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All TopicsForum: Chemotherapy - Before, During and After → Topic: Taxol and nails

Topic: Taxol and nails

Forum: Chemotherapy - Before, During and After — Regimens, side effects, and support from others going through chemo.

Posted on: Mar 3, 2012 09:21AM

faithhopenluv wrote:

I've seen a lot in other threads but it is all running together. My nails are growing like normal on AC, but Taxol is next. I've heard nail hardner, tea tree oil, paint them black, icing them during treatment, ftozen peas, etc. Can you please share your experience of what has worked and what hasn't?

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Mar 3, 2012 11:02AM Momof2inME wrote:

I start taxol next week. I have long, hard nails that grow very nicely. I think losing them will be more traumatic than my hair coming out. Smile My onc nurse told me to cut them all down, keep them painted with Sally Hansen, and use tea tree oil every night. Thanks for posting as I am interested in responses of what does/doesn't really work...

Dx 11/30/2011, IDC, 1cm, Stage IIIa, Grade 2, 4/27 nodes, ER+/PR+, HER2+Surgery 12/21/2011 Mastectomy (Both); Lymph Node Removal (Left); Prophylactic Mastectomy (Right); Reconstruction: Tissue expander placement (Both)Chemotherapy 01/09/2012 Adriamycin, CytoxanChemotherapy 03/07/2012 TaxolTargeted Therapy 03/07/2012 HerceptinSurgery 06/06/2012 Reconstruction: Breast implants (permanent) (Both)Radiation Therapy 06/25/2012 ExternalHormonal Therapy 08/06/2012 Tamoxifen
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Mar 3, 2012 11:31AM Kicks wrote:

I used Nail Envy by OPI during 4 A/C, had surgery and then 12 weekly Taxol. Nails were fine during A/C other than bruising 1/2 of big toe nail driving in a Powder Puff Mud Bog. While on Taxol finger nails decided they liked to seperate but the Nail Envy kept it more or less under control. A few toe nails decided to get a fungus but had to wait til after rads to treat them. 9 months of Clotrimazole 1% Topical Solution (RX) cleared it up. I was very surprised that the Nail Envy would stay on my nails as basically no nail polish or strenghtener has ever stayed on my nails (cheap and expensive all will peel off in sheets) but the Nail Envy stayed great. It can be found at Salons and runs between $25 and $30 a bottle that lasted 3 - 4 months for me. The Salon owner who did the 'Look Good Feel Better' class gave everyone a sample bottle of it so I knew it worked (for me anyway) before I had to buy any.

Dx 8/7/2009, IBC, Stage IIIc, 19/19 nodes, ER+/PR-, HER2-Chemotherapy 08/25/2009 Adriamycin, CytoxanSurgery 10/21/2009 Mastectomy (Right); Lymph Node Removal (Right)Chemotherapy 11/11/2009 TaxolRadiation Therapy 02/04/2010 ExternalHormonal Therapy 02/11/2010 Femara
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Mar 3, 2012 12:31PM LoriKristine wrote:

I unfortunately did not do anything to treat my nails during taxol. I was clueless for some reason. Anyways my nails look terrible! They are still hard and don't break but they are turning very dark brown in the center of the nail. It looks as if I have smashed them. They are also very sore- simple tucking in my shirt or opening cans is bothersome. So although I don't have any advice to preserve them definitely try something. I am 3 weeks PFC but still on Herceptin though. Good luck!

Dx 8/16/2011, IDC, 5cm, Stage IIIa, Grade 2, 0/3 nodes, ER-/PR-, HER2+
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Mar 3, 2012 12:34PM faithhopenluv wrote:

Thanks kicks, and momof2inME I am as anxious about this as I was my hair. I lost one of my big toenails from running a few years ago. I live in FL and hate closed toe shoes. I lived in flip-flops and covered it w gauze day and night for 6 months. I am not looking forward to a repeat of that.

Did you use Nail Envy on your toes too?

