Starting Chemo May 2008

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  • familyroks
    familyroks Member Posts: 575
    edited May 2008

    Roxi - Angels is right.  It never hurts to ask.  I had my port put in at the same time as my mastectomy.  Oddly enough, the port was more sore than the mastectomy side, during recovery.  Not enough to take meds but there.  Luckily, my first port access was to flush it two weeks after install.  No discomfort at all by then.

    ~Adrienne

  • collector
    collector Member Posts: 193
    edited May 2008

    So does everyone get Neulasta as part of their treatment or do they wait to see if your blood counts get too low?

  • familyroks
    familyroks Member Posts: 575
    edited May 2008

    Neulasta was automatically included in my treatment.  I get it the day after chemo.  It may be because I'm on dense dose, every two weeks.

    I had my first chemo on Wednesday and I go in next Wednesday to have my blood count checked.

    ~Adrienne

  • craftygal
    craftygal Member Posts: 31
    edited May 2008

    Hi to the May Gals,

    I was on the T/C thread and wanted to join you too. 

    I started t/cx4 Monday. Had slight chills/fever Wedn night but Tylenol fixed that and helped joint pain too. Food fixes nausea better than pills. Follow-up and BW next week and #2 5/27. Some fatigue and mouth sensitivity, but from readings I may have more s/e next week. Things have gone much better than I expected. Hope it continues.

    Glad to join your group as we get thru this journey together.

    Janice 

  • angelsaboveus
    angelsaboveus Member Posts: 298
    edited May 2008

    welcome craftygal,

    Glad to here your first tx went well, most we can hope for right!  my second tx is on the 29th right on you heals. Like you i'm wondering what will come as the days progress, maybe we will get lucky and sail on thru !

    take care Innocent

  • beachmom13
    beachmom13 Member Posts: 313
    edited May 2008

    collector - different doctor's do neulasta differently.  Mine waits until he does the first blood work after the first infusion.  If your counts are low then, he gives it at that time and it becomes routine the day after each tx.

  • Roxi65229
    Roxi65229 Member Posts: 462
    edited May 2008

    Angels and Adrienne,

    I'll definitely ask about keeping the needle in after surgery. Thanks for the advice. Neulasta is also part of my regiment. Not sure just yet when I'll get it. I had a low count after my mastectomy but they attributed it to the surgery. I get blood pulled right before treatment next Tuesday.



    Welcome Janice...the Drs. suggested I get a digital thermometer to track my temp. I just got a great one at Target that lights up green, yellow or red. Can it be any easier??? Have you consistently ran a fever? I know alot of people do.

  • gogators
    gogators Member Posts: 39
    edited May 2008

    Hello to everyone.  My name is Tina I was diagnosed with IDC 3-26-08 and have had two lumpectomies since then.  I finally start chemo (TAC x 6 treatments) on 5-22.  I will have to have the Neulasta shot the day after as my onc gives it automatically. 

    I am a little concerned with all of the SE's as I am a 34 yo single mother of two boys and must work through this treatment.  I had major back surgery at the beginning of the year and between that and the lumpectomies, paid time off is running out.  The only day I plan to take off is the actual treatment day and that may even turn into working a half day depending on length of time the treatment takes and my 45 minute commute. 

    I am having a port installed a week from today and I'm nervous about that as well. 

    Well, I think that about covers it for now.  I look forward to learning and sharing with all of you.

  • rock
    rock Member Posts: 1,486
    edited May 2008

    First dose-dense A/C on Wednesday (2 days ago). Self-administered Neulasta 24 hours after first tx.  Like Craftygal, am experimenting with a Tylenol every 4 hours in hopes of avoiding big bone pain that I tend to get (even pre-dx) when my bone marrow is working in overdrive.  So far, so good. But I know that there may be a rough day or two ahead yet. (Eak and Roxi(?): Thanks for the heads up about Day 3 & 4! Fingers crossed.)

     I'm hungry, but with little appetite. Again, I'm with Craftygal, little meals seem to work best for me to keep away the queasiness. Things I can imagine eating: So on the off chance that someone else is stumped for "What do I feel like eating?" I offer:

    string cheese, unsweetened applesauce, a slice of cheese pizza, a glass of Keffir, a glass of Bolton's "Perfectly Protein" choco whey protein drink, quiche (a friend is bringing two over tomorrow, God love her!), omelet made out of Egg Beaters. (Trying to avoid heavy carbs; they knock me out too much!)

    i'm trying to eat a few walnuts (protein), some dried apricots.

