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  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited April 2021

    Hi redcanoe!

    I'm sorry to read about your situation. Maybe, you could up the Lexapro a little? Since it has already been helpful, maybe a higher dose might help. My son's psychiatrist always says, "Start low, go slow." We've been fine-tuning his meds for four years, and sometimes, raising the dose of a med has helped. Also, yes, talk to your chemo nurses. They may know of a counselor who specializes in breast cancer patients. It also might help to talk to someone who understands what it is like to be bald and to have uneven boobs. Are there any support groups in town? No one looks great, going through chemo. But, chemo will end and your hair will grow back. I pray it gets better for you. ((Hugs))

  • Nsbrown54
    Nsbrown54 Member Posts: 908
    edited April 2021

    Hi Redcanoe - I’m sorry to hear that your dealing with multiple issues while getting through your treatment. Does your oncology center have social services available? Some centers have group activities as well as psychologists available to help. I hope your oncology nurse is able to help.

    We have services available through the oncology center. I’ve been walking everyday now that the weather is nice, but was still dealing with anxiety. I recently started meditation (headspace app on iPhone) and will be trying Reiki therapy next week.

    Sending you healing vibes and gentle hugs.

  • Redcanoe
    Redcanoe Member Posts: 131
    edited April 2021

    I've been connected with a few people but everyone is 15+ years older than me, happily married and didn't do chemo. I feel very alone as a young adult with cancer in this community. I live in a city with 20k people. Honestly the divorce is worse than the cancer but the cancer makes it 10x more painful.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2021

    redcanoe - your diagnosis is mine, and your treatment as well - hoping that my presence here ten years out provides you some reassurance that you will get through the cancer part. I fully understand how the physical manifestations can rock your confidence - I struggled with reconstruction complications that left me at times with one flat side for many months, it is not fun, and I get it. If it helps try to think of your situation with your divorce as a separate issue from your cancer - try not to link them in your mind as sadness about one can create more sadness about the other and it becomes a spiral. Also, try not to allow your soon-to-be ex-husband's poor decision making and lack of responsibility or fidelity to have any reflection on you - that is on him. Don't give his bad behavior the space to sap your limited reserves. His lack of sensitivity about the timing of his introduction of the new girlfriend to your children and in-laws just adds to his asshat credentials, sheesh. I am so sorry that these things are happening simultaneously with your treatment, which is hard enough under the best of circumstances. Being a parent takes so much energy while going through treatment so free time is likely at a premium, but mindfulness and meditation can be helpful in focusing your limited emotional and physical resources to carry you through this hard time. Right after chemo I participated in a study about stress hormones and coping that was based on MBSR (Mindfulness Based Stress Reduction) and the book by Jon Kabat-Zinn, Full Catastrophe Living. What I learned was helpful in allowing me to live in the moment and not looking back at the past with regrets or looking forward to the future with uncertainty, which somehow made things easier once I got the hang of it. If you Google the author you can learn about this concept and it might be helpful for you. If you can't muster the energy I understand that too - just know we care. Wishing you the best.

  • Cowgirl13
    Cowgirl13 Member Posts: 1,936
    edited April 2021

    Redcanoe, I'm so sorry this is happening to you. I would suggest you call your doc who prescribed the lexapro and let them know you are feeling depressed again. It sounds like you may need to up your dose but do that with your doctor's help. As Elaine said, the operative is 'go low, go slow'. I had to have my prozac upped several times. You are in my thoughts.

  • Redcanoe
    Redcanoe Member Posts: 131
    edited April 2021

    SpecialK- thank you for this. I do feel encouraged every time I see your signature. My confidence has taken a major blow and I'm sorry that happened to you too. It's nice to hear that it gets better with time. I will look that author up.


    Cowgirl- it's hard to separate my feelings between the cancer and the divorce. I went on Lexapro when I was an anxious mess about my diagnosis. I lost almost 20 pounds in less than a month. This feels different, more like situational and im trying to work through my feelings before upping my dose. I'm in a negative thought loop. I talked with my oncology social worker for a good hour today. I will consider it if I'm still crying daily in a month or if I stop eating again.