BRAC2+

Dx 11/22/2011, IDC, 2cm, Stage IIb, Grade 3, 1/20 nodes, ER+/PR+, HER2-Surgery 12/21/2011 Lymph Node Removal: Axillary Lymph Node Dissection (Left)Surgery 12/21/2011 Lumpectomy (Left)Chemotherapy 02/02/2012 Adriamycin, CytoxanChemotherapy 03/29/2012 TaxolSurgery 06/14/2012 Reconstruction (Both)Surgery 06/14/2012 Mastectomy (Left)Surgery 06/14/2012 Prophylactic Mastectomy (Right)Hormonal Therapy 08/03/2012 TamoxifenSurgery 09/12/2012 Reconstruction (Both)
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Mar 3, 2012 12:36PM faithhopenluv wrote:

Sorry LoriKristine, I hope yours return to normal quickly

BRAC2+

Dx 11/22/2011, IDC, 2cm, Stage IIb, Grade 3, 1/20 nodes, ER+/PR+, HER2-Surgery 12/21/2011 Lymph Node Removal: Axillary Lymph Node Dissection (Left)Surgery 12/21/2011 Lumpectomy (Left)Chemotherapy 02/02/2012 Adriamycin, CytoxanChemotherapy 03/29/2012 TaxolSurgery 06/14/2012 Reconstruction (Both)Surgery 06/14/2012 Mastectomy (Left)Surgery 06/14/2012 Prophylactic Mastectomy (Right)Hormonal Therapy 08/03/2012 TamoxifenSurgery 09/12/2012 Reconstruction (Both)
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Mar 3, 2012 12:54PM lovehertons wrote:

My wife Di is going to get her fourth round of Taxol and herceptin next week.  She is doing great with the nails.  She uses bags filled with ice starting 15 minutes before the taxol starts.  She wears the half gloves to keep the rest of her hands warm.   She is on the every three week dd.  She is also taking acytl l carnitine 500 mg/day and 1500 mg/day of glutamine for neuropathy.  She is only getting a little bit of tingling in her left foot.  Check with your oncologist before starting the vitamin supplements as not all onc's are on board with this. 

Dx 12/18/2011, IDC, Stage IV, Grade 3, 0/0 nodes, mets, ER-/PR-, HER2+
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Mar 3, 2012 12:56PM dlb823 wrote:

I had Taxotere (TCx4), and after the first infusion, my thumb nailbeds turned dark purple.  So for the next 3 infusions, I "iced" my nails with a bag of frozen peas, which I brought because my onc's office didn't supply ice mitts (some do) or ice.  I used the frozen veggies in place of ice because I live near Palm Springs where it's often 115 in the summer (when I had my chemo), and the thawing veggies didn't make as big a mess as melting ice would have.  A bag of peas or corn also molds easily to your fingertips and toes, and what I did was just move it around during the Taxotere infusion to keep those areas cold and the Taxotere from doing anymore damage.  I also used tea tree oil and Burt's Bees Curticle Conditioner and had no further nail issues.    Deanna

"The soul would have no rainbow if the eyes had no tears" Native American proverb

Dx 2/1/2008, 1cm, Stage IIa, Grade 3, 1/16 nodes, ER+/PR+, HER2-Dx 1/3/2014, Stage IV
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Mar 3, 2012 01:03PM Kicks wrote:

Yes I did use Nail Envy on toenails too.

I hate to wear shoes/boots umless I have to - sandals or flipflops.(or barefoot) for me.  When I bruised my toe it really wasn't a problem as it was heading into winter here and it gets quite brutally cold here and most winters quite a bit of snow.  I usually freeze from Sept - late May/early June and the Mud Bog was in mid Sept so boots were a necessity til June anyway except in the house. 

There are times, like during a blizzard I want to return home to SW FL but then it isn't the FL of my youth anymore and I'd rather suffer through the winters here than go to what FL is today.  The last time I spent any real time back home was during Desert Storm when I took our sons back while Hubby was deployed.  I hated what it had become and couldn't hardly wait til Hubby got back and we returned to where he was stationed in the PNW.. 

