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Old 10-09-2013, 03:47 PM   #1
Lovemyboys3
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Join Date: Aug 2013
Location: Texas
Posts: 61
First chemo treatment

Hi All,

Well I am 1 week out from my first TCH treatment and I have to say it is all that I feared it would be. HORRIBLE! I didn't quite expect it to hit me so hard so fast but it sure did. Body aches, tired, constipation and indigestion just to start. But now I have this crazy acne going on all over my face. I normally have fairly clear skin so this is kinda freaking me out. My doc prescribed me antibiotics because I have been having severe pain in my face which could be from a sinus infection but right now I don't quite know what it is. The acne itself is quite painful also. Needless to say this is one 1 out of 6 and I am not looking forward to the other 5. Did anyone else have this sort of acne soon after chemo? Is this going to be me for the next 18 weeks? Constant pain and discomfort? I knew chemo was not going to be easy but this is truly harder than my surgery. My head is also starting to ache also which I am sure is a sign my hair will start to come out soon. All of the things to look forward to.

Just wanted to vent my new to chemo hate!

Thanks for all who listen.
__________________
Lovemyboy3

6/27/2013 - Diagnostic Mammogram due to a tiny lesion found.
6/27/13 - Diagnosed with Breast Cancer at age 33 :'(
07/11/2013 - Surgical needle biopsy
07/15/2013 - Path report results from biopsy - DCIS with micro invasion, Pagents disease - ER/PR- Her2+++
7/26/13 - PET Scan CLEAR!!
8/19/13 - B/L Mastectomy w/DIEP Flap reconstructive surgery. Nodes removed clear!! Stage 1A. Positive Margins remaining
8/23/13 - Finally HOME from the hospital
9/10/13 - All drains out. YEAH!!
9/6/13 - 2nd Surgery to try and remove remaining positive margins. Port placed.
9/11/13 - Path report shows all tissue samples are neg. Clear Margins!!
10/3/13 First TCH treatment - Horrible amount of side effects.

11/10/11 - First weekly Herceptin treatment.
10/11/13 - Late night ER visit due to Neutropenic fever - WBC at 0 in the hospital.

11/17/13 - Ultrasound on left breast due to pain. Benign findings: Oil cysts and possible Fat Neurosis from reconstructive surgery.
11/24/13 - Round 2 TCH treatment.
11/25/13 - Neulasta Shot given. Side effects minimal. Woo Hoo!
11/27/13 - Said goodbye to my hair. :-(
01/14 - Mammogram and Ultra sound - CLEAR!
01/23/14 - Last scheduled Chemo! WOO HOO!
03/04/14 - Phase 2&3 reconstructive surgery DONE!
03/06/14 - 2 days after surgery and 1st Herceptin only treatment. Minimal side affects.
03/14 - Began having pain and weakness in my feet and legs. Doc thinks it is delayed side affects of chemo possibly Neuropathy. Could even be the Herceptin (what ever it is I would appreciate it if it went away :/)
03/14 - A little over 8 wks post chemo and hair is about 1/2in long. :) Not a whole lot but its getting there. Eyebrows are taking there time but are coming in nicely.
04/14 - Where did my eyelashes go? :/


16 Rejoice always, 17 pray continually, 18 give thanks in all circumstances; for this is God’s will for you in Christ Jesus.
1 Thessalonians 5:16-18
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Old 10-09-2013, 04:26 PM   #2
tricia keegan
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Re: First chemo treatment

I'm so sorry this is hitting you so fast and so badly, have you asked your Onc or chemo nurse for something re the face rash and other issue's? I didn't have this but know they prefer you to call and tell them whats happening so they can help you, no point in suffering so do ask them about it and they may lower your dose next time or give it more slowly which may help.
__________________
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 10-09-2013, 04:27 PM   #3
Coux92
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Posts: 228
Re: First chemo treatment

