Calling all TNs

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  • PeggySull
    PeggySull Member Posts: 686
    edited March 2020

    Hi, that really sucks! I am so sorry that you are having to continue to deal with this.

    I am dealing with chemo-induced neuropathy now 6 years out and it's getting worse not better. Chemo, like radiation, keeps on giving!

  • PeggySull
    PeggySull Member Posts: 686
    edited March 2020

    Hi, Adagio, good to see so many of us alive. It was soooo scary before, during, and immediately after treatment. If I remember correctly, you were part of a group of us who got non-oncologists to prescribe Metformin to help prevent recurrence. I stayed on it for years. Then moved, had a hard time getting a doc to prescribe, then recently when I did start taking it again, I got debilitating leg cramps during the night. Would wake we up screaming in pain and couldn't get back to sleep. That had never ever happened before. Stopped the Metformin on a hunch and the cramps stopped immediately.

    Anyway, now that I'm this far out I'm feeling okay not taking the Metformin. I just feel lucky to have made it so far!

    To the women going through treatment, there really does come a time when you wake up on consecutive days and never even think about having breast cancer. Just get through your treatment one day at a time and be gentle and kind with yourself. Sending prayers and good wishes your way!

  • SoulShine1969
    SoulShine1969 Member Posts: 3,047
    edited March 2020

    Hi TN girls,

    I'm five years out from diagnosis four years out from end of treatment, and a few weeks out from a scary but clear excisional biopsy( who needs two nipples anyhow?)

    So far so good with my health post treatment. Mild but annoying neuropathy in my fingers. Very mild lymphedema. Mild brain fog at times. Probably the most annoying issue I've had so far is capsular contracture and banding scar tissue on my radiated side, but I hope to have that resolved soon with a new surgery scheduled when the Covid crises is over.

    I love hearing how so many of us are still here. Stay well my friends!

  • ALHusband
    ALHusband Member Posts: 344
    edited April 2020

    Just checking in. Wanted to report for "newbies" that my wife will celebrate her 7 year "cancerversary" tomorrow, April 8th. I remember the day she was diagnosed and it was a dark day...as I'm sure it was for many of you. I'm here as a witness to tell you you CAN and will get to the other end of the tunnel. Hang in there!

  • Gamb
    Gamb Member Posts: 599
    edited April 2020

    Love to hear survivor and thriver stories! CONGRATS!!!!!!

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited April 2020

    Wonderful to hear ALHusband!!

  • Maryjv
    Maryjv Member Posts: 306
    edited April 2020

    Good afternoon!!! I am so happy to share that my SO just called to let me know pathology found no signs of cancer in my removed breast!!!! No cancer in the lymph node removed, feeling very blessed right now🙏❤️ Recovering from double mastectomy but very happy to hear the news...thank you to everyone for providing such guidance and support when it was needed the most!

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited April 2020

    MARYJV!!!!! WOW that is sooooo wonderful to find out!!! Whoooo!

  • Maryjv
    Maryjv Member Posts: 306
    edited April 2020

    thank you santabarbarian-you have been such an amazing support system and I learned so much from you!!!!!! Thank you for sharing all of your tips and changes for a successful outcome,I truly know these changes helped improve my outcome results!!! Just recovering at this time and enjoying This time with my 8yr old daughter. Stay safe everyone 🙏

  • Gamb
    Gamb Member Posts: 599
    edited April 2020

    Fantastic MaryJv

  • anotherNYCGirl
    anotherNYCGirl Member Posts: 1,033
    edited April 2020

    Hi AlHusband! So good to hear from you and read your update!

    Maryjv - yay!! Great news! wishing you a speedy recovery!

    Hope all here are well, - and keep washing those hands !

    Virtual hugs from NYC

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited April 2020

    Stay safe NYC Girl!!

  • anotherNYCGirl
    anotherNYCGirl Member Posts: 1,033
    edited April 2020

    Thanks, santabarb, - we're trying!

    You stay safe, too!

