends who were treated there. They do release breast cancer patients at the five year point to a survivorship program which is overseen by nursing staff, you no longer see a physician

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited June 2019

    I'm five years out, and I still see my oncologist every three months. (It's probably because I'm doing Zoladex + Aromasin.) I used to get mammos every six months, but last year I graduated to annual mammos (in September). I don't mind all the monitoring, but I recognize that it's unusual for someone who was diagnosed a while back.

  • rljes
    rljes Member Posts: 547
    edited June 2019

    I Had a pet scan after I completed my BMX and Chemo. I don't remembering it being uncomfortable. It was a mobile unit, and unknown to me there was another patient hidden behind a curtain a foot away from me and he sneezed and scared me to death!

  • Princess_Meg
    Princess_Meg Member Posts: 80
    edited June 2019

    Hello everyone, so I saw my MO yesterday and he explained how they work differently (Letrozole & lupron VS Tamoxifen only) and he said according to the data available, Letrozole & lupron combo effectiveness is only 3% higher than that of Tamoxifen only and he also feels that the chemo regime I had most likely might have pushed me into menopause anyways but, he is fine with me stopping the letrozole and lupron shot for now. So starting from today, I won't be taking it anymore then give it 14 days before I start tamoxifen only. We want to see how I fair on that and if there is nodifference in how I feel then i will have to back to AL if not, I am done with letrozole and lupron for good. I don't mind taking my chances, I just want to have a better quality of life.

    I have also been given some numbers to call for psychiatric and willl do so next week, I already feel better just by being told that I canstop lupron.

    Lily, I see my BS every 6 months with US and MM alternately done on the non cancer side, no imaging for the cancer side.

    I am a little fresh out of H&P but I have seen him twice in four weeks and will be seeing him again in 7 weeks ( blood work and echo always done each time)

    He said I will be seeing him every 4 weeks when I start nerlynx, for the first 3 months then it will be every 3 months for the first 2 years with blood work done (CA 15-3, CBC W/DIFFERENTIAL, CMP, CA 27.29, Vit D, vit B12)

    Something weird happened to my legs about 10 days ago (just before my surgery) after jogging for a few days. My legs hurt so bad I couldn't sleep so now he has given me a long list of blood work to do. Said something about checking for autoimmune disease like rheumatoid arthritis, lupus etc. Phew!

    I'm just glad I'm getting rid of lupron and letrozole hoping tamoxifen treats me better.

    Lovely weekend to everyone. Xoxo

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