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Old 09-09-2009, 07:44 AM   #1
hezzy
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Location: Paxton, Ill
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help advice please ?

Well I'm finished with the brain mets rads, and waiting about four more weeks before the MRI to see how the rads worked. Also, finished rads to the vertbra area too. They still have me on dexamethasone, morphine 12hr, and thankfully lorazepam
It all finally caught up with me Im past exhausted at times with no energy to even climb the stairs to go to bed I've been sleeping on the couch. My appititte went down big time Im forcing myself to continue to push fluid,food, and protiens.

The hardest part is when they were hitting the vertbra with rads it also hit the throat area and my throat has been swollen. It's hard to eat anything without having pain in the throat, eating hot food hurts, too cold bothers, im eating like a baby just to make sure I eat. I hardly have any taste to anything.
They told me they thought having a nasty cold was my throat problem and they felt horrible that they hadn't given me anything faster. They gave me a swish medication to put in swish around and swollow, but Im not sure its made much difference. ...... PLEASE ANYONE any advice ?????

I start Xeloda on Monday and continue with Herceptin too. They said there are no side effects to Xeloda other than maybe ending up with dry skin. I keep reading a lot about Tyberk on here too Im going to ask the ONC about that drug also, but I know she said she wanted me Xeloda because it passes the BBB and also hits the other area too.

Im sorry if I seem venty. The fight is scaring me not knowing much about it yet. My energy is gone which they say is normal, it tears me up that Im not the one taking my little girl to school or picking her up. They told me in a few weeks I should have my energy back .... is that how it works .... please someone?

sorry, heather
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-July 07 - DX w/ICD stage 3a, est+, her2+
- started a/c four doses
-Aug 07 -DX w/ bone mets to shoulder and rib 10 days rads
- 6 mths taxol
-6 mths abrexene
- Nov 07 started herceptin still on
- was on tamoxifin wasn't working, gettin something new soon


Aug 09
- brain mets
- 3 tumors
- highest being 4cm large
- others under 2cm
- WBR rads in morning, than afternoon hitting each one direct
- rads to vertebrate

- Sept 09
- getting ready to start Xeloda
- continue herceptin
- just finished w/ rads on brain mets, and vertebrate

(think im doing this right now)
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Old 09-09-2009, 08:02 AM   #2
tricia keegan
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Re: help advice please ?

Oh poor Heather, you're going through such a lot right now and please don't apologise for venting when we have so much to complain about
I don't have much advice for you but thought you sounded like you needed a big (((((hug)))) today and wanted to say we all care...wish I could be there to give you one for real
Btw, my friend just had rads for her bone mets and has the same throat problem from that, she's having high energy drinks with just warm soup until it heals a little.
Hope you feel much better soon
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Tricia
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..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 09-09-2009, 08:05 AM   #3
Faith in Him
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Re: help advice please ?

Heather,

I am so sorry you are going through this ordeal. I have no advise but I just wanted to let you know that I am sending warm wishes your way.

I know what it's like to not be able to be there for your school aged children for awhile. It torn me up too. Hoping you are back on your feet soon.

Tonya
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DX 02/01/07
2.5 cm, Er/Pr-, Her2+++
18/20 Nodes
03/07 CT & Bone scan - Clear
AC x 4, Taxol x 4, Added Herceptin
Radiation until 09/07
Herceptin every 3 weeks until 06/08
01/10/08 local recurrence -IBC
01/28/08 CT & Brain MRI - clear
02/08 - Navelbine & Herceptin
05/08 -MRM
05/08 - Gemzar & Herceptin - didn't work
09/08 - Hyperthermia rads
03/09 - Tykerb/Xeloda
05/10 - Tram flap to fix wound
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Old 09-09-2009, 10:45 AM   #4
hezzy
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Location: Paxton, Ill
Posts: 32
Re: help advice please ?

