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Old 10-01-2007, 06:33 PM   #1
Peggy
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Join Date: Jun 2006
Location: East Texas
Posts: 40
Question about immune system

I finished Herceptin in July 06. My white count is normal. However, in the past year I have had 7 or 8 bladder infections topped off with a massive case of shingles in July 07. I currently have another bladder infection and am still on pain meds (big ones) for the shingles. I have had an ultrasound of the kidney and nothing was found. I've done all the things we know to do to avoid bladder infections, but they keep coming. (I also fractured my pelvis and my elbow...but that's another story).

I can't seem to feel good because I keep getting sick. Has anyone else had difficulty getting healthy again? I feel like Job...what next locusts?
I take vitamins, eat healthy, excercise...any ideas? Is my immune system still whacky from the chemo? I must admit that between the shingles and the current bladder infection, I feel like pulling the cover over my head and just staying in bed. Luckily, I have to work to have insurance, so that's not an option. :-)

Peggy
__________________
Stage IIIC
Diagnosed 5/05
FEC100 x4, Taxotere/Xeloda X4 (both with Herceptin)
Mastectomy, Rads x33 Herceptin X 9
3 Years NED!
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Old 10-01-2007, 06:42 PM   #2
Debra
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Join Date: Dec 2006
Posts: 136
Last year - post chemo and still on Herceptin, I went through a series of bladder infections as well.

I started drinking A LOT and I mean A LOT of water everyday. Always had water in my hand. I also stayed away from hot tubs and decreased my number of baths (I love to soak in the tub but only once a week or so is all I have time for)!

Since then, I have had only one bladder infection but was swimming in a lake just prior to. I just think some of us are more prone to bacteria.
In addition, I have had a hysterectomy and seems to me I heard once that may increase the risk of UTI's.
Anyhow, I know they say drink water but truly, a lot of water is the key.
Also, you can take those cranberry tablets but I love cranberry juice so I have that a couple of times a week as well.

Nothing fancy here for prevention and you I am sure have heard it all and maybe doing it all. Good think you had the kidneys checked out as with repeat UTI's, you want to make sure everything is fine there. Have they cultured your urine? If not, they should because it could possibly be the same infection, just a bacteria that needs a specific antibiotic.

Hopefully you will find some answers.
__________________
Debra

Diag. 11/05 at age 40 triple positive
3.8 cm tumor and 9 mm tumor
Stage IIb/SN positive(no other nodes)Grade 3
Bilat. mastect. 12/05 (Rt.prophylactic) followed with AC/taxol/Herceptin/tamoxifen then switched to arimidex after hysterectomy in 12/06. August 07 switched to Aromasin due to severe jt. pain from Arimidex. Nov. 2011 No more meds and NED!
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Old 10-01-2007, 11:14 PM   #3
hutchibk
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I had numerous UTIs on Herceptin w/Taxol. I drank lots of water and cranberry and it still happened. My onc eventually sent me to a urologist. It was determined that the chemo upset the pH of the urinary tract and at the same time, all of the 'female tissues' were highly sensitive to the harshness of the drugs due to the effects of lack of estrogen, menopause, etc. At that point both the onc and urologist suggested that I use Estrace cream more often, a small amount in the applicator apx 4-5 times a week. It made all the difference and kept me UTI free for the remaining 5 months on Herc/Taxol. Now that I am on Tykerb/Xeloda, I don't have UTIs... hope this helps.
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 10-02-2007, 03:06 PM   #4
Peggy
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Join Date: Jun 2006
Location: East Texas
Posts: 40
Thanks

Maybe I'm not drinking "tons" of water so I can try that. Also, I'll try the Estrace creme...they culture my urine and it's not the usual culprit. I'm doing the cranberry juice...so I choose to believe that "tons" of water and estrace creme will do the trick! Thanks so much for the suggestions. As many others have mentioned, we can handle the big things..cancer, but the little things like UTI and shingles can put you over the edge!

