TRIPLE POSITIVE GROUP

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  • geewhiz
    geewhiz Posts: 671

    JenPam - I agree with Lago...don't give up on diving yet. I have a friend who has lymphedema in Germany and her doc has her in the pool several times a week for it. The water pressure moves the lymph system quite efficiently. I am not certain of the ramifications of more pressure from deeper diving...but it's definitely worth looking into!

  • susanhg123
    susanhg123 Posts: 257

    Good morning ladies. Newbies--this is the best thread ever. Really. Everyone reacts differently-despite what the literature says. My plan was to have a bilateral with new perkies in July of '12, chemo and rads finished by no later than Nov '12, and done by the end of the year. I was freaking delusional. But three years later I remain on the right side of dirt. I remind myself of that often.

    I had 23 nodes removed on my R side and 8 or 18 on the L. I bought sleeves with the intent to wear when I fly or travel to higher altitudes or when I was supposed to for other reasons. I thought about purchasing a couple of the fancy smancy sleeves. Nope to all. Wore them a few times and quit. So far am good. LE is almost one of the ONLY side-effects I have not had during this windy road.

    Working. I worked throughout and am still. The day I had THE mammo, I signed a contract to serve as Dean of Health, and found out about the squalid cesspool of an ex-husband. I was still teaching a couple of nursing theory courses but was able to schedule chemo on days I was not in class or in the myriad meetings I was attending. My building had multiple labs with beds, stretchers, or gurneys-plenty of choices for a nap if needed. And, almost every faculty member had initials behind their name so I could have my port accessed for fluids. I recently resigned as Dean and returned to Nursing Program Director. I can still schedule appointments, IV iron, scans, easily. Students wore masks if they were coughing, sneezing, or whatever. My MO did ban me from health care facilities as a clinical person due to the risk of my being infected. I went to my office with drains after both surgeries. BUT-I knew it was mentally healthier for me to go to work then stay home and mope. That and my German heritage. Everyone should do what is best for them. Just them. Not them and their family. Just them.

    Well, I went to see a GI guy Friday because of my continued low blood counts and pervasive anemia. Did not like this guy at all. Will be interviewing another soon. He went through the song and dance of what I should have done--upper, lower, swallow, and almost chew and spit. I-again-reviewed my history and symptoms. He did state he did not think I had gut cancer or anything serious but wanted me to go through the onslaught of testing to prove. I asked about management and he got snippy and snotty "I certainly do not intend to discuss management with you when you will not understand what I am saying until I have to". Hmm. Clearly he did not read my social history. I thanked him for his time and said I would ponder the conversation. Then...l turned into the psych nurse and was able to get him to discuss his personal story-marriage, divorce, children, plans. I learned more about him than he knew about me. I then put on my lab coat and turned to leave. He looked and said "Oh your are medical". I responded-"That makes a difference in your practice". And left. Jerk.

    Nausea. I swear by Emend. Expensive but my pharmacist was able to get coupons to decrease my cost from $500 to $50 each cycle. I react to Zofran-the killer headaches. Emend was the best. Also used steroids and lorazapam.

    Neupogen versus Neulesta. I had both. Used Claritin starting a couple days before until a couple days after chemo. I do not know if it worked because I used it everytime. I still had joint and bone pain though.

    It doesn't matter how you look at this-it is a bitch. Every. Single. Day. This thread helped pull me through the nastiest of days, the women are my dear friends, I can say anything here and not be judged or criticized. I worry about those I have not seen post. Such as PBrain--where is she? This is real. This is family.

  • MMay
    MMay Posts: 25

    KateB79 and Gretagirl how are you two holding up?

  • Tomboy
    Tomboy Posts: 2,700

    Thanks, susan. I always feel better when I read more about you, I wish one of these days I could come see you. I bet we would have a nice time! I do wonder about pbrain too, I hope she shows up soon, just to say hi

  • KateB79
    KateB79 Posts: 555

    I'm hanging in there. Constipated, dry-eyed, and a little scared, but doing pretty okay. Thanks for asking!