Another ? ...
I can't seem to hold anything down. I think its a lot nerves just being shot, but idk? Any advice or has anyone heard of any of the meds Im on causing nausau?
__________________
-July 07 - DX w/ICD stage 3a, est+, her2+
- started a/c four doses
-Aug 07 -DX w/ bone mets to shoulder and rib 10 days rads
- 6 mths taxol
-6 mths abrexene
- Nov 07 started herceptin still on
- was on tamoxifin wasn't working, gettin something new soon


Aug 09
- brain mets
- 3 tumors
- highest being 4cm large
- others under 2cm
- WBR rads in morning, than afternoon hitting each one direct
- rads to vertebrate

- Sept 09
- getting ready to start Xeloda
- continue herceptin
- just finished w/ rads on brain mets, and vertebrate

(think im doing this right now)
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Old 09-09-2009, 12:01 PM   #5
chrisy
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Re: help advice please ?

Hi Heather,

Remember, you have no need to apologize here - we've all needed to vent and thank goodness we have each other!

You have been through a lot, and been ON a lot of medications. Remember, you also have not been eating regularly, so your entire system is under siege. The combination of all that could be contributing to nausea. Talk to your doctor about this and if you need it, ask for some meds to help you.

Although I have not had radiation such as you have, the recovery period until you feel more or less normal will vary. The more you can do in the way of getting good nutrition, the sooner you will be able to regain your strength.

You're doing the right thing by trying to stay hydrated and get some nutrition.Start slow, if you can stomach a fruit smoothy with some protein powder, that might help.

Re Xeloda, (I also have not had that so remember I am ignorant) I do know from friends here that the main side effect (hand/foot syndrome) can be more bothersome than just "dry skin", so be vigilant on this - avoid walking barefoot, use moisturizers (Sheila loves some stuff called "Ahava"). Sheila is the Xeloda queen, she can tell you all the tricks.

Xeloda/Herceptin is a fairly common and effective combo - although Herceptin is not likely to cross the BBB. Tykerb is thought to cross the BBB so may be protective of the brain, and has been shown to be effective in combination with Xeloda. As you are dealing with brain mets, it is worth discussing with your onc. Tykerb (which I have been on!) has diarreah as the main side effect - most people can control this well with diet and Immodium. Part of my war on that side effect has been my persistent refusal to learn how to spell it.

One of the toughest things about going through treatment is keeping your spirit strong. Even when you are feeling well physically it's hard...but it can seem unbearably draining. Hang in there, remember if you feel this crappy it's nothing to what those dumb cancer cells are feeling right now.
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Chris in Scotts Valley
June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
3/13 TACE procedure
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Old 09-09-2009, 12:01 PM   #6
schoolteacher
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Re: help advice please ?

Heather,

Use the mouthwash, it helped me a lot with the radiation. Hope you are feeling better.

Amelia
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Old 09-09-2009, 12:02 PM   #7
Pam P
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Re: help advice please ?

Heather - I was on xeloda for a long time & don't remember having nausea. My skin on hands/feet got painful at times, but otherwise I felt great while on it. Sorry I don't have any advice for you ont he other - just want to tell you that I'm so sorry to hear of all you are going through right now. I Hope now that the rads are done you'll start feeling better quickly.
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Pam
6/01 IBC er+ her2+stage IIIb; mastecomy
7/01 AC, taxol; radiation
2/02 tamoxifen
9/02 stage IV bone mets femara
1/03 taxotere/herceptin/aredia
6/03 herceptin, aredia & faslodex
1/04 navelbine, herceptin, aredia
2/05 herceptin/aredia
7/05 xeloda/herceptin/aredia
3/07 xeloda/tykerb/aredia
5/08 taxol/avastin/aredia
2/09 gemzar/herceptin/zometa
7/09 Taxol/Carbo/Herceptin, zometa
10/09 navelbine/herceptin & zometa
2/10 herceptin & tykerb & zometa
4/10 add xeloda &aromasin
10/10 dx with dermatomyiositis triggered by cancer
11/10 restart herceptin, tykerb, zometa
12/10 surgery-place rod in R femur to stabilize bone
1/11 radiation to R femur - 20 tx
2/11 2nd surgery - rod in Left femur
2/11 tx eribulen -- suspended dx brain mets
3/11 brain mets wbr 20 tx
4/11 halaven; discontine 8/11 not working
8/11 radiation to left femur 20 tx'
8-9/11 rad to lower spine
9/11 abraxane/herceptin/zometa
9/12 xeloda/herceptin/zometa
12/12 ablation of liver
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Old 09-13-2009, 10:57 PM   #8
sarah
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Re: help advice please ?

