TRIPLE POSITIVE GROUP

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  • Ingerp
    Ingerp Member Posts: 2,624
    edited April 2020

    <Wahoomama—don’t tell anybody!! ;-) No really—I went to UVAa billion years ago but my husband’s job brought us back about 25 years ago. It’s been a lovely place to raise a family.>

  • wahoomama87
    wahoomama87 Member Posts: 194
    edited April 2020

    Ingerp - we were probably there the same "million" years ago! Glad you have loved it. It holds a special place in my heart.

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited April 2020

    Happy Easter ❤🐇

  • shelabela
    shelabela Member Posts: 584
    edited April 2020

    Happy Easter to all you amazing women!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2020

    shelabela - Happy Easter to you too! Good to see you, sorry about your life drama, but glad things are working out with someone who values you for the awesome person you are!

  • Dolly2019
    Dolly2019 Member Posts: 25
    edited April 2020

    Hi there,

    I’m in this site not for myself but for my mother.

    My mum has been diagnosed with triple positive breast cancer. Positive nodes showed up on the Cat scan both under the arm and in the stomach!!!!

    The doctor has stated that she doesn’t think this is metastatic because it wouldn’t normally take this pathway.

    Does anybody know what she meant by this? I assumed she meant that breast cancer goes to bones first usually???

    My mums bone scan came back clear.

    I’m feeling so sorry for her just now. She’s 80 and very scared by this tummy lymph node thing.

    My mum is getting 12 weeks of paclitaxol with Perjeta and Herceptin. They are also giving her a bisphosphate every six months too.

    i don’t know how many nodes are involved in armpit. We will find out after operation. Her lump was 2cm.

    I’m worried they’re going to come back and say she is metastatic.

    Doll


  • hapa
    hapa Member Posts: 920
    edited April 2020

    Doll - they can't know if the nodes that lit up on the CT are breast cancer metastasis unless they do a biopsy. That would be a really odd way for it to spread. The nodes could be any number of things, an infection even. If your mom is concerned about them, which is understandable, she should get a second opinion from another doctor.

  • Dolly2019
    Dolly2019 Member Posts: 25
    edited April 2020

    Thank you Hapa,

    That’s pretty much what our oncologist said. She said that the six week scan would tell them more. I think if the nodes in the armpit go, but don’t go from stomach, then that is suggesting that they are not cancer???? I THINK that was what she said. It was some sort of process of elimination that would help her make her decision.

    We start chemo in a week. I’m so glad to be back on this board and have the support and knowledge that is around here.

    I’m the UK and we tend to never ask for second opinions. But I think mum really likes her oncologist. So I guess that’s good.

    Can anybody tell me the sort of success that can be achieved with both perjeta and herceptin.

    Has anybody done Herceptin without a port?

    Doll

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited April 2020

    Welcome Dolly. I'm sorry you and your mom are going through this, especially now.

    I'm on TCHP (4/6 completed) and my MO told me 99% of patients respond to this treatment it's just a matter of how much.

    Over the weekend I was reading stories on a Breast Cancer Survivor FB page I belong to. I came across a young woman (30s or early 40s) diagnosed with Stage IV BC, she had several lumps in her breast, 3 lesions in her liver and a couple of lymph nodes IIRC. She was on TCHP, after treatment #2, two of the lesions in her liver were gone and the 3rd had shrunk drastically. By the end of her treatment she was NEDS which is pretty amazing all things considered.

    I'm not saying this is something we can all expect she seemed to respond really well to TCHP and, has been on HP for the last 3 years while remaining NEDS. However, it does give me hope that HP will do the job.


  • Dolly2019
    Dolly2019 Member Posts: 25
    edited April 2020

    Thanks Morrigan,

    It’s always good to hear that people respond well to their treatments. This is a wicked disease and I just love to hear when we women win!!!

    I hope you’re doing well on your regime and have not been too uncomfortable with it.

    I did FEC four years ago and found it pretty easy to do. It shocked me.