    I have had 8 doc appts in 5 days. I think a lot of my fatigue is from that.  I intend to go for a brisk walk tomorrow, and try to shake some of this off. (Any cyber-joiners?!)

  • otter
    otter Member Posts: 6,099
    edited May 2008

    Hi, everybody--just stopping in from the April and Taxotere/Cytoxan groups!

    I thought of a couple of things:

    Carla, you mentioned this:  "The steroids are making my face, neck and chest red so will be glad to end those tonight.  The chemo started a skin tich/tingle thing last night.  Trying to ignore it.  Not too bad.  Has anyone experienced this?"

    I had the hot, red face the night of, and day after, chemo too. I didn't think it was the Decadron, because it seemed to occur right before each 12-hour dose, and go away shortly after I took the drug. But my onco sort of implied it was the steroids giving me the red face, so you are probably right.  I also have had some skin problems--rashes, etc.--on Taxotere/Cytoxan.  I had my 2nd treatment on April 23, and on day 4 I developed hives.  That lasted for 2 or 3 days, and then I was fine ... until day 10, when I developed red, itchy bumps on my head!  It's always something...

    familyroks, I had the burping/hiccups thing during my 1st round of TC.  It turned out to be related to the severe indigestion I was having at the time.  Once I got the indigestion under control by switching from Pepcid to Prilosec, I had no more problems with indigestion OR burping OR hiccups.

    gogators (I wonder where that screen name came from???), I sure hope you have a little bit of flexibility in your work schedule.  Some people are able to work right through chemo, but most people need to take off a day or two (or more) when the worst of the SE's hit.  There is another thread on this Chemo topic that deals with the timing of the worst SE's.  Then again, everybody is different; so maybe you'll do fine.

    My 3rd Taxotere/Cytoxan tx is next Wednesday (May 14), so I'm a little bit ahead of the "Starting in May" crowd.  Just thought I'd stop by and say "hi", and make sure you were all behaving yourselves!

    otter 

  • LorenaB
    LorenaB Member Posts: 937
    edited May 2008

    Gogators -- just popping in from the March/April boards (finished my last chemo tx on Thursday, hooray!) and saw your post about working through chemo, and just wanted to add my 2 cents.  I am also a single mom (my son is 7) with a FT job, although I have been very lucky in terms of my employer's flexibility and my coworkers' willingness to pitch in.  I was just wondering if you have any arrangements in place for child care support in the days after each chemo tx.  I was also lucky because my exH and I are on very good terms, and he moved back to our town (with his gf and new baby!) to be able to help out with our son.  Either he or my parents have taken my son for the weekend after each of my treatments, and that break has really helped.

    When my onco was going over the chemo side effects with me, this is how she described it: about 25% of patients sail through with minimal problems, don't have to miss work, aren't really affected too much (other than the hair loss, which is a given with A/C tx anyway).  About 50% fall into the middle category -- some queasiness, some fatigue, other symptoms that can usually be managed by medication.  And the final 25% have more serious issues, like bad nausea and debilitating fatigue.

    I've seen posts on this board by a number of lucky women who fell into the first category and were able to work through tx without too much trouble.  I am in the middle category -- and honestly, I would have had a really hard time going into work every day during chemo.  I could have done it, it wouldn't have killed me, but 1) I would not have been productive; and 2) I don't think I would have had once ounce of energy left at the end of the day for my son.  I had my chemo on Thursdays, took off Friday, rested the weekend, hit a low point on Monday, and made it back to work by Tuesday or Wednesday each time.

    I don't mean to scare you, you are young and hopefully will fit into the first category, but it might be helpful to have a backup plan just in case.  And as I said, help with child care has really made a difference.  I've found that I've had to relax my routines and rules with my son because I just don't have the energy to do stuff with him after working all day (and this has been worse the last few weeks -- it's true what they say about the fatigue being cumulative).  He's been watching too much tv and eating too many chicken nuggets -- but I know it's only temporary and I'll just have to get serious with him and get back on track as soon as I'm feeling better.

