TRIPLE POSITIVE GROUP
Comments
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PBrain/Debiann - I hear you...I feel old and lazy too. My favorite part of the day is when I get to loaf around on the sofa! Maybe its not depression but the SE of the AI? I know you have been on a while but I think this crap adds to the fatigue and general feeling of malaise. I feel like im sliding into depression but then I realize I am just tired and need to slow down. I think its tough for us "doers" to realize that we cant do everything we used to and its OK.
Question: for those of you back to work did you feel like you could concentrate? work with numbers? Im starting a new job (finally) tomorrow and im terrified chemo brain is still hanging around
cant seem to take the italics off!!!
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Pbrain I too had depression and sleep issues… which was caused by Anastrozole! I took a 5 week break in April/May in within days sleep issues, depression, back/shoulder/neck pain gone. Also lost the 10 lbs I put on. The depression came on gradually and at 3 years I finally realize it was the drug. I switched to Exemestane. There is a 4% chance you will get anxiety with Exemestane. I am one of those 4% but taking meds for that and much better. I don't have any of the other SE that I had with Anastrozole. If you want to chat on the phone send my a PM and we can share numbers.
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rozem -- I've been working through chemo; plan to work through rads as well. Can I concentrate? Sort-of. I should note that I cut down on some of my responsibilities during chemo, but my boss expects me to "ramp up" my workload come March (when I hope I'll be done with rads). The difference really has been that I've taken things more slowly than I have in the past. For example, I work as a college professor, and I decided to grade the students' last quizzes this weekend. It took me two days, starting and stopping, but they got done. Good luck!
PBrain, et al. -- wish I could contribute to this discussion, but I'm still working my way through treatment. I should note that I already feel less peppy and ambitious about life, though.
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Pbrain, I'm not sure I can help either. I just finished chemo 2 1/2 weeks ago, but I do feel blah too. I'm sure mine are for different reasons though. My MIL passed away a few weeks ago and my tumor markers are slightly elevated now that I've finished chemo. I normally have most of my christmas shopping done before Thanksgiving. I still haven't finished and I don't really feel like doing it. Just not feeling a lot of joy this year. I've read a lot about the AIs causing depression. Maybe you could take a short break (with MOs blessing) to see if that is the cause? Just so you know, the weather in Ohio isn't any better!
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I'm in the old and tired club too.... (I'm 60, and earlier I was thinking "60 going on 80")
Elaine, I too have worked as a college professor. With my diagnosis I went from full time to part time - also because I'm the full time of caretaker of my 94 year old mother who has really gone downhill this last year and I realized that I couldn't give 100% to my students any more.... anyway, when I used to complain to my husband about grading papers, he'd say "don't assign them." And, I got lazy, and started giving less assignments! I now teach one or two online classes a semester. today I read a syllabus that my replacement created - she is a go-getter - and is assigning about 8 pages of written work per student per week. Yikes! (my field is early childhood education, not english.)
anyway - the point is - it is easy to get into a rut and get lazy about things. In my semi-retirement, it is very easy to waste a lot of time on the computer! like now! instead of going to bed....
Insomnia - that is another curse - I have always been prone to it, but I think the arimidex makes it worse...
pbrain - here in massachusetts it is very cold and grey and gross too. I've always been prone to seasonal affective disorder and find that I actually physically crave sun after a while of deprivation - and where I live winter isn't too sunny at all :-(
Have you tried light therapy? Have you checked your vitamin D levels? Also fish oil is supposed to be good for depression. And, I agree, counseling couldn't hurt.
I also have struggled most of my life with being overweight. I weigh less than I did at diagnosis, but still more than I should. The good thing about being home so much now is that I am exercising most every day (and I'm so out of shape that I can barely do the leslie sansone one mile walk) - but I try to get outdoors and walk when it is sunny, even just for 10 or 20 minutes... today I sat in the sun for a while - but it was 25 degrees and windy so I didn't last too long.... but that might be another suggestion pbrain - maybe get an exercise buddy and take some walks or something to keep moving..... I think the inertia is the hardest part - once you get going it isn't so bad.
good night ladies, be well
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pbrain - I worked through chemo and rads. Still have herceptin every 3 weeks but haven't started Arimidex yet. I expect that will be on the 18th Dec. I'd give anything for a full nights sleep. Prone to insomnia my whole life and night sweats since diagnosis when I had to stop HRT.... My boss couldn't care less if I napped in my cubical - I mostly do accounting and don't deal with the public or clients. No depression but I live in la la land. Like Scarlett Ohara - I'll think about it tomorrow. I refuse to dwell on the cancer - in my mind, I was completely well until chemo. If reality ever hits me, they'll probably have to lock me in the looney bin.
