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Old 06-20-2010, 05:07 PM   #1
Carol.hope
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Smile Beyond chemo brain

Dear friends,

I’d like to tell you about a new book I have just published, about my experiences with long-term chemo brain. It’s called Chemo Brain: Recovering after Surviving.






It includes:
  • brief background on research into both chemo brain and brain injury,
  • stories of my experiences learning to understand and overcome chemo brain injury, and
  • specific elements of the recovery process, including
  • creating a healing environment
  • coping with cognitive deficits
  • supporting the brain and the whole person during recovery
  • learning from the chemo brain experience.
Look here for more: www.BeyondChemoBrain.com.

I joined HER2Support in 2005, and was so encouraged by Christine’s willingness to talk about her experiences. Now I hope that others may be supported by reading about my four years (so far) with chemo brain injury. For sure, we are not alone! Finally this month even the American Cancer Society has announced that chemo brain is real!

You will find several references to HER2Support in Beyond Chemo Brain. I have felt the love, support and encouragement from everyone. And learned much from the articles you post.

Writing Beyond Chemo Brain was a huge project for me, and an important part of my healing process. Knowing you were all there, supporting each other, and thereby all of us, helped me get through it. Thank you!

With much gratitude,
Carol Devenir

PS Sorry, I can't figure out the formatting. Chemo brain!
Attached Thumbnails
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Carol
Lyons, CO

dx June '05 at age 55
Stage 1, 1.5cm
ER+++, PR--, HER2+++
Lumpectomy, A/C, T/H
Herceptin stopped due to low LVEF (35%)
2010: NED, but continuing major chemo brain injury
www.BeyondChemoBrain.com
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Old 06-20-2010, 08:25 PM   #2
flynny
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Re: Beyond chemo brain

I have a friend who is going through chemo and didn't understand if he was crazy or what. I told him it was real and I thank you for sharing this wonderful book to the rest of the world!

Sarah
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-Sarah-

Jan '07 felt lump (PCP "thought" it was a cyst)
Nov '07 "bloody nipple discharge" (OB-GYN "thought" I had fibrocystic breasts and told me to take 400 IU's of Vitamin E)
Note: Mother was dx w/BC in 2004 (ER/PR+ & HER2+) & mets to brain April 2007 (she passed away June 17, 2008)
2/1/08: Biopsy Dx: DCIS (age 34)
2/22/08: Surgery R-side Mast
2/28/08: 1st Path Rpt Dx: IDC 1.8cm tumor & DCIS 2.1cm
2nd Path Rep DFCI - IDC (0.9cm) & DCIS (2.1cm)
Stage 1b/Gr 3; ER+(5%), PR+(2%), HER-2+++
5/5 nodes NEG; Clear Margins
Chemo: AC 4 rnds (1st one 3/31/08) finished 6/2/08
TH (Taxol/Hercepin) 12 weeks (1st one 6/25/08) finished 9/8/08
Herceptin 9 mos (every 3 weeks) finished 6/8/09
BRCA 1/2 NEG
Bio: Age 39, married to James 1999, 2 boys 12 & 10 yo
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Old 06-22-2010, 09:41 AM   #3
Carol.hope
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Re: Beyond chemo brain

You're welcome, Sarah. I think more doctors are getting it now, but we've had to endure years of docs thinking we're whiners or just stressed. My hope is that soon no one else has to live with this reaction from the very people they look to for healing.

Family members need to know about chemo brain, too, in order to figure out how to deal with, essentially, a different person than they were used to before.

Good luck to your friend.

- Carol

www.BeyondChemoBrain.com
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Carol
Lyons, CO

dx June '05 at age 55
Stage 1, 1.5cm
ER+++, PR--, HER2+++
Lumpectomy, A/C, T/H
Herceptin stopped due to low LVEF (35%)
2010: NED, but continuing major chemo brain injury
www.BeyondChemoBrain.com
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Old 06-22-2010, 05:02 PM   #4
Becky
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Re: Beyond chemo brain

Writing a book is a marvelous and wonderful accomplishment. Congratulations Carol!
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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 06-24-2010, 09:54 PM   #5
Jackie07
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Re: Beyond chemo brain

Love the cover! And what an accomplishment!
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Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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Old 06-26-2010, 04:05 PM   #6
Carol.hope
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Re: Beyond chemo brain

Thanks, Becky and Jackie. I appreciate your encouragement. Sometimes from "inside the trenches" