Hi!
I thought I would start a thread for us that start chemo in September 2009. I was operated with a mastectomy on the left side and lumpectomy on the right side (no reconstruction) on August 6th. I will get the results on September 1 and if all goes well I will start chemo shortly after.
I am healing nicely (we gals without reconstruction have it a little easier) and am now concentrating my energies on preparing for chemotherapy. I hope that we all can keep each other company and support each other through our chemo treatment. I know I'm nervous....
ninjamom (March 20) Taxotere/Carboplatin/Herceptin (bilat mx with T/E Aug 27)
juli-CA (Aug 18) TCH x 6 + Herceptin one year
mrsb45 (Aug 19) A/C x 4 + 12 weeks taxol
London-Virginia (Aug 21) FEC (75) x 6
carcharm (Aug 24) THC x 6
sanaisa (Aug 27) TCH x 6 + H 1 year
Brie (Aug 27) TAC x 6
victoriasecret (Aug 31) A/C x 4 + Taxol x 4
jennsdogs (end Aug) Taxotere/Carboplatin/Herceptin
vlday (Sept 2) A/C x 4 + Taxoral x 4
christine1000 (Sept 3) HCT x 6 + Herceptin x one year
KatieFantasia (Sept 3) E-CMF for 6 months
MN-Jeanne (Sept 4) TCH x 6 + H
ryder (Sept 4) FAC x 3 + Tax x 3
tamlyn110 (Sept 8) A/C x 4 + Taxol x 12
Neece (Sept 9) TAC x 6
Nerak50 (Sept 9) A/C x 4 + Taxol x 4
Melinda-Tma3 (Sept 14) AC x 4 (every 2 weeks)
LISAA401 (Sept 15) Taxotere and Cytoxan x 4
chinablue (Sept 15) AC x 4 + T x 12
krcll (Sept 16) FEC(100) x 4 + Taxotere x 4 + Herceptin x 17
Scoobydoo (Sept 17) AC x 4 + T x 4 (every 2 weeks)
flacracker (ca. Sept 18) ?
lottie (Sept 23) TC x 4 or 6
unklezwifeonty (September 28) A/C x 4 + Taxol x 12 +/- Avastin through Clinical Trial 5403
puffins (Sept 29) TAC x 6
njgirlnatl (Sept 30)
marieK (September)
fluteplayerrox (September) TC x 4
Torona (September) TC x 4
newtonville (end Sept) A/C x 4
BoyMom_2009 (end Sept)
vbabey (end Sept) A/C - T + (?)
delaine ?
(Please PM me if I haven't gotten it right or your info isn't here. Thanks!)
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 15, 2009 04:14 am, edited Sep 12, 2009 10:21 AM
by London-Virginia
London-Virginia wrote:
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krcll Joined: Aug 2009 Posts: 60 |
Aug 15, 2009 06:21 am
krcll wrote:
Hi London-Virginia! That's great that you want to join us (well, me....)! And nice to have someone almost in my time zone. I live in Oslo but am american. I studied in London and am often in the UK. Actually, I was supposed to fly there today but had to cancel because of the operation. I LOVE your image of your father leading the entire British navy (marine?) throughout the ages to fight on your behalf! I read a study that said those with a "fighting spirit" had a better prognosis than those that "stoically accepted" the cancer. I would say you are doing well on that account! Interestingly, those that were in denial and didn't want to admit they had cancer also had better prognosis'. I suppose the most important element is a positive attitude- based on reality or not. I also have had my Dad watching over me, but in a more modest way (he was a concert pianist, so his colleagues wouldn't be as helpful as your Dad's...). He passed away after a long illness in June and I still have a little pouch of some of his ashes with me that I will later spread in his home town. When I went to the hospital for the operation I took the pouch with me so he could make sure everthing went alright. I don't know if that sounds weird but I've always been a Daddy's girl so it helped me out. Maybe my Dad could play concerts on the ships before the big battles to help calm the sailors nerves and help with morale? Do you think that would be good? My surgeon said I would also have FEC. What does the 75 mean? I will have to check about the cold cap treatment at my hospital. Otherwise, I've been thinking about just buying some cheap scarves and using that to hide my bald head. I've done alot of research on the internet and there are a million cool ways to tie scarves so I thought I would try to make the chemo treatment into a creative fashion statement. On the other hand, I might feel so ill that it is all I can do to get a scarf stuffed onto my head any which way! I also had thoughts of making a henna "tattoo" on my head. I don't know if that is too rock 'n roll/Hells Angels or not. I'm a classical musician so I always have to consider how things look with an evening gown on ;-) Are you from originally from London? I've spent alot of time in Cornwall and London and have done alot of travelling around in the UK. All the best wishes for beginning your chemo! Sorry that you have to be first out, but we (I...) will be coming along soon. But then you also will be first finished ;-) Dx 7/29/2009, IDC, 2cm, 0/2 nodes, ER+/PR+, HER2- |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 16, 2009 02:18 pm, edited Sep 12, 2009 10:21 AM