Hi, I too had the painful achne after my first chemo and bad rash on scalp after #2 that required antibiotics but that got better when my pre steroids were cut in half after that. I kept a journal the first few rx about what I took to avoid constipation and other side effects and learned from each treatment? I just had number six today... Done! Now onto solo herceptin and Rads.....YOU CAN DO THIS, IT SUCKS BUT AS MY 16 year old told a friend, "my mom is stronger then the chemo" I'm sure you are too... Prayers headed your way.
__________________
3/11/13- normal mammo and US
4/30/13 Found pea sized lump while showering
5/10/13 core bx
5/15/13 dx IDC 1CM,
5/20/13 BRAC 1&2 neg
5/28/13 lumpectomy and SNB, ER/PR/Her-2+, Nodes neg,positive margins
6/13/13 revision of margins . Now clear
6/26/13 first TCH
Chemo Ninja~kutaki Zika Zukuchiri
10/18/13-Bx of calcification-neg whew
11/7/13 Started Radiation.
01/2014- Started Tamoxifen
06/09/14-Steriotactic BX left breast calcification-Benign
06/18/2014-completed one year of Herceptin!
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Old 10-09-2013, 05:13 PM   #4
MaineRottweilers
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Posts: 570
Re: First chemo treatment

I have had break outs on my face 11 days after taking chemo since chemo #1. I just had my final chemo 12 days ago and my face, scalp and even a few pustules on my chest and arms erupted right on schedule----for the LAST time!

Sorry to say, it goes with the territory. Keep your eye on the final treatment day, you'll get there too.
__________________
Tracy Arcari
___________________________________________
11/12 BSE ignored the lump for SIX months.
5/1/13 IDC ER/PR- HER2/neu+++
5/14/13 Mastectomy and SN biopsy
5/20/13 IDC Stage IIb Grade 3 Nodes 1/4 also IDC and DCIS multi focal in remaining dissected tissue.
5/30/13 MUGA and CT thorax, abdomen & pelvis, establish baseline.
6/4/13 Installed my little purple power port.
6/14/13 Chemo started TCH
6/14/13 Informed of suspicious ares on scans scheduled PET.
7/1/13 PET Scan NED!
9/27/13 FINAL CHEMO taken! ----well, maybe not.
10/15/13 Three little tattoos.
10/24/13 Radiation begins and fourth tattoo placed.
11/27/13 Perfectly radiant! Radiation completed the day before Thanksgiving and so, so much to be thankful for this year and every day hereafter.
1/2/14 Happy New Year, you have a Goiter? Muga down to 59%.
1/17/14 Hashimoto's Dz Dx'd. Now maybe I'll feel BETTER!
5/2/14 Herceptin completed! New kitten!
8/19/14 Prophylactic mastectomy (right) and PORT OUT! I'm DONE and now I really am a SURVIVOR.
2/15 Started not feeling so swell. Memory lapses and GI issues with nausea and blurry vision.
4/30/15 U/S cystic gallbladder, cyst on right ovary and mass in my uterus. GYN consult scheduled---and cancelled. I'm not ready.
5/4/15 Brain MRI clear (big sigh of relief)
7/30/15 Back Pain
8/31/15 Radiograph: compression fracture L2
9/10/15 Bone Scan positive
9/21/15 CT scan conclusive for tumor
10/1/15 CT guided biopsy & Brain to Pelvis MRI reveal additional lesions on spine C6, T10, T11 and L2 is collapsing.
10/8/15 Abbreviated pathology: new tumor(s) poorly differentiated carcinoma consistent with known breast primary.
ER-/PR+ (40%)
HER2/neu+++ Ki-67 4% Pancytokeratin AE1/3 Strong Positivity in all malignant cells.
10/13/15 Abnormal Dexa: moderate risk of fracture to both femoral head/neck R&L. Significant risk to lumbar spine.
10/14/15 Radiation consult back to the cooker.
10/20/15 MUGA 50% down from 54% after a year off Herceptin (???)
10/21/15 Kyphoplasty L2
10/22/15 Re-start Chemo: Perjeta, Herceptin & Taxotere
10/26/15 PET Scan confirms C6, T10-11, L2, new lesion noted at L4 but no visceral involvement---Happy dance!!!
10//29/15 Xgeva
10/29/15 Radiation Simulation--three new tattoos to add to my collection. Just call me Dotty.
10/30/15 CA27-29 63 U/mol (<38 U/mol)
11/3/15 First Trip to see Dr. E. Mayer at DFCI
11/4/15 Surgical consult to re-install my little purple power port.
11/9/15 Radiation treatment one of five.
11/10/15 Installed my little purple power port and not a moment too soon, took them four tries to get an IV started today.
Yes, we really are going down this road again.
12/5/15 CT for suspected pulmonary embolism demonstrates increase in T10-11 mets.
12/8/15 Bone Scan uptake at T10-11 (not seen 9/17/15) & Right 8th Rib (not evident on PET 10/26/15)
12/10/15 Consult Re: PROGRESSION. Halt THP due today. Schedule PET and order TDM1 for next week. PLAN B.
12/14/15 PET scan: NO PROGRESSION! THP is working, metabolic activity minimal. Merry Christmas to me! Sticking with PLAN A, it's working.
1/7/16 Start Taxol weekly instead of Taxotere (has been too taxing and not rebounding between txs.) Zometa instead of Xgeva.
3/28/16 CT shows new sclerotic lesions on T12, L3, L5, L6, right ilium and head of right femur. No uptake on Bone Scan (progression????)
3/31/16 Discontinue Taxol start Arimidex, still getting H&P.
6/2/16 Discontinue Arimidex and start Exemestane.
6/18/16 PET is NEAD!!
7/1/16 Discontinue Exemestane and restart Armidex (SEs)
8/29/16 CT/Bone Scan Stable (still uptake at T10-11)
10/3/16 BSO pathology negative
10/10/16 MRI: Brain clear!
10/14/16 Switched care to Harold Alfond Center for Cancer Care
11/24/16 Xgeva, New MO preference to Zometa
12/12/16 CT/Bone scan Mostly stable significant uptake at L2 plan to PET
1/12/17 PET shows NEAD celebrate with a new puppy!
3/29/17 CT & BS = NEAD
7/31/17 Aetna denies access to H&P <gearing up for a fight>
8/4/17 CT& BS= STABLE
8/9/17 No treatment, Aetna still denying H&P
8/14/17 Aetna appeal approved H&P through February 2018!
2/5/18 CT & BS = STABLE

