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Old 07-17-2015, 04:09 PM   #1
Mtngrl
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Join Date: May 2011
Location: Denver, CO
Posts: 1,427
Chemo Side Effects or Mold Allergy?

I live in a third floor apartment in an old four story building in Boston. Two weeks ago, a large pipe in the unit above me burst and water started pouring into my bedroom. It was a holiday weekend, but fortunately both I and my two roommates were home, and we sprang into action quickly.

The maintenance man came and got the water shut off, but not before my ceiling, walls, and much of the floor got soaked. There was one gushing waterfall directly under the break, and numerous other leaks. Water also got into the hall and the bathroom. My roommates' bedroom appears to have been spared. Other units were also affected. Water went all the way down to the basement.

It's Boston in the summer. It's hot and humid. And the landlord did nothing to dry out the walls or dehumidify the rooms.

I got a dose of Abraxane Monday, July 13, 9 days after the flood. Tuesday I didn't feel too bad, but Wednesday night I developed severe joint and muscle pain and intense neuropathy. I hardly got any sleep. Last night was even worse.

I called my oncologist this morning, and the NP prescribed me a painkiller. I had to go by bus to retrieve the paper scrip and take it to the pharmacy to get the prescription filled. I felt frail, exhausted, and weak. My calf muscles were giving way as I descended stairs. Then when I got home over 2 hours later I hung around in the kitchen for about another hour. When I got around to thinking I should take a pill and go lie down it dawned on me that, though I was not ALL better, my pain level was greatly diminished, as was the neuropathy.

I am extremely allergic to mold. In the past couple of years I've slept in two other buildings that I suspected had mold contamination, and, come to think of it, I had that same muscle and joint pain.

My idiot landlord is downplaying the situation, so much so that I called the City's Department of Environmental Health and had them open a case file on it. We're moving out next month, and he wants to find new tenants, so he just wants to repaint and call it done. I've gotten mold remediation done before, and that's not how it's done. First you test the mold levels. Then you have to take out all the affected plaster, insulation, etc. down to the bare studs, dry it, treat it, test again, and put up new drywall. That's not a two-day project, and it's not cheap. And it can't be done in a room full of furniture, clothes, bedding, etc.

I'm allergic to anti-fungal agents, including chlorine, and also dust. And, of course, there's lead paint. I can't be in the apartment while that's going on. And he can't just patch the holes, slap on some paint, and pretend nothing happened, though he's already done that in some of the other units.

The front part of the apartment didn't get wet, and there's good ventilation, so I'll start sleeping in the living room.

I'm happy I figured this out. I really want this Abraxane experiment to work out. And it was puzzling to have such severe side effects so fast. The last time I was on Abraxane I found it pretty easy to tolerate.

Sorry for the novella, but my point is I tend to blame everything on my cancer or my cancer treatment. If I hadn't had the Abraxane dose at the beginning of the week, I'd have realized earlier that I was reacting to the mold. I bet there's quite a colony above my ceiling and behind my walls.
__________________
Amy
_____________________________
4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
4/29/11 CT scan shows suspicious lesions on liver and lungs
5/17/11 liver biopsy
5/24/11 liver met confirmed--Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
5/22/12 Stop taking Arimidex; stay on Herceptin
6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
9/24/12 CT scan--No new mets. Everything stable.
3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Begin Kadcyla/TDM-1
8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
2/28/14 Begin Herceptin/Perjeta every 3 weeks.
6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
12/11/14 PET Scan--no new lesions, and everything looks better than it did.
3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
4/13/15 Increasing Xeloda dose to 10 days on, one week off.
7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
1/27/16 PET scan shows cancer is stable.
5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
6/3/16 Begin Kadcyla and Tykerb combination
6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
7/15/16 Begin Kadcyla only every 3 weeks.
9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
10/3/16 Last of 12 radiation treatments to right lung.
11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
3/6/17 Scan shows progression in lungs. Bone met a little better.
3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
5/31/17 Port placement
6/1/17 Start Navelbine & Tykerb
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Old 07-17-2015, 04:55 PM   #2
Carol Ann
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Join Date: Dec 2013
Posts: 1,045
Re: Chemo Side Effects or Mold Allergy?

