TCh vs. ACTh
Comments
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Wendy -- I'm a faithful gym rat. Our city has a community recreation/fitness center and I take yoga, jazzercise and aquacise there in addition to doing treadmill every morning. Much of my support and inspiration comes from people I know from the recreation center. Whether it's the 85-yo woman in aquacise who is a 30+ year bc survivor, the jazzercise instructor who supplies me with books for infusion days or the people who have been so generous with cards, phone calls and offers of help, I don't know what I would do without these fine people. I tell my husband (who really is a good guy) that his problem is he suffers in comparison to how wonderful these woman are.
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Wendy,
Yes, my Meds are the same three. I get the Herceptin every week and all three, Taxatore, Carboplatin and Herceptin every three weeks. Congrats on reaching that finish line. I look forward to the day when I get there.
Maryann - First treatment today was uneventful. Kept thinking this is too good to be true. 6 hrs later and I still feel great. Of course I got alot of anti nausea drugs, including Decadron, which is a steroid.
One day down, one less to go.
Carla
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Cathy....Me too!!I mean...I was so amazed by the ladies that I work out with, once they found out about my bc....they came out of the woodwork with offers of help, driving, cards, snacks...and now that I have moved past the chemo, last summer 4 of us started having lunch together....Then it was 5, then 6, then 8...now up to 13. And we never talk about bc...we just laugh, and laugh and laugh. I love that little group! And I never would have this huge circle of friends had I not been dx'd. Go figure! They helped me more than DH ever could! Just the way women are, I think. Glad you have your little group too.
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CarlaG - glad to hear your first treatment went smoothly. In my experience, the first one (or anticipation of it) was the worst only because of not knowing what to expect. So far the TCH regimen is very doable for me. I have some side effects (muscle/bones aching for four or five days after treatment (but much better with Claritin use), acne breakout around Day 9, minor bloody nose starting around Day 8 ... but nothing major). I feel fine most days. In fact, by the end of the second week after chemo, I am feeling pretty good. Hopefully, we have found a treatment that is much less toxic than the old ACTH.
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MaryAnn,
My energy never left me yesterday, however, today, I have a dull headache (but can't complain, that is my only complaint). So I have just taken it easy, but I agree with you, for me the unknown was the hardest. It was like a weight lifted when I finally decided to go with the TCH. I wanted what was best, but the heart damage was of great concern. You have to feel confident you made the right choice for yourself. It finally all makes sense. There is no scientific answer, you just have to find your own peace that says this is what is right for me. This is the best chat I could have found. I am returning to work on Friday. I hope my side effects stay as doable as yours seem to be.
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MaryAnn -- I have to agree. People keep asking me how I'm feeling and unless I want to get really nitpicky, I'm actually feeling pretty good. Taste buds are off, I'm seeing the dermatologist on Thursday about acne, feet and fingers tingle a bit, hair is shedding, but I'm certainly not sick like I thought I would be. I've been able to do my normal activities with very little disruption.
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Cathy and Carla - Hope your week is going well. Carla - let us know how you are feeling after your first treatment. Cathy- I am eager to hear what your dermatologist says about the acne. If it's from the Herceptin (which we will take for a year), I will probably go in myself to see what can be done. If it's from one of the chemo drugs, I think I can live with it until May.
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MaryAnn -- the dermatologist said it wasn't from the steroids (at least for me) because there is an acne pattern to steroids that I'm not displaying. She thinks it is probably the rosacea flaring up and gave me a little stronger rx than I normally use for it. I don't remember what day I started breaking out so badly last time, but will see if it's better this round. I got tired of shedding, so had my hair cut really short today. It won't stop the shedding, but I won't see as much hair when it falls out. Most places it's only 1/2 to 1 inch long, but it still covers my head.
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MaryAnn-
Had a lot of face discomfort, almost like a sinus infection this week. Nurse thought it was from the Decadron and would subside. Haven't had much appetite, which is unusual for me. Went back to work today. I made it, but the end of the day couldn't come fast enough. The nurses said lots of fluids and you think you are keeping up, but I tried to eat something with more substance tonight and I am finally feeling better. I am going to make sure I watch my fluid intake. My hip bones ached really bad today. It really helps to hear how others are affected, because at least you can say "okay" I can do this, it will pass.
Has anyone found that when they get the Herception alone, they see side effects? Next Tuesday will be my first time for just the Hercpetin.
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Cathy - thanks for sharing what your dermatologist said. I have had rosacea in the past and have used Metrogel for it for many years. It had just about disappeared the last year or two, so I only keep the Metrogel on hand to use as needed. But now that I look at my face, it does seem like it could be a rosacea flareup. Re: hair, I have about 10% of my hair left all over my head and no more is falling out. It's kind of weird because I expected it all to fall out but what's left shows no sign of shedding.
