Taxotere, Carboplatin and Herceptin
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I am going out of town today to get a second opinion on whether I need rads or not. My radiologist here was very iffy about it because i am borderline. He said it may not benefit me at all. I had clear margins around my tumor and since the surgeon took out 13 lymph nodes, he feels that most likely I should be clear there now from chemo. The things working against me is my age, my grade being high and the size of the tumor that was in my one lymph node (1.4 cm) When he went over all of the possible long term side effects, it was a little scary, especially when he said there is a possible chance of getting a secondary cancer from radiation. I am meeting with a breast specialist radiologist in St Louis tomorrow at noon. Wish me luck and pray that I don't need it!! TY!
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Thanks Cakelady for explaining the MUGA- Now I'm going to ask my Onco why I have not had one of them.
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Thanks dasher too and ccbaby I will be praying for you.
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Good Luck Christy. Let us know.
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Hi girls, I have been diagnosed with breast ca (for the 2nd time) It is Es pos. and Her2 pos. I am going to start TCH next week and am scared to death of all the side effects that I have been reading about. The CMF that I had 15 yrs ago was difficult but sounds like a piece of cake compared to this TCH. I am 65 yrs old and have had fibromyalgia and chr. fatigue for 25 yrs. and am in pain (muscle and joint) all the time so the thing I worry about most is being in so much extra pain and the extra fatigue that I won't be able to function much at all. I will be having treatments every 3 weeks and getting the Neulasta shots too. Any advice would be greatly appreciated. I so glad that I found this site Thank you
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Hey sweet Bonnie. I am sooo sorry that this has happen to you. I am 10 years your junior but I have to say that when I went through TCH it was doable. I am now 14 weeks pfc (post friggin chemo) If you stay very hydrated and stay ahead of side effect (SE) it helps allot. I had digestive issues and took immodium as precaution. I also recommend that you take claritin the day of your Nurlasta shot and for at least three days afterwords. It helps tremendously with the bone pain. These boards will get you through. You can do this. Did you have surgery? Node negative? I am so grateful that you are getting treatment and can fight one more time for at least another 50 years. You are in my thoughts and prayers.
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Hi Ladies! I have not been here for a while (longer than I thought) and I just skimmed 8 pages of posts. There is no way I could posibbly repond to all of it, but I will give it a shot in the dark:
Mason: You keep going girl. I think of you often, your strength is inspiring.
Anji: I don't know your story, but stay strong. This is beatable
Rockstar: Glad to here all is well.
Cakelady: Just as upbeat as ever.
Dunoaks: You sound fabulous. Glad life is moving on for you
Bold: Rads are done! Yes! Just a few more herceptins and you have your life back!
Gramma: You are still the best!!!! I hope life is treating you well. I think of you often and pray for you everyday. How is hubby's heart condition? Are you taking it easy? Don't let those young chicks at the bank give you a hard time, they don't have a clue about life.
Ipohgirl: Glad to hear you are moving along. Sorry about the insurance trouble, I have had some of those too - very annoying.
bluedasher: Sounds like you are moving along just as strong as ever. Good for you
Cupcake: All my best to you always, you are an inspiration to us all.
Sailor: Thanks for the PM, that meant a lot to me
As for me, I am getting my life back one day at a time. I am back in the gym and working my fanny off (literally). I have been riding my horse like a crazy woman and traveling all over the state to different parks and loving life. I still have 4 hercpetin only's to go, but I have gotten used to them and I don't notice that much fatigue anymore. I have hair!!!! Yea!!!!! Not a length or style that I would choose, but it is hair! I am trying hard to stop being upset that chemo has aged me because that can't be changed. All in all, that thinking is just dumb.
The 27th of this month is the one year date of my diagnoses. This past year is not one that I would wish on anyone; something all you understand. But the thing to stay focused on is, for me and all of you, we made it!. Those of you just starting or in the middle, you will make it too. God knows how long we have on this earth and we need to make every day count with love, fun, kindness and laughter. None of us asked for this chapter in our lives and we certainly don't have to "be enriched by it", but we can survive it and move on.
May God less you all. And may we all have SE free treatments!
Lisa
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Lisa, it's good to hear from you. I'm sorry to hear that you are feeling aged by the experience but cheered that you are getting your strength back. I'm still hoping that in time you will feel the aging drop away.