Thanks again,

Peggy
__________________
Stage IIIC
Diagnosed 5/05
FEC100 x4, Taxotere/Xeloda X4 (both with Herceptin)
Mastectomy, Rads x33 Herceptin X 9
3 Years NED!
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Old 10-02-2007, 03:49 PM   #5
Becky
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Posts: 4,179
Another thing is - are they associated in anyway to sex. Sometimes, a dry vagina that is really atrophied has some bacteria or fungus associated with it. Then you have sex and those germs get into the urethra and bingo. Try to get up and urinate after sex to flush that away. You might even want to wash before and after (although sometimes its a feat in itself to have sex - then you have to get up to pee and wash too!!!!!!!!! Be real). But, I was getting UTIs very frequently and they were associated heavily with sex. I did the cranberry, water, peeing and washing to no avail. Finally, I was given Macrobid 100 by a urologist and I was told to take one tablet after sex. It worked well but the vaginal atrophy finally got to me and I got an estring (estrogen ring) and no more problems and no more Macrobid 100 is necessary anymore.

Lastly, with the shingles - your immune system does get whacked by everything. Get plenty of rest and eventually, you will get back to normal slowly. The UTIs might be due to this as well.
__________________
Kind regards

Becky

Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia

NED 18 years!

Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
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Old 10-02-2007, 08:09 PM   #6
julierene
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Join Date: Dec 2005
Location: Illinois
Posts: 327
Macrobid? I had a lot of trouble with sex. I haven't tried much to fix it. But an estrogen ring is just stuck up in there for a long time or something? Anything to help with the soreness of sex would be great for when I actually get into a relationship again. For now, no sex, no pain, no problem!
__________________
Jan04: Bilateral Mastectomy at age 28
Initial DX: Left Breast: IDC 2cm, Grade 3, HER2+3, 0 Nodes +, ER/PR-. Right Breast: Extensive DCIS ER-/PR+; Stage 1-2a
Feb04-Apr04: 4 AC, dose dense
Aug 04: 4 Taxotere
Dec 05: Bone and Liver METS; Stage 4. Carboplatin/Taxol/Herceptin. DX with Li-Fraumeni Syndrome
Apr 06: NED, maintenance Herceptin
Apr 07: CA1503=14; masses in liver; Xeloda/Tykerb
Nov 07: NED, Tykerb maintenance
Sept 08: Liver mets again, on Tykerb/Xeloda again, CA=19 and 27
Nov 08: Progression, Tykerb/Gemzar, CA=25
Dec 08: Progression, Herceptin/Navelbine, CA=40, 57, and 130
Jan 09: Progression in bone, recession in liver, Herceptin/Carbo/Abraxane CA=135
June 09: CA27/29=24, chemo break
Sept 09: Progression, CA=24, waiting on clinical trial (4 weeks no treatment)
Nov 09: now have brain mets, trial "on hold", getting 14 WBR treatments starting 11/2/09
Dec 09: possible start on p53 trial
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Old 10-05-2007, 09:38 PM   #7
Catherine
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Location: Oregon
Posts: 715
I love this site

Hey ladies,

I am always blown away with how helpful and knowledgeable you all are. I am absorbing this info in case I need it later. Thank goodness, if I forget and I run into a problem, I know where to come for suggestions and answers. I am thinking about getting a Shingles Vaccine. My sister is 66 and just got the shot. Our Mother got Shingles when she was 86 and she found this even more confusing on top of her dementia. So I am hoping that I never get Shingles.

Thank you to everyone for always being so helpful,
Catherine
__________________
Catherine


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 10-05-2007, 11:20 PM   #8
hutchibk
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Posts: 3,519
A shingles vaccine? I've never heard of that! Do tell.
__________________
Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 10-06-2007, 05:06 AM   #9
Sheila
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Join Date: Aug 2003
Location: Morris, IL
Posts: 3,507
The shingles vaccine is out! It is recommended for anyone with a compromised immune system or high chance of getting it.. The only requirement is that you have already had chicken pox. It reduces the chance of a person getting shingles significantly, and if you do get them, you get a very mild case. As with all immunizations, if you are doing chemo right now, you may have to wait to get it, until you are done with chemo. Some insurances will pay for it, and my Dr.'s office said it cost 150.00. As always, we must check to see if we are even eligible after chemo.
__________________
"Be kinder than necessary, for everyone you meet
is fighting some kind of battle."



Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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