    Sorry for writing so much, I was just concerned and wanted to make sure you had enough info to plan.  Good luck to you and to all the May chemo-starters!

    Lauren

  • gogators
    gogators Member Posts: 39
    edited May 2008

    Lauren, thank you for your reply.  Unfortunately, my ex and I are not on such great terms, he is mentally ill and lives out of state now.  I also do not have family support as both of my parents passed away of cancer.  It is just me and my boys, they are 12 and 13 (the youngest is mentally ill as well) and are my whole world.

    Anyway, not complaining, just giving background.  I truly hope I am on that first category as well, if not I will have to take it as it comes I guess.  I have talked to my boss about working from home, but he has to talk with corporate about that...we'll see.  

    I am trying to keep a positive outlook on this whole thing.  This has happened to me for a reason and it is my duty to do the best with it that I can.

    Thanks again for your post.  Have a wonderful Mother's Day!!

  • Roxi65229
    Roxi65229 Member Posts: 462
    edited May 2008

    Tina,

    Welcome. I must agree with Lauren. Everyone has a different reaction to chemo. My aunt had her treatments on Friday, rested through the weekend and was back to work on Monday. I'm also planning on working and start my chemo on Tuesday. I've already spoken to my HR department regarding maintaining full-time status and exactly how many hours are required to do so. I have a salaried position at 40 hrs/wk. I can drop to 30 hours and still maintain FT status. Of course I'll have to burn through all my sick-time and holiday time first which isn't much anyways. Check into any other work arrangements that may be possible. Can you work at home at all? Most employers are willing to work with you during this difficult time. Good luck and hope to see you again.



    Otter, it's always great to hear what's been going on with you since you're a little ahead of us. Keep us posted...



    Lauren...Yeah! Glad to see you've finished your treatments.



    Roxi

  • drcrisc
    drcrisc Member Posts: 836
    edited May 2008

    Good morning, everyone ~

    Tina - I agree with Lauren, even though I haven't started chemo yet, I have thought alot about how to work things out.  I plan to still work as much as I am able, but also have flexibility.  Do you have any other support systems?  It was very pleasantly surprising to me when I first started letting people know about the bc how many of them offered help, even those who didn't know me very well.  Some of the best offers are a meal (at least you'll know there's food other than the fast kind!) and I took people up on those even though my dh can cook decently.  Most people who offer truly want to help, so don't be shy about accepting. 

    LorenaB - Glad to hear you're almost done!

    Wishing a good weekend to all!!  Smile

  • angelsaboveus
    angelsaboveus Member Posts: 298
    edited May 2008

    Happy saturday all,

    2nd day after 1st chemo for me, feeling a little funky in the mouth but no nausea yet. I started sneezing and got a bit congested and thought oh no a cold, but apparently it a se from one of the the drugs . Expecting to lose some more energy in the next couple of days but if this is the worst of it this time around bring it on!  I know next tx might be a little worse as the drugs build up in you, hopefuly not to bad though.

    Hope everyone else is doing well and Happy Mothers Day to all the moms out there, it should be mothers day every day ! Innocent

  • rock
    rock Member Posts: 1,486
    edited May 2008

    Otter: Thank you.  Every post is a gem. (Your Neulasta thread -- wow!)

    Everyone: This is my day 3. So far, so good. A little more tired and constipada but okay. Went for a walk. Friend is delivering a quiche or two and I am crazy excited. (I hope to pass on to her some of the sweets people have been bringing by. Sugar and I cannot safely co-exist in the same household.)

  • KristyAnn
    KristyAnn Member Posts: 793
    edited May 2008

    Today is Day 16 after tx #1 and my hair is coming out!

    My next treatment is Thursday- May 15- I guess I will be in hats and scarves completely by then.

    Kristy

  • cbme123
    cbme123 Member Posts: 19
    edited May 2008

    Hi everyone!  Like Angels, it is 2 days after chemo#1.  Tummy ache today, a little fatigued.  Overall not too bad.  Should have gone to the store yesterday but didn't know what to expect.  Think gingerale would help?  No nausea, just tummy ache.  Hope all is well with everyone!  Carla

  • robink
    robink Member Posts: 336
    edited May 2008

    Angels and Carla - I wishing minimal SE for you this week end and managable fatigue when it hits.  Let others help you. 