  • Taco1946
    Taco1946 Member Posts: 645
    edited April 2021

    Redcanoe - sending hugs. You have been handed a full plate but as Special K says, he's the jerk. I suggest you also look for the group of younger women on this site who communicate regularly if you can't find an in- person support group. Take all the help you are offered - whether doing some childcare, some shopping, or a stop for the beverage of your choice. Trust the older women. Your peer group are probably freaking out and don't know how to help - that isn't your responsibility but it's probably happening, making you feel more alone. As you have noticed, many of us use or have used medical help to handle life. I'm so glad you feel you can talk to the social worker.

  • LaughingGull
    LaughingGull Member Posts: 560
    edited April 2021

    Hi Redcanoe

    You are absolutely not alone in having cancer in your nodes....I also had a whole bunch of it, even after chemo, and with plenty of extra ominous signs to boot. It would be great to have clear nodes and enjoy the thought of a better prognosis...but it is what it is. You are also not alone on suffering from depressive moods after diagnosis. My cancer was found in my nodes from the start and I was convinced that it had spread and I would be dead in months. My kids (twins) were 10 years old, now about to turn 14. I lost 10 or 15 pounds in short order after diagnosis, because I was incapable of eating due to anxiety. I was put in antidepressants by the oncologist. Down the road, when I finished treatment and was in a better place, I talked to a psychiatrist (specialized in oncology) about the treatment, and we made a plan to wean off the antidepressant. He also recommended meditation and I joined a meditation group for cancer patients run by the hospital, and I am still in that group. Meditation is life changing. Do you have family and friends you can relay on to support you?

    Re your husband, the wise SpecialK has spoken. I second every word she said about him and about everything. What the father of your children did reflects on him, not on you. He will continue to be in your life as the father of your kids, but clearly you don't need a partner like him. Good luck to her new girlfriend! If your in-laws aren't embarrassed to death at the moment by the son they raised, they can't be normal people.

    Re looks after surgery, I had a first mastectomy, then reconstruction was delayed like 9 months during which I was very lopsided and nipple-less on one side. Then I had a second mastectomy and again lopsided for a while. Then nipple-less for like a year on both sides. Now I have fake nipples -tattoos- on my fake boobs. My boobs are visibly fake, very noticeable when I am naked, and I am naked around other people a bit because I am a swimmer and....showers and locker rooms. I am now used to the sight of me naked with my fake boobs and all the scars, and I couldn't feel better about myself and how I look. The people who really love you don't give a F about your boobs being uneven after going through cancer. With four kids you clearly have a lot to live for. You can live without boobs.

    One day at a time!

    LaughingGull

    PS incidentally I stumbled today on Kate Bowler's podcast, which this week is about how we lack the language to console people going through divorce. You may want to give it a listen. Kate has stage IV cancer, she was diagnosed at 36, and she has a young kid. I recommend her podcast. The podcast is named "Everything happens"

  • LaughingGull
    LaughingGull Member Posts: 560
    edited April 2021

    Another note: social workers are not experts on psychiatric medication. Which doctor put you on Lexapro? In my case, my oncologist put me on the antidepressant, which I was thankful for. But I am also glad that down the road I was able to talk to a psychiatrist about it. If you are still suffering, you may consider asking to talk to a psychiatrist. They know when and how you need to up or down your dose and when to change the medication. They are the experts. That's their domain.

  • AnnaTheBrave
    AnnaTheBrave Member Posts: 69
    edited April 2021

    Hello, all,

    I had a check-in with my MO yesterday, and she said my last Herceptin/Perjeta treatment would be in July, at the one-year mark from when my treatment began. I missed one dose of HP back in December when I had a bad bout of mouth sores and they didn't want to pile on, and at that time I was told they'd just add the treatment on at the end, so I assumed I'd have one more treatment in August. I know HP is supposed to be given for one year and for not more than 18 cycles. I'll end up having 17 cycles if we don't tack the one I missed onto the end. My MO says that's fine and I'll be done in July because that will be a year. Does that seem fine? Should I push for the 18th cycle? I would assume that studies have indicated that 18 cycles is optimal, but maybe one year is really what matters? But, like, what if I'd missed two? Surely at some point they'd want to make sure I made up what I'd missed, so I just don't really understand why they don't just do the maximum number of cycles. Is it an insurance thing?Anyone else have clarity on this?