  • hawkvand
    hawkvand Member Posts: 34
    edited April 2020

    Hi there,

    I'm new here. 30 years old. Diagnosed with stage 2B IDC grade 3 triple negative in the left. Biopsy for the suspicious lymph node seen on the ultrasound was negative, but I have the added spice of stage 1 in the right as well as DCIS in the form of some small calcifications on that side. I am also pregnant and have one more round of AC left before I deliver the baby and start my 12 weekly doses of taxol. Planning on a bilateral Mastectomy. BRCA1 positive and also planning on a prophylactic total hysterectomy.

    A bit overwhelmed with my diagnosis and the prognosis that goes with it. My oncologist isn't the cheeriest lady in the world so she's kind of a bummer to talk to. I have a 3 1/2 year old son and want to be around for my kids as long as I possibly can. As far as I understand I would be considered stage 1 but they recently changed the staging system so the size and grade of my tumor moved me up a space. It's really comforting to read about all of you ladies who have been through this and are still living it up.

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited April 2020

    Hawkvand, my stage went from 2B to 3C with the new rubric. But I am here-- and so far, cancer free. TNBC can respond very well to chemo. Mine did and I hope yours does too.

    TNBC is hard to predict. Because there are no targeted therapies, it is seen as a bad one to get (as there is only chemo to treat it). Yet it seems to respond better to chemo than other cancers do, and if you can get rid of it with chemo, after 3 years the odds of it coming back are very low (almost zero).

    Many people do get a wonderful response from chemo and the cancer is never heard from again. I hope that will be YOU. I am sorry that you have to go through all this while pregnant. You have come to the right place for support.

  • hawkvand
    hawkvand Member Posts: 34
    edited April 2020

    I’m wondering how stats on survival coincide with the new staging system. The difference between the stages is pretty marked. The only reason I knew they changed the guidelines is because my infusion nurse printed out a form for me that said I was stage 1 and I asked one of the nps in the office about it. I have my fingers crossed that I’ll respond well to the chemo. I’m planning on asking if they want to add a platinum agent to my regimen now that we know I have the brca1 mutation since I read that tumors respond well to it in people who are BRCA positive.

    In a weird way it’s good that I’m pregnant now. I wanted another and if I had gotten my diagnosis before I was pregnant we would have decided to be done. Also if I had been breastfeeding I would have probably thought it was a plugged duct and brushed it off. That’s honestly what I thought it was but I got it checked just in case. I’m obviously very happy that I did. Hopefully I caught it early enough.


  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited April 2020

    The staging re-shuffle is confusing and the survival stats apply to the old staging which you can figure out.

    The truth about TNBC as well as most BC is the response to treatment is very key and can't be fully predicted. So if you have a non-resposnive cancer and are in stage 1, you are probably in worse shape than being stage 3 with a very responsive cancer.

    I think adding carboplatin is a good idea. I was not BRCA but was treated as 'basal like' due to high grade and fast growth and received carboplatin.

    You might also read up on/ ask about metformin, melatonin, and other things that can possibly make a difference in TNBC. High dose vitamin C is effective against cancer stem cells.

  • hawkvand
    hawkvand Member Posts: 34
    edited April 2020

    I’ll look into those. Thanks for the tip. I’m not sure how responsive my onc will be with me asking about carboplatin but I’m gonna try. I was supposed to fly to md Anderson for a second opinion but then covid hit and it became way too dangerous of a trip. I don’t think they are planning on having me do any rad since I’m having a full mastectomy so I may be done after surgery if I’m lucky enough to get a pcr

  • Maryjv
    Maryjv Member Posts: 306
    edited April 2020

    Hi hawkvand! Santabarbarian provides such wonderful knowledge of TNBC and how we can help to hopefully improve our outcome!! I started taking metformin and melatonin...still taking post chemo. I asked my MO about carboplantin but she did not change my treatment (same as your chemo), she says that is used with metastasis and because I was on my 3rd cycle of AC I just continued along....I did have a CT scan prior to starting taxol (which showed the tumor could no longer be measured) and then after 3 weekly taxol my chemo Was stopped because of severe side effects.. thankfully my SO called and told me pathology from mastectomy reveals complete response and no cancer was found!!! We def respond well to chemo and hopefully it’s enough to keep cancer from returning!! I am 34 and I have a 8 year old, so hoping and praying to have many many more years with her!!! Keeping you in my thoughts and prayers and can’t wait to hear about your delivery and new arrival 🙏❤️