//
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Old 10-10-2013, 05:23 AM   #5
sarah
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Location: france
Posts: 1,648
Re: First chemo treatment

Hello,
well chemo is horrible but it will probably save your life so concentrate on that. I had open sores that itched and were disgusting and no one could help solve it. I have a cupboard full of creams that cancer dermatologist told me could help, they didn't. Cortisone cream didn't do a thing. to stop the itch I found calamine lotion was the best solution.
I ate pasta and gained 15 lbs but that and reading a zillion books helped me get through it. and of course a loving and patient husband and friends. I did chemo once a week for 6 months. my finger and feet nails went yellow and cracked and broke off - there's a nail polish called Evonail made especially for this that helps. Drink lots of water especially while getting the chemo but honestly I found no one had an answer to the skin problems. Patience, patience, patience. It seems like an eternity and the fatigue, which I found the hardest, is difficult and with kids, really tough but you will get through it and you will live. I hope your kids understand and help you.
take care,
hugs and love
sarah
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Old 10-12-2013, 07:36 PM   #6
Lovemyboys3
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Join Date: Aug 2013
Location: Texas
Posts: 61
Re: First chemo treatment

Hi All, well its been a crazy, crazy first week but each day is a little better. I had an exciting trip to the ER because my temp started to climb. Since my wbc was so very low they were worried about an infection. The Lord heard my prayers and I was able to go home since my temp stayed steady with no signs of an infection. They did give me antibiotics and fluids but otherwise with no fever I was able to go home. Now just making sure I get rest. My doc gave me meds for my face which has help but not sure if it will happen again next time. She is thinking it is from the steroid so they will adjust my next dose. Right now the worst part are the body aches. Its like having the flu everyday. HORRIBLE! But after everything I know it could be worse and I am grateful I at least had one day that wasn't miserable. Praying each day gets better.
My onc did mention they will probably give me an injection of some sort to help my wbc as it was at 100 or .8. She doesn't want it getting so low especially since I have little ones here at home that go to daycare.
Has anyone experience the body aches? Could that be the Herceptin? I really hope not since that is going to be a regular for a year. I will take anything and everything as I know why I am doing it. Its just going to be hard to deal with if I have to for a year.
Has anyone had to have injections for their wbc?