    Thanks

  • Redcanoe
    Redcanoe Member Posts: 131
    edited April 2021

    Hi Anna, based on the studies comparing 6 months to 12 months, I'm sure the benefit of that last dose is really negligible. It doesn't seem unreasonable to skip it but I also think it's reasonable to ask to have that last dose.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2021

    Different oncs count the year differently - I had a total of 17 and missed none, but I have seen others have 18. I would seriously doubt whether missing that 18th dosing is going to matter. It may indeed have to do with the 12 month elapse and insurance if the 18th dose falls outside that window.

  • tld2017
    tld2017 Member Posts: 102
    edited April 2021

    Hi Ladies, I am on Prolia but just found on my calcium is in the high level. Terrified this means my cancer is back and spreading. Has anyone here at high calcium while on Prolia?

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2021

    tld - what is your Vitamin D level? If your calcium is high and Vit D low, ask your MO or primary care to run a parathyroid panel.Is your higher calcium a sustained high, or is this a one time event? My calcium was occasionally above the range during the time I was on Prolia but it always came down again.

  • tld2017
    tld2017 Member Posts: 102
    edited April 2021

    Thank you so much for responding! Calcium is 10.4. I don't know Vitamin D. I am shaking, I am so scared. This is the first time it has been high but they have not checked it for a while.

  • tld2017
    tld2017 Member Posts: 102
    edited April 2021

    SpecialK, do you remember if yours was near 10.4? If it happened to you, and all was well, that will give me some hope right now.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2021

    Absolutely, it has been that high, I'm so sorry you're scared - try not to worry about a single test result. My calcium jumps around but hovers pretty close to 10 most of the time. The Vitamin D test is a blood draw and just takes a day or two for results. It is a send out from my MO's office, done by Quest or LabCorp. If you're super curious you might even be able to do a Vit D as a walk in at a place like that. Have you had a DEXA done lately to know your density status?

  • tld2017
    tld2017 Member Posts: 102
    edited April 2021

    My vitamin D runs low so I take 2000 a day. I went in for a port flush yesterday and had a sudden shortness of breath and chest pain. They called an ambulance and I was swiftly taken to the hospital because the NP thought I had a pulmonary embolism caused from the blocked port (for some reason, it would not let blood flow). No blood clot showed up in ct scan and the pain eventually went away but the scan did show two nodules in my lungs. Also, the bloodwork looked fine other than the calcium. I have osteopenia, hence the prolia. I had my 2nd dexa scan last fall and it was fine. I had a friend die this morning from breast cancer - hers had spread and she suffered for quite a few years. I guess yesterday's events, the nodules, the calcium level, and my friend passing away, have sent me over the top with fear this evening. I'm sorry for sounding so urgent - if I could hug you right now, SpecialK, I would!

  • Nsbrown54
    Nsbrown54 Member Posts: 908
    edited April 2021

    Tld2017 - I took a look at my calcium test. Mine report (below) shows that normal range is 8.5 -10.5. I looked through several of my tests, and like SpecialK, mine jumps up and down. FYI - Quest and LabCorp have a feature that lets you chart blood levels from multiple tests.


    My condolences for the loss of your friend.

    Calcium measurement (Calcium)9.2 mg/dL8.5 - 10.5
  • tld2017
    tld2017 Member Posts: 102
    edited April 2021

    The hospital lab marked it as high (their lab said it should not be higher than 10.2) and my oncology NP noted it because I'm on Prolia and it should "not" be high, and I made the mistake of googling it and freaked out at 5:15 tonight after she was already gone for the day. Grateful for your response as well! Thank you for taking the time to respond!!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2021

    tld - my goodness, you poor thing! I wish I was there to give you a hug! That is a LOT to process. FWIW my DH has benign lung nodules, very common, a number of people who post on this site do as well. For my DH some arelarger than the threshold for concern, but they just kind of hang out there doing nothing. That is sometimes the problem with scans - they reveal things that are doing that but now have to be investigated, and cause worry. One of my good friends often had issues with two way flow with her port, but did not have the physical reaction you did - that had to be scary for you! Nsbrown posted above about range - do you have the actual lab report that shows the range they were using?