Dx 8/7/2009, IBC, Stage IIIc, 19/19 nodes, ER+/PR-, HER2-Chemotherapy 08/25/2009 Adriamycin, CytoxanSurgery 10/21/2009 Mastectomy (Right); Lymph Node Removal (Right)Chemotherapy 11/11/2009 TaxolRadiation Therapy 02/04/2010 ExternalHormonal Therapy 02/11/2010 Femara
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Mar 4, 2012 07:52AM faithhopenluv wrote:

Kicks - i'm on the east coast north of ft laud. I know it isn't for everyone. My grandfather moved to Sarasota in the early 80s and my grandmother was in North Port. I know what you mean about it not being the same. I grew up near Pittsburgh, but haven't seen significant snow in 20+ years. I'm a wimp now! Which is also why icing for 4 hours is not something I'm looking forward to doing.

BRAC2+

Dx 11/22/2011, IDC, 2cm, Stage IIb, Grade 3, 1/20 nodes, ER+/PR+, HER2-Surgery 12/21/2011 Lymph Node Removal: Axillary Lymph Node Dissection (Left)Surgery 12/21/2011 Lumpectomy (Left)Chemotherapy 02/02/2012 Adriamycin, CytoxanChemotherapy 03/29/2012 TaxolSurgery 06/14/2012 Reconstruction (Both)Surgery 06/14/2012 Mastectomy (Left)Surgery 06/14/2012 Prophylactic Mastectomy (Right)Hormonal Therapy 08/03/2012 TamoxifenSurgery 09/12/2012 Reconstruction (Both)
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Mar 4, 2012 10:18AM Kicks wrote:

My Great-Grandparents on Daddy's side first started wintering in Trabue (now Punta Gorda) in the late '80's -1880's that is. Grandparents moved there in 1920. Mom's family had been in northern FL since in the 1700's. Hubby's parents didn't move to the Tampa Bay area til 1958.

Dx 8/7/2009, IBC, Stage IIIc, 19/19 nodes, ER+/PR-, HER2-Chemotherapy 08/25/2009 Adriamycin, CytoxanSurgery 10/21/2009 Mastectomy (Right); Lymph Node Removal (Right)Chemotherapy 11/11/2009 TaxolRadiation Therapy 02/04/2010 ExternalHormonal Therapy 02/11/2010 Femara
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Mar 4, 2012 03:09PM faithhopenluv wrote:

Wow, that is quite a history in FL. It's hard to imagine how different it was then.

BRAC2+

Dx 11/22/2011, IDC, 2cm, Stage IIb, Grade 3, 1/20 nodes, ER+/PR+, HER2-Surgery 12/21/2011 Lymph Node Removal: Axillary Lymph Node Dissection (Left)Surgery 12/21/2011 Lumpectomy (Left)Chemotherapy 02/02/2012 Adriamycin, CytoxanChemotherapy 03/29/2012 TaxolSurgery 06/14/2012 Reconstruction (Both)Surgery 06/14/2012 Mastectomy (Left)Surgery 06/14/2012 Prophylactic Mastectomy (Right)Hormonal Therapy 08/03/2012 TamoxifenSurgery 09/12/2012 Reconstruction (Both)
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Mar 4, 2012 04:38PM KCD wrote:

Can you tell me what to do with tea tree oil?  I'm btwn week 2 & 3 of taxol.  My nails were not great to begin with.

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Mar 4, 2012 05:32PM Momof2inME wrote:

KCD: My onc nurse told me to rub tea tree oil into my cuticles and nails every night. It is a natural anti-septic and for whatever reason can sometimes help prevent nail infections and lifting during taxol. I bought mine in the vitamin section at Walmart.

Dx 11/30/2011, IDC, 1cm, Stage IIIa, Grade 2, 4/27 nodes, ER+/PR+, HER2+Surgery 12/21/2011 Mastectomy (Both); Lymph Node Removal (Left); Prophylactic Mastectomy (Right); Reconstruction: Tissue expander placement (Both)Chemotherapy 01/09/2012 Adriamycin, CytoxanChemotherapy 03/07/2012 TaxolTargeted Therapy 03/07/2012 HerceptinSurgery 06/06/2012 Reconstruction: Breast implants (permanent) (Both)Radiation Therapy 06/25/2012 ExternalHormonal Therapy 08/06/2012 Tamoxifen
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Mar 4, 2012 06:06PM KCD wrote:

