TRIPLE POSITIVE GROUP
Comments
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Hey you guys might be on to something. I started to take my tamox in the afternoon or evening when I was used to taking it right in the morning when I got up. I don't know if that is it but I will try and go back to taking it in the morning. see if that helps.0 -
ladies, i have questions...last july 2013 my echo was 69%, in december 2013 was 65% and now 5 months later come dow to 57%. Is this something i should be concerned? My chemo nurse said its normal. My MO is out of town not able to see him today. thanks ladies!!!
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soriya - echo percentages are subjective to a certain extent - it can vary according to who is doing the measuring, and the calibration of the machine. As long as you are in a normal range you are probably fine, or have not dropped a large percentage between two of your checks. Your drop is over the course of a year, and factoring in a minor measuring discrepancy, I think your onc will think it is ok.
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Wow. This thread is hopping.... you can't leave for a few days without getting tons of informative reading posts when you return. THAT'S GREAT!!!
I don't even know my echo %, but, I know I've had at least 3 since my diagnosis a year ago.
On a general side note: This weekend I had swelling in my knee. I've had pain in it for about 4 weeks now and have kept MO in the loop. I called my nurse line to report it as out of the ordinary. I was ok taking motrin and using ice, but wanted to feel "safe". They wanted me to go in immediately. I was kinda surprised, but went in. They called in the ultrasound tech on call and had her look to make sure I didn't have a blood clot. DVT, Deep-vein thrombosis is more common if you've had some of the types of chemo. I am glad to have found out that I am fine. I was able to continue about my plans and just took motrin. MO is looking into the underlying cause of the continual knee pain. It is suspected to be SE from the AIs though.
JUST WANT TO GIVE A HEADS UP TO YOU ALL ON THE POTENTIAL FOR BLOOD CLOTS...NOT TO OVER ALARM ANYONE, everyone's different.
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livin - had this too - from Arimidex and it required a shot of cortisone to the knee. That solved the problem, but I will warn you it hurts like a %$#^&, and if you had the steroid flush from chemo, you will def get it from this - my face was neon red for about 24 hours.
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Special K UHHH... should I say thanks for the warning
Yikes. I am such a baby. I'm glad it's not both knees, but, why only one? Since I've been on an AI break for 15 days most other pain is better. I know I didn't injure it. Did you have an xray or a scan or anything before they decided on the cortisone. And "yes" I did take steroids a few days before and after chemo. Chemo ended in Sept, 2013. I did it before surgery, then radiation. Last Herceptin is next week. Could Herceptin be the culprit?0 -
Living in sunshine...you are correct from now on, we all are at increased risk of clotting. From an IV, A PICC line, a port, flying in a plane or a long car ride to name a few. If you ever have unexplained swelling or pain in an arm or leg contacted your doctor.
LeeA..I did the 10 Day Green Smoothie Cleanse. Book by JJ Smith. She is a nutritionist that developed mercury poisoning from her dental fillings. She came up with this and it is a detox. As I had just finished chemo I wanted that poison out of my body. I am a marathon runner and not used to my body in this shape. Weak and unresponsive.
If you follow it well, it detoxes you from dairy, gluten and starches, caffeine and sugar. And I don't know about you but all I wanted on chemo was sugar!! Aas a nurse, when I looked the program it was all greens and fruits and you add protein powder or eggs and nuts, peanut butter for protein, so I could not find fault with that. Also, I was extremely swollen as I finished chemo and I wanted that water off. I felt so bad. There were girls at work that had done it and I watched how they did. What I noticed was the one girl, her skin was glowing. After chemo mine was tight and dry and drawn. Now if glows too. I have had several people comment on how great I look! LOL So next week about 8 ladies in my office are doing it together. There is a full version and a modified too.
What I can say is that I am less tired. My skin looks wonderful. I am sleeping better though not like I did before my diagnosis. I feel more even through out the day, no sugar spikes from lots of bad carbs.
I still seem to have legs muscle weakness and aching. I am not sure how much is due to the Taxotere or to the Herceptin.
