TRIPLE POSITIVE GROUP

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  • lago
    lago Posts: 11,653

    Mommato3 I even mentioned a quote from an article I read. She asked which one. I sent it to her. She said it was an "off the cuff" comment and not the experience they have had at my treatment center. I felt like telling her that's BS. I have read many articles and talked to so many women. Even a woman in my building quit after 2 years… things is most that have quit that I know do not have a tumor as big, where under 50, pre/perimenopausal or as aggressive as me. This is why I want to try anything to see if I can make it to the 5 years.

  • debiann
    debiann Posts: 447

    Armamp#95

    I really wanted to stop after tx #5, but the mo gave me an extra week to recover and a dose reduction and I completed #6 with less SE. Good luck with whatever you decide.


  • Armamp#95 - I was supoosed to get 4 TCH but my onco decided after my 3rd that I should have 6 TCH treatments because he felt I was handling the se's very well. When I showed up for #5, he was not there and another onco saw me that day. She cancelled the remaining 2 TCH treatments and I only had herceptin that day. I had been having severe D - the no advance warning Niagra Falls variety, my eyes were streaming just as bad, the bottoms of my feet looked like I had stepped into boiling water and my sister who took me to this appt was ready to kick someone's ass and take names later. So it's just been Herceptin every 3 weeks combined with 24 full breast and 12 boosts of rads to the left side. If you read my previous posts, you know that I'm having some heart issues from either the herceptin, the rads or both because they did a heart cath and found no blockage. Some of us have worse side effects than others and I think that the second onco thought 6 TCH were out of line for stage 1, no node involement, .6 cm tumor... My original onco is very conservative. Neither my family, nor I cared for him from the very beginning and I was in the process of changing to a different location of MD Anderson (closer to home) when the heart issues came up and the new location does not have a cardiology dept. I could just change doctors but at this late stage, WTF.... ANYHOOOO, Your doctors will probably make the call based on your own individual case.

  • Hello ~ I hope everyone had a wonderful Christmas.  I only have two rounds of H left.  My doctors (breast surgeon and Onc) are talking about removing the port.  DH is freaked out about the port removal.  I don't know if his anxiety is due to the chance of recurrence or how icky the port insertion surgery was.  They did a good job putting it in, however I was left really bloody.  It did not bother me but then again I was really doped up.  What are your thoughts on port removal a the end of active treatment?

  • moonflwr912
    moonflwr912 Posts: 5,945

    brwn, I do still have my port in. I am 2 and 1/2 years PFC. I had so.e issues with a low magnesium level and had to have tests every 6 werks. Had to have I fusions about every other time. The last 4 time have been good so I'm thinking about taking it out. Some Doctors even pull it out in tbe office. Mine would be in sx because I also have a pacemaker and they don't want to take a chance on messing that up. LOL. Long winded story just meant to let you know they can stay in for as long as you want. If they don't hurt or bother you. If they do then get it out!

    Blownaway, sorry you are having heart issues. I had to stop H after the 2nd 3 week dose as my EF went down too much. I was at 42%, From 65%. It did recover fully so I hope yours does as well.

    Much love.

  • ashla
    ashla Posts: 1,566

    A hair growing system has now been approved for women by the FDA . It seems that it really does work but costs $600.. IGrow.

    .http://www.medgadget.com/2014/12/igrow-hair-restor...

  • Blownaway ... yes, I had seen your posts about the heart issues, and identified since I am to have my first followup echo in a couple of weeks. Fingers crossed ... baseline EF was 54. I am older (66) ... do the cutoff numbers vary by age?

    I went to my cancer center for bloodwork ... did not talk to MO directly, but after my note, she has switched the plan to 4 TCH, and I am on to the H-only phase. I feel fortunate that I had been going to this lady for 5 or 6 years, as followups from previous DX, so we know each other pretty well. My tumor was also .6 cm, no nodes, etc..

    After your description, I may never quite look at pics of Niagara Falls the same way again.

    ashla ... other than the MX and my brief fling with Tamox, I had no other treatments in 2005/6. After I started with this MO, she tested and started me on Vit D.

  • windgirl
    windgirl Posts: 208

    hello,

    I hope everyone is doing well. I just got my pathology report and had a question I wanted to post in case any of you knew or had a similar situation. I originally had a path report based on my needle biopsy back in July when I was diagnosed as triple positive idc, which also included a grade of 2. since then I completed 6 rounds of tchp and just had my lumpectomy last week. Surgeon removed a large chunk and in it was found 8mm remaining idc (my original was 3.3cm). The pathology report on this remaining carcinoma says that the Nottingham grade is 1. I am pretty surprised that the grade went down. Has this happened to any of you? Does chemo actually have the potential to change the grade of remaining carcinoma that it was not able to kill? If not, I am going to imagine that that the difference is due to the biopsy piece being maybe too small and not representative. Anyway, if you have gone through the same or asked your Onc, please let me know :) Thanks and Happy Holidays!!