    Do they know what causes Her2? I read somewhere that it could be linked to diet

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited April 2020

    I'm doing pretty good, it's not as awful as I expected. My biggest recurring issues are diarrhea, nosebleeds and some weird mouth thing (dry mouth syndrome?).

    I got a prescription this time for the diarrhea and it's working so much better than the immodium. My nosebleeds stopped 2 weeks ago (no idea why) so that's a plus.

    Please let us know how your mom makes out and keep strong there are Triple+ can be scary but, there are some really good treatments which level the playing field

  • LaughingGull
    LaughingGull Member Posts: 560
    edited April 2020

    I had terrible dry mouth with Taxotere. Stock up on watermelon and other melons, have them already chopped in containers in the fridge. I lived on watermelon, yogurt and scrambled eggs for days on end. I could not eat anything dry. Everything was dry. Lost a lot of weight because of this.

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited April 2020

    thanks laughinggull, I was eating a lot cantaloupe at the start, it was one of the few things that tasted and felt right. I haven't been good on the fresh fruits since the lockdown. Next time I order I will remember to add watermelon and cantaloupe.


  • wahoomama87
    wahoomama87 Member Posts: 194
    edited April 2020

    I'm having the same dry mouth issues. It's pretty much the only thing that I'm experiencing outside the tiredness and some acid reflux. Any other suggestions?

  • ange743
    ange743 Member Posts: 78
    edited April 2020

    Hi all.

    I just received a call that my Herceptin has to be put on hold for at least 6 weeks, as my heart ejection rate has gone down to 41%. It was 61% before I started Herceptin in November 2019. They also want me taking 2 different medications to help it so the Herceptin can continue. I'm set to start radiation soon as well. Just when you think things are working out, I feel like I'm getting kicked back down again.

    Does anyone have experience (and hopefully a success) with this?

  • LaughingGull
    LaughingGull Member Posts: 560
    edited April 2020

    wahoomama, what worked for me was stocking up on the things I could eat, and also being very careful with mouth washing, I used warm salt water several times a day. Avoid dry foods, avoid hot, spicy, salty foods, It helped to get organized and plan in advance meals that I could eat, because it was very painful and stressful to be hungry and not being able to eat or drink. Plain yogurt, cold juicy fruit, juices, smoothies, bland scrambled eggs, bland vegetable purees

  • Dolly2019
    Dolly2019 Member Posts: 25
    edited April 2020

    Morrigan,

    I remember a lady on this forumfour years ago, talking about nosebleeds too. It’s a cesspool of symptoms with this chemo thing.

    I’m glad you’re getting through it all though.

    How is everyone’s hair doing? Anyone cold capping?

    Morrigan I will certainly let you know how mum manages on her first chemo, which is not going to happen until end of next week.

    Doll

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited April 2020

    @Dolly - I am cold capping, using Dignicap. It's going rather well. I still have most of my hair, it's thinned out and, there is more scalp visible along my part and right in front. I can easily cover it up when I need to (not like I go out) but, I don't think it's that noticeable to others, more something i can focus on.

    My nurse said this is the time when shedding slow down. The last few days shedding has been mild so I'm hoping she's right and, I won't lose too much more.

    I'll let you know how it ends up. From what I'm told the cold capping works to prevent total hair loss and, helps the hair grow back faster. We'll see how that goes as well. Still a good couple of months before I'll see it filling in but, I can't wait 😁


  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2020

    I also ate a lot of melon, yogurt, smoothies, milkshakes - things that were cold and went down easy. I had a lot of GI issues - usually for the first 10 days of each TCH cycle. I ate the BRAT diet too, bananas, rice, apples, toast - and that was helpful. Bland foods for the first week, then as much protein as I could ingest, to keep my blood counts high enough to get the next round.