by London-Virginia
London-Virginia wrote:
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delaine Joined: Jul 2009 Posts: 70 |
Aug 16, 2009 03:33 pm
delaine wrote:
Hi - I am expecting to hear from the cancer clinic in about 3 weeks or so. I had my bi-lat max on Aug. 6/09. Saw my surgeon on the 14th. post-op . My ILC tumour was 4cm, SNB 0/4.My BS said that I will be having chemo and so I am probably going to start in September, as well. I have no other details yet. I, unlike, London-Virginia, am not looking forward to any of it. I just try to put one foot in front of the other and move on. London-Virg - your post did make me laugh though. krcll - thankyou for starting this thread (not sure if that is the correct term) as I will definitely need to have this kind of support and others with whom to compare notes. I live in Canada. |
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ninjamom Joined: Jun 2009 Posts: 11 |
Aug 16, 2009 06:26 pm
ninjamom wrote:
I am currently awaiting bilaterals with T/E, scheduled 8/27. I have been through chemo already, I had my first dose on March 20th Taxotere/Carboplatin/Herceptin. I was switched to Abraxane/Carboplatin/Herceptin on my 2nd dose and continued to get that weekly until June. I can share with you the main things I learned and hopefully it may help some of you. When they give you the anti-nausea drugs, take each and every one you are suppose to take even if you feel okay. Also, the mound of drugs they gave me with the first dose did not work very well at all. I was then switched and put on Emend (3pk pill 125 mg and 2 80 mg) it worked very well for me. One thing I did find with it was it does constipate you. I have had problems with that my entire life but nothing even came close to what that stuff did to me! It worked great on the sickness but be sure you take stool softeners with it. I was able to work after the first few weeks and just went home and rested when I needed to. I believe for me the fear of the unknown was the worst. Just like this surgery coming up. I will be glad once it is over with and I am recovering. Best wishes to all of you! |
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jennsdogs Joined: Jul 2009 Posts: 47 |
Aug 16, 2009 08:09 pm
jennsdogs wrote:
Wondering if I can join as well. I will be starting Taxotere, carboplatin, herceptin at the end of August. Ninjamom: And what is the "cold cap" tx? Wonder if it would work for the TCH protocol?I will ask tomorrow. Thanks. Dx 5/13/2009, IDC, 1cm, Stage I, Grade 2, 0/3 nodes, ER+/PR+, HER2+ |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 17, 2009 04:36 am, edited Sep 12, 2009 10:22 AM
by London-Virginia
London-Virginia wrote:
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delaine Joined: Jul 2009 Posts: 70 |
Aug 17, 2009 03:35 pm
delaine wrote:
Hi Everyone London-Virg: Thanks for the welcome. I did understand what you meant by looking forward to chemo - as another step to getting all this over with. Your posts are funny; they make me laugh; we will need that for what is coming so please keep it up. DH and I were planning a trip to England this fall. Three of my grandparents were born there and one grandmother was born in Scotland. Maybe we will try it next fall. I read as much as possible on the forums about chemo. I guess I had convinced myself that it will be pretty bad but today I read some posts from women whose SE's were not that difficult, so fingers crossed for all of us. I have already been to a shop that specializes in wigs and clothing for cancer patients. I have not made a final decision on a wig yet and was going to go with a one that looks just like my own hair but maybe I should look for something a little different. I really need to stop feeling so very sorry for myself and get on with things. Ninjamom - I had bi-lat mx but with no reconstruction. It was pretty easy for me, really. I did not have to take any pain meds. I hope that your surgery will be just as easy as mine. I have come to this site every day, sometimes many times a day, since my dx and it has been such an enormous help to learn from the others here and to be able to share all aspects of having BC. I am particularly grateful to the women who have been through it all and still take the time to come back to encourage us and advise us.