     


     

  • windgirl
    windgirl Posts: 208

    I just spoke with my cousin who is in nuclear medicine so bit familiar with all this and she said that tumors are heterogeneous, so she thinks maybe the higher grade portion responded to chemo and disappeared and the part that was left is grade 1 which does not respond to chemo as well as high grades. This makes sense as the clip for where they biopsied was further away in imaging before surgery that the residual tumor. This explanation if true makes me feel better about not having a Pcr as a her2+ girl. Wanted to post this update :) thanks!

  • knmtwins
    knmtwins Posts: 438

    arm - you should have been part of the July Chemo group, as Blown was, she is just talking like we did. Constipation and Diarrhea were all we talked about, it seemed. We all had so many different drugs / OTC / suggestions for these side effects. By the time a month was done, there was no more need for 'Niagra Falls' we just said d, D, or BIG D. My bathroom sink looked like that of an AIDS patient with all the bottles. Since the doctor would call them by their 'named brands' and my pharmacy insurance would give them to me as generic it was quite tricky to figure it all out, especially since so many were if 1 doesn't work, then try this, so I would write V1, V2 (nausea meds) M1, M2, migraine meds, D1, D2, D3 diarrhea meds. I could remember the claratin and stool softeners on my own. The TCHP galls got all sorts of things. I don't see the P, Perjeta on yours, and that would be because it is only approved for tumors over 2cm, or node positive, was the last time I looked up the FDA guidelines. It is tough on the heart too, so be thankful for that.

  • Armamp95 - my baseline EF was 56 and I am almost 58. You and I started out with a low EF. Don't know about you, but I've always considersd myself a low energy person - just never had as much stamina as others at the gym, etc. I had know idea that my heart was less effective than most people. After about 7-8 rounds of H and all the rads to the left side, I was down to 35 and had no get up and go. I understand that this may right itself with meds and cancer treatment can then resume.

    Knmtwins is right, we did get to know WAY too much about each other in the July Chemo discussion board. We shared everything!

  • lago
    lago Posts: 11,653

    Brwneyedgirl I left my port in for 2 years per my MO's recommendation. She said most recurrences happen in the first 2 years and would prefer I kept it in because if they remove it they won't put it in the same spot. After my port removal we wait straight to the Italian restaurant down the street and I had spinach lasagna. BTW they told me to eat lightly after surgery… I was like Bull. I haven't eaten since last night and it's 1:30pm. I ate the entire meal. No issues.

    windgirl different portions of your tumor might be different. Chemo does really good on fast growing cells like grade 3. It makes sense that the chemo might not have had as strong of an effect on the grade 1. Surgery and hormone therapy will take care of that… and if you are doing rads the rads will take care of any local cells.


  • Thank you ladies for the responses to my question.  Hope the new year is a great year for all!

     

  • ashla
    ashla Posts: 1,566

    We've discussed just about every risqué subject and every orifice in this forum too. A standout discussion was probably...pretty sure it was Special K's.. Chemo companion talking about her Brazilian :)


  • windgirl
    windgirl Posts: 208


    Thanks Lago, yes it made sense to me as well. I will be doing rads (while dreading it) and at least 5 years on a hormone pill.

  • lago
    lago Posts: 11,653

    That 5 year pill is your grade 1 gun Winking

  • @pmr53, i would recommend TCH, i had a complete response and have read in other discussion boards of their complete responses from this treatment plan. it works wonders. after the 2nd treatment, the tumor had decreased dramatically. TCH will kick your butt if you're anything like me. i was out 1 week out of the 3 weeks but it was worth it. diarrhea was horrendous, anytime my fiance and i were out i would force him to rush to any location i could use the bathroom at. [diarrhea would happen on week 2 after i finished vomiting my lungs out the first week] now, i suffer from painful poop every time i have to use the bathroom. still on herceptin until july.


    with that being said, does anything have any recommendations regarding arimadex vs. tamoxifen? i am already scheduled to start tamoxifen after chemo, i even picked up my medication a few days ago ... i just have heard arimadex rocks. i am anticipated to be on tamoxifen for 5 years, is that the same plan for arimadex?

  • @pmr53, i would recommend TCH, i had a complete response and have read in other discussion boards of their complete responses from this treatment plan. it works wonders. after the 2nd treatment, the tumor had decreased dramatically. TCH will kick your butt if you're anything like me. i was out 1 week out of the 3 weeks but it was worth it. diarrhea was horrendous, anytime my fiance and i were out i would force him to rush to any location i could use the bathroom at. [diarrhea would happen on week 2 after i finished vomiting my lungs out the first week] now, i suffer from painful poop every time i have to use the bathroom. still on herceptin until july.

    with that being said, does anything have any recommendations regarding arimadex vs. tamoxifen? i am already scheduled to start tamoxifen after chemo, i even picked up my medication a few days ago ... i just have heard arimadex rocks. i am anticipated to be on tamoxifen for 5 years, is that the same plan for arimadex?