    Honestly, the physical part of this has been easier than the psychological part. I thought that getting through the first infusion would give me a great burst of inner strength, but I'm having a hard time not worrying about the future or wondering what SEs are still to come. I hate feeling like this, but I'm confident that it will pass in time. At least I hope it does. I miss my old life, if that makes sense.

    Off to a gentle yoga class. It always comes at the right time.

  • MMay
    MMay Posts: 25

    Kate...I feel ya! The psychological part has been hard for me too! I also have said many times "I miss my old life" the time when my brain was not filled with all of this all the time. We can do it and you will rally in a few days. I was on this site after my first one asking for support because I was so scared I was never going to feel good again and wondered what would happen next. The ladies talked me through it and even told me what days were the worst. For me it was day 3,4 and 5 and then I started to come around again. Others had said day 3 to 10 were tough. I'm very impressed that youre going to yoga. I don't think I could have after my first one. I did go for a walk this morning and that helped. Hang in there

  • KateB79
    KateB79 Posts: 555

    Thanks, MMay! The kind words really do go a long way. Yoga helped today; it was nice to get into a quiet space in my brain, instead of the 'oh my god, cancer' space I've been in. I think I'll try to make more of a point to relax and meditate at home.

    Life will get to a new normal, this I know. Right now I'm just worried because I expected to feel SO much worse than I do, so it's like waiting for the other shoe to drop. Cue my inner optimist; she needs to show up soon to remind me how lucky I am to be doing yoga three days post TCHP. :

  • Mommato3
    Mommato3 Posts: 468

    Elaine, I was told a Pet scan picks up all kinds of stuff that are benign. What does your MO say? The fact that it didn't change at all during chemo mean that it's probably benign? I would think that it would have changed in size if it wasn't. My Mo is going to try and get a Pet approved through insurance due to a cyst on my right ovary and an issue I've had with my hip since about three weeks before the end of chemo. Very frustrating!

  • elainetherese
    elainetherese Posts: 1,640

    Mommato3,

    Yes, PET scans are known for finding benign conditions. I've calmed down a little since yesterday, and will wait to see what MO says at our next appointment. (I spent too much time on Dr. Google yesterday.) Yes, you'd think that if it was cancer, chemo and maybe hormonal therapy would have had an impact on this hip thing. But, MO notes that cancer can change its profile when it finds a new home. So, maybe this hip thing hasn't reacted to treatment because it isn't responsive to the treatment that dissolved my primary tumor. Who knows. This hip thing has been there since I was diagnosed. I've lived a year without knowing what it is; I can wait another two weeks or so, if it comes to that. Hope you get your PET scan approved soon!

  • Mommato3
    Mommato3 Posts: 468

    Elaine, yes, it can change profile but from what I've read it isn't that often. IF it switched to triple negative, AC-T is a common treatment that is given. It still sounds benign but I understand how stressful it is not to know

    I just wish this weird feeling in my hip would go away again. My MO doesn't believe it's cancer related but doesn't know what it is. The Pet is mostly for the cyst on my ovary so we can say 100% that it's benign before I have an ooph next month. I had an X-ray done on my hip in the spring. Everything looked good. It didn't detect any injury either. We both think it's exercise related...after I had sat on the couch for several months during treatment. Not trying to say I sat ALL the time but it was a lot!! 😉 It finally went away after I wasn't able to run for six weeks after my exchange/lift. Then it came back after I sat for a long time in the car for a few vacations that were back to back. It doesn't hurt which makes it even more confusing. Anyone else have an idea of what it could be?

  • Elainthere I am going to make an appointment as I just find out my MO is moving to another part of the practice and I will have a new doctor. Not only that, I woke up and my right arm is swollen and huge. Then the tips of my left hand fingers started tingling and that is ongoing on the stroke side, great.