Soriya..mine MUGA scan/ Ejection Fraction dropped 5% on the first 3 month check. I was not happy. I have returned to exercising and I hope that will help keep it more even
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Hi Ladies, i walked everyday, at least 40 mins to 1 hr. i was shocked that this time drop so much. i wondered if that person was nervous to monitor me. LOL i always have different person work on me. Thanks special K and princessrn really appreciated.
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livin - no idea why the one knee - I also had triggers in random fingers/toes and one ankle, so who knows? I had static (regular) x-rays, but no MRI or other type of imaging. I was treated by an orthopedic surgeon who specializes in sports medicine. Cortisone solved the problem and it has not returned. That is actually tied to princessrn's post - I am following a diet that is similar to hers, I have eliminated dairy, gluten, sugar, corn, peanuts, eggs and soy. I use vegan protein powder. I no longer have any joint pain, and I had a bunch, and the discomfort and swelling in my LE arm is way better. I have lost the weight I gained on chemo from steroids and hormonal therapy (Femara, then Arimidex, then Femara again), which so far is 22 lbs. - I weigh less than before I started treatment. The theory behind this diet some foods create inflammation that makes weight loss difficult, causes joint pain and GI issues. I doubt that Herceptin is the culprit behind your pain, especially this late in the game.
princessrn - my echos dropped marginally over the year of Herceptin, but rebounded once I was done.
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special..thanks. I thought it was probably residual to the TC but just wondered. I I have small amount of LE to my hand and wrist. I am 4 months post surgery and wondering if this is it or if it might improve. I did have a lot of joint inflammation/pain from biking and running. I am hoping this helps that area too. I have not returned to running yet. Soon..
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momx2 - my last chemo was 5/21/13 and I started tamoxifen in mid-November. So, almost six months!
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Sooooooo..... HAPPY!!!! Finally done with Herceptin. Finished last Wednesday. I have an appointment with my BS on Monday to schedule port removal. And I don't have to go back to ONC for 3 months! Yippee! Finally feel like I can move on.......
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princessrn, thanks for all the details on the detox! It sounds great - especially the glowing skin part. 12 pounds and glowing skin would be a dream come true :-)
livin-in-sunshine, while I was on Levaquin my right knee went haywire. I'm not sure if it was the Levaquin or if it could have been the combination of the Levaquin with the Anastrozole. Either way, it was so swollen I had to keep icing it and wore a brace for a few days. Fortunately, it has since gone down and is almost back to normal. I've read that Levaquin can cause tendonitis and the knees/shoulders are common areas for pain and I had problems with both areas. On the other hand, Anastrozole on its own is a bag of mixed tricks, at least for me. There's that "I feel like I'm 80 years old when I get out of a chair feeling" but on the Levaquin it was more like "I feel like I'm 180 years old." Heck, I never even thought about a blood clot!
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Gigif - yay!!
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Congratulations, GIGIF - this is a big day!
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Perfect time for me to read the last few pages. I see my MO tomorrow and plan to have "THE TALK". Yes, we can say fuck cancer. Why not. Cancer-and the treatments fuck with us. All the time. I have aged, I hurt, I creak when I move, my belly is gigantic, I gain weight looking at dog food, my brain has turned from chemo brain to chemo mush, and I can't remember what else. The past year of trying the AIs and tamox has been hell. At least with the weeks of chemo I knew when I would feel bad and when it would get better. This is every day is bad and gets worse. Two years ago I felt good. True-I had a lump turning into mega lump in my breast. But I had energy, I was happy, I was smart, I could read longer than 42 seconds, I could walk. I could even wear a skirt and heels. i cannot wear heels! Because I am afraid I will trip on something and fall. I have no boobs. But a chest that looks like Edward Scissorhands has had a picnic. My hair fell out 3 times and it is still only about 3" long. AND the hair on my arms is almost gone-so guess the hair on my head is next.
Apparently it is too much to ask for a wife, gay guy, and a pirate. And am adding a cabana boy. I am old. Not dead.
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i am going to study and try to give up gluten, but i cant give up peanut butter, or trader joe mango gummies.