4 more Herceptin for me too cause my onc wants to do 18 - I'm still thinking about telling her 17 is enough and not doing the last one because I'm tired of this stuff but maybe that's silly because I don't notice any effect from the infusion. It's just one more stick and 2 more hours. And then they will take the port out. Yea!
Last week I was in a high altitude city and didn't notice the altitude at all. When I was on chemo, I really noticed it when I changed planes in Denver so being able to walk fast at about that altitude without breathing hard is back to normal.
On Saturday, a little friend of mine came over, gave me a hug and said "My survivor." It touched me so that it almost made me cry. She is a very nice girl, about 11 now I think. She lost an older sibling a few years ago from a congenital condition that had given him trouble all his life.
This morning I looked in the mirror and noticed that my hair has finally gotten long enough to have its old wave back. My old hair was naturally curly (or perhaps I should say wavy - not tight curls but a definate wave). It is still pretty short but with that it looks more like the me I'm use to in the mirror.
I went for my first post treatment mammogram this morning and a follow-up lung X-ray to check that the calcium granuloma in my lung hasn't grown (cause if that's what it is, it shouldn't have grown). Since I went through this decades ago with one that disappeared later, I'm assuming that it will be fine.
And next week there will be another Herceptin and a MUGA. Then it will be only 3 left.
Next week is also the anniversary of the mammogram that started this all.
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Bonnie, Sorry you have to be here, but you can do it. I'm 2 weeks PFC and at age 67 I'll say it wasn't fun, but doable. I'll be doing herceptin and still have surgery/rads to face and will say that the fatigue factor really caught up with me at TCH #5 and #6. It always took me at least 2 weeks after tx to feel half way normal. Days 3-5 were always the worst with lingering digestive for the next 10 days. Just remember that everyone is different! If you don't have one, get an infusion port because it will cut the needle sticks by half
My thoughts and experiences
• Stay hydrated! Drink, drink, drink especially 2 days before chemo through 10 days after.
• Take all perscribed SE meds wheter you feel you need them or not. Get a good probiotic to manually rebuild the bacteria in your digestive system (which the chemo kills). Imodium and Xantac 150 are your friends. Don't go into a tx with constipation.
• Don't feel guilty about resting or sleeping when you feel you need to.
• Be prepared for your tastebuds to go crazy. Nothing will taste the same for the duration. You will probably have a constant moldy or metallic after taste. Sucking lemon drops may help. Of all the SE's this was probably my most frustrating! My last two tx's I craved vinegary and tart stuff (german potato salad, salad dressings, dill pickels, lemonade ) anything to cut the after taste.
• Yes, you will lose your hair, but what they didn't tell me was that I would lose nose and ear hair (the tiny inner ear hair that affects hearing and pressure sensitivity). I'm almost deaf in my left ear now and hopefully that will be resolved as my hair grows back.
• Weepy eyes and constant tearing and runny nose (sometimes slightly bloody). No problem the first couple tx's, but the cumulative effect will set in if you have this SE
Hang in there. TX #6 will finally roll around and you will make it. There is joy after that last TX knowing you are climbing out of the "chemo hole" for the last time.
hugs...
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Good morning campers. I had a quick question for the graduates. What is your follow through now tht you are post chemo and radiation. How often are you seen and what test are you scheduled to have? I am just interested to see the difference in post care. I am still loosing weight and growing hair. It is so wonderful to be back amongst the living. Chemo is getting farther and farther away. It like labor we start to forget. I am loving life!!!!!
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Hello all, I am just beginning this TCH (tch q 3 weeks x6 with herceptin weekly for a year) journey and would appreciate any advice. Had 1st Tch , no neulasta 8 days ago. decadron 18mg pre, day of and post day. 24 hrs after decadron unremitting bone pain. Mostly spine, pelvis, hips. Minimal relief with percocet,heat etc. Praying this is from taxotere not herceptin. 1st herceptin only yesterday. So far so good. Just tired, Bone pain did not lessen until day 5 and now is just mild, thank God. Any advice for bone pain would be a gift.I don't think I could handle 5 more episodes of that caliber pain. Other sxs. constipation, diarrhea, fatigue, peeling mouth, runny nose, abd. cramping, sore scalp, losing hair, pimples are manageable in no small part thanks to the advice and preparation from this site. Thank you for sharing your experience. Kathleen
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Gad, I would have KILLED to want something vinegary (*sigh*). Anything with vinegar was the first food that "went" when I was on TCH -- anything like vinegar (and my favorite salad dressings), orange juice, even tomatoes.... tasted HORRIBLE. Then with each treatment, a few more foods 'converted' into tasting horrible. I used to liken it to cleaning the Dallas sewers with my tongue... disgusting, I know. But believe me, the taste was just as bad. I went through a bottle of Biotene mouthwash each chemo cycle. By cycle 4, even chocolate wasn't tolerated. And on cycle 6, I had a few days when even filtered water (my drink of choice) had to be forced down just to stay hydrated.