Thank you to all!!
__________________
Lovemyboy3

6/27/2013 - Diagnostic Mammogram due to a tiny lesion found.
6/27/13 - Diagnosed with Breast Cancer at age 33 :'(
07/11/2013 - Surgical needle biopsy
07/15/2013 - Path report results from biopsy - DCIS with micro invasion, Pagents disease - ER/PR- Her2+++
7/26/13 - PET Scan CLEAR!!
8/19/13 - B/L Mastectomy w/DIEP Flap reconstructive surgery. Nodes removed clear!! Stage 1A. Positive Margins remaining
8/23/13 - Finally HOME from the hospital
9/10/13 - All drains out. YEAH!!
9/6/13 - 2nd Surgery to try and remove remaining positive margins. Port placed.
9/11/13 - Path report shows all tissue samples are neg. Clear Margins!!
10/3/13 First TCH treatment - Horrible amount of side effects.

11/10/11 - First weekly Herceptin treatment.
10/11/13 - Late night ER visit due to Neutropenic fever - WBC at 0 in the hospital.

11/17/13 - Ultrasound on left breast due to pain. Benign findings: Oil cysts and possible Fat Neurosis from reconstructive surgery.
11/24/13 - Round 2 TCH treatment.
11/25/13 - Neulasta Shot given. Side effects minimal. Woo Hoo!
11/27/13 - Said goodbye to my hair. :-(
01/14 - Mammogram and Ultra sound - CLEAR!
01/23/14 - Last scheduled Chemo! WOO HOO!
03/04/14 - Phase 2&3 reconstructive surgery DONE!
03/06/14 - 2 days after surgery and 1st Herceptin only treatment. Minimal side affects.
03/14 - Began having pain and weakness in my feet and legs. Doc thinks it is delayed side affects of chemo possibly Neuropathy. Could even be the Herceptin (what ever it is I would appreciate it if it went away :/)
03/14 - A little over 8 wks post chemo and hair is about 1/2in long. :) Not a whole lot but its getting there. Eyebrows are taking there time but are coming in nicely.
04/14 - Where did my eyelashes go? :/


16 Rejoice always, 17 pray continually, 18 give thanks in all circumstances; for this is God’s will for you in Christ Jesus.
1 Thessalonians 5:16-18
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Old 10-12-2013, 11:33 PM   #7
Shirley
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Location: Lakewood, WA
Posts: 56
Re: First chemo treatment

I developed some unusual acne after chemo but it was manageable and more of a cosmetic issue for me (but it was still disturbing so I totally understand your concern). My scalp hurt a lot prior to my hair coming out. It REALLY hurt. Both symptoms disappeared by the end of my 4 TCH treatments.

Are you getting Nuelasta shots after each treatment? This is supposed to help restore the WBC count.

I hope you are able to get some rest. I took about 4 days off from work after each treatment which helped.
__________________
  • Age 54 at dx (April '13) Stage 2b, grade 3
  • ER+ PR+ HER+, 9 cm tumor one breast and <0.5 cm in sentinal node
  • BRCA1 and 2 negative
  • Neoadjuvant TCH chemo started 5-15-13 (4 rounds, 3 weeks apart)
  • Unilateral Mx w/expander 8-22-13 (right side)
  • 5/5 nodes Neg
  • clear margins but close. Tumor at removal down to 2.2 cm.
  • Radiation 6 wks starting 10-17-13.
  • Herceptin every 3 weeks until 4-23-14
  • DIEP/Mastopexy 10-8-14, U of WA
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Old 10-13-2013, 05:31 AM   #8
Aussie Girl
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Posts: 260
Re: First chemo treatment

Hi Lovemyboys3,

Many people feel like they have the flu and have muscle aches - all of the drugs can contribute and the white cell stimulants like neulasta or neupogen can contribute. However, I would strongly recommend having the long acting Neulasta on the second day of each cycle. If greatly reduces the chances of having to be admitted to hospital again for fever. You will still get low white cells, sometime between day 7 and day 10 probably, but they won't go as low and with return much quicker with Neulasta.