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 17, 2009 04:40 pm, edited Sep 12, 2009 10:22 AM
by London-Virginia
London-Virginia wrote:
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newtonville
Joined: Jul 2009 Posts: 43 |
Aug 17, 2009 09:44 pm
newtonville wrote:
hi all, i live in Boston area and diagnosed in June. I had lumpectomy and will have lymph node axillary surgery next monday, and as soon as i heal from it, by endof septmeber i will start Chemo. I am so frightened by chemo. They recommended A/C with 4 treatments to start with. They may add more to it after the surgery results. Im scared,specially losing hair part already kills me with this long waiting. Any support wouldbe so appreciated. I am new the supportgroups and everything. thanks. newtonville
Dx 6/4/2009, DCIS, 1cm, Stage I |
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delaine Joined: Jul 2009 Posts: 70 |
Aug 17, 2009 10:20 pm
delaine wrote:
Hi newtonville I hear ya! I am frightened by the thought of chemo too. I was very much afraid of the surgery and that turned out to be not all that bad. So maybe the chemo won't be as terrible as we are imagining it to be. I guess we will find out soon enough but if we all keep in touch through this forum it will help - misery loves company, right? The hair loss won't be fun but it will be winter and cold and we won't look out of the ordinary wearing our hats in public.I just really cannot picture me bald -I probably have a really weird looking head. This site is such a boon - cannot imagine how I would have coped this far without it. krcll - just re-read your post and realized that you and I had surgery on the same day, Aug. 6. Every day gets easier for me, how about you? |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 18, 2009 07:59 am, edited Sep 12, 2009 10:22 AM
by London-Virginia
London-Virginia wrote:
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krcll Joined: Aug 2009 Posts: 60 |
Aug 18, 2009 05:29 pm
krcll wrote:
Hi and welcome everyone! delaine- I'm doing pretty well. I am not yet up to full speed but have started working a little. I am having some swelling and irritation under my left armpit (mastectomy side) which makes me a little scared but I'm sure I'm just over reacting- I'm a musician so I REALLY don't want lymphedema. How about you? Are you getting your energy back? newtonville- Good luck on the surgery monday. I'll be thinking of you! As far as losing hair, I also was most worried by the no hair part of chemo. I mean, you can fake the lost boob and if you're not feeling well you can use a little more make-up but losing your hair is impossible to hide! I tried on some wigs and felt like a little old lady.... I tried some chemo hats and felt Quaker.... but I did a bunch of research on the internet and have found some really cool hats and scarves. The most important has been that I have found lots and lots of different ways to tie the scarves so that I don't always have to end up with the Fiddler-on-the-Roof look. Of course, it depends on how much time you want to use figuring everything out, but for me it has been kind of fun and I am looking forward to getting everything I have ordered and trying it out. They say the square scarves that are at least 35" are best but I've also found that there are lots of ways of tying rectangular scarves also, if they are wide enough to cover the whole head. These are the web sites for head coverings I've liked best: Hijab - Hijab Al-Muminat: Islamic Clothing for Women Square Hijab, Islamic Scarf, Buy,Italian Scarves,Mortada,Head Scarf Head Scarf - Scarves for Cancer, Chemo, Chemotherapy Patients - Square Scarves TASARAM - Distinctive Silk Scarves And the most important thing, for me, here are the youtube links on the different ways to tie the scarves: kangaUSA - How To Tie A Back Twist Turban kangaUSA - How To Tie A Traditional Head Wrap I'll have to see if all the African ways of tying look too ethnic on Norwegian/American me, but I'll probably decide on 3 or 4 main ways of tying and stick with those. I suppose it is my little attempt to make lemonade out of a lemon, but maybe you can find a creative and fun way to show the world that there are lots of ways of being pretty without hair! Hi jennsdogs! ninjamom: You can be our senior advisor, seeing as you have already been through chemo! Thanks! I don't have any questions for you yet, but I'm sure I will later. About the surgery, it really is easier than you fear. But I do think that the worrying before serves the purpose of letting us be relieved afterward. So maybe you could try to accept the worrying as a natural part of it and not to fight against it.... London-Virginia: I hope the cold cap works on you. It must be hardest to lose long hair - I've had short hair for a long time. Since I am a musician, I will try to get "cold gloves" to offset neuropathy. I've heard that you can only cool down one place, but I'll check that when I meet the chemo people. I hope everything goes well with your chemo on Friday. Just remember that you start first, but you will also be done first! Lots of hugs to everyone, Kari Dx 7/29/2009, IDC, 2cm, 0/2 nodes, ER+/PR+, HER2- |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 18, 2009 05:56 pm