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited April 2021

    i just checked my labs and the standard they use is 8.6-10.4 as normal range for calcium


  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2021

    Depending on the testing platform the high end of the range varies from 10.3-10.5, I believe. Calcium results should be age adjusted though - in your 20's you can get close to 11 and still be normal, but at 50 you should be closer to 10, and as you continue to age you should be in the 9's. Parathyroid issues are suspected with high calcium and low Vit D levels. There are several threads here on BCO that have posts about members with this situation.

  • tld2017
    tld2017 Member Posts: 102
    edited April 2021

    The range they have on the report is 8.8 - 10.2 for calcium. I'm 54. I am just floored that it could still be high while on Prolia! I will definitely search through older posts! Very grateful for this forum and especially you ladies that have responded!

  • Phoenixrose8
    Phoenixrose8 Member Posts: 71
    edited April 2021

    Hi everyone! I was wondering if anyone knew of a product that gave the same protection as a port pillow,that would be put on a seatbelt, but the size of a strap cushion for purses? I need to start going back to wearing crossbody purses like I used to, but my favorite side is where my port is. I would switch over to the other side but the cancer spread to that lymph node where the cancer used to be .

    Thank you!


  • Nsbrown54
    Nsbrown54 Member Posts: 908
    edited April 2021

    Phoenixrose8 - check this out from Amazon


    Wanty 1 Pair of 2 Black Color Neoprene Multipurpose Comfort Shoulder Strap Pads Shoulder Cushion Pad Protector for Laptop/Travel Bag/Messenger/Boxing/Car Seat Belts Protect Pads (black)


  • MsMurphy
    MsMurphy Member Posts: 39
    edited April 2021

    Hi, I hope everyone is doing well and having the same beautiful weather as I am today. 🌻

    I met with my gynecologist last week. Because I have endometriosis, she's been pushing me to get a hysterectomy for the past couple of years. At this last appointment, she also highly recommends I have my ovaries removed. My appointment with my oncologist got bumped forward so I haven't gotten his opinion but I asked my surgeon and she said that if I did decide on a hysterectomy, she agrees that I consider the ovaries as well but only if I was already planningon it.

    I'm leaning towards doing it but was curious if anyone could share their experience. Up until chemo started, I took the pill continuously to stop my periods to control the endo and have now been in chemopause so both doctors think my menopause symptoms will be minor. I am worried about weight gain and it being harder to lose. After hitting my 40's, I've already been seeing the weight creeping up on me without any negative changes in my eating habits or activity level. 😕

  • Nsbrown54
    Nsbrown54 Member Posts: 908
    edited April 2021

    I had my 6th HP treatment yesterday and experienced pancreatitis pain. It last about 90 minutes and I didn’t go to the ER. I’ve had pancreatitis in the past, had lots of testing and they’ve chalked it up to idiopathic cause. I eat a low fat diet, don’t drink and had my gallbladder removed 9 years ago. Anyone else experience pancreatitis while on chemo?

  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited April 2021

    Ugh, Nsbrown54. Pancreatitis is super painful. I had it 18 years ago when a gallstone escaped from my gallbladder and got lodged in my bile duct. (Also had my gallbladder removed.) No, I didn't have pancreatitis during chemo, but I did have some painful cramping after my 11th infusion of Taxol. I wonder if that was pancreatitis? I chalked the cramping up to a stomach virus that we all got around Thanksgiving of that year. Hope it doesn't come back!!!

  • SpecialK
    SpecialK Member Posts: 16,486
    edited April 2021

    nsbrown - I didn't have any issues with that, and sorry that you had pain, ugh. Mostly wanted to post because of your new cute avatar - look at your hair!!

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