Thanks, I have some, I add it to vinegar when cleaning.  The Nail Envy just peels right off my nails

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Mar 5, 2012 07:35AM claireinaz wrote:

I took Deanna's advice and ice with frozen peas during each tx. We bought 4 big bags and transferred them into gallon ziplocks so I can re-freeze them and re-use them. We bring them in a small cooler and use the nurse's freezer to store till tx starts.  I ice hands and feet during my Taxol tx--yes, they get painful so I have to take them off my feet and take my hands out of the bags from time to time--but so far so good.

Claire

9/29/11 ILC, 2 c. stage II grade 1, ER/PR+ HER2-, 6/11 nodes, lumpectomy, DDAC x 4, Taxol x 12, 33 rads, Tamoxifen to arimidex, BMX/immed recon 7/3/13 "God supposedly gives us only what we can handle. God must think I'm a badass."

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Mar 5, 2012 08:25AM, edited Mar 5, 2012 08:50AM by lago

I did taxotere not taxol. In general nail lifting is rare but happens. I got it and really really badly. I tried the frozen peas once they started to hurt but it didn't help. I think some people are just prone… but not a lot of us. Every single nail (fingers/toes) lifted and I lost a few toenails. I would go into detail but it highly unlikely you will get this as bad as I did.

If you decide to ice your fingers/toes (with peas etc) be sure you keep your fingers/toes really cold. It might work for you.  You might not get the issue anyway though. 

 I'm over a year out. Some of my fingernails are still lifted. My toenails, a few a ruined but not awful. I'm still waiting to not have to wear nail polish on my fingernails. They still have big brownish tips but that I think is because they are still lifted. The brittleness is slowly going away. But like I said I had an unusually bad case according to my dermatologist.

DONE!! alturl.com/3o9ni • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010

Dx 7/13/2010, IDC, 5cm, Stage IIb, Grade 3, 0/14 nodes, ER+/PR+, HER2+
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Mar 5, 2012 08:38AM shore1 wrote:

I had AC x 4 followed by taxol x 12 weekly. I used tea tree oil, but not every day since I read its estrogenic. I stopped using it by the end of treatment because my nails were fine, so maybe it helped. I also filed them short, kept them polished, and use L'occitane hand and foot creams. I wore rubber gloves when loading dishwasher, and warm gloves when out in the cold. I also had thin cotton gloves and socks I put on at night after putting on lots of cream. After all that, one toe nail looks a little bruised, but none ever lifted or oozed. Im 5 weeks pfc and all nails look really good.

Dx 6/6/2011, IDC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR+, HER2+Surgery 08/22/2011 Mastectomy (Both); Lymph Node Removal (Right); Reconstruction: Tissue expander placement, Breast implants (permanent) (Both)Chemotherapy 09/21/2011 Adriamycin, Cytoxan, TaxolTargeted Therapy 11/16/2011 HerceptinHormonal Therapy 02/12/2012 Tamoxifen
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Mar 5, 2012 08:50AM marjie wrote:

I did Docetaxel (Taxotere).  At the first tx, I was given a bag that contained non-alocoholic mouthwash, hand moisturizer and nail hardner.  Then for each tx, the nurses would put ice mitts and boots on me....brrrrr.

Well I ended up losing a nail off one of my big toes, and some of my finger nails lifted a bit but I didn't lose them.  My nails all turned a really yucky yellowish colour, but they are pretty much back to being pink - very soft though.  I keep them cut short.

Treatment: Rt Lump/SNB Aug 2010, FECx3/Tx3, radsx25+8, Herceptin x18

Dx 7/13/2010, IDC, 4cm, Stage IIa, Grade 3, 0/2 nodes, ER-/PR-, HER2+
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Mar 5, 2012 09:04AM Kicks wrote:

KCD -
Wow - Nail Envy is the ONLY thing that doesn't peel off my nail in a single sheet no matter how cheap or expensive. With it, I can finally wear nail polish. Just another proof of how unique we all are.