  • NinjaMeow
    NinjaMeow Member Posts: 41
    edited April 2020

    Hi Hawk - I was diagnosed right after my second was born, no family history of cancer, negative genetics and was totally overwhelmed. I remember wanting people just to give me something positive which I found hard to find. Step by step-day by day I did treatment and am here 6 years out. This is a great board even though I lurked for years....take care.

  • VLH
    VLH Member Posts: 1,258
    edited April 2020

    Hawkvand, especially with your particular circumstances, it's understandable that you want to throw everything at the blasted cancer. Make sure that you understand the potential benefit vs. side effects of the platinum agent. Unfortunately, we can't predict who will be the "oddball" / outlier when it comes to statistics, but it can give you something quantifiable to ponder.. Mostly, I just wanted to stop by to wish you a good outcome and smooth treatment.

    Lyn

  • Gussy
    Gussy Member Posts: 115
    edited April 2020

    I am not a TNBC patient but ran across this article today https://www.statnews.com/2020/04/06/immunomedics-halts-clinical-trial-confirming-drug-benefit-aggressive-type-of-breast-cancer/. I couldn't read the whole article because I didn't subscribe/pay but looks pretty interesting. I thought some of you would like to see it.

    Gussy

  • hawkvand
    hawkvand Member Posts: 34
    edited April 2020

    It’s so hard for me to care about side effects at this point honestly. I know future me may think otherwise but the thought of chronic issues is not as scary as cancer right now. I did see one article that said that carboplatin increases pcr in BRCA1 patients by a lot but not overall survival by much so she may be basing it on that or thinking that we’ll see how the ACT goes first and then reassess. That idea scares me so much. I worry that somehow during treatment things are going to spread. I know that’s uncommon but man. My mind is great at imagining awful scenarios. Seeing that you only had ACT makes me feel a bit better though. So many ladies around here had other meds. I know everyone’s case is different but it makes me think we may not be doing enough

  • NinjaMeow
    NinjaMeow Member Posts: 41
    edited April 2020

    Is there another place to get a second opinion that would ease your mind a bit? Did your onco bring your case to a tumor board where it is discussed among other dtrs to confirm treatment plan

  • Beesy_The_Other_One
    Beesy_The_Other_One Member Posts: 274
    edited April 2020

    Hawkvand, NinjaMeow's idea is a good one. If you live in a place where getting a second opinion is possible, it might confirm for you that you're getting the right treatment or open up other possibilities. I had a friend with inflammatory breast cancer 25 years ago who was at the time part of a HMO, so seeing another doctor was going to cost money if she wanted to do it. She paid out of pocket for a second opinion at MD Anderson (saw Frankie Holmes who ran the clinical trials for Taxol that led to it being used for breast cancer and who was also the lead on the trial for Neulasta). Dr. Holmes wanted to throw everything at the cancer, including Taxol, which was very new at the time. My friend's HMO relented and agreed to treat her as Dr. Holmes suggested. At the time, death rates of IBC were extremely high. She is very much alive and cancer-free today! She had a two year old at the time, who is grown and married.

  • hawkvand
    hawkvand Member Posts: 34
    edited April 2020

    in my area there are several large-ish hospital systems but al but 1 uses the same physician service for oncology. I was all booked to go to md Anderson for a second opinion but covid cancelled all of that. MD refuses to do a consult via telehealth which super sucks. They have already had all of my slides and scans sent to them and I don’t think they could do more tests on me anyway since I’m pregnant but they maintain that they need me to go in person if they are to see me. Insurance was going to cover it too which was going to be nice. Going anywhere for a second opinion is out now because of how close to delivery I am and the current pandemic. I’ve heard good things about my oncologist I just think I have a more aggressive mindset than they do.