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Tee hee! You crack me up Blownaway! Thanks everyone for the positive reinforcement, and yeap, I do need more vitamin D I'm sure and I too crave the sun in the Summer. I want to be appreciative of everyday I get, but at the same time, I just want to sleep...and lounge...and laze...arghhh!
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PBrain - me too!! I am 5 years out, and don't really think I have been truly depressed ever. But lately, I can sit on the sofa all afternoon with no energy or desire to get much done. I get invited to lunch and to holiday parties, but I have no interest. Zero. My firstborn just left for college, and I think that triggered it. Honestly, 5 years ago I was totally terrified I wouldnt see my kids turn 18. That's what kept going through my mind all through treatment - just get them all to adulthood. It kept me going. I am so proud of him - he got an academic scholarship and is in the honors program. And now, I think I am scared sometimes the other shoe will drop and I will not be here for my other 2 to see them off to college. There is no real basis for any of this though. Onc says I am fine. He actually said he does not see much recurrence past 5 years in her2 gals who had herceptin!!
Times like this though, I have to force myself out of the rut. Mandatory fun. I am playing tennis with some ladies in freezing cold today and I dont really want to. Then we are going to lunch at a place that doesn't sound good to me. I have stocked my calendar up. I also found my way to the gym and committed to myself that I will get on that damn treadmill 20 minutes a day then lift a few weights. And then I will get in bed at 10pm, every day. I have been doing this sort of thing for almost 2 weeks and its helping a lot. Its amazing how much exercise helps. And anything is better than me making my way to the sofa. With my son gone it takes me 15 minutes to figure out how to turn all the remotes on the dang thing anyway.
I watched this movie on Netflix (I dont remember what it is called because I drank 2 beers watching it lol) and it said view the health process as 4 fold : Diet, Exercise, Mindset and Spirituality. You need to make a step in the right direction in each of those 4 areas to have Vitality. Or just drink another beer and wait til Spring when we get more sun and its warm!!!!!
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PBrain & everyone
As much as I love bc.org, the fact that we are far from each other is sad. We have the most wonderful people who understand and can help us through these things but are not close enough for a big hug .
I think it is always good to talk things through with people you trust and respect . Keeping stuff inside can lead to all kinds of problems.
The most recent article I read estimated that a third of breast cancer survivors suffer from depression as a side effect.I personally think it's higher.
I feel the same way much of the time and for me I don't feel recurrence fear has anything to do with it.
What has helped. Me enormously is exactly the opposite of what depression makes so tempting...vegging out.
It is very, very hard some days but I do my yoga every day at home. Usually I have at least one class outside the home. In good weather , outdoors. The spiritual, meditative aspect.. Although difficult for me.. Has helped me. I try to do a brisk 3 mile walk 3x a week. I was doing it daily but I actually lost too much weight!
And on days when I'm not walking I do weight bearing at the gym.
I try my best to keep to this schedule .. It's only an hour a day ... and it really has helped. Not cured but made bearable:)
xo everyone
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PBrain and all,
I've noticed a weird thing too. I'm just a shade less invested in things than I used to be.It's not really depression but a disengagement. For instance, other years I would have cared that we didn't get our Christmas tree by now, for the sake of the kids, because I wanted the season to be perfect for them. Or I cared a whole lot about what countertop I'm putting in the kitchen, but I don't. I also don't care as much about socializing. And I am not as zesty about building my new career as I was before. And I like TV binge watching and I never did that pre-BC, though I don't watch during the day. I still am busy with family and friends, but just feel a tiny bit less connected. Sometimes I worry about that, about what it means.
I just went through a recurrence scare. It turned out to be a fibroadenoma. I think it's really hard to figure out how to move on when there is that shadow. If anyone outside sees me, they think I've totally moved on. And I want to and I do not want to talk about it with people because I feel it's my private business, just like any other health concern. But it's hard to figure out how to incorporate that shadow in the moving on. I am clear that I love life, and want to live- that's not in question at all.