It took a month after the end of the 6th TCH cycle before most of my sense of taste worked correctly, and about 6 months before I even would touch a piece of chocolate. One of the wierd things about TCH.
But, it's doable and managing the individual side effects like I'm reading here is the way to go. I would have a couple nights each cycle where I'd get up every 15 minutes all night long (*sigh*) to rinse my mouth out with mouthwash to get rid of the taste.. temporarily. I was VERY good about keeping my teeth brushed/mouth clean because of all this -- in fact, after chemo was over and I went to the dentist, I had the best checkup I've ever had. Go figure.
I found that meat tasted ok (as long as there were no spices on it), so I made roast beef for Christmas dinner (2 nights before my last TCH cycle), and chicken soup was great until about cycle 4. Anything cold was wonderful unless it had sharp edges (frozen blueberries were great to suck on, but frozen strawberries hurt). Frozen veggies worked (frozen loose corn, peas), but were horrible cooked. And I didn't lose weight (*sigh*)... I think because I kept trying to find things that would taste good (*smile*).
But that was almost 3 years ago and it's now just a dim memory. Good luck to everyone in getting to this point too.
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To anyone just starting who is reading these threads, I wanted to mention that everyone doesn't get every side effect. Reading all the side effects together can be scary but each person just gets some of them or gets some very mildly. For instance, I had one cold sore during chemo and no other mouth sores - I'm not even sure I can blame that cold sore on chemo cause it was mild and didn't last long. Just about everyone gets some disturbance in sense of taste - but it is kind of odd that we each have different foods that we tolerate and can't stand during chemo. I couldn't eat beans, lentils and the like - a problem because with vegetarians in the house they were a staple for us. Just about everyone loses most of their hair, feels tired, gets somewhat anemic.
Some facets are starting to be a dim memory for me now, 6 months out. I lost weight during chemo, but I have to be careful now because food tastes good and has for a while. I've got to remember not to try to make up for lost time on that one.
Bold, I get a MUGA every 3 months.
I would have seen my onc about every 3 months and gotten a blood test before each visit if I hadn't joined the SWOG 0307 trial. Because of the clinical trial, I get creatinine tested every 3 weeks (the trial requires once a month but they let me get it tested when I come in for chemo so I get it more frequently); get more complete blood panel and see my onc about every 2 months. I've got a 3 month follow up with my rad onc coming up in a couple of weeks and I think I'll be done with him then. That's my only rad onc visit since rads.
I just had a 6-month (from the end of chemo) follow up mammogram. I need to check with my onc about whether I do 6 months or 12 months for the next one. Because I had a fever during chemo, they did a lung X-ray and that had a cloudy area which needed to be checked with a CAT scan which said it was probably a harmless calcium granuloma. So I needed a 6 month X-ray on that to confirm that it hasn't grown. I think they will check it once more (in 6 or 12 months - gotta check that with my onc too) and then I'll be done with that.
I'll have port removal scheduled shortly after I finish the Herceptin.
I think they do a MUGA at the end of treatment and I don't know if they do one more later.
I don't know how I would see my onc after Herceptin is over if I wasn't on the SWOG trial. I'm thinking of dropping out because of elevated Creatinine.
That's all the follow-up I expect.
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Lisa: Glad to hear from you again. You've been missed but I'm glad you're moving on!
Bold: No Herceptin for you? I am seeing my onco every other Herceptin treatment with a couple of ecco's thrown in to make sure my heart is good. After Herceptin (9 more to go), he said I would see him every 6 months for blood work. So glad to hear everything is getting back to normal. I am 10 weeks out-my hair is about the same length a Demi Moore's in GI Jane (that's about all I have in common with her right now, but working to get the weight off).