    Lagp- IDK yet what drug they are wanting to use. I need to get on that! I was still naive and thought I just had needed surgery so at that last visit I didn't even ask what the name of the drug was

  • susanhg123
    susanhg123 Posts: 257

    Tomboy--lets meet someplace. Pull in some of the others. I would like that. Much.


  • elainetherese
    elainetherese Posts: 1,640

    jumbled! OY about your arm! Have you been checked for lymphedema? The tingling -- could be neuropathy. I developed mild neuropathy while on Taxol, but it went away once I stopped chemo. Plus all the headaches? Man, you're getting some irritating side-effects!

  • susanhg123
    susanhg123 Posts: 257

    The New Normal.

    About three weeks after I was diagnosed I was listening to the Dr. Radio (yes I am that person--total geek) oncology show (no longer on) and the guest was about 6 years post dx. The show was on The New Normal-or as she said-you never go back. She talked about taking 5-years to come to the point of actually feeling she was not just Ok but good and accepting of The New Normal. She talked about losing her hair and then how it felt when it grew back and almost feeling resentful of having to "do" her hair. And people asking when she would be the way she used to be and wanting to do great bodily harm. I cried as I listened because first I knew statistically I would be lucky to make it a year and 5-years was forever, and, never. Now I am 3-years and I am not yet at a new normal. But I am on the right side of dirt. My hair fell out 3 times. For some reason I still have chemo curls and can wash and wear. My hairdresser knows I do not want to "do" anything to it that takes time. Time is precious and I am not about my hair. Or my absent lack of breasts. That is me. I do wish my Femera belly would go away though. That is the shallow me.

    Love you guys.

  • ElaineTheresa- It is crazy annoying! I am only on Herceptin infusions at this point, so what gives? Agh... I feel like charlie brown lol. I am just going to call tomorrow and see what they say. My whole experience since this and the stroke has shown me that lots of times you can get a shrug and a "lets see how you feel in a week" answer. Glad I am feeling more up tp talking to this board. You all have lots of info. I truly am confused about my fingers. seems late in the game. I take gabapentin for my stroke already so I am not sure about this se

  • elainetherese
    elainetherese Posts: 1,640

    jumbled -- the tingling could be a delayed reaction to the Taxotere (maybe?). Even though you're done with Taxoterrible, chemo is the gift that keeps on giving. I remember feeling relieved that I made it through chemo with my eyelashes still intact, only to have them fall out a week later! Good luck with your new doctor!

  • Stephmoen
    Stephmoen Posts: 184

    oh no Elaine I still have my eyebrows it's been 10 days post chemo hoping they stick around! I have my entire family going up to traverse city in celebration of my end of chemo next weekend I can't wait it's going to include wine tasting shopping and relaxing on the beach! I think I've deserved it :)

  • elainetherese
    elainetherese Posts: 1,640

    Stephmoen, I had few side-effects from chemo. Losing my eyelashes seemed painless compared to what others have gone through. DH's family has cabins in the Traverse City area (Lake Leelanau). DD was just there, visiting with her aunts (nasty storm -- lost electricity for four days). I went on my honeymoon there, 22 years ago! Have fun in the Cherry Capital of the World.

  • JenPam
    JenPam Posts: 163

    Iago, thanks very much for the advice & link! BTW, I love your user name. :D

    Geewhiz, thanks for the encouragement to look more into diving. I feel I can handle everything as long as there's some return to normal down the line, and for me that means getting into a wetsuit and hanging out with sharks.

    Susan, I appreciate your post & am glad to get to know all of you, even if the circumstances suck. Your diagnosis looks almost identical to mine, except I am IIIc with the lymph node issue. Like you, I very much want to stay on the right side of dirt. BTW, your story about the rude doctor makes me fume. Yikes!