    That funky mouth thing - drove me crazy.  It finally went away today ( 10 days after 1st chemo), I was diligent with the baking soda/salt mouth wash.  Maybe that helped.  No mouth sores!

    Kristy - you hung onto your hair an extra day or 2!  Have you recovered from the hospitalization?  Hope you are taking it easy this weekend.

    Rockthebald - I found the walks helped me feel better with leg aches and energy, hope the same for you.  Enjoy the quiches!  Sounds yummy.

    Cristine - I can't remember, when do you start treatments?

    Roxi - will you be starting Monday?

    Gogators - you'll be glad for the port.  It's a simple procedure and and I wish you well.  My onc doesn't give the Neulasta automatically, only if the wbc drops too low, says the taxotere causes enough muscle/bone pain and doesn't want to worsen it without cause.

    Accept help from family/friends with meals or caring for your boys during treatments.

    family and beachmom - how are you this weekend?

    I know there are others but I'm getting lost on the page so happy mother's day to all! 

    Robin

  • annie39
    annie39 Member Posts: 1
    edited May 2008

    Hi everyone,

    Nice to know there is a community out there I have learned alot from the posts!



    I started 4 rounds of T/C on last week of April. I am starting to feel more normal now almost two weeks out. Day 17 and haven't lost my hair yet but I can tell it will happen soon. My hair is very dry like a plant that hasn't been watered only a matter of time before it "releases" . I guess I am in denial haven't gotten a wig they couldn't fit my for one because I have too much hair and it looked very weird when I tried it on.



    I got very hyper from the steroids they give you so the day before and the day after I was actually cleaning my closets and selling things on ebay! DId this happen to anyone else? Next time I will definitely have the cut the dose! What goes up of course must come down and I crashed pretty hard day 4 and 5. Couldn't get out of bed and then sleeping hours during the day and still at night for a while. I also had horrible constipation and my IBS came back with a vengence which I will not elaborate on but I had bad cramps and didn't want to eat for a while. Protein drinks got me through until I started to eat bland things like toast and cereal with rice milk. Now I am feeling better have been running when I can and seem to do well especially if I sneak a nap in the middle of the day

  • familyroks
    familyroks Member Posts: 575
    edited May 2008

    Good Morning all!

    Today is Day #4 after chemo.  I was pretty tired yesterday..ok, alot tired.  I was also a bit lightheaded earlier in the day.  So it was a day on the couch for me.  I had a little bit of sinus pressure also but nothing too bad.  I also found the light from my computer monitor irritating so kept away from it.  Has anyone else experienced light sensitivity?

    For those experiencing constipation, it might help to work 2 teaspoons of healthy oil (such as olive) into a meal....oatmeal, scrambled eggs.  I've been on Weight Watchers since October and the healthy oils each day is key.  The first 2 days after chemo I hadn't done them and realized they might help and they did.

    So far, not too bad.  I hope to get some energy back today.  It sounds like we are all holding up fairly well.

    Tina - You have a plateful and then some.  I encourage you to look for support groups in your area and use them as much as you can.  Don't feel bad doing so...that is what they are there for.  And of course, you always have us!

    Carla - gingerale or 7-up might help.  Could it be constipation?  I hope its better this morning. 

    Happy Mother's Day to all the mom's!

    ~Adrienne

  • familyroks
    familyroks Member Posts: 575
    edited May 2008

    Otter - thanks for the heads up on the Pepcid!  I was burping so bad yesterday it was getting on my last nerve.  I kept telling myself that its better than the alternative...but still.

    I took a Pepcid and whoosh...the burps were gone!  So THANK YOU!!!  Your posts have been invaluable.

    ~Adrienne

  • Roxi65229
    Roxi65229 Member Posts: 462
    edited May 2008

    Happy Sunday and Happy Mother's Day,

    Otter-I get my port in Monday and start A/C on Tuesday.



    Ladies, can I drive myself to treatments? The Drs. said no problem but I wasn't sure if you're dizzy or not. I typically do pretty well with nausea. Someone told me that your nausea pattern for chemo follows your nausea from when you were pregnant? True?



    It sounds like everyone is tolerating the meds pretty well. I'll be joining you soon...



    I hope everyone has a lovely day. We're getting some much needed rain in Wisconsin. The fields have been planted and summer will be here soon.



