TCh vs. ACTh

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  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    Cathy,

    Thanks so much for your help on fiber. I will look for some of the Fiber One cereals and bars. You know now that I am paying attention I'm looking at my colonoscopy report from 4 years ago and since I have hemorhoids the doctor made some really good recommendations of which I have so far down the road followed none of. One of the things it said I need to do for the rest of my life is to start taking daily fiber supplements. I have been looking at the alternatives and decided to try Fibercon. Two tablets twice a day. I'm going to start this and see if it makes a difference in addition to adding my fiber to my diet. I will report back.



    Sue,

    My hair after round 1 is still here but I did get a short hair cut. This week I'm going out with a friend to look at wigs/hats. I like that--worry about your hair instead of the boob....you will do fine. Sometimes it is surprising how easy the surgeries are when I think about how hard round 1 of TCH was for me. I'm hoping it gets easier. I think if I can get my bathroom habits fixed that will be a major part of the problem.



    Hang in there ladies...



    E

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    Cathy,

    I will look for the bagels today. The protein one sounds very good.



    e



  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    I eat Fiber 1 cereal each morning for the first four or five days after chemo.  If needed, I also use the Stool Softener (easily found at the drugstore).  About Day 5 or 6, I stop the Fiber 1 because things are swinging over to the "loose side" and then I need Immodium for the next week or so.  Finally, things get back to normal the last week before chemo ... just in time to start the cycle all over again!  Oh well, only two more left for me.

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    MaryAnn,

    I tried the Fiber One cereal (original). Acutally I like it and it did make a big difference for me. It has twice the fiber of my favorite cereal (Autumn Wheat)...so I will keep in on hand and look for other ways to add more fiber. My problem is a bit easier as I never had diarrhea so I have to worry about the "swings"...



    Thanks for your help with this.



    Trying to be healthy for my #2 chemo on Monday (ugh)...hope my cough and cold are completely gone by then...



    Anyone notice any cumulative aspects of the chemos? I expect my hair will start thinning after #2...



    E

  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    Hi Erica - glad the Fiber 1 worked out for you.  I like it too ... actually it was a staple in our cupboard even before bc.  My hubby eats it every morning.  Re: cumulative effects of chemo ... for me, cycles 1 and 2 were pretty much the same.  Cycle 3 was worse ... meaning that I felt kind of lousy for two weeks after and not just one.  I did number 4 last week and I feel good!  With one exception, I am walking around in a daze most of the time.  Very hard to concentrate and efficiency is out the window.  This must be chemo fog!  It is frustrating because I have things I want to accomplish and the day just slips by without much happening.  Hard to explain to someone ... it's just very hard to focus on something and get it done.

  • janet11
    janet11 Member Posts: 262
    edited March 2008

    Re routine...

    I took 1 Senekot (stool softener)  daily for the first 4 days of chemo (TCH).  Then if I had an episode of the runs, I'd take 2 Immodium.  IF I had a second episode, I'd take 1 more Immodium (this schedule was suggested by my onc).  Never had a third episode after I started this routine (started it my second TCH cycle).

    Per one earlier question:  Yes, the side effects got stronger during the 5th and 6th cycles.  Everyone is different, but for me, those last 2 cycles were harder (AND easier at the same time because I was almost DONE).  Each cycle, more and more foods didn't taste good.  By my last cycle, I actually DREAMED about my favorite foods (*LAUGH*).

    But OH how wonderful it was after chemo was done.  It took about a month and a half before I could stop taking my anti-reflux meds.  And it took about 2 months before I could tolerate chocolate.  But after about day 15 of my last chemo cycle, no more 'sewer mouth'.  Yippee.

    And now it's been 15 months since I finished TCH and it's all just a distant memory (*grin*).  May you all get to that point before you know it!

    Janet 

  • Cathy-CA
    Cathy-CA Member Posts: 686
    edited March 2008

    Erica -- I have round 4 on Monday and haven't noticed any cumulative effect.  Week 1 I need to take it a little bit easier on what I eat and how hard I push on exercise, but other than that I have continued with normal activities.  Weeks 2 and 3 I feel fine. 