I'll bet there is too, Amy ... especially with all the heat and humidity, that mold is multiplying fast and furiously, trapped behind those walls.

Glad you figured this out, and you have a dry and ventilated place to sleep.

WHY do things like this happen during chemo?! I had rain water coming through the wall above my headboard during my second round of chemo; the rain gutters were too small and the water was sloshing in under the soffits. We had to move everything out of the bedroom and sleep on an air mattress while they repaired it, dried out the wall, repainted, etc. Yes, it was ALOT more than a 2 day project. It took weeks.

Hang in there, my friend! This too shall pass.

Carol Ann
__________________
July 24, 2013: "Infected" Right Nipple and benign cyst removed, pathology report revealed Paget's, DCIS, and ILC 1.25 cm, ER+/Pro+/HER2 equivocal, Grade 2 under benign cyst, previous diagnostic mammo/ultrasound said I was perfectly healthy in both breasts.

Aug 18, 2013: MRI report says Left breast is perfectly healthy "consistent with previous studies".

Sept 2013: I insist on a bilateral mastectomy anyway. Too nervewracking to let left breast remain with higher risk after 3 cancers in right, nipple in right is already gone anyhow.

Sept 18, 2013: Bilateral mastectomy, 11 right nodes removed, ALL negative BUT -- ER+/PRO+/HER2+ tumor, 1.0 cm, Grade 2 found in a piece of "grossly unremarkable" breast tissue from prophylactic mastectomy of left breast, no nodes removed.

Oct 25, 2013: 13 left side nodes removed, ALL negative, Stage 1 across the board, NO RADS needed, YAAAAY! Port also installed.

Nov 25, 2013 Begin 6 rounds TCH.

March 10, 2014 Just finished 6th and LAST Chemo today, YAAAAAY!

March 24, 2014 Echocardiogram to make sure I'm still good for Herceptin every 3 weeks.

March 31, 2014 Echo results NORMAL, first Herceptin all by itself. Now if only my eyes would stop streaming from the Taxotere ... :)

April 21, 2014 Started Arimidex and therapy for "mild" lymphedema in left hand and arm

May 2014 Therapy completed, I have sleeves and gloves for both arms, a Flexi touch lymph pump to hook up to for an hour every day, and I've become an arm bandaging expert. :)

June 2014 Begin Fosamax to prevent osteoporosis; bone scan revealed osteopenia

Nov 17, 2014 FINAL Herceptin!

Dec 4, 2014 My right thigh muscle has been extra achy for days ... I discover a blister rash cluster on the side of my right thigh while taking a shower. Port appointment cancelled until Dec 17, my doc is working me in tomorrow afternoon to see me and the rash. My muscle at least feels less achy.

Dec 5, 2014 Yep, I have shingles. Boo! I start acyclovir and also have a prescription for a painkiller just in case for over the weekend.

Dec 17, 2014 Port is OUT!

January 2016 Shingles again and this time it started where my left breast (where the hidden HER2+++ tumor was!) used to be. My onc nurse got me a same day appointment to see my doc when I called and told her I had a rash on the site. The antiviral meds are working once again, though, so that is good news. :)
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Old 07-17-2015, 04:59 PM   #3
DianaMK
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Join Date: Mar 2011
Posts: 70
Re: Chemo Side Effects or Mold Allergy?

Mold is a terrible thing!! Your landlord should put you up in a hotel. Maybe you should contact an attorney.
__________________
12/2006 right lumpectomy - HER2-Stage 1
A/C x 4
Radiation
Herceptin - one year
6/2010 - Stage 4 - lung and skin mets
Lung resection
TCH x 6
12/2010 - right mastectomy
On Herceptin
Scans every six months
11/2013 - stable continue to watch spot on lung
Continue on Herceptin
6/2016 - 6 years Stage 4 - stable - continue Herceptin
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Old 07-19-2015, 06:55 PM   #4
Mtngrl
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Join Date: May 2011
Location: Denver, CO
Posts: 1,427
Re: Chemo Side Effects or Mold Allergy?