Muscle aches can usually be controlled by taking long acting Paracetomol (aminoacetophen) eg. Panadol Osteo which covers 8 hours instead of 6. Usual dose is 2 tabs 6 to 8 hourly , no more than 6 per day. Regular paracetamol is more effective than an occasional dose. Please discuss pain relief with your oncologist because everyone's experience of pain is different and your oncologist is a specialist in pain relief (and nausea relief). The tiredness and aches can vary from cycle to cycle.

Nurofen and aspirin relieve the pain but are not recommended because they reduce platelet function and your platelets (clotting cells) reach a low at about 2 1/2 weeks after dose. This is rarely significant, as the platelets still work, unless you've taken a drug that reduces their function. Your platelets have to get back to over 100 before you can have your next dose or the dose will need delaying a few days.

Warm baths or showers and regular low impact exercise can reduce the aches. See what works for you.

Good luck

Aussie Girl
__________________
31mm Infiltrating duct carcinoma
Grade 3, ER/PR-, HER2+, Neg Sentinel nodes x 5
49mm field of DCIS
17 June '13: Screen detected impalpable mass, Mammogram neg, US.
25 June '13: Diagnosed after multiple biopsies and MRIs
28 June '13: Left lumpectomey
4 July '13: Left Mastectomy
12 August '13: Commenced TCH chemo
Mid December '13 : TCH finished. Herceptin continuing three weekly.
4 August 2014- Herceptin infusions finished.
END OF THERAPY - YAY!
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Old 10-16-2013, 09:44 AM   #9
Lovemyboys3
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Join Date: Aug 2013
Location: Texas
Posts: 61
Re: First chemo treatment

Thank you all for your replies.
So first chemo treatment certainly got worse before it got better. I ended up in the ER due to a fever recently. After a long night in the ER I was able to go home as my temp stayed steady at a normal temp and no infection was found. Never the less they gave me antibiotics, fluids and watched me for a long while. Apparently my WBC was at almost 0. I was at 100 the day prior and it dropped even more which explains why I was MISERABLE that day. My Onc was not happy to see my numbers and has said I will now have the Neulasta shot after each treatment to help my WBC. No way I am going through that again.

Has anyone had this shot? Did you have any significant side effects?

We will also adjust my steroid meds to see if that helps the break outs I was having.
I also think I have a good med combo to help with the tummy issues. So praying it keeps working for next time.

My head hurt so much for a few days and is fine now. I have seen some "shedding" but nothing to bad just yet. When does the hair really start coming out? I am at day 14 and so far so good. I am expecting to see more and more come out in the next few days but was wondering what most have seen. Is there a "day" I will just wake up and it go crazy? I feel ready for this but know that day will probably be very hard. One day at a time.

All in all I am doing MUCH better now as my WBC is making its way back up and the Chemo side effects have subsided. But of course my 2nd rounds is coming up and I am getting nervous. After round 1 I know what more or less to expect and it wasn't fun at all.

Thank you to all for you kind words and advice.
__________________
Lovemyboy3

6/27/2013 - Diagnostic Mammogram due to a tiny lesion found.
6/27/13 - Diagnosed with Breast Cancer at age 33 :'(
07/11/2013 - Surgical needle biopsy
07/15/2013 - Path report results from biopsy - DCIS with micro invasion, Pagents disease - ER/PR- Her2+++
7/26/13 - PET Scan CLEAR!!
8/19/13 - B/L Mastectomy w/DIEP Flap reconstructive surgery. Nodes removed clear!! Stage 1A. Positive Margins remaining
8/23/13 - Finally HOME from the hospital
9/10/13 - All drains out. YEAH!!
9/6/13 - 2nd Surgery to try and remove remaining positive margins. Port placed.
9/11/13 - Path report shows all tissue samples are neg. Clear Margins!!
10/3/13 First TCH treatment - Horrible amount of side effects.

11/10/11 - First weekly Herceptin treatment.
10/11/13 - Late night ER visit due to Neutropenic fever - WBC at 0 in the hospital.