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Carla - I don't get any side effects from the Herceptin alone. I seem to have a constant stuffed up nose though - just don't know which of the drugs it is from. For me, the aching muscles/bones lasts about a week, max 10 days after chemo and is mainly in my lower body. That seems to be a fairly common side effect. I used Claritin last time and it was better. If you look back in this thread, you will see the conversations that Cathy and I have had re: Claritin. For me, side effects are concentrated in the first ten days or so after chemo and the last ten days I feel good which gives me a break before the next go around.
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MaryAnn -- I've used MetroCream for years which is .75% metronidazole. She gave me an rx for a version of MetroGel which is 1% metronidazole. So far, it seems to be making a difference. Of course, last round, I wasn't using it at all until I broke out. Like you, I had things pretty much under control and felt like I just didn't need one more thing to take/put on.
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Hi everyone,
I am also HER2+ with neg nodes. Tumor was somewhere between 1.2 and 2.5 cm according to my oncol, 1.2 according to what surgeon says. My oncol whom I think is very good also put me on an 9 month AC-TH program. I am 54 years old. I called the nurse yesterday and she told him I would prefer TCH-TH, the nurse called yesterday saying he would be fine with that too. My thinking is this. If this is a good protocol and it sounds like it is--they will start identifying more targeted therapies that we may benefit from later if need be. The goal is now to survive with a quality of life and hope for better treatments such as Herceptin down the road. My oncol is calling back patients that did not get put on Herceptin to see if they want to get it now. Same will probably be true with us as new and better drugs become available. I just got SO nervous reading about all the stuff AC followed by Herceptin could put me at risk for...good luck to all of us! I am having my second surgery on Monday for wider margins--not fun but necessary else facing mastectomy. Will report back. Thanks for this group. -
Welcome to the group, Erica. Sorry you have to join us, but you will find a lot of good information and support here. I had to have a second surgery, as well, for wider margins. When are you starting chemo and herceptin?
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Cathy, I start my treatments around March 3rd, else a week later to heal before chemo. I am hearing chemo slows down healing time. My last surgery was on Feb. 4th and I'm still not over it. Thanks for your support. My surgeon never explained about the possibility he would not get it the first time so when he called me I was very depressed. Why don't they tell you the possibilities ahead of time? This time I'm letting my husband answer the phone...I can't handle it. Let him tell me. I had to change the ringer on my phone cause it was making me jump out of my skin. I have some meds to take tomorrow night to help me sleep. Chemo has got to be a bit easier than surgery..
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Erica,
I am also 54. YOU CAN DO THIS. I just keep saying every day, it is one day less to endure and one day closer to being "FREE". We all have our own reasons, you just don't know how STRONG you really are, yet. Good luck.
MaryAnn -I remember reading about the Claritin, will let you know.
Carla
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Erica -- I've only had two rounds of chemo, so I'm still learning, but chemo is definitely different than surgery. After surgery, I had a lot of tenderness that made sleep and daily activities difficult for a few weeks. With chemo, I don't have that soreness, but you still have some ups and downs. I normally tell people it's like morning sickness. I've been fortunate to not be really sick, but I have days my stomach is a little touchy about what I eat or I just feel off. I exercise every day and I think that helps. I notice on mornings that I don't feel all that great, once I get to the gym and get moving, I feel a lot better.
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Thanks Carla and Cathy, just back from surgery. Hoping to get my margins and get on with it. I sure appreciate your experience and encouragement. I am looking forward to getting my life back. Will not be able to swim until after portacath (which I don't even have yet) is removed. When I'm lying by the pool in the summer of 2009 is what I'm looking forward to. I love to swim--I do agree excercise helps if nothing else it makes you feel better about yourself and seems to help the mind too. I have been debating about giving up our membership to the health club until after this is over with but that may not be a good idea.
Take care, now the difficult wait for the phone call on the margins. I will let my husband answer the phone and try to remain positive. -
If you have a portacath rather than a pic line, I would think you would be able to swim. I have a portacath and am in the pool for aqua-aerobics four days a week without any problem. I had to be out of the pool until I was healed from the two surgeries because the surgeon didn't want to risk infection, but then I was cleared to go back. You might want to check. Was the portacath put in today along with the re-excision? Hope you are feeling well and all the margins are good.