Tomorrow I'm going to get a respirator rated for mold, and wear it when I'm in the bedroom. I need to do some stuff in there, and I want to limit my exposure as much as possible.

The Department of Environmental Health might kick us out. If they do I'll insist that the landlord pay to house me. My roommates have a place they can stay, fortunately. But we need to be packing to move, too. I'm moving back to Colorado. Hopefully we'll still have access even if we can't sleep here. And we can probably pile all my bedroom stuff into our living room, especially if I box it up first.

What a mess!
__________________
Amy
_____________________________
4/19/11 Diagnosed invasive ductal carcinoma in left breast; 2.3 cm tumor, 1 axillary lymph node, weakly ER+, HER2+++
4/29/11 CT scan shows suspicious lesions on liver and lungs
5/17/11 liver biopsy
5/24/11 liver met confirmed--Stage IV at diagnosis
5/27/11 Begin weekly Taxol & Herceptin for 3 months (standard of care at the time of my DX)
7/18/11 Switch to weekly Abraxane & Herceptin due to Taxol allergy
8/29/11 CT scan shows no new lesions & old lesions shrinking
9/27/11 Finish Abraxane. Start Herceptin every 3 weeks. Begin taking Arimidex
10/17/11--Brain MRI--No Brain mets
12/5/11 PET scan--Almost NED
5/15/12 PET scan shows progression-breast/chest/spine (one vertebra)
5/22/12 Stop taking Arimidex; stay on Herceptin
6/11/12 Started Tykerb and Herceptin on clinical trial (w/no chemo)
9/24/12 CT scan--No new mets. Everything stable.
3/11/13 CT Scan--two small new possible mets and odd looking area in left lung getting larger.
4/2/13--Biopsy of suspicious area in lower left lung. Mets to lung confirmed.
4/30/13 Begin Kadcyla/TDM-1
8/16/13 PET scan "mixed," with some areas of increased uptake, but also some definite improvement, so I'll stay on TDM-1/Kadcyla.
11/11/13 Finally get hormone receptor results from lung biopsy of 4/2/13. My cancer is no longer ER positive.
11/13/13 PET scan mixed results again. We're calling it "stable." Problems breathing on exertion.
2/18/14 PET scan shows a new lesion and newly active lymph node in chest, other progression. Bye bye TDM-1.
2/28/14 Begin Herceptin/Perjeta every 3 weeks.
6/8/14 PET "mixed," with no new lesions, and everything but lower lungs improving. My breathing is better.
8/18/14 PET "mixed" again. Upper lungs & one spine met stable, lower lungs less FDG avid, original tumor more avid, one lymph node in mediastinum more avid.
9/1/14 Begin taking Xeloda one week on, one week off. Will also stay on Herceptin and Perjeta every three weeks.
12/11/14 PET Scan--no new lesions, and everything looks better than it did.
3/20/15 PET Scan--no new lesions, but lower lung lesions larger and a bit more avid.
4/13/15 Increasing Xeloda dose to 10 days on, one week off.
7/1/15 Scan "mixed" again, but suggests continuing progression. Stop Xeloda. Substitute Abraxane every 3 weeks starting 7/13.
10/28/15 PET scan shows dramatic improvement everywhere. All lesions except lower lungs have resolved; lower lungs noticeably improved.
12/18/15 Last Abraxane. Continue on Herceptin and Perjeta alone beginning 1/8/16.
1/27/16 PET scan shows cancer is stable.
5/11/16 PET scan shows uptake in some areas that were resolved on the last two scans.
6/3/16 Begin Kadcyla and Tykerb combination
6/5 - 6/23 Horrible diarrhea from K&T together. Got pneumonia.
7/15/16 Begin Kadcyla only every 3 weeks.
9/6/16 Begin radiation therapy on right lung lesion that caused the pneumonia.
10/3/16 Last of 12 radiation treatments to right lung.
11/4/16 Huffing and puffing, low O2, high heart rate, on tiniest bit of exertion. Diagnosed as radiation pneumonitis. Treated with Prednisone.
11/11/16 PET scan shows significant improvement to radiated part of right lung BUT a bunch of new lung lesions, and the bone met is getting worse.
11/22/16 Begin Eribulin and Herceptin. H every 3 weeks. E two weeks on, one week off.
3/6/17 Scan shows progression in lungs. Bone met a little better.
3/23/17 Lung biopsy. Tumor sampled is ER-, PR+ (5%), HER2+++. Getting Herceptin and Perjeta as a maintenance treatment.
5/31/17 Port placement
6/1/17 Start Navelbine & Tykerb
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Old 08-22-2015, 07:02 AM   #5
Mtngrl
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Location: Denver, CO
Posts: 1,427
Re: Chemo Side Effects or Mold Allergy?