Hello,
I woke up one night with the inside of me on fire while I was in radiation. Luckily my husband who often has Gerd gave me some liquid maalox to swallow and that helped. The next morning the radiologist gave me a prescription for an anti-acid type drug and that helped. So try that, you don't want any stomach acids reaching your esophagus.
hugs and love
sarah
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Old 09-13-2009, 11:52 PM   #9
Lien
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Re: help advice please ?

Hi Heather,

We all understand that you need to vent! Ofcourse you are tired, in pain, upset, insecure, afraid. Who wouldn't be in your situation? You are doing the right things, though. You are not forcing yourself to do things you can't handle right now. When my Mom was in the hospital, years ago, a lady sharing the room with her told her to take things one day at the time. Yes, there's pain, yes there's fatigue, fear, etc. But it is here now. And tomorrow it will be a little bit better. And the next day, and the next.

So don't worry about not looking after your little girl, you are doing your best to make sure you will be around for a long time yet. That will be so much more important for her than you picking her up now.

Just yesterday I was talking to my now 14 yr old about my cancer. He said: "yes, I was afraid you would die, but I didn't want to think about it too much. I didn't want you to worry about me. You had enough to deal with." This was 5,5 years ago, when he was 8. I was worrying about him then, because he didn't talk about it, but he managed very well. They need to deal with this disease in their own way, I think. He did talk to others, though, as I found out later.

I am a councellor, and I recently worked with a woman who's mother had breastcancer when she was a young child. The most important thing she remembered, was that her mother took some time to be with her every day. Her mother was in bed for weeks on end (chemo and rads were even harsher, 40 years ago) and she would sit on the bed and just chat. Her mother would tell her what she liked about her (the daughter): how smart she was, and how independent and that she loved her. Those moments really mattered. And my client never talked about the fact that her mother didn't pick her up from school.

So put your energy into sustaining your body: keep it hydrated, keep it well-nourished and get plenty of rest. If you conserve energy by sleeping on the couch, that's a good idea. If you need help with practical stuff: don't hesitate to ask. If having stage IV cancer isn't a good reason to ask for help, support and TLC, I don't know what is. You'll be doing all that as much for your daughter as for yourself.

Try putting foods in the blender. Vegetables, fruits, protein powder, milk, soy, etc make great shakes. I used to make soup for the kids by cooking chicken in salted water, then adding vegetables and putting it in the blender until smooth. Drink lukewarm. You can save a few portions in the freezer for when you are too tired to cook. Or better even: ask someone to make them for you and freeze in portions.

Is it just your throat that's sore, or is your mouth painful as well? In that case you might want to drink throuh a straw.

Hang in there, girl! We're here to support you! Keep venting and don't worry about us. We can handle it.

Big hugs,

Jacqueline
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Diagnosed age 44, January 2004, 0.7 cm IDC & DCIS. Stage 1, grade 3, ER/PR pos. HER2 pos. clear margins, no nodes. SNB. 35 rads. On Zoladex and Armidex since Dec. 2004. Stopped Zoladex/Arimidex sept 2009 Still taking mistletoe shots (CAM therapy) Doing fine.
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Old 09-14-2009, 01:59 AM   #10
Joan M
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Re: help advice please ?