  • SoulShine1969
    SoulShine1969 Member Posts: 3,047
    edited April 2020

    All such great advice here. I totally agree that a second opinion and a tumor board assessment would be a good idea. We only have one shot at our treatments, the doctors we choose are so crucial to our outcomes.

    I was diagnosed with TNBC (BRCA1 positive) almost a year to the day that I lost my sister to TNBC. I about jumped out of my skin with fear and anxiety when I got the biopsy result. I had already had bilateral mastectomy and oopherectomy due to BRCA. So, I got TNBC after mastectomy.

    Fear motivated me to consult with doctors at four different Cancer Centers within a two hour radius including Mayo, Northwestern in Chicago, UW Madison and Froedtert in Milwaukee. Having gone through my sister's subpar treatment with her, I knew I couldn't settle for the first doctor “assigned “ to me. She deserved better but she didn't get it.

    The MO that I decided to go with is the most brilliant and compassionate woman I've ever met. She was, and still is, my hero. Because of my BRCA mutation she added Carboplatin at the end of my ACT. I also had complete breast and chest wall radiation.

    So, here I am five years later. No regrets for my treatment plan. As far as side effects, I have some annoying neuropathy, very mild controlled lymphedema and capsular contracture; really nothing too bad.

    My advice to any TNBC patient; don't settle for anything, assert yourself and make sure you are heard. This is your life, make sure that the hands holding it are worthy.

    All my best to you,

    Rebecca

  • hawkvand
    hawkvand Member Posts: 34
    edited April 2020

    I’m so glad to hear you’re at the 5 year mark. That’s so exciting! They do meet up for a tumor board. I haven’t actually met with my oncologist herself since I started treatment. I only saw her once during my multi-disciplinary consult. I’ve had 2 appointments since and they’ve been with the nps. One of which was a telehealth appointment. It’ll be nice to finally have an appointment with her and gauge how she feels about going for a more aggressive treatment plan. If it weren’t for covid and the baby I’d be going all over for second and third opinions but at this point I think it’s more dangerous for me to travel.

  • SoulShine1969
    SoulShine1969 Member Posts: 3,047
    edited April 2020

    hawkvand -

    My heart really goes out to you. What a crazy time to be navigating all this. On the one hand overwhelming joy for your baby, and on the other hand the sobering fear for your health. And now Covid on top of it all.

    You are right, probably not the best time to run around looking for a different doctor. Best to stay where you are.

    I’m glad that the tumor board will be meeting up soon. You’ll have more answers then. Stay strong my friend, you’ve got this. If I can help with anything let me know.

    Hugs,

    Rebecca

  • santabarbarian
    santabarbarian Member Posts: 3,085
    edited April 2020

    I PMd you re 2nd opinions; some docs will do them remotely. If you can get a phone consult, you might also try the big TNBC people like Melinda Telli at Stanford and Tiffany Traina at MSK.

    I 100% agree that you need to be treated as aggressively as possible, without causing any long term problems for yourself. TNBC can be defeated... so you want to be a squeaky wheel to get all your questions answered to your own satisfaction early in time. There are lots of new drugs for TNBC they are just figuring out, and many things are being tested now.... it can be smart to read about them and be your own advocate and know what the next moves in the chess game are. You definitely want to hit it hard and kill it right now.

    Regarding carboplatin & taxotere vs AC/T - my oncologist in CA told me that some of the preferences of certain Txs are regional. AC/T more common on east coast he said.

    I did not have the BRCA gene but he felt my high grade TNBC (9 Nottingham) was basal-like and that I would benefit from Carboplatin. I had made it clear I was an athlete and did not want to have ongoing heart problems if at all possible should I live a long time. He chose Taxotere and Carboplatin for me which is often used for Her2+ people, along with Herceptin and Perjata. (TCHP). Taxotere *can* lead to permanent hair loss. Carboplatin I do not recall any big warnings about. I iced my scalp and luckily my hair came back fine. Luckily I have no ongoing problems from chemo.

    Some people have weird reactions to some chemos, like allergies etc-- so it is good there are an array of possibilities.

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