Kathleen & Bonnie: my advice-take the meds regardless of how you feel Stay ahead of the SE's! Good luck, you can do this.
Maggie
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Thank you Maggie and blue, You rule!!!! I am getting Herceptin I think I have about 5 left. I never had a port and do not regret it.
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Bold: I had my last TCH April 2 and had a follow-up CT/PET scan in June. I had a "staging" scan done in December before chemo started. Since I had bilateral mastectomy, I won't have mammograms. I believe I'll have the scans every six months for the first two years. I also see BS every 6 months for physical exam.
I still read this thread almost every day but don't usually take the time to post (unless there's a specific question I can answer). Hope everyone is doing well.
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Luddy - I am 10 days out from my 2nd TCH and work as a media specialist in a middle school. I get my chemo on Monday and feel pretty good that day and the next. Tuesday I get neulasta. I take the rest of that week off. The 2nd week I feel okay - I work all week (run out at lunchtime to get my herceptin) and the 3rd week I feel really good. Then it's time to start all over again. I'm paranoid about hand washing and make anyone who is coughing, sneezing, or has a runny nose go back to class. I wipe down everything in my office with clorox wipes and spray lysol all over the library. So far so good! I love my job and it is a wonderful distraction.
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LYMPHADEMA:
I want to share my experience with lymphadema and post a backup article to my friends who have had mastecomy. I am not posting this in the Lymphadema section because those folks seem to think you should just sit on your fanny and stop living.
My arms had slowly started to swell during the past two months. 2 weeks ago, I went on a 4 day horse camping trip and the extreme heat pushed the swelling over the edge. When I got home, I called my onc to get a referral to a lymphadema therapist. The day before I saw the therapist, I went to the gym and did free weights with my trainer. 4 hours after lifting weights, my swelling was 90% GONE! I saw the therapist the next day and he could not understand why I was there! I told him about camping and then going to the gym, and he agreed that new studies show that weight lifting is great for lymphadema! Yesterday there was an article in USA Today backing this up: http://health.usnews.com/articles/health/healthday/2009/08/12/weight-lifting-can-ease-arm-swelling-in-breast.html
So for all of you that have been told not to lift, tug, tote or live; go ahead and have fun, you will be better off! Use common sense, no BP cuffs or needle sticks. Go ahead and see the therapist to get preventative compression sleeves. My therapist has given me specific exercises to take to the trainer. So I am getting back in shape AND preventing lymphadema all at the same time!
Have a great day ladies and hit the gym!
Lisa
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Lisa, I have been wondering about you. I know you had some issues with Tamoxifen and I hope you are feeling better with that. I don't post unless I see something that has been asked and I think I can be of help. I am going to step down from my position at the bank. I let the little witch push me out but I am just not willing to loose my health anymore to stress. I will work as needed but it won't be a lot of hours and I am going to draw Social Security starting Sept.
Blue it is good to hear from you too. I always learned things from you. Stay in touch with everyone here so they can benefit from your knowledge.
Bonnie44, I have arthritis and fibromyalgia and I had less pain when I took the decadron when having the treatments. Once that wore off the rebound pain was bad but I do take meds for my pain. I have been diag with the fibro since 1991 and have had arthritis most of my life. Like everyone has said here everyone reacts differently. You must stay hydrated. I got dehydrated once really bad and so they had to give me 2 bags of fluid. You also have to flush the poison out after a tx so you must drink decaf liquids. I say at least 3 quarts a day after the tx. I know it is a lot to get down when you feel awful but you don't want kidney damage. I had a lot of problems with blood counts and had transfusions but now they give me Procrit and finally got that okayed with FDA since I have arthritis. Maybe you can get it too if you need it. You may not need that though. I am post TCH since Nov 2008 and post H only since July 2009. I do have hair and it is growing but not as fast on top as the back. You can do it. I have a friend in my church who is 80 and taking this and she is doing good, She has SE but not so bad she can't handle it and she has a pacemaker and other heart problems. You can do it too but give yourself a break and rest when you need to. I lost weight and have kept it off but some do gain. Just eat what you can get down. Jello is a liquid but if you eat it when you are sick you won't want it again. Just keep looking for the foods you can, eat, drink etc. Don't eat your favorites when you are sick or you won't like them for a long time afterward. Did I say YOU CAN DO THIS?