    My hair started thinning after round 2 and then stopped about a week before round 3.  I still lose a few hairs a day in my caps and on my pillow, but not much more than that.  I'm now wondering if everything has to fall out before new comes in or whether the ones that will there start re-growing once chemo is over.

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    MaryAnn, Cathy, and Janet,



    Thanks for your feeback. MaryAnn I can relate to the foggy brain syndrome. I went through that with my first chemo so I expect I will be dealing with it again. Janet I am SO looking forward to this being a distant memory! Can't happen soon enough...and Cathy I am still trying to excercise but this cold and cough just drains my energy. I'm praying it won't be a chronic problem for me.



    Again, thanks for being here and providing insights.



    Erica

  • TSUnd
    TSUnd Member Posts: 5
    edited March 2008

    Hi,

    Just wanted to add my two cents.  Spouse went through TCH, finished around Christmas.  WBC was helped immensely by two supplements:  Astragalus and Reishi/Maitake mushroom.  SHe never had to have Neulasta even once!  I'm sure there are several good brands, but she took Gaia liquid caps of AstragalusSupreme and Maitake Defense.  It was amazing to see the WBC counts go UP after she started these and the nurse had predicted boosters needed for sure.   Her chemo was pre-surgery and she had a great response to the TCH to the point that the large tumors were shrunk to only microscopic cells and onc. thought these were "dying" also..

    Also, daily Prilosec and probiotics (yogurt and/or supplements) were a must.  Best of luck

    TRS

  • TSUnd
    TSUnd Member Posts: 5
    edited March 2008

    Hi,

    Just wanted to add my two cents.  Spouse went through TCH, finished around Christmas.  WBC was helped immensely by two supplements:  Astragalus and Reishi/Maitake mushroom.  SHe never had to have Neulasta even once!  I'm sure there are several good brands, but she took Gaia liquid caps of AstragalusSupreme and Maitake Defense.  It was amazing to see the WBC counts go UP after she started these and the nurse had predicted boosters needed for sure.   Her chemo was pre-surgery and she had a great response to the TCH to the point that the large tumors were shrunk to only microscopic cells and onc. thought these were "dying" also..

    Also, daily Prilosec and probiotics (yogurt and/or supplements) were a must.  Best of luck

    TRS

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    TRS,

    My oncol does daily shots to boost WBC as a preventative. So he doesn't wait until the count is low but just has me do it for 7 days after chemo. I'm not thinking he would be supportive of this but it doesn't hurt for me to ask. I think too little is known about a lot of these herbs and they'd rather not take the chance.



    Thanks for sharing what worked for your spouse.



    Erica

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    I started losing my hair yesterday (thinning a lot). I have noticed my scalp actually aches when i mess with my hair. Seems like it's a little red and irritated. Is this what you have experienced?? When does this go away?



    Erica

  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    Erica ... here's how it went for me.  All of a sudden, my head started to hurt like crazy all over.  Could hardly touch it without screaming!  I cut all the hair really short (1/2 inch) and the next morning most of the soreness was gone.  I have read that it is the weight of the hair pulling on the follicle that causes the pain.  So probably time to cut very short or shave!

  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    TRS ... thanks for posting here and letting us know about alternatives to Neulasta.  It's too bad the medical community isn't more open to alternative treatments ... I know my onc will say it's Neulasta or nothing for me.  I have two treatments left so will prob just tough it out.  Can you share how hair regrowth is coming for your spouse?  I read that it is slow for several women who took taxotere ... even one post that hair never comes back for 4 to 5% of  taxotere patients.  That really freaked me out!