Dx 8/7/2009, IBC, Stage IIIc, 19/19 nodes, ER+/PR-, HER2-Chemotherapy 08/25/2009 Adriamycin, CytoxanSurgery 10/21/2009 Mastectomy (Right); Lymph Node Removal (Right)Chemotherapy 11/11/2009 TaxolRadiation Therapy 02/04/2010 ExternalHormonal Therapy 02/11/2010 Femara
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Mar 5, 2012 09:14AM Myleftboob wrote:

I'm doing Taxotere too.  Only have one TX under my belt though.  So far no changes to the nails but I did ice them along with my toes during.  I have them short though and used a nail hardener. Mind you I wash dishes by hand about 3 times a day at least and always forget to put on gloves.  Mental note, get the gloves out!

T/C/H 2/17, 3/9, 3/30, 4/20 then H til 1/13

Dx 12/10/2011, IDC, 2cm, Stage II, Grade 3, 0/4 nodes, ER+/PR-, HER2+Surgery 12/14/2011 Mastectomy (Left); Lymph Node Removal: Axillary Lymph Node Dissection (Left)Chemotherapy 02/24/2012 Cytoxan, TaxotereHormonal Therapy 05/11/2012 TamoxifenTargeted Therapy 05/11/2012 Herceptin
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Mar 5, 2012 09:24AM Marple wrote:

Some ladies are talking about nail issues on a Canadian thread.

http://community.breastcancer.org/forum/55/topic/700016?page=207

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Mar 5, 2012 09:25AM Adey wrote:

I did Taxotere.  Iced fingers and toes. Kept all twenty nails short. I think this is important so you don't hit the long nail when it isn't strong, jmo. Used tea tree oil when I thought of it (it comes in a bottle like nail polish) and like lovehertons wife I took L-Glutamine.  I would add the Acetyl L-Carnitine if I was doing it now.  Actually have added it after the fact.  (c:  I had no discoloration, lifting or loss.  Good luck!

BMX 5/28/10, TAC x 6 last one 1/04/11, Rads finished 3/29/11, Bilateral Gap in NOLA 12/6/11, Stage two NOLA 3/15/12, Stage 2B in Charleston 8/31/12, bone mets Stage IV.

Dx 5/5/2010, IDC, 2cm, Stage IIb, Grade 2, 1/8 nodes, ER+/PR+, HER2-
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Mar 6, 2012 06:28AM faithhopenluv wrote:

thank you everyone!  anyone hear about painting them black?  I think it was to protect them from the light.

BRAC2+

Dx 11/22/2011, IDC, 2cm, Stage IIb, Grade 3, 1/20 nodes, ER+/PR+, HER2-Surgery 12/21/2011 Lymph Node Removal: Axillary Lymph Node Dissection (Left)Surgery 12/21/2011 Lumpectomy (Left)Chemotherapy 02/02/2012 Adriamycin, CytoxanChemotherapy 03/29/2012 TaxolSurgery 06/14/2012 Reconstruction (Both)Surgery 06/14/2012 Mastectomy (Left)Surgery 06/14/2012 Prophylactic Mastectomy (Right)Hormonal Therapy 08/03/2012 TamoxifenSurgery 09/12/2012 Reconstruction (Both)
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Mar 6, 2012 06:43AM lago wrote:

Yes I heard that but I wouldn't do it. You really want to be able to see what's going on under your nails just in case there is an infection. I'm not sure if it's an old wifes tail either.

DONE!! alturl.com/3o9ni • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010

Dx 7/13/2010, IDC, 5cm, Stage IIb, Grade 3, 0/14 nodes, ER+/PR+, HER2+
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Mar 6, 2012 09:51AM claireinaz wrote:

I thought the acetyl-carnitine and the l-glutamine was for neuropathy. I've never heard of it being used to keep nails from lifting or discoloring.

9/29/11 ILC, 2 c. stage II grade 1, ER/PR+ HER2-, 6/11 nodes, lumpectomy, DDAC x 4, Taxol x 12, 33 rads, Tamoxifen to arimidex, BMX/immed recon 7/3/13 "God supposedly gives us only what we can handle. God must think I'm a badass."

