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Old 07-21-2010, 03:08 PM   #1
JustMe
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Does the fatigue get better?

Before my Dx of BC, I was very fatigued. So much so that in fact, I had been complaining to my family dr. about this for approx. 4 years as it was interferring with my work. (Thyroid has always been checked and is fine). Now, the fatigue is overwhelming for me. I had my last TCH on July 5th and am still totally wiped. Rads start early Aug. and Tamox this Friday. Anyone with similar problems with fatigue that has improved after Tx? Would love to hear others experiences regarding this.
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Extensive DCIS, IDC Grade 2, Stage 2 ER+ (100%), PR+ (50%), HER+++
Lumpectomy - Dec 30/09
TCH began March 17/09 - done July 5/10
Continuing herceptin for a year
Tamoxifen started on Aug 2/2010
Rads to begin Aug 2/2010
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Old 07-21-2010, 04:08 PM   #2
JustMe
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Re: Does the fatigue get better?

Anyone? Maybe this should be in another topic...
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Extensive DCIS, IDC Grade 2, Stage 2 ER+ (100%), PR+ (50%), HER+++
Lumpectomy - Dec 30/09
TCH began March 17/09 - done July 5/10
Continuing herceptin for a year
Tamoxifen started on Aug 2/2010
Rads to begin Aug 2/2010
Still looking at BLM though.

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Old 07-21-2010, 05:19 PM   #3
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Re: Does the fatigue get better?


Hi Just

We all seem to be different. Some can work through chemo treatments
and some can't get their heads off the pillow. I think fatigue is a very
common side affect from chemo.

I gradually got over the fatigue problem but it took more than a year.
I hope this helps some. If it's really severe, you could talk to your
onc or onc nurse about it.
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Dx Aug/05 at age 51
2cm. Stage 2A, Grade 3
ER+/PR-
Her2 +++

Sept 7/05 Mastectomy
4 FAC, 4 Taxol, no radiation
1 year of Herceptin
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Old 07-21-2010, 05:40 PM   #4
Chelee
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Re: Does the fatigue get better?

I had the exact same problem prior to dx...and still have it. But I complained to my PCP & several other doc's I went too for yrs before I was dx. I requested every blood test be done and you name it. I was always nodding off regardless of the amount of sleep I had. I never got an answer to my extreme fatigue but I really believe to this day it was the cancer all that time.

And the only time it seemed like my fatigue had improved surprising enough, is right after my MRM. I was no longer nodding off all the time and boy was that nice! Then once I did the 6 cycles of TCH I was so tired & fatigued again. But like Pink said...some women work right thur it with no problems. My fatigue is still so bad that I was thinking of asking for my onc or PCP if there is something that would help?

Everyone is different and yours may improve...it hasn't been that long since your last chemo. Your body needs time to recover...it's been thur so much. You will have to listen to your body and take short naps if you have too... go easy on yourself till you get this behind you. (And you will.)

Chelee
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DX: 12-20-05 - Stage IIIA, Her2/Neu, 3+++,Er & Pr weakly positive, 5 of 16 pos nodes.
Rt. MRM on 1-3-06 -- No Rads due to compromised lungs.
Chemo started 2-7-06 -- TCH - - Finished 6-12-06
Finished yr of wkly herceptin 3-19-07
3-15-07 Lt side prophylactic simple mastectomy. -- Ooph 4-05-07
9-21-09 PET/CT "Recurrence" to Rt. axllia, Rt. femur, ilium. Possible Sacrum & liver? Now stage IV.
9-28-09 Loading dose of Herceptin & started Zometa
9-29-09 Power Port Placement
10-24-09 Mass 6.4 x 4.7 cm on Rt. femur head.
11-19-09 RT. Femur surgery - Rod placed
12-7-09 Navelbine added to Herceptin/Zometa.
3-23-10 Ten days of rads to RT femur. Completed.
4-05-10 Quit Navelbine--Herceptin/Zometa alone.
5-4-10 Appt. with Dr. Slamon to see what is next? Waiting on FISH results from femur biopsy.
Results to FISH was unsuccessful--this happens less then 2% of the time.
7-7-10 Recurrence to RT axilla again. Back to UCLA for options.
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Old 07-21-2010, 06:11 PM   #5
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Re: Does the fatigue get better?

I still to this day after 5 yrs. have fatigue. I don't have as much get and go any more.

I do know that also during radiation it was also very tiring on me.
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Biopsy Dx'd 3-23-05 Age 48
MRM 4-5-05 w/ 2 tumor's 5cm, and 6 cm (right side)
IDC (poorly differentiated infiltrating ductual carcinoma)
5+/16 nodes
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Grade 3
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Begin Chemo 5-2-05 4XAC Dose Dense , 4X Abraxane Dose Dense (ended August 05)
28 Rad's ended October 13 2005
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Had a Simple mastectomy left side after Mamo showed incresed micro-calcifications. Jan. 17 2006.
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Brain MRI 6-2008--All Clear
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August 17,2009 ---Had Port Removed
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Old 07-21-2010, 06:40 PM   #6
'lizbeth
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Re: Does the fatigue get better?