London-Virginia wrote:
hey Kari - that's some post! What a fantastic amount of handy info for scarves etc etc. Love the Fiddler on the Roof jest!! Also the Quaker look. I think that is my consideration on scarves etc - I don't particularly want to look like the first Central London member of the Amish community (although they certainly seem like very nice folk and I rather approve of horse -power farming. Doesn't hurt the land and horses are the world's nicest creatures in my book). I would like to see the Traffic Wardens trying to tow away a horse and buggy!! Could be a great way of bucking the central London congestion charges - I think they only apply to cars. Hitching up out side of my favourite store on Bond Street could be fun! If wearing scarves/hats, then I think that rather shows off earrings to their best advantage. Perhaps a moment for investment in more earrings ladies? I have found Aloe Vera gel is soothing on wounds or around wounds, and Arnica does help settle bruising. Getting quite nervy as Friday draws closer. No rationale, just the unknown. I still have two not healed areas on my breasts (my op was complex and unusual in the US - lumpectomy but with big breast reduction on both breasts.) I would have liked it if everything was totally healed but don't want to wait forever to do the chemo. The chemo will slow down further healing, so I guess I am facing 3 months of having to have dressings on both breasts. Grrrrrr Ironically, it is the right breast that is the worst, and that wasn't the one with the lump!! While I think of it, ladies on regimes other than FEC, I am reliably told by a friend in Greece that wearing dark nail polish on both hand and feet nails helps protect from the worst excesses of some of the chemo regimes. Don't know why it needs to be dark, but apparently it works. I am drinking gallons of fluids because that a) helps the nurse get a vein more easily, b) helps flush the chemo. Apparently good for avoiding any cistitis problems. (not unknown with FEC). I have also read that for a few days after chemo, it is a good idea to just pour some water over your private bits when you go top the loo (toilet) as again, that would wash away any chemo chemicals after you've had a wee. How you doping Newtonville? Hang on in there. Do you live in a rural area? Where is it near? I find it really interesting to get the opportunity of meeting people from all over the glove. I am nipping off to bed now, but will catch up with you all soon. warmest hugs to all - Virginia
Dx 5/9/2009, IDC, 2cm, Stage IIb, Grade 3, 1/2 nodes, ER+/PR+, HER2- |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 18, 2009 05:59 pm, edited Sep 12, 2009 10:22 AM
by London-Virginia
London-Virginia wrote:
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delaine Joined: Jul 2009 Posts: 70 |
Aug 18, 2009 06:18 pm
delaine wrote:
Hi everyone krcll - I have always been a bit of a "low-energy" type (some might say lazy) so I feel about the same as always. I am having odd electric shock type feelings in my incisions every once in a while. It is a bit painful when it happens. Thanks for all the info. about the scarves; you have done a lot of work. London-Virginia your post made me laugh out loud. I don't do that very much these days so thank you for that. The woman at the cancer accessory shop said the same thing about wearing larger, more dangly earrings with caps and scarves. I did buy three pair of new earrings on a recent trip but somehow I have misplaced them. Good tip about drinking water and better veins. I had not heard that before. ninjamom -do you have a port? |
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newtonville
Joined: Jul 2009 Posts: 43 |
Aug 18, 2009 10:06 pm
newtonville wrote:
hi all, thanks for all your replies. i dont' feel alone here. also i don't know how to update my diagnoses here. i first was diagnosed as DCIS and after surgery and with more results, my DCIS changed to invasive cancer stage II, and grade 2 tumor. I don't know how many nodes affected till few weeks later but one is already affected of the 2 nodes they took. so if any of you how to change your diagnose part here, so i don't mislead anyone. thanks. krcll--- you are my angel. thank you for allthe sites about scarves and etc. i really need to learn a lot,how to tie and be creative. I never use head accessories in my life. idont' like hats, or scarves, so this will be real challenge for me. Thank you so much. I do live in a big city, close to Boston, so not rural area at all. Delaine- you are right. once we are in it, it may not be as bad. i was so scared of the first surgery, adn it was not bad at all. they say lymph node one is harder. with drains, and very uncomfy. u rright. I wish i can be positive as you are London-Virginia. I admire your strength and postiveness. newtonville
Dx 6/4/2009, DCIS, 1cm, Stage I |
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mrsb45 Joined: Aug 2008 Posts: 75 |
Aug 18, 2009 10:38 pm
mrsb45 wrote:
Hope I can join your thread also as I will start chemo tomorrow ( 8/19) with 4 rounds of ac and 12 weeks of taxol. I am also from the Boston area (South Shore) and had bilat mx with node dissection and reconstruction on 6/26/09. This was a local recurrance after lumpectomy and radiation last year so am very sick of cancer and treatments. Hopefully after chemo I can get my life back to normal. I am also vey nervous about the chemo because I hate taking meds. Hope I tolerate it as well as I did the radiation and surgery.The scary part is everyone is different so you don't know till you get it how it's going to affect you. Well thanks for startng this thread and will let you know how my first treatment goes :) |
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Gitane Joined: Feb 2008 Posts: 829 |
Aug 19, 2009 01:53 am
Gitane wrote:
Hi delaine, Since I can't seem to get you over to the ILC board I came looking for you here with all your IDC chemo pals. Thanks so much for your good wishes. I really appreciate it. I'll be checking on you. Hugs, G. Dx 8/18/05, Pleomorphic ILC, multifocal, multicentric, G2, 1/9 nodes positive, OncotypeDX 23, ER+ PR- Her2-
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delaine Joined: Jul 2009 Posts: 70 |
Aug 19, 2009 02:23 am
delaine wrote:
Hi everyone mrsb45 We will be waiting to hear how you made out with your first treatment- I so hope it is easy for you. Gitane - I take my pals where I can get em but your comment is funny. I will head over to the ILC board tomorrow. |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 19, 2009 05:50 am, edited Sep 12, 2009 10:23 AM
by London-Virginia
London-Virginia wrote:
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delaine Joined: Jul 2009 Posts: 70 |
Aug 19, 2009 10:04 am
delaine wrote:
Hi all, London-Viginia - I feel nervous right along with you. Your sense of humour and positive attitude will carry you along way. I am sure they would not give you chemo if your unhealed areas were going to be a problem but it is another rotten thing to have to deal with on top of everything else. |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 19, 2009 10:30 am, edited Sep 12, 2009 10:23 AM
by London-Virginia
London-Virginia wrote:
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delaine Joined: Jul 2009 Posts: 70 |
Aug 19, 2009 01:51 pm
delaine wrote:
London-Virginia - I know what you mean - I tend to be outspoken and somewhat sarcastic (blunt, I've been told) but with this diagnosis my friends all say - you'll be just fine, you are so strong. I cannot believe they are talking about me. I am anxiety-ridden, weepy and afraid of the future. A real "dysmal Jimmy" as you put it. Even my family thinks that the surgery was the biggest hurdle and that is over now. I think that was the easy part. Have you painted your finger and toe nails black? I will try that based on your success with it, mrsb45 - how did make out today - was it easier than you expected? I hope so. |
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mrsb45 Joined: Aug 2008 Posts: 75 |
Aug 20, 2009 03:31 pm
mrsb45 wrote:
Hi delainie, london-virgina, The treatment went well with everyone being super nice knowing how nervous I was. I;m also a nurse sometimes which makes things worse cause we know too much. I did well with the adryamycian but started with bad headache near the end of the cytoxin. Ended up being the worse migraine I ever had plus the nausea so we called the md and they felt it was from the Zofran i haven/t taken that agian. I ended up taking vicodan for headache because nothing else touched it. Feeling little better today with slight headache and nausea and sleeping alot, hard to drink lots of water as were suppose to cause increases the nausea but sugar free popsicles go down easy so have been having those. I just really hate the nausea but hopefully each day gets a little better. Delaine I also agree that my family thinks the surgery was the worse but I said at least with the surgery you know each day will get better but with chemo each session might be worse with different issues to deal with1 |