    Roxi

  • LorenaB
    LorenaB Member Posts: 937
    edited May 2008

    Roxi, I think it depends on how far you have to drive.  I would have been able to drive home afterwards if I absolutely had to, but I was very grateful to have a ride (hospital is aboutg 50 minutes from home).  I felt a little bit lightheaded and just really tired -- I'm at a big cancer center and there is a lot of waiting involved, so I was there for at least 6 hours each time.  For my last three tx, I took public transportation in the a.m. and asked one of my wonderful co-workers to come to meet me for the last hour of tx and take me home -- but I know this isn't an option where everyone lives!

    Actually, for me the nausea is sort of similar to my first trimester of pregnancy -- just some low-level queasiness, and if I kept munching on crackers it never progressed into full-fledged yuckiness.  I've also heard that the nausea is sometimes worse for those who experience bad motion sickness.

  • drcrisc
    drcrisc Member Posts: 836
    edited May 2008

    Happy Mother's Day to everyone - even if you don't have children your a mother to someone/something!

    RobinK - I don't have a "start" date yet as we are still waiting for the results of the second opinion on the pathology.  I should get it mid-next week and so will probably start the week after.  I'm bringing up the rear!!  Wink

    Annie39 - I have IBS also and have been concerned about the constipation issue.  I'm going to talk to my onc about it, but I have heard a few gals mention using Senna tea.  It is the same ingredient as in Sennekot, but you can control the dosage by how long you steep the tea.  I haven't tried it, but it may be a good idea.  I have also heard some say to use it (or something) before the chemo rather than waiting until after.  Let me know if you find something that works!

    I don't know what to think about the nausea part - I had mild queasiness when I was pregnant but get bad car/air sick!  Frown  Guess I won't know until it happens...

    Glad to hear that everyone who started last week is doing o.k. and good luck/thoughts/wishes to those starting this coming one. 

  • gogators
    gogators Member Posts: 39
    edited May 2008

    OK, since we are on the constipation topic, I have another question...  I have read that many take a stool softener/laxative the night before chemo.  I am worried that if I do this, I will have to "go" during treatment.  Should I wait until the day of for the first treatment or will I be OK to take it the night before? 

    I hope everyone is having a wonderful mother's day.

    Tina

  • gogators
    gogators Member Posts: 39
    edited May 2008

    OK, since we are on the constipation topic, I have another question...  I have read that many take a stool softener/laxative the night before chemo.  I am worried that if I do this, I will have to "go" during treatment.  Should I wait until the day of for the first treatment or will I be OK to take it the night before? 

    I hope everyone is having a wonderful mother's day.

    Tina

  • revkat
    revkat Member Posts: 763
    edited May 2008

    Hi, I'm just dropping by from the April thread. Wanted to add (for what it's worth) my experience with constipation was that it was fine to wait until the night after chemo to take the first stool softener. But I haven't had it as bad as many folks do. And with the nausea -- I was told the same thing about morning sickness (which I had a moderate amount of with 3 pregnancies) and motion sickness (which I have a lot of). But, I haven't had any nausea with chemo! I'm on zofran, before chem and then I take it every 8 hours without fail for the next 3 days.

    Everyone seems to respond to all these things a bit differently, so the first time around remember to write down what you take when and how you feel (you will forget by the time your next treatment comes around), then you can tweak things for round 2. In general though, most of us seem to discover that we should go ahead and take all those meds! You probably will only need them for the first week but it is always better to stay ahead for the se's than to try to catch up to them.

  • cbme123
    cbme123 Member Posts: 19
    edited May 2008

    good evening group!  OK..the indigestion is killing me.  can't get rid of it.  know it's the chemo.  pepcid did not help.  any suggestions?  No nausea, but this has been bothering me since last night...gotten worse throughout the day.  Chemo was Thursday.  Angels, you feeling anything?  Thanks!   Carla

  • Diane0803
    Diane0803 Member Posts: 2
    edited May 2008

    Hi Kristy!  I live in Houston, TX, and will begin chemo this Thurs., 5-15. I will receive 4 rounds of AC 2 weeks apart, then 4 rounds of Taxol.  Please keep in touch.  I would love to make and keep in contact with everyone.

    Thoughts and prayers are with you!

    Diane

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