Heather,

This disease sucks and at times it really robs us of so much. I'm praying that you'll feel better and will able to take your daugher to school soon.

Joan
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Diagnosed stage 2b in July 2003 (2.3 cm, HER2+, ER-/PR-, 7+ nodes). Treated with mastectomy (with immediate DIEP flap reconstruction), AC + T/Herceptin (off label). Cancer advanced to lung in Jan. 2007 (1 cm nodule). Started Herceptin every 3 weeks. Lung wedge resection April 2007. Cancer recurred in lung April 2008. RFA of lung in August 2008. 2nd annual brain MRI in Oct. 2008 discovered 2.6 cm cystic tumor in left frontal lobe. Craniotomy Oct. 2008 (ER-/PR-/HER2-) followed by targeted radiation (IMRT). Coughing up blood Feb. 2009. Thoractomy July 2009 to cut out fungal ball of common soil fungus (aspergillus) that grew in the RFA cavity (most likely inhaled while gardening). No cancer, only fungus. Removal of tiny melanoma from upper left arm, plus sentinel lymph node biopsy in Feb. 2016. Guardant Health liquid biopsy in Feb. 2016 showed mutations in 4 subtypes of TP53. Repeat of Guardant Health biopsy in Jana. 2021 showed 3 TP53 mutations, BRCA1 mutation and CHEK2 mutation. Invitae genetic testing showed negative for all of these. Living with MBC since 2007. Stopped Herceptin Hylecta (injection) treatment in March 2020. Recent 2021 annual CT of chest, abdomen and pelvis and annual brain MRI showed NED. Praying for NED forever!!
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Old 09-14-2009, 06:13 PM   #11
suzan w
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Re: help advice please ?

Hi Heather...thank goodness for Ativan (lorazipam) eh!! I used Biotin mouthwash, it is kind of gel-like...and was very soothing. When I could not eat much...change in taste buds, mouth sores, etc...scrambled eggs tasted pretty good...sometimes with a little cheese mixed in. And, believe it or not...Blizzards from Dairy Queen, although the cold was sometimes a problem. Good luck! and remember, everything that you are doing it to help you get better so you can be there for your kids! XO Suzan
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Suzan W.
age 54 at diagnosis
5/05 suspicious mammogram-left breast
5/05 biopsy-invasive lobular carcinoma with LCIS,8mm tumor,stage 1 grade 2, ER+ PR+ Her2+++
6/14/05 bilateral mastectomy, node neg. all scans neg.
Oncotype DX-high risk
8/05-10/05 4 rounds A/C
10/05 -10/06 1 yr. herceptin
arimidex-5 years
2/14/08 started daily self administered injections..FORTEO for severe osteoporosis
7/28/09 BRCA 1 negative BRCA2 POSITIVE
8/17/09 prophylactic salpingo-oophorectomy
10/15/10 last FORTEOinjection
RECLAST infusion(ostoeporosis)
6/14/10 5 year cancerversary!
8/2010-18%increase in bone density!
no further treatments
Oncologist says, "Go do the Happy Dance"
I say,"What a long strange trip its been"
'One day at a time'
6-14-2015. 10 YEAR CANCERVERSARY!
7-16 to 9-16. Extensive (and expensive) dental work done to save teeth. Damage from osteoporosis and chemo and long term bisphosphonate use
6-14-16. 11 YEAR CANCERVERSARY!!
7-20-16 Prolia injection for severe osteoporosis
2 days later, massive hive outbreak. This led to an eventual dx of Chronic Ideopathic Urticaria, an auto-immune disease from HELL.
6-14-17 12 YEAR CANCERVERSARY!!
still suffering from CIU. 4 hospitilizations in the past year

as of today, 10-31-17 in remission from CIU and still, CANCER FREE!!!
6-14-18 13 YEAR CANCERVERSARY!! NED!!
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