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krcll Joined: Aug 2009 Posts: 60 |
Aug 20, 2009 05:09 pm
krcll wrote:
mrsb45- It sounds like you have had a tough time. I'm so sorry to hear that. But maybe next time you will know more about which meds help you best with the side effects? I hope that you will be feeling better tomorrow... London-Victoria- I just want you to know that I will be thinking about you tomorrow when you get your first chemo. I'm sure you will have a fantastic team around you, like mrsb45 seems to have had. That is the most important. All the best with managing the side effects. Just remember that Admiral Lord Nelson and Codrington are on your side! delaine- It is funny how everyone is so concerned about the surgery, but don't seem so concerned about the chemo or rads. I suppose that getting a breast cut off is so dramatic for most people that it is hard to realize that other things are, in the end, harder to tackle. I have to say that I have been open at work about why I am away (or rather, I told 5 people and within 1 week 125 people knew.....) and everyone has been incredibly supportive and nice. I know they don't really understand even if they want to, so I expect them to lose interest just about the time I need the most support.... Also, I am thinking having cancer might be like when I went through a divorce- I was always able to "pull myself together" at the beginning, but as time went on I had less and less energy to manage things. I just got run down. Even when I was "done" with the divorce I then had to build myself up again. It is hard for anyone on the outside to realize how it really is. But then that is why we are here for each other. WE understand! newtonville- I just got my first scarves from headcovers.com. 4 days from the States to Norway! They are beautiful scarves and a nice size. They have a great selection. I have ordered 1 or 2 scarves from 6 different places, so I would in ANY case find something that worked for me. I will keep you updated as to how it goes. Dx 7/29/2009, IDC, 2cm, 0/2 nodes, ER+/PR+, HER2- |
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 20, 2009 05:56 pm, edited Sep 12, 2009 10:23 AM
by London-Virginia
London-Virginia wrote:
This Post was deleted by London-Virginia.
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delaine Joined: Jul 2009 Posts: 70 |
Aug 20, 2009 09:14 pm
delaine wrote:
mrsb45 Sorry to hear that you had a rotten migraine from the chemo. I hope that you are feeling better now, are you? London-Virginia - I am hoping that your treatment tomorrow will not be difficult. Keep us in the loop. How nice of your friends to actually volunteer to be vomited on. You have good friends. I'll be mentally putting my friends up against yours - I bet none of them are that loyal. Personally, I prefer to be sick in private so would not want them there anyway - just want to know how far they would go though. hello kcrll and newtonville - I have looked at the headcovers website - it is good to know that they ship their products so quickly. |
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Gitane Joined: Feb 2008 Posts: 829 |
Aug 20, 2009 09:46 pm
Gitane wrote:
delaine and friends, I hope you don't mind if I jump in here with a comment. Way back when (this time of year, 2005) I had adriamycin/cytoxan dose dense x 6. Ya, it was lots of fun. I was treated with Emend and it was very helpful, and drank lots of fluids. However, I wanted to share with you that the very best drug for me to take for the queeziness/nausea was Kytril. As the infusions continued I needed something that would help me. I tried some others, but the Kytril really worked much better than anything else. What didn't work, and actually made it worse, was Compazine (is that how it's spelled?) Anyway, I have to say I'm out of the loop with the new drugs, there may be much better ones now, but it did the trick for me. G. Dx 8/18/05, Pleomorphic ILC, multifocal, multicentric, G2, 1/9 nodes positive, OncotypeDX 23, ER+ PR- Her2-
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London-Virg
Joined: May 2009 Posts: 827 |
Aug 21, 2009 03:37 am, edited Sep 12, 2009 10:24 AM
by London-Virginia
London-Virginia wrote:
This Post was deleted by London-Virginia.
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