I deal with fatique as well. I've been working with a physical therapist that specializes in cancer survivors. He is helping me increase the fitness of my heart and build lean muscle.

I feel I am much less fatiqued than 6 weeks ago when I slumped into his chair for my first visit.

So the right level of exercise might help. I still have fatigue, but feel that my quality of life and energy levels are improving. And my cognitive function is improving.

I finished chemo back in Sept 08.
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Traditional Treatment: Mastectomy and Axillary Node Dissection followed by Taxotere, 6 treatments and 1 year of Herceptin, no radiation
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Additional treatments:
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Prescriptive Exercise for Cancer Patients
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Old 07-21-2010, 07:01 PM   #7
PatriceH
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Re: Does the fatigue get better?

A year ago I had surgery (after chemo), then radiation. I am currently in an exercise boot camp. I don't go every day, and still need a good nap on Sunday, but never would have believed I would be doing this in the midst of the fatigue. So, it DOES get better, but you'll have to take time to find your new "normal."

Hang in there - we're all standing beside you
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Old 07-22-2010, 02:36 AM   #8
Ellie F
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Re: Does the fatigue get better?

Hi
Like Chelee I had fatigue for about 3 years before bc with all tests showing no problem. Just out of interest so did Kylie Minogue!!
I still get herceptin fatigue now so pace myself and manage it as best I can. before bc I could never nod off in a chair,now I can do it easily. Not sure if it's herceptin or the chemopause that's doing it.
Ellie
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Old 07-22-2010, 03:52 AM   #9
sarah
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Re: Does the fatigue get better?

yes, fatigued a lot of the time. wondering also if it will improve.
sarah
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Old 07-22-2010, 06:09 AM   #10
Mary Anne in TX
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Re: Does the fatigue get better?

It's very hard to live a get-up-and-go life when you're tired all the time, but pacing yourself can help. I was tired the few years before diagnosis also. It's what got me to the doctor who demanded a mamo. With all the chemo, radiation, herceptin, etc, I have not regained the massive energy I had 8 years ago. I could always outrun everyone I knew. Not sure that was so good though!
Anyway, what I have found is that finding the right food, vitamins, and most importantly, the right walking schedule helps so much. I still have to go in 4 hour segments to do things, but I can do it now. I mow the yard and weed eat, etc., but it took me 5 - 8 times to build up enough energy to not think I would die during the mowing. Walking a little more each day til I was able to do a normal walk with my little fur friend has really helped.
I tried several vitamin supplements (also take fish oil, CoQ10, etc) before finding one that really made me feel good but not hyper. Eating to many carbs makes me tired too.
Anyway, don't give up on yourself. It does take time and some experimenting, but take it as a challenge and get determined to outsmart that new body of yours. You may have to adjust some things, but life is challenges and I think we survivors are especially good at accepting and overcoming a good challenge. Best wishes, ma
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
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Old 07-22-2010, 08:58 AM   #11
Ellie F
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Re: Does the fatigue get better?

Ma
What you said about outrunning everyone else was so true for me also. I believe that in some way it contributed to my breast cancer.
I agree that taking things in segments is helpful, it's just hard sometimes to learn a new way. For me late afternoon is a difficult time when I start to feel not great. it reminds me to sit down and take a break. Maybe I had this before but just ignored the warning signs.

Ellie
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Old 07-22-2010, 11:30 AM   #12
tricia keegan
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Re: Does the fatigue get better?

I also found fatigue to be my biggest side effect of treatment and like Pink Girl, it took me about a year to feel myself again.
I began walking thirty minutes a day (although did'nt feel like it) and swimming other days and little by little my stamina and well being improved and I found I had more energy.
Your body's been through a lot and not finished yet, cut yourself some slack and know it will get easier but takes time
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Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
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Old 07-22-2010, 01:03 PM   #13
jml
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Re: Does the fatigue get better?

I'm also really confused about this extreme fatigue.
This last treatment combo has been the most difficult of my 8 years on this bumpy journey and the first time I've felt so fatigued and weak.
I'd always been very active during treatment- walking my dog twice a day, teaching Pilates and running the studio - so I expected to be able to return to my normal level activity soon after finishing treatment. No such luck this time around.
Small bites of activity is good advice, but it's important to at least try. When you're so tired and physically de-conditioned, it's hard to know how much to do, especially when any/all physical effort feels so hard.
Last Saturday I walked 3/4 block to get my hair cut, walked home & up 2 flights of stairs to get back to my condo, and I needed a nap after all that. Yesterday I walked to the park and coffee shop-what used to be my morning ritual- with my sister and dog - slow going all the way.It was hard for me not to get discouraged by how slowly I was moving and how much of a challenge what used to be a "normal" walk is now.
It is very confusing, because the brain is willing but the body's not quite there.
It's good to know that there are PT's out there than specialize in this - I think I might ask my onc for a referral too.
So to all my sisters here, be gentle and patient with yourselves as we all find our way to a "new normal".

Keep the Faith~

jessica
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Old 07-22-2010, 02:08 PM   #14
Mary Anne in TX
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Re: Does the fatigue get better?