  • bjn850
    bjn850 Member Posts: 28
    edited March 2008

    Erica and MaryAnn,

    I had taxotere, three tx then a three month break because of a second surgery and three more tx all with Carboplatin and herceptin too,so I got to lose my hair twice. The first time my head was really sensitive and cutting it short helped.  But I couldn't stand the small hairs falling everywhere so I got it shaved.  Not all of my hair did fall out that time so when I noticed it was beginning again to fall out I cut it short and wore a hair net when eating or fixing food and to sleep. Six months after the last chemos tx I had my first hair style/cut appointment.  By that time my hair was very thick, curly (previously straight as a rod), and full.  Some of my friends say that while the first time it grew back the color was a beautiful white/gray and the second time it is a darker color with some gray (for sure!)

    That is about the same amount of time it took for the horizonal chemo lines to grow out of my fingernails.

    I felt that hair loss kept the 'cancer' sign on my forehead for people. I'm very glad that sign has been removed. Even though I'm still in tx with herceptin, it is nice to not always be treated like I'm sick.

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    bjn,

    Nice to know that your hair came back. The hair falling out is really annoying but not sure I am up to having it shaved off. I know what you mean about being treated as sick. I think they think the same thing when they see the hats. I am now wearing a hat and it feels a bit weird. Also the hats are not all that comfortable and summer will be coming I guess making them even less comfortable.



    MaryAnn, I will consider having it cut shorter. That will be easier for me than to have it shaved.



    Thanks again,



    Erica

  • Cathy-CA
    Cathy-CA Member Posts: 686
    edited March 2008

    I'm wearing knit caps because I find them more comfortable than a wig.  I do get hot when I'm exercising with them on, but that's been my only complaint.  I have some floppy hats and baseball caps that I'll switch to as the weather gets hotter.  I'm done with chemo the beginning of May and have an overseas trip planned for September.  I'm hoping to have enough hair by that time to dump the caps.  I've gotten used to looking at myself with very short hair, so as long as the bald spots on top fill in, I'll be okay.

  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    bjn,  thanks for posting here.  It's great to hear that your hair came back so well.  I can't wait to have hair again ... I am just not a hat/scarf person but for now I will make the best of it.

  • tpinski
    tpinski Member Posts: 7
    edited March 2008

    Thanks Cindbo for letting me in on a positive word for ACTH as I start Adriamyacin Tuesday! My onc initially started preparing me for TCH but then after he ran a few more tests and read a recent article from the New England Journal - he highly recommended I change to ACTH with 3 week echocardios done to monitor. Also stated that the heart damage was mostly found with high doses of Adriamyacin - 480mg...where as my does total will be half.

    Chemo tx are SCARY enough - I am SCARED TO NO END to have my first tx Tuesday! I really needed to find someone with a positive outcome like yours.

    Thanks for your input!

    I will be happy to post my results with ACTH for future concerns. Of course EVERYONE is different I know.

  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    tpinski - thanks for posting here.  It sounds like your onc is right on top of things and picking the very best treatment for you.  Also, the fact that he will do echos every three weeks sounds like he will be very diligent in watching for any signs of cardiac trouble.  Do you know what article he read in NEJM?  ACTH is definitely still the "gold standard" in treatment for Her2+ cases like ours.  Please keep posting so we know how you are doing.

  • henny
    henny Member Posts: 89
    edited March 2008

    tpinsky,

    You will do fine on the treatments. Remember that each one will get you a step closer to being done and getting healed. I kept telling myself to bring it on-let's fight this cancer and get rid of it.



    I felt great after the first A/C-no doubt the steroids working. 2 days after tx I bought a couple flats of flowers to plant in my yard and then crashed and slept for 2 days. When I woke, my daughter had done all the planting. After that i didn't make big plans for the days after tx-just went with the flow and tried to treat myself nicely

    I had tx on Thursdays and was back at work on Mondays.

    As Mary Ann said-keep us posted and let us know how you are doing. Believe it that this too will be behind you soon



    Henny

  • kimbly
    kimbly Member Posts: 398
    edited March 2008

    My hair never completely fell out but I look every day in the completely bald spots ( I have some near the front of my head) and I do see very fine baby hairs there.  The hair that stayed is dark and very straight so it will be interesting to see what happens to that.  I mean i could have multi coloured/textured hair LOL. 