Okay I am finished. I wish everyone the best and I do read the posted and pray for you.
Carolyn (gramma23)
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Lisa, thanks for posting that. I haven't had lymphadema so I didn't feel that I could speak about what people should and shouldn't do with it, but I've been finding it hard to believe some of the recommendations - people saying they have been told to never lift more than 5 pounds ever again with that arm. It just didn't make sense to me that letting the muscles go weak through lack of use would help. Dr Love's Breast Book said that there is no medical evidence behind many of the recommendations like the ones to never get needle sticks or blood pressure in that arm. Women with nodes take out on both sides end up having to get sticks in one of them and don't show higher rates of lymphadema. However, since I have two arms I still get the blood pressure and needle sticks on the right one which has all its nodes because I have no reason to ask for them on the other side.
The article makes great sense: avoid sudden strain on the arm by carefully building up the strength in it and then go on using it.
Edited to add that someone already posted the article on the lymphadema forum and someone else put in the link to another good article on the study:
http://enews.earthlink.net/article/top?guid=20090812/4a824c50_3ca6_15526200908122115016993
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Lisa1964 So good to here from you I was just reading the info on lymphedema on Google news they say weight lifting may actually help with symptoms. I have always exercised and used my left arm since my surgery and I never had swelling just a little stinging from the nerves being cut. I am curious I am flying in 2 weeks to Texas for The Shack ( sorry big thing with the company to be known by a more friendly name than RadioShack lol ) Show, was curious about cabin pressure affecting my arm Any words of wisdom from all my Ladies out there? Also to the newbies the Se list is pretty overwhelming, I just want to share I worked fulltime during TCH I was only gone on TX day, I did leave a couple hours early after 5&6 the third day kicked my butt, I was fortunate to have Amazing bosses that love me very much I had a chair when I needed to sit ! I am by no means a Super Woman just blessed by God to not have alot of SEs. The worst is the altered food taste that just drove me crazy but we all manage to find something we can tolerate if necessary eat it repeatedly. So just wanted to share my story ,Like all the Beautiful ladies that have come and gone through this IT IS DOABLE!!! DRINK LOTS OF FLUIDS I could really tell when I wasnt hydrated enough It really really makes a difference Bold I just had 11th Herceptin on Tuesday 6 more for me! I am still right behind you baby. I am still waiting on my Negative BRCA results should be in the next few days, Please Keep Praying for me My Friends !! I am holding to you Bold for your good feeling about my negative results, I know you are 100% right and I love you for saying it!!! Everyone Be Well Enjoy Each Day Of All of us Growing To Be old Together!!! 0 -
Paula, I've flown numerous times now since surgery. I haven't kept count but it is probably over 10 trips by now. I haven't noticed any swelling from it. I recently spent a few days at a place that was over 4000 feet above sea level and had no problems. I only had an SNB so my risk of lymphadema is lower then someone who had all nodes taken.
There are some recommendations to wear a pressure sleeve for flights, but my onc didn't feel it was necessary and I haven't gotten one.
I'll be going to Europe in September - my first really ocean crossing flights since surgery. I'll let you guys know how that goes.
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Thanks blue I just wanted to hear from someone that has flown to ease my mind Sounds to me like you are the perfect one to know that so I am putting it out of my head! Thank you again my dear,I am so glad for each and everyone of you being there for easing worries I can not imagine how anyone anywhere can go through this without this website , I say a prayer everyday for anyone diagnosed that someone they know will tell them about us!!!! 0
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Paula,
If what you're looking for is to hear from someone who has flown, let me share with you that I developed lymphedema on a flight to Alaska, on my prophylactic side where no nodes were purposely taken. Arriving at your destination with a hand the size of a baseball mitt and no medical help readily available is no vacation! Do ask for a referral from any member of your medical team to a well trained lymphedema therapist for baseline arm measurements, individualized risk reduction suggestions, and fitting for a sleeve and glove. If you decide not to wear garments when you fly, at least take them with you in your carry-on and wear them if your arm feels achy, tingly, heavy or just "funny." Here's information on finding a well-trained therapist near you:
http://www.stepup-speakout.org/Finding_a_Qualified_Lymphedema_Therapist.htmUnfortunately, ten plane trips or a hundred with no sign of lymphedema is no guarantee you won't develop it on the next one. Our risk remains for life. Also unfortunately, our doctors often know little about lymphedema, as it is not their specialty. The medical professionals trained to evaluate, treat, and advise you on lymphedema risk are fully qualified lymphedema therapists. For your peace of mind, not to mention your swell-free future, getting help now is definitely something to consider.