11/17/13 - Ultrasound on left breast due to pain. Benign findings: Oil cysts and possible Fat Neurosis from reconstructive surgery.
11/24/13 - Round 2 TCH treatment.
11/25/13 - Neulasta Shot given. Side effects minimal. Woo Hoo!
11/27/13 - Said goodbye to my hair. :-(
01/14 - Mammogram and Ultra sound - CLEAR!
01/23/14 - Last scheduled Chemo! WOO HOO!
03/04/14 - Phase 2&3 reconstructive surgery DONE!
03/06/14 - 2 days after surgery and 1st Herceptin only treatment. Minimal side affects.
03/14 - Began having pain and weakness in my feet and legs. Doc thinks it is delayed side affects of chemo possibly Neuropathy. Could even be the Herceptin (what ever it is I would appreciate it if it went away :/)
03/14 - A little over 8 wks post chemo and hair is about 1/2in long. :) Not a whole lot but its getting there. Eyebrows are taking there time but are coming in nicely.
04/14 - Where did my eyelashes go? :/


16 Rejoice always, 17 pray continually, 18 give thanks in all circumstances; for this is God’s will for you in Christ Jesus.
1 Thessalonians 5:16-18
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Old 10-16-2013, 02:05 PM   #10
NEDenise
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Re: First chemo treatment

Thinking of you!
I remember those feelings well... but as you said, "you know why you're doing it, and it will be worth it."

Be good to yourself! You deserve a little pampering right now.
Prayers headed out on your behalf!
Denise
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Old 10-16-2013, 03:49 PM   #11
caya
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Re: First chemo treatment

I think I started to "shed" around Day 17 -18. But you could go into the next round of chemo with hair. Your scalp may itch, tingle or just hurt in advance. You may be washing your hair in the shower and handfuls may come out.

all the best
caya
__________________
ER90%+/PR 50%+/HER 2+
1.7 cm and 1.0 cm.
Stage 1, grade 2, Node Negative (16 nodes tested)
MRM Dec.18/06
3 x FEC, 3 x Taxotere
Herceptin - every 3 weeks for a year, finished May 8/08

Tamoxifen - 2 1/2 years
Femara - Jan. 1, 2010 - July 18, 2012
BRCA1/BRCA2 Negative
Dignosed 10/16/06, age 48 , premenopausal
Mild lymphedema diagnosed June 2009 - breast surgeon and lymph. therapist think it's completely reversible - hope so.
Reclast infusion January 2012
Oopherectomy October 2013
15 Years NED!!
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Old 10-17-2013, 12:09 AM   #12
Aussie Girl
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Posts: 260
Re: First chemo treatment

Hi Lovemyboys3,

The Neulasta is well worth having as it markedly reduces the chance of having to be hospitalized for febrile neutropenia. You are much less likely to end up with a serious infection. You are less likely to have your chemo delayed because of persisting low white cells. If your white cells got down to zero, you are likely, like me, to have particularly sensitive to the chemo (in my case the carboplatin). Your doctor may reduce your carboplatin a little.

The side effects of Neulasta merge with the side effects of the other chemo. Some people get bone pain and it varies from cycle to cycle. It is usually mild to moderate, but can be severe. It is because the white cells are rapidly proliferating in your marrow and stretching the tiny nerves in there. The pain is usually treated with aminoacetophen/ paracetamol like the other aches and pains from chemo. You may also get some stinging, itching or bruising at the injection site.

Rarely people are allergic to the drug (as may occur rarely for most medications). This is usually mild (itching, rash), but very rarely severe (as in swelling and itching of throat, racing heartbeat, breathless, dizziness .........call the ambulance). The other rare significant reaction is stomach/ abdominal/ right shoulder pain due to swelling of the spleen or even rupture. This is again very rare. It is not recommended for people with prior spleen problems or sickle cell anemia and is not usually given during radiation therapy.

I hope that isn't too much information. I think the neulasta is definitely worth having. So far, I have only have mild aching legs from it when I forgot to take my paracetamol.

Aussie Girl
__________________
31mm Infiltrating duct carcinoma
Grade 3, ER/PR-, HER2+, Neg Sentinel nodes x 5
49mm field of DCIS
17 June '13: Screen detected impalpable mass, Mammogram neg, US.
25 June '13: Diagnosed after multiple biopsies and MRIs
28 June '13: Left lumpectomey
4 July '13: Left Mastectomy
12 August '13: Commenced TCH chemo
Mid December '13 : TCH finished. Herceptin continuing three weekly.
4 August 2014- Herceptin infusions finished.
END OF THERAPY - YAY!
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