    Jumbled, sorry to hear about your arm. That sounds very painful. (((hugs)))

  • Tomboy
    Tomboy Posts: 2,700

    JenPam, YAY! Someone here who has almost as many bad boy nodes as meeeee!!! I don't know why i am happy about that, but i am.

  • musosgirl
    musosgirl Posts: 305
    Wow. I am new to this site and was referred over to this thread. I am triple positive and am on day 12 of my first tchp cycle. (Still trying to learn all the codes...). I knew her2 was aggressive, but I didn't realize the recurrance risk was high. I am "lucky" so far in that my tumor is 2.1 cm and no node involvement. But reading through here has me nervous. I am 34 with two young boys. I NEED many more years.

    Okay, no freaking out. Has being her2+ made you make different decisions? My BS is still recommending a lumpectomy, and without a genetic marker she does not feel a mastectomy in my case is warranted. Have any of you chosen a mastectomy JUST because of the triple positive diagnosis? What about ovary removal? Again, I am 34, and I was told it was a reasonable question, but never got any sort of guidance. Surprisingly I feel much more attached to my boobs (that can be reconstructed) than my ovaries (those evil traitors!) so I am way okay with a hysterectomy. And if you ladies think ovary removal is a good idea, who do I discuss that with? BS? MO? GYN?

    What do I need to do now to lower my risk of recurrance? Help me educate myself...
  • Hi Musosgirl. I had a mastectomy straight away just based on my biopsy results. Each person has their own journey. Ultimately it is your choice. Finding a doc to do it may be tough but these ladies probably know more than me on that part. I am 35 so we are close in age. I have a 10 year old son:). My IDC tumor was 3.5 cm and grade II in 90% and grade III in 10% . I had another tumor that was not as large and was DCIS. There were several little tumors scattered throughout. It can get complicated in a hurry. I have also had a brain stem stroke but have no idea if this played a role in the rec for immediate surgery. I doubt that it did. Rather, the aggressive nature and size of my tumor and the number. My Ki 67 was 17%. I am having an Ooph on Sept 4.

  • JenPam
    JenPam Posts: 163

    Tomboy, you're awesome!! I have to say I feel the same way when I see someone just like me. Even better, you're three years ahead of me--in the sense that you're clearly still here and kicking...how are you doing? I've heard that two years out without recurrence is a great thing for those who are triple positive. (Incidentally, not to rub it in or anything, but my tumor was far bigger than yours...nyah nyah nyah.) ;) Did you undergo neoadjuvant therapy? I didn't...but if they'd known how big my tumor was, I'd have had neoadjuvant treatment, and it's likely I'd have had fewer affected nodes. I often wonder if the posters here with only a few positive nodes all had neoadjuvant chemo to shrink the cancer.

    Hi Musogirl! Good to see you over here. My MX decision was easy considering the aggressive nature and size of my tumor (though it was supposed to have been only 2 cm....it ended up being 5.5 cm.). I requested the BMX, but my surgeon didn't take much convincing. I prefer to live flat and didn't want to have to wear a foob in order to maintain balance & avoid back issues. Ask a ton of questions of your medical staff; if they agree to it, ask to record them. My DH brought along a digital recorder to all of our consultations, and I later (roughly) transcribed them in order to review the conversation on my own time with a clear(er) mind. When you do make a decision, try to learn to come to terms with it no matter what happens. It's easier said then done, but I like how my MO puts it: throw the football or don't throw it. And then move forward.

    Re: ovaries, I believe your doctors will first want to see if chemo treatment will put you into menopause before deciding to do an oophorectomy. I'm hoping my chemo will cause and sustain menopause (I turn 46 in October and, based on family history, would be about 6 years out from menopause). If that doesn't happen, I'll have an oophorectomy. My MO was the one to talk about the ooph. with me.


  • elainetherese
    elainetherese Posts: 1,640

    JenCam,

    I had neoadjuvant chemo, but I started with only one compromised lymph node. It didn't make a difference with respect to my treatment; my surgeon took all my Levels 1 and 2 lymph nodes anyway.