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Well, I survived day one on Arimidex. Getting ready for the second pill. Reading all this about the AI's make me think Pbrain's idea sounds pretty good. I had little to no problems on tamoxifen, short of bad hot flashes and a little bit of joint pain. Some weight gain, but I think that is as much my fault, from falling off my healthy diet.
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dance-I also wondered about over treatment. Although about two posts after I wondered, someone posted about their friend who was early stage, no nodes, finished herceptin and didn't do anything and a year later was stage IV.
I mentioned to my ONC about good quality of life and he told me I had to be alive to have quality of life. Lol. Funny guy, but it kind of put it in perspective.
I can't figure out why we don't have to take these things the rest of our lives. If Tamoxifen blocks stuff, doesn't it just stop blocking it when you quit? And if AIs suppress, wouldn't we just go back to producing estrogen even if it is a small amount? Doesn't seem like they are designed to kill stuff permanently.
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kathec I haven't had peanut butter in a month till today I had a small teaspoon. I love peanut butter but I find it's one of the things that bloats me. I also don't eat a lot of wheat products. I feel better when I don't eat it.
Fluff and had no SE from Anastrozole till the 3rd month and it was very double. It wasn't till about January that my SE were a bit too much and it was primarily the depression. The stiffness was not something I loved but not that bad. Back and neck pain became bad around January too. Of course now I feel great.
I think the theory behind endocrine theory is if some cells got away starving it for 5 years will cause them to die. Now some cancer cells might go into a resting phase or just be slow growing not needing as much fuel to grow. I think that's why many of the recurrences that happen way out tend to below grade. And for some of the high grade, who knows, maybe it started off as low grade. So now with 10 years some of those lower grade cells starve till the die too. Sounds good even it its not true.
Yes you need to be alive to have both good or bad quality of life. But for some a shorter good quality is better than being miserable forever. Tell your onc no one wants to be alive in hell.
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Fluff, my onc said almost the same to me when I asked about the chemo being cut back because I couldn't handle full strength. I asked him if it was still going to work and he told me "you have to be alive for any of it to work"! LOL yes. Perspective.
Gigif, congrats!
Pbrain, Hugs. Yes. I think everyone has those very dark moments. When we think we see a light at the end of the tunnel and are quite sure it's a train. Sometimes it is and sometimes it's not. And I'm still gonna try to out run it til I cant! Of course if it's just the end of the tunnel, I'll be running for a long long time! LOL
This thread is one of the fastest ones on the site! Although the dinner thread gives it a good run for the money! LOL
Much love to all.
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Fluff, I have wondered the same thing about why it's so important for five or ten years but not beyond.
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Have to respond to the falling EF on Herceptin. Soriya-your MO may have you take a break from Herceptin for a dose or 2. 57% is certainly within range but it is a drop from your baseline @ beginning of treatment. I always get twitchy when I read about a drop. I started @ 66% and did a slow drop to just below 50% with a couple of breaks and then a cardiac approval for my 2nd MX. Had a dose several weeks after surgery then an ECHO and a rapid drop to the low 30s high 20s and off Herceptin forever. It is very important to continue to have MUGAs or ECHOs-whatever your MO prefers throughout your Herceptin treatments-with follow-ups after. I have been on cardiac drugs 9 months and am still very short of breath. EF up to mid 40s. Hoping to increase and be able to wean off some of the drugs. The weaning process will be slow. My oxygen saturation levels still occasionally run < 90%. And my BP got so low I was seeing black and dropping to the floor. A lot.
As I have often said. It is the treatment that has really really tried to kill me.
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man. then it had better have worked extremely well! cause i want to see you around these parts, for a long time.
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Good morning - I must say I have learned more in this thread about BC, my treatment, SE, surgery, the latest studies, and being strong, then I have from anywhere else on the forum. You all rock!! I think it is just one more positive to add to my triple positive - so I am now officially a quadruple positive!! I hope that someday I can contribute like you all do - thanks again for sharing what you know with so many. It is such a huge help - even the scary stuff.