I agree completely that exercise is essential to mental health. I recently joined the BCO exercise thread- finding that posting what I exercise helps me to stay on track a little more.
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The San Antonio Breast CancerSymposium is this week & it appears there may be some big news on ovarian suppression. The results of a clinical trial are supposed to be released Thursday. Could change treatment regimen.
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ashla - your link is not live, so here is some additional info on the presentation of those results - this is the SOFT and TEXT trials, and affect pre-menopausal patients.
http://www.cancer.gov/newscenter/newsfromnci/2014/ASCOSOFTandTEXT0 -
Thx Special K! This may very well give guidance to all the girls who are struggling with ovarian suppression issues..
Hope so:)
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Thanks Ashla and Special K for posting this info on ovarian suppression!
I am scheduled for a hysterectomy this week and am struggling with the decision of whether or not to have my ovaries removed.
I know I should have them removed but am afraid that my quality of life may be diminished due to hot flashes and mood swings. I have also read that the ovaries provide heart and bone protection even into ones Sixties.
I am so confused! Special K, you had said that you had a hysterectomy....did you have your ovaries removed, and if you did...how bad was surgical menopause?
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I came out of chemopause a few months after chemo ended, at age 40. But tamoxifen has put me into randomness. Sometimes I get an abbreviated period but usually not.
I assume it means post chemo, but what does PFC stand for?
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PFC=Post final chemo | Post friggin' chemo | Post fucking chemo you pick
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ella - I had a total hyst/ooph at 45 (I am now 58), I have had wicked hot flashes, which started within 24 hours, and still continue - they did not get better or worse during chemo or on hormonal therapy, but have improved somewhat with an anti-inflammatory diet. I also experienced some fragility and dryness of vaginal tissues, but that is something that you can address aggressively at the outset and hopefully work around. I did not experience mood swings, depression, weight gain, cognitive dysfunction, or really any other symptoms.
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Special K, thanks so much for your input!
I also experienced wicked hot flashes during chemo, but since I recently fell out of chemo pause it has been instant relief. That is why I have been dreading surgically induced menopause.
It is encouraging to know that you did not experience any mood swings or depression.
Also..I have to tell you that you look absolutely amazing for 58, so it is clear that your hysterectomy did not cause any pre-mature aging. I will be 52 in January and I thought for sure you were much younger than me! The recent photo you posted was beautiful!
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ella - thanks! You are sweet! I don't think I look my age - and most don't guess it, and chemo and Femara/Arimidex don't seem to have accelerated any aging either, so if the plan is to put you on an AI going forward don't let that worry you. I would be sure to take good care of yourself, try to eat as healthy as possible, exercise, use a good moisturizer and good hair care products, all the usual stuff - you may have some hot flashes, but maybe not. I really did see a difference in mine with the new way I have been eating, and interestingly I also experienced less lymphedema swelling. What kind of surgery are you having - vaginal, robotic? Mine was abdominal so I had a C-section like incision, but from all that I have heard the lap or vag type are a much easier recovery. Two things I forgot to mention - my cholesterol did go up and my bone density did go down - keep an eye on those, as AI drugs can cause problems with both as well. I did take a statin for a few years but weaned off and also dropped my total number by 30 points with the new eating style, so my primary care is good with things - my good cholesterol is what is driving my total number a tad high - so we just watch it. I was osteopenic after the hyst/ooph prior to my BC diagnosis - but I was stable, but might have developed osteopenia anyway because I fit the profile - caucasian and of slight build . Chemo and Femara made it worse so I went on Prolia injections every six months - reversed the problem, I now have normal density. So I would recommend getting a lipid panel and a DEXA scan at the time of your surgery so you have a good baseline if you have not already had both recently.
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Special K - ditto - I had complete hyst same age and am same age as you now. I agree with ALL your comments re hot flashes, mood swings.....
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SpecialK... Thanks for the additional advice.....I've been a nervous wreck...LOL!
Unfortunately, I am scheduled to have the old fashioned C-section cut, due to the large size of the fibroids. I tried my best for the Lap, or the DaVinci, but all 3 doctors agreed that it has to be the C cut. 😟
I just had a Dexa scan in October, and do have osteopenia, and am going to check my cholesterol...this is great advice as I know these are both important concerns. It is also very inspiring and encouraging that you didn't experience any weight gain and your density is now Normal!