    Yes I only took the Ativan the first cycle and it just made me so darn tired.  I have faired well with the compazine for nausea and use xanax to calm myself the week of chemo to get to sleep.    

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    Kimbly,

    I did my second chemo today. I'm thinking about trying 1/2 of an ativan tablet this time and see how i do on that. What is the Xanax? Does that get you through the night? I have an anti-anxiety med but it only is supposed to last for 4 or 5 hours. Let you know how i do with a lower dose of ativan. When i was younger I used to be able to benefit with ativan at an extremely low dose.



    Very tired today. The decadron is not fun. One more day of it.



    Erica

  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    Erica - congrats on having two chemo's behind you!  I have tried the Ativan before bed on nights when my mind is racing and I can't get to sleep but to be honest it didn't help me much (I took one pill.)  At least the decadron effects only last for several days.  Hang in there ... we can do this!

  • kimbly
    kimbly Member Posts: 398
    edited March 2008

    xanax is more for anxiety.  It helps me relax to fall asleep but no it doesn't always get me completely through the night.  I haven't slept completely through in ages, part of that is because my bladder wakes me up though. Laughing I hate the decadron too.  I start it tomorrow and am dreading it.  Good thing is this is my last time yay!!!

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    Kimbly,

    Wow, you need to go out and celebrate big time. You made it to the finish line girl! Congrats and best wishes that you are recovered and will not deal with it again.



    MaryAnn,

    Going without the ativan was OK. I took a Senekot last night and at least am staying regular which I was unable to do before. I seem to be working out the problems I experienced last time so I am encouraged by this. My only delemma now is when to take the fiber as most of what I've read says not to take fiber followed by meds. Does that mean I can't eat Fiber One cereal and then take my meds? I am still baffled by some of this. They did tell me unless I can boost my red blood count by next week I'll probably need a procrit. So I ordered some Raw Liver Extract from Wholefoods and am taking B12 supps. We'll see how I do. Would like to avoid the shot if possible.



    Take care and thanks for being here.



    Erica

  • MaryAnn-CA
    MaryAnn-CA Member Posts: 134
    edited March 2008

    Erica - I read somewhere (maybe on this board) that the FDA says that Procrit (and other similar drugs) should not be used in adjuvant breast cancer treatment.  This is very recent and I don't remember the details about it but I would check it out and ask your onc (maybe google FDA+Procrit?).  Maybe someone else here has more detail about this.  Eat lots of spinach, dried apricots, ... how about a steak!  Don't know about the fiber ...

  • juniper
    juniper Member Posts: 110
    edited March 2008

    I had two rounds of chemo.  The first was 12 weekly of Abraxane and herceptin.  The second round was FEC, 4 treatments over 12 weeks.  I stopped herceptin during the second round.  After that was over, weekly herceptin was started again.  When I finish radiation, I will switch to three-week herceptin.

  • Erica2
    Erica2 Member Posts: 113
    edited March 2008

    MaryAnn,

    I think they are waffling on this. It looks like the greatest problems were for those who were getting repeated injections even when they were at a adaquete level. My oncol says they don't do this. Nevertheless I would like to avoid a procrit if I can. One of my books says the best way to boost rbc is raw liver extract. I am waiting for some from wholefoods.



    Jenn, welcome to our group. Don't know if any of you are up on some of the history. But one of the first women who was involved in the clinical trials with herceptin is still fine today. At the time she started the clinical trial she was given 2 weeks to live. She was a super responder. What an inspiring story. Jenn, you sound like you are a super responder too! Take heart but I know it is a worry. A worry we all have to cope with...



    Thanks for being here...



    Erica

  • Erica2
    Erica2 Member Posts: 113
    edited April 2008

    Just checking in to find out how everyone is doing. Please fill me in. I am doing Herceptin this week and if my anemia isn't improved will get a procrit shot. I am tired of feeling tired and I don't want to feel this way heading into round 3. Have tried B supplements and liver extract and while they may make some improvement nothing like I used to be before these treatments. I hear the shot is painful but I guess no avoiding it...



    Hope all is well with you guys and you are not feeling tired like me.



    Erica

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