Be well!
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Longer plane flights such as going from NA to Europe or Asia or going to Alask from almost anywhere have a greater risk. I took into account that Paula is going from Colorado to Texas, not to Europe or Alaska.
I forgot to take into account that Paula already lives in Colorado at around 3,500 feet. Passenger plane cabin pressure is required to be under the equivalent of 8000 feet elevation and usually is somewhere between 6000 and 8000. This should be less of a stressor to someone who is acclimatized to 3500 feet than to a flat lander like me.
Of course, it is a personal decision on how much one takes precautions or changes life style for what might happen vs. living one's life and dealing with a problem if it occurs. For example, I'm not personally willing to alter my life to not lift anything over 5 pounds with my arm. I feel that I'm more likely to be okay by using it and keeping the muscles fit and a precaution that would decrease my quality of life so much isn't worth it. I'm also not willing to put on a compression sleeve for every flight. I have sent a message to my doctor to ask I should get a sleeve for the longer flight. But I'm not convinced that that is any more stress on my arm than the 3 days I just spent at above 4,000 feet (lower altitude but longer time) and I didn't have any trouble there or on the flight home.
In any case, 2 weeks before your trip may be a little bit short notice for getting a compression garment. If you do chose to do it, don't dally. My understanding is that they have to be ordered for you and they take a while to arrive.
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Rock!!!! U got it sista!!! You just relax and wait to hear the words NEGATIVE. I still think you are going to be jut fine.
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So, I just realized that I'll be spending 4 days at someplace above 7,000 ft elevation for attending a wedding and a bit of vacation just before my Europe trip.
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Lymphadema is JUST like chemo side effects - everyone is different.
Paula, if you have never had lymphadema, fly free. Just make sure you move your arms frequently while on the flight. You can also gently massage your arms from the wrist up toward to elbow during the flight. If you arm(s) to experience swelling during the flight, as soon as you get home, go to a lymph-d therapist.
Blue - Good for you to have flown so much without incidence!
Personally, I think every mastectomy patient should see a lymph-d therapist to learn how to prevent the situation. I have leraned a ton from my guy. I have ordered the compression garments and I will wear them as needed based on my lifestyle. I have learned how to "wrap" my arms with special materials in the event of a lymphadema emergency.
gramma: I am so glad you are leaving the bank!!! Can we have a retirement party? It was nice to hear from.
Have a great evening gals! Lisa
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I had my second MUGA scan today and will find out the results on Monday when I go in for Herceptin. I also had my second opinion from a breast specialist radiologist and she agreed with my radiologist here that i should do rads. She said that in my case if I didn't do rads that my chance of recurrance would be 26% and doing rads, less than 5% and the benefits outweigh the risks. She was very thorough and explained everything to me. So, I am going in next Tuesday for my simulation and I should start soon after.
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Hello Ladies!
Today marks eight weeks from my last TCH infusion and my red and white blood counts are still low. My RBCs are consistently low, but the levels do not require any intervention. My WBC levels are a different story. I have developed a nine-day cycle of two days of Neupogen, several days of feeling fine, but by the eighth day I am calling for a lab appointment to check my levels again.
Have any of you ladies who have finished chemo had a similar experience? How long does it take for the bone marrow to kick back into full blood cell production?
Lisa and Dasher, thank you for the links to the lymphedema articles. I also have had some swelling issues, but the swelling is with my wrist and thumb. I saw a Lymphedema specialist this week. She could easily see the swelling on my left, but the measurements of my right (dominant) hand, wrist, and arm proved larger. She seems to think that my have strained my thumb and that is the reason for my swelling. However, based on my lifestyle, she recommended that I get fitted for both a sleeve and a glove. If the insurance will agree to pay for these garments, I will go ahead with her recommendation, but I would much rather have muscle strengthening my first line of defense.
For those of you asking about side effects, I was most surprised by the side effects that showed up at the end of chemo: losing my eyelashes and eyebrows, and having my nails get all funky.
Christy, it must feel good to have made your decision.
Wishing us all the best!
Cloud
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