A little over a year ago, I participated in a Wellness Program sponsored and paid for by Susan G Komen at my local hospital. It was very beneficial and helpful as it focused on mind, body and nutrition. Ever since, I have been trying to eat a mostly plant based diet with a few cheats now and then. Your new diet sounds good.
Blownaway, it is even more encouraging to hear that you also did not have any mood, or weight gain issues after your hysterectomy.
Thanks ladies!
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ella - I didn't gain from the hyst/ooph, but did from chemo steroids and the first months of AI - but was able to lose back down to less than pre-chemo weight after I changed up what I was eating (no sugar, dairy, eggs, corn, soy, peanuts, gluten) - it sounds like you are already doing the right things. Did you have a previous C-section? Both of my children were C-sections and the recovery from an abdominal hyst/ooph was very similar - it wasn't bad at all. Sneezing and laughing were a bit tough! I had a lifting and driving restriction but I don't think it was very long - and I don't think my DH took more than a couple of days off work. We lived in a 3-story house at the time - no problem with stairs. I would recommend satin PJs - easier to slide in and out of bed - your core will be sore.
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Thanks Lago. LOL
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I had a hysterectomy at 47 because of fibroids and I kept my ovaries, thinking they were still useful. I regret my decision because I found the perimenopausal years to be awful! Hot flashes, weight gain, depression and crazy heart palpitations due to flucuating hormone levels. Sometimes my estrogen would go sky high. When it ended and I was in menopause the symptoms subsided and I started to feel much better, I even lost some weight. A year later I got the bc dx. I believe it was due to the extreme hormone levels I experienced. My new gyno agrees. In hindsight I think if I had removed my ovaries I could have avoided this.
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debiann - don't look back - it does no good - look at all of us diagnosed with BC many years after an ooph.
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Thanks Special K. I try not to focus on the things I can't change, but that experience made it extra hard to make decisions this time. You do all you can to make the best, most informed choice but it doesn't always work out as you planned.
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debiann - don't I know it! Have you looked at my list of surgeries, lol!!! I thought I was making rational decisions all along, but many things have surprised me and backfired, nobody at fault - just bad luck - here I am fours years out from BMX, two years out from exchange, and right now I have one implant and a flat side.
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SpecialK...you made my night by telling me that you were able to climb stairs! That is my biggest concern, since I have stairs everywhere. All your tips and suggestions are greatly appreciated....I am digging out the satin PJs now!
I do try to cut out dairy and anything with hormones or antibiotics just to be safe. I only wish I didn't love cheese so much! Sometimes I get so tired of eating Kale and drinking Wheatgrass shots all the time!
Debiann....I'm sorry you had that experience, but Thanks for sharing, as it is helpful to know that leaving your ovaries in didn't help as you expected. All three doctors have told me to get them out at my age. Did you eventually feel relief from the fibroids after the surgery? Btw...where in PA do you live?
It is unfortunate that many of us had to go thru so many surgeries!
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ella - I had so many fibroids I looked like I was pregnant and I had a cycle that was super heavy and lasted for months non-stop - I was very happy to have the hyst-ooph. The surgery was originally for dealing with the fibroids but the GYN recommended removing the ovaries because I was 45 and not having any more babies. I had a pelvic US 6 months earlier and there were no issues at that time with the ovaries (I had a long history of ovarian cysts, one orange-sized one ruptured) but post-op path revealed a 3cm mass pre-malignant mass in the right ovary. Either US missed it or it grew to that size in 6 months. Eeek! The consensus was yay for getting the ooph too!
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Ella, I live outside of Allentown. Yes, getting the uterus out gave me immediate relief! Prior to surgery I wasn't seeing a gyno, just my family dr. I was having all kind of pain and bowel problems that were being treated as irritable bowel. I was getting no relief, so I went to a gyno who said "your uterus is the size of a grapefruit, no wonder your having problems."
He left the ovary decision up to me, explaining the pros and cons. When he said removal would mean I would be thrown into immediate menopause it scared me, so I kept them, deciding to go through it the natural way, which once it started turned into four miserable years. I now think I would have preferred the immediate change.
Also, during chemo I met a 70 year old woman with ovarian cancer. She too had her uterus removed when younger. I'd now truly wish mine were gone.
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