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Mar 6, 2012 10:14AM lago wrote:

I did the Acety l-l-carnitine for neuropathy and I believe it helped. I started to get it in my fingers and I did get it in my left heel. Once I started to take it I only had to deal with it in my left heel. I truly feel it saved me from getting it really badly… but did nothing for my nail beds Frown

DONE!! alturl.com/3o9ni • Tattoos 2.7.2012 • Nipples 10.6.2011 • Exchange 6.24.2011 • Chemo 1.18. 2011 • BMX 8.31.2010

Dx 7/13/2010, IDC, 5cm, Stage IIb, Grade 3, 0/14 nodes, ER+/PR+, HER2+
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Mar 6, 2012 12:04PM Adey wrote:

claireinaz-  Yep, for fingers and toes not the nails.  Love the quote.

BMX 5/28/10, TAC x 6 last one 1/04/11, Rads finished 3/29/11, Bilateral Gap in NOLA 12/6/11, Stage two NOLA 3/15/12, Stage 2B in Charleston 8/31/12, bone mets Stage IV.

Dx 5/5/2010, IDC, 2cm, Stage IIb, Grade 2, 1/8 nodes, ER+/PR+, HER2-
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Mar 7, 2012 05:53AM claireinaz wrote:

Thank you Adey!  Ha! I found it reading the Cure magazine--at the chemo room...Smile

9/29/11 ILC, 2 c. stage II grade 1, ER/PR+ HER2-, 6/11 nodes, lumpectomy, DDAC x 4, Taxol x 12, 33 rads, Tamoxifen to arimidex, BMX/immed recon 7/3/13 "God supposedly gives us only what we can handle. God must think I'm a badass."

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Mar 27, 2012 08:51AM everhopeful wrote:

I have had three cycles of Docetaxol after three cycles of FEC and my fingernails are all lifted with one coming off.  The doctor I saw today said I might well lose the lot.  I didn't know about icing and it was never mentioned.  By the time I found out I had finished chemo.

Dx 10/18/2011, ILC, 6cm+, Stage IIIa, Grade 2, 2/4 nodes, ER-, HER2-
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Mar 27, 2012 09:02AM SpecialK wrote:

I did 6 TCH and iced with bags of frozen peas on fingernails and toesnails for each infusion starting 10 minutes prior to Taxotere, and for 10 minutes after it was complete.  I used Sally Hansen clear Nail Hardener, which I received in a small gift pack from my center - this was sponsored by Sanofi-Aventis, maker of Taxotere.  I painted the clear hardener on each day for 7 days in a row, then removed it and started over.  I had cut my nails very short.  On infusion day I painted them with a dark gray opaque polish.  I had read that there was a reaction with light and the meds.  I did have a nail lift, but it had a very high tear on the side prior to chemo.  Other than that my nails never had ridges, lines, or any discoloring at all.  I did not experience nail bed soreness either. 

Dx 9/27/2010, DCIS, Grade 3Dx 9/27/2010, IDC, 2cm, Stage IIb, Grade 3, 2/14 nodes, ER+/PR+, HER2+Surgery 11/01/2010 Mastectomy (Both); Reconstruction: Tissue expander placement (Both)Surgery 12/06/2010 Lymph Node Removal: Axillary Lymph Node Dissection (Right)Surgery 12/21/2010 Reconstruction (Left)Surgery 01/07/2011 Reconstruction (Left)Surgery 01/21/2011 Reconstruction (Left)Chemotherapy 02/17/2011 carboplatin, TaxotereTargeted Therapy 02/17/2011 HerceptinSurgery 07/20/2011 Reconstruction: Tissue expander placement (Left)Hormonal Therapy 08/01/2011 FemaraSurgery 02/24/2012 Reconstruction: Breast implants (permanent) (Both)Hormonal Therapy 06/20/2012 ArimidexSurgery 12/14/2012 Reconstruction (Both)Hormonal Therapy 07/18/2013 FemaraSurgery 03/07/2014 Reconstruction (Both)Surgery 04/02/2014 Reconstruction: Breast implants (permanent) (Left)

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