Ellie, I too think the zoom-zoom life contributed to getting sick. Sometimes I have to have a long conversation with myself to get myself to just sit outside for 30 minutes and chill. Bad girl, bad girl...sit down!
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Grateful for each and every day....

Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
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Old 07-22-2010, 02:55 PM   #15
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Re: Does the fatigue get better?

I am four years past diagnosis. I was extremely fatigued after treatment and it took a few years to recover. I just took two teenagers to Dollywood and Dollywood Splash Park. Was worried about keeping up, but I tired them out. So, yes you will recover, but it may take a while. Everyone is different.
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IDC, Stage I, Grade 2
Oncotype DX Score 32
Her2++ E+P+, Node Neg.
Lumpectomy 11/04/05 Clear Margins
3 Dose dense AC (Couldn't tolerate 4)
4 Dose dense Taxol & Herc. (Tolerated well)
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score)
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Old 07-22-2010, 09:15 PM   #16
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Re: Does the fatigue get better?

I too had noticed fatigue about 2 years prior to my diagnosis. When I found out I needed neck surgery I chalked it up to that. Prior to that, I was just go, go and more go.

Chemo knocked me down for a good 2 weeks with fatigue. I'm doing PT now since I've developed lymphedema and do want to start an exercise program but they want me to get my strength back before we call all aerobic!!!

I did not work the whole time during chemo or radiation. I was still in PT for my neck surgery when I found out I had BC so I think that all contributed. I had to wear a hard collar for 6 weeks after surgery which limited me even before I got BC.

I think it all just added up. The PT said some of the problems I'm having now are related to my neck as well as the mastectomy and lymph node removal.

I went back to work for 4 hours a day this week (working from home). I'm making it but still get tired and sometimes take a nap.
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Age 47, TN, Diagnosed 05/09
Her2+, ER/PR-, Stage III, 2 tumors = 1 8cm tumor
Grade 3
Sentinel Node Biopsy-speck present in 1 node
Completed 3 month clinical trial of weekly Herceptin and 1000mg Tykerb daily
Tumor no longer present
Right mastectomy and lymph node removal 09/25/09
No cancer present at time of surgery, none in lymph nodes
Start TCH 10/15, every 3 weeks for 4 months followed by radiation
Finished chemo 01/28/10-YEAH!
Herceptin every 3 wks until end of June
Radiation begins 03/01, 6 1/2 weeks
Radiation complete--Yeah!!
Developed lymphedema after radiation
In hospital for 4 days with pneumonia:(
Herceptin done! 06/24/10
Port Removed 07/08/10
Still in PT for lymphedema and mobility issues
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Old 07-22-2010, 09:21 PM   #17
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Re: Does the fatigue get better?

Exercise really helps.

I'm usually fatigued easily because I have 3 brain tumors in the center right of my brain. I get very tired when i exercise. But after a day's rest, I found myself full of energy the next 4, 5 days. I think exercise helps detox our body (through sweat and blood circulation), revive our brain power (more blood supply, more synapses), and improve our immune system (by releasing endorphene.)

Definitely exercise. Walking is the best type...

And yes, when we have cancer, we have those 'invisible' symptoms such as fatigue (and 'allergy' for me.)
I had to take several sick days in May 2007. I went to the weekend clinic just so I could get a doctor's note. Then I felt something on my right chest. I told the weekend doctor about it, and she told me I needed to get it checked out. So I called my breast surgeon...(The mammogram people always called it a scar tissue - luckily the surgeon knew better) I also had lost my job back in late 2002, just 7 months before my breast cancer was first diagnosed.
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Old 07-22-2010, 09:29 PM   #18
Catherine
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Re: Does the fatigue get better?

For me, it was fatigue before DX. And fatigue 4 years after DX...but there is hope, I am getting stronger and my stamina is coming back. Sounds like a lot of us have been dealing with fatigue. I agree with those who have commented above. You have to pace yourself, find what works for you, accept that you do not have the stamina you used to have. Then....keep exercising, because I do think you can get most of your strength back. You need the right food, rest and a paced life. I actually feel like I am getting better. Pacing for me is working part time, and cleaning one area of the house a day. If I go out on Friday night, I probably stay home on Saturday night. I walk for excersise. The other night, I crashed at 800pm. I need lots of sleep. But 4 and one half years later, I feel like I am getting stronger.
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Found my own lump in the shower
April 2006 at the age of 58
Stage IIB, ER- PR- HER2+++ multi focal tumors, largest 2.3cm
Chemo first: AC/Taxol over 16 weeks
Bilateral mastectomy Sep 06
33 rads after the surgery
1 year of Herceptin completed Dec 07
15 years and no recurrence as of April 2021
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Old 07-23-2010, 02:54 AM   #19
jhandley
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Re: Does the fatigue get better?

You might be suffering from adrenal fatigue...chemo is a big cause of this.
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Old 07-23-2010, 03:38 AM   #20
Ellie F
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Re: Does the fatigue get better?

Hi Jackie
Someone suggested that maybe my problem before bc, I guess having all the treatment just made it worse.
Am really interested to know if herceptin is a big factor also as for a couple of days after infusion I feel weepy, tired and very edgy?It then seems to pass off.

Ellie
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