  • lago
    lago Posts: 11,653

    runningcello If you are not post menopause then Arimidex (or Femara or Aromasin) would not be an option for you. Chemo might have stopped your cycles but depending on your age they might come back.

  • ashla
    ashla Posts: 1,566

    Lago, SpecislK anyone else... Did you see the hair growing helmet? May just be worth it rather than a lifetime of minoxidil.

    You first..... Let me know;)

  • bren58
    bren58 Posts: 688

    brwn, when I was having my last H tx, my MO told me I could schedule my port removal anytime. I scheduled it on my way out that day and had it out 3 weeks later. It was no big deal and done right in the office with just a local anestesia.

    ashla, I will have to look into that helmet thing for hair regrowth. Looks interesting.

  • lago
    lago Posts: 11,653

    Ashla I've been doing generic Minoxidil once a day (except on chemo) since 2006. It's not a big deal. I did switch to the men's. I found you can buy it on sale at Walgreen's but I also noticed the regular price at Costco is $55 for what they call a 6 month supply which would be a 12 month supply for me since I only use it once a day. For $4-$5 a month I think I can handle this. Some people get manicures I get Minoxidil. That contraption looks way too $$

    Loopy

  • windgirl
    windgirl Posts: 208


    hello,

    I have a lot of muscle stiffness that started about 2 weeks after final TCHP chemo. Have any of you ladies experienced this? While on chemo and shortly after final chemo I had the burning muscles where I would feel like I jogged a few miles when I only walked a block or took a few steps on stairs. That burning feeling has completely gone, in fact I can walk a long distance with no problems at a slow pace, no burning or shortness of breath. However, stiffness has started in my leg muscles and its really annoying. Its hard to pick up something from the floor, I have to adjust every time stand up while sitting or vice versa. I feel like I need to stretch constantly yet stretching does not help.

    I wanted to understand what causes this, biologically, and have been searching online but have not found any answers. If you have experienced this, do you know how this happens? Also, if you have experienced the same stiffness issue, was there anything you did to resolve it and how long did it stay? I've read on multiple sites people saying it lasted a long time and even continues to last after years. I'm hoping that's not the case!! Thanks :)

     

  • lago
    lago Posts: 11,653

    windgirl I too had that. I was so stiff (as were many of us) it was almost humorous seeing me try to get up after sitting on the floor. Stairs were hell. After about 5 weeks PFC it did start to get better for me. Remember that you are on a 3 weeks cycle and each tx is cumulative. My stiffness started before my last tx. But do mention to your MO.

  • windgirl
    windgirl Posts: 208


    Hi Lago, thanks so much that is helpful to know.

  • windgirl I had the same burning in my muscles and some stiffness too. It isn't too bad but it's there. I'm almost two weeks PFC.

  • windgirl
    windgirl Posts: 208

    hi Cassie, thanks, I am only two weeks ahead of you. I am very happy that the burning went away, because that prevented me from being able to take walks, hope yours will resolve very soon as well. I know you had the swelling in your legs as well towards the end, I wonder if this stiffness has something to do with that. Most of my water retention went away suddenly less than a week ago and it seems the mild stiffness got worse after that for me. I posed the question to ask an expert on the Hopkins website, will post back here if she has any recommendations. I read one lady say high protein intake (makes sense our bodies are repairing) and vitamin b helped her. Take care!

  • My swelling is all gone as far as I can tell. It's weird that it started happening during round 5 and then just up and disappeared again. I supposed it could still happen this round, as I'm still in the midst of recovering from round 6, but I think it's gone for good. Fingers crossed!

  • lago
    lago Posts: 11,653

    I had water retention in the legs too. It didn't all go away so eventually I was put on a very small does of diuretic. I don't think there is a relationship with the water retention and burning/stiffness.

  • Mommato3
    Mommato3 Posts: 468

    Windgirl, I'm still having muscle stiffness. It's weird because I never really had it during chemo. My issue was just being tired and unable to walk long distances or up and down the stairs repeatedly without feeling like I needed to rest (lay down). I asked my MO if it was related to being thrown into menopause. She said no, but it's weird that it started after chemo ended. I did start doing a fast walk (3.5) on the treadmill 3-4 days a week for the first two weeks. That caused a lot of aches so I decided to stop until my legs recovered. It really only happens when I first get up in the morning or I've been sitting for a while. I hobble for probably a full minute until I can walk it off. My hubby has to think I'm crazy or OLD!! Winking