    Musogirl,

    Even though my tumor was large (bigger than 5 cm.) and I had nodal involvement, I opted for a lumpectomy. After chemo, the PET scan and MRI showed no active cancer in my breast or node. I figure if I have a recurrence, they can always cut more. But, I wanted to conserve my breasts for a number of reasons. First, while reconstruction is a piece of cake for some, it often requires multiple surgeries. Second, reconstructed breasts often lack sensation. Finally, I have twins with autism and they need a lot of hands-on parenting. I can't spend a lot of time recuperating from surgery. But, those are my reasons; everyone has to make this decision for themselves. Best wishes!

  • rozem
    rozem Posts: 749

    hi triple+ ladies!!!!

    Just popping in, i read the last few pages. Welcome to all the newbies. This place saved me during treatment. And a big TY to all the old timers like Lago and SpecialK who are so invaluable to those newly diagnosed. I kind move around between threads because I know this one is well taken care of :)

    Im not on here nearly as much as I used to be but think of you all very often

    To all the newbies, im 4 years out this month and yes its a new normal. Life does get back to normal but changed in a way that is different for everyone. Back to work, kids, home stresses but in all of that I remain forever grateful that I have everyday annoyances- im here to have them! BC will never be something you forget but with time it does get pushed farther away from your thoughts

    Have a great day

  • KateB79
    KateB79 Posts: 555

    So much has happened on this thread this past weekend! I've been recuperating from my first round. . . I don't want to speak too soon, but I think I can do this (physically). Psychologically. . . well, has anyone gone to a really, really dark place, even while trying to be strong and positive? I guess this is just more than I expected, in terms of emotional load (if that makes sense). I was in a dark place yesterday.

    Thanks to all the veterans for helping us newbies!

    Now I'm off to manage the precarious balance between constipation and diarrhea. :)

  • elainetherese
    elainetherese Posts: 1,640

    KateB79,

    Yes, I know that dark place.... Trying to be strong and positive can be a heavy load to carry. Sometimes, it's OK just to set it down and allow yourself to grieve for the "old you" and your "old life."

    Re: constipation and diarrhea -- I remember that well! On the days I taught, I'd take my Imodium. On the days I worked at home, I'd go "Imodium-free" and have a "cleansing day." Best wishes!

  • JenPam
    JenPam Posts: 163

    Kate, yes to the dark place...but then I've unexpectedly rebounded more quickly than I'd expected. I don't even feel like the same person sometimes; last Monday, I was in a pit of despair and had nothing positive to say, but yesterday I was walking down the street soaking in the sun and feeling all was right with the world. I trust you will rebound!

  • Stephmoen
    Stephmoen Posts: 184

    yes I was in a very dark place Google is Very bad! I have been prescribed a low antidepressant effexor it has helped soooo much I have 2 young children and I needed to be strong for them I wouldn't be afraid to get help this is a very difficult process to go through

  • lago
    lago Posts: 11,653

    JenPam don't get too excited. My user name is lago as in Lago no reference to Shakespear. I'm not that clever

    Winking

    Musosgirl first of all I was diagnosed at age 49, with a really big tumor (5.5 cm IDC with 1 cm DCIS) stage IIB. I will be celebrating NED this August 31st. I didn't even have Perjeta because it wasn't approved yet. I did have a bilateral but that's because my old boobs were small so I needed one on the tumor side and other side had suspicious areas (one ended up to be LCIS). Also note that you can suppress your ovaries with drugs and take one of the aromatase inhibitors or just take Tamoxifen. Removing your ovaries when you are so young can be challenging to your bones and heart. Be sure you look into that before you decide to do that unless you are BRCA positive.

    YaY rozem

    KateB79 Yup we've all been there at some point in our safari. Most of us don't want to admit it. If it doesn't go away get some help.