I have an update.

After 8 nights of sleeping in the living room, I noticed I was still waking up sick and getting better after going outside. I started sleeping on an air mattress on the balcony (which has a roof but no walls.) And I immediately started feeling much better. I had developed severe shortness of breath, especially while climbing stairs. I had to stop and rest halfway up the long stairway that leads from the street where I catch public transportation and my apartment building, which is on a hill. The shortness of breath resolved almost immediately.

Movers came August 5 and carted away most of my stuff. On the night of August 6 I took an overnight bus to Boston, and later on August 7 I went to Harrisburg to stay with relatives.

I should have taken my respirator with me. I woke up feeling ill on August 8, and had increased neuropathy in my fingers and toes. I began sleeping in a newer part of the house that's over a crawl space and not my cousin's admittedly moldy basement. I got another respirator and started wearing it most of the time I was inside. The room I was sleeping in had windows on three sides. I opened all of them and ran the ceiling fan.

The bathroom next to that room had three "air fresheners" in the tightly closed window. Smelling that odor made me feel ill. When the basement door was open I'd smell a strong smell of pesticides.

My cousin and her husband were very cooperative in trying to make their house livable for me. My best days were days we stayed away from the house the longest.

I went back to Philadelphia on August 15 and spent two nights there. I was having some symptoms, so I went looking for mold, and found a contaminated rubber bathmat in the bathroom next to the room I was sleeping in. It looked OK on top, but it had a luxuriant growth of black mold underneath it. I put on my respirator, disposed of the mat, and scrubbed the tub and tub surround.

Then I went to the Jersey shore. No noticeable mold, but workers were out on the beach constructing a handicap ramp and doing other work. I kept catching whiffs of diesel fumes. I still had some mild symptoms.

Then I found out about "Multiple Chemical Sensitivity." I've gotten contact dermatitis from various things (mostly cosmetics and sunscreen) since I was a teenager. When I was 23 I learned I was allergic to mold. I figured out in my early 50s that I can't be around chlorine or even come into prolonged contact with fabric that's been washed with chlorine bleach. I get hives, rashes, and weird-looking blotches on my skin. During a cleanup operation after a basement flood, I found out I also react to the spray-on antifungal they used to prevent mold growth.

Cologne, perfume, and other scented things can make me feel ill. Plug-in "air fresheners" and scented laundry products can give me headaches or migraines. I always use unscented laundry detergent, hand cleaner, hand lotion, and body wash. Recently I noticed burning and tingling in my hands and feet when I'm exposed to diesel fumes.

If you have an hour, watch this video about MCS. I'm not nearly as disabled as most of the people in the movie, but I'm getting more and more sensitive. It's possible that many of the symptoms I've been attributing to Herceptin (runny nose) or chemo (respiratory problems, shortness of breath, light headedness, skin problems, GERD) are caused or exacerbated by MCS. https://www.youtube.com/watch?v=aJuB...ature=youtu.be

Now that I've figured this out, I can take steps to limit or avoid exposure.

You might want to go fragrance-free now.

Amy
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