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Cathy, I didn't ask for the portacath today. I somehow figured the oncol probably has someone who is an expert at that and I think that means a lot. But your right that was a thought and I did consider. It will just be one extra step save for another day. I am feeling pretty good and glad to get the second surgery over with. I am going to REX Hospital in Raleigh, NC and have a lot of confidence in their team. I had a navigational nurse who is a real nice lady walk with me every step of the way and she was there again today. People are incredible, this experience has restored my belief in the kindness of people. Thanks for you too!
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Cathy, I almost forgot, great news about the swimming! I will ask. But come to think of it there are other pool excersizes I can do without doing lap swimming which would expose it to a lot of water. Also, maybe just put a bandage over it to seal out the water. There are some good ones available. No going down the water slide for awhile (waah!)....I love water slides (and roller coasters)...I have a 9 year old adopted daughter that wants me to do the rollercoaster this summer as is our tradition at Busch Gardens. I told her I wasn't sure about this year. i might start slowing down just a tad!
E2 -
Glad everything went well today and, yes, people are normally wonderful. I think it takes a very special person to work in these units.
The portacath is under the skin, so you wouldn't have to cover anything. It is a surgical procedure because an incision has to be made and then imaging equipment is used to guide the catheter part through a vein to your heart. Mine was put in as a part of the re-excision surgery, but some people have them as a separate out-patient surgery. When you go for chemo, if you put numbing cream all over the port an hour before the infusion you shouldn't even feel the needle go into it. It took a couple weeks before the thing stopped bothering me and I still notice it on occasion, but since I'll need it for a full year, it was a good choice.
As far as slowing down, you'll just need to wait and see how you respond to treatment. Other than sometimes taking a nap in the afternoon, I haven't changed my daily routine by much. -
I have my port in my arm (inside of arm just below the elbow). It is called a Pasport. It took about 2-3 weeks for it to completely heal but now, I literally don't even know it's there. The Pasports are smaller than the ports used in the chest but my surgeon used a slightly larger version than would normally be used in the arm (I think to make sure it could be located and used easily). I am so glad I have the port ... definitely worth geting one if you need a year of Herceptin.
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Got the negative margins. Waiting for "the phone call" was the hardest. Waiting yesterday was particularly hard because my oncol had told me that he didn't want to wait any longer and we'd just go ahead with the therapy and do a mastectomy later. So that's what I was facing with the phone call. We were out yesterday evening and I had my husband answer the phone. The doctor asked for me and he explained I didn't want to talk unless it was good news. When my husband gave a thumb up sign and ran to grab the phone. Such drama--looking forward to the problem my daughter has, i.e. "Mom, I'm bored..." I keep telling her that's not so bad... I was looking at the last pathology report yesterday and it turned out they weren't doing my re-excision for wider magins--they were doing it to get 2 margins they didn't have. So that got me thinking how much more risk was involved...my navigational nurse told me to "think positive"--anyone else have trouble with this?
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Hi,
I was on ACTH, got newlasta shots after every chemo, I found a trick was to take it out of the fridge 1/2 hour before the shot reduced any bone pain to almost nile. Told the oncologist and she now tell all her clients to do the same and has told me they all have agreed it works. One more herceptin to go then I get a break for a couple of months before my ooph.. Will be happy that is done to so I don't have to get shots to stay in menaupause. Glad to see everyone doing well and givin hints on what worked.
DX Aug-06, IDC, 5cm, stage ll, grad 3, 0/23 nodes, ER+/PR+, HER2+
In for a penny in for pound of flesh so to speak
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Had my first Herceptin alone treatment. Went well. I used the cream also and it was pretty much painless. No after effects other than my mouth tasted worse than normal for a day. I have found that orange gatorade tastes so good with my mouth. I freeze it just to get it like a slush. Good luck to all.
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Got a surgery day for my portacath--March 3rd. How big a deal is this surgery?
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I had mine placed during a re-excision to get better margins, so don't have personal experience with just getting the port. However, from what I have heard from others, it is a pretty simple outpatient surgery. You will probably have a twilight sleep sedative where you aren't completely out, but you won't remember anything. If it is placed in the upper chest, you will probably want to be careful for a few days doing much with that arm. It is anchored to the muscle and it stays sore for a week or two.
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Erica - the port surgery is pretty simple. Mine is in my arm but that seems to be quite unusual. Either way, arm or chest, is a pretty simple procedure and only requires a light anesthesia (they described it to me as similar to what you get for a colonoscopy). After the incision for the port heals, you should pretty much forget it's there.
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Does anyone who is on TCH have experience with water retention (swollen ankles, fingers) after the Taxotere? I take Decadron the night before chemo, twice the day of (Day 1), and once the day after (Day 2). But today (Day 3), I have swollen fingers and ankles. Did not happen on my forst two chemo cycles ... this is my third.
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