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fluff - I hear ya on the being alive for the treatment to work. But it really does come down to weighing your risk of recurrence when deciding on how aggressive to be with treatment. Lago's statement "But for some a shorter good quality is better than being miserable forever. Tell your onc no one wants to be alive in hell." really rings true for me. Given my situation, I am deciding for quality of life over the risks of treatment. BUT, if I had a larger tumor, I don't think I would make that decision.
Hopefully this won't come back to bite me in the ass. If it does I hope you all don't tell me "I told you so." <sigh> BC decisions suck!
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Hi Ladies, I've had a rough couple of weeks, and this morning, the two women I work with brought me flowers and a card to cheer me up. I want to share with you because I know we all struggle and get down.
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Good morning all,
I went to regular mammo at a new center, ( I was 18 months late on mammo, all prior ones had been normal) they asked for old films
then comparison to old films
then diagnostic mammo to left only
then US where they saw "something" and an enlarged node
then biopsy of breast and node
diagnosis cancer
MRI and another area found
another biopsy of breast in different quadrant
diagnoses fibroadenoma
I had large and dense breast. I could not feel anything, so I would say Mammo found mine.
V
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efcjax - What a beautiful surprise!
Susan - Thanks for the reminder about the followup echos/MUGAs. I was supposed to have one in March and haven't scheduled it yet. You've really gone through a lot and I hear you loud and clear on the treatment part, although in my case it's more the reconstruction. I want a t-shirt that says "yes, they're fake - the real ones tried to kill me and the fake ones are trying to pick up where the real ones left off." I hope you don't have extreme summer temps where you're located. I think the going into cold air (AC) and outside (really hot) can be hard on the system, but that's just me.
dance - You're right. BC decisions really do suck. I agonized over the micromet in one sentinel node and whether or not I did the right thing by not going back for an ALND and a lot of that came down to quality of life as well - plus, I didn't want to delay chemo/Herceptin any longer than I already had. I read a few good quotes about uncertainty within the last few weeks (I read them here but I don't think it was on this thread). There's a member on another thread who has decided to discontinue the AI because her husband is ill and she wants to be able to spend the time with him feeling as good as possible, i.e. traveling, etc. Again, quality of life.
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Lago-I probably have the most sensitive, spiritual ONC on the planet. After he said that, he did add that some side effects just can't be tolerated and they would take me off if so. That whole description of the AI time frame sounds reasonable to me! Just hope there aren't any little herceptin boys hiding out in their shelter until it is safe to come out. I keep thinking that if I can make it 7 years on this stuff, (or in general) then when I am 66, I will have estrogen again, lol. When you had the depression, did you take anything for it? Or just take a month break.
I am going to ask my ONC about the whole ten year reasoning thing at yoga next week. I can get accomplished in that little class without an appointment.
Dance-I do think QOL is important. and no one would say I told you so. Mine wasn't real big (although that doesn't seem to be a big determining factor with some triple positives), under 2 cm, and a chunk of that was lcis tissue.I had a multi focal tumor. After the biopsy to remove it with clear margins, and then the mastectomy that showed no change a month later, the BS said she thought I had less than 7% chance of return if I did nothing, and even lower with the chemo and herceptin.
That makes me wonder if I am down to a less than 5% chance of recurrence, how much less does tamoxifen or an AI make it? I know I have read some of that stuff on this site, but I must need a refresher. And I still operate under the theory that it doesn't make any difference what your percentages are. A recurrence is still a recurrence. In my case, every percentage they gave me during diagnosis saw me fall on the bad side. Every. Single. Time. So I figure even if I am under the 5% rule, I am probably in the 5% that will get the recurrence, lol.
On EF-mine started around 68. Dropped to 50-55 before I was finished but held there. Onc was never worried. Said if it went lower he might be concerned, but it should all be ok. I haven't had one since the one I had a year out from herceptin. Im assuming all is fine, but I might want a stress test later this year after I have done the AI thing for six months.
Here is my next question...probably should post it on another thread. If the AI sucks out all the estrogen, then, if I was to use a vaginal estrogen cream, wouldn't it help the tissue but kill the estrogen pretty quickly? I really just want to have a fun sex life again. I can handle the rest, I think.
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