    A lot of people with dry mouth issues use the baking soda and salt gargle, and Biotene products, mouth rinse and gum. Hard candies are also a good way to keep your mouth moist. Here is the recipe for the rinse - some make up a bunch and keep it near the bathroom sink with some Dixie cups and it reminds you to use it often.

    image

    Ange - there have been a number of people on this thread who have had to stop because of lowered LVEF, and then were able to restart. Hopefully the cardio protective meds will help, and once your LVEF comes up, may provide stability from that point on.

    Dolly - Her2 exists in all human bodies, in assorted locations, and when functioning normally it helps cells grow and divide. Unfortunately in about 20% of breast cancer patients the Her2 on the breast cells mutates and causes excessive unregulated growth of tumors. This is not due to diet, it is due to a mutation, and possibly a chromosomal abnormality for some. There are also Her2+ gastric cancers, and Her2 is part of the normal cardiac function. This is why Herceptin can cause problems with the heart pumping mechanism as it can be inhibited by the medication.

    I recommend using Aquaphor to help with nosebleeds. I put it on a q-tip and put some up each nostril, then pinched my nose and rubbed it. For me, the cracking and dryness in my nose was causing sudden nosebleeds, the moisturizing with Aquaphor helped.

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited April 2020

    "I recommend using Aquaphor to help with nosebleeds. I put it on a q-tip and put some up each nostril, then pinched my nose and rubbed it."

    I never thought of that. I bought it for my hands but, I will give that a try

  • wahoomama87
    wahoomama87 Member Posts: 194
    edited April 2020

    SpecialK -

    The GI issues are killing me this week - it's my first week (I'm on day 6 post chemo). I'm alternately starving and then having everything come out the other end, quickly, if you catch my drift! I can't imagine how I'll leave the house when things start getting back to normal if it doesn't improve this first week. I'm hoping my body will establish some sort of "normalcy" once it gets used to the infusions. Today, I am not having a positive attitude so much!


  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2020

    wahoomama - keep in mind that you have a multi pronged regimen, and any of those agents can cause the Big D. You received loading doses of all in this first infusion, so for many of us, the first treatment can be among the worst. Also figuring out how you will be affected going forward can be a moving target. I found that I would get one thing under control and a new issue would crop up, lol! Make sure to keep your onc apprised of all side effects, there are many ways to mitigate them. You don't want to get dehydrated because that brings other woes, and extra IV fluids may help you as well. Are you getting an injection of Neulasta or receiving the on-body injector? If you are going in for injection, getting a bag or two of fluids then could be helpful. If Immodium and bland foods are not working, there are some stronger prescription meds that can help also.

  • LaughingGull
    LaughingGull Member Posts: 560
    edited April 2020

    After reading SpecialK's post I realized I also did the baking soda and salt mouthwash, and I had the Biotene mouthwash. And I also second the Aquafor for nostrils.

    SpecialK, do you keep notes of what you did back then?

    I am two years out and dont remember anything! Glad to see you around. Hope you and your family are doing well.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2020

    laughinggull - I do have the sheets of side effects (I used the ones from the American Cancer Society - will link for others) I used for each infusion. I found those helpful since my SEs tended to vary with each treatment, and I had a hard time tracking unless I wrote it down. I think there are also some phone apps. I have been on this site for a long time so I have written about this stuff repeatedly - helps me remember it, but I think it can go two ways - permanently etched in one's memory because it wasn't that much fun, or dismissed because it wasn't that much fun. I'm thinking dismissed might be the way to go, lol! The fam is doing well, DH is working from home for the most part, going in once a week or so. This has been interesting for me because he works in a military office and much of his work is classified so I have never been around it - I have discovered he talks to himself when reading email! Also, he absolutely can't multi-task. My daughter has been working from home for the last several years, so nothing new for her. My son is a firefighter/paramedic on an Army base in VA, I am glad that is where he is, not out in the community transporting patients to the ER. His roommate is a firefighter/paramedic doing that and they have a very strict protocol for disinfecting, but I worry about both of them. I have not left my house in 30 days - my WBC is below the low end of the range and I am 63 - both risk factors, so I am being really careful, but have been busy making masks for friends and neighbors and working on projects around the house that I am usually too busy running around to tackle! I hope you are doing well too and staying safe.

    Newbies - Aquaphor your whole body pretty much....

    https://www.cancer.org/content/dam/cancer-org/cancer-control/en/booklets-flyers/phm-tracking-tools.pdf

  • LaughingGull
    LaughingGull Member Posts: 560
    edited April 2020

    I see, you had to have a record. Glad to hear you are all well. I understand your worry about your son. Watching your spouse at work is a revelation. It's an aspect of the person that you don't know until you see it, regardless of how long you have been married. My husband and I had been married 8 years, when he joined the company where I worked -different role and profile. The first meetings we attended together, I was shocked. He was incredibly neat and organized, could handle all these complex deliveries very efficiently. I had never seen that -he was pure sloppiness on all things domestic. That was the end of me tolerating the sloppiness....turning on the rice cooker in the wrong program (computer science engineer claiming not to understand a Sanyo rice cooker), "forgetting" that the garbage needs to go out every day, not knowing how to cook a spaghetti squash (google it!) etc. It was a net loss for him

    I go out on evenings for a walk-jog and to do grocery shopping here and there.

    Best wishes to everybody. Stay safe. We are so fragile.

  • wahoomama87
    wahoomama87 Member Posts: 194
    edited April 2020

    Sugar77 -

    Thanks for all that. I am trying to keep track and I will let the oncologist know about the side effects. I hope you are right about the loading dose. There does not seem to be any rhyme or reason to the "Big D" as you call it! It comes and goes. Last night I had the WORST acid reflux right as I was getting ready to eat dinner. Came out of nowhere. I could barely eat because every time I swallowed a bite, I got this huge burning. So I'm calling about that too, today. I need to eat! I'm actually very hungry and want food, so there's that at least. I'm so reluctant to throw any more medication into my already over-medicated system with this chemo. I'm normally the person who takes nothing and uses natural remedies for almost everything. This is very foreign to me.


  • AngieB92
    AngieB92 Member Posts: 323
    edited April 2020

    wahoomama - do they give you Pepcid when you get your infusions? I started taking that everyday to ward off the reflux and it helped. I’m like you, I hate to take any pills except my vitamins. But I added Pepcid as a daily “vitamin” and it helped. I hope you get some relief. It’s bad enough when you’re fighting that but then to actually want to eat and can’t is just terrible

  • Fab4mom
    Fab4mom Member Posts: 202
    edited April 2020

    I take pepcid every day morning and night at the direction of my oncologist. After round 4 of TCHP, I am still suffering from breakthrough reflux, which I treat with Tums. I hate it. Only other time I've experienced heart burn was pregnancy. Alot of these side effects are like pregnancy

  • HeartShapedBox
    HeartShapedBox Member Posts: 172
    edited April 2020

    I had terrible acidic indigestion and grinding stomach pain during chemo, and it helped to take pepcid AC daily but ALSO have Alkaseltzer GOLD (the non-asprin variety, gold box not blue) on hand for breakthrough upset. I usually took it a couple times a day after meals and found it helped quite a bit.

  • wahoomama87
    wahoomama87 Member Posts: 194
    edited April 2020

    AngieB92 - they did not give me any Pepcid. I did talk to the nurse navigator yesterday and she suggested that as well, if I continue to have issues. I've actually found that as long as I don't let my stomach get too empty, it's not happening. So I've switched to eating smaller meals every 3 hours or so and that seems to be better. I have a call into the nutritionist at the hospital for a consult, and I'll talk to the doctor on Monday when I go for my mid-cycle lab draw.

    Fab4Mom - thanks - I'm definitely going to discuss that with the doctor.

    HeartShapedBox - same here. Once during one pregnancy, I had to take something for acid reflux. My digestive system is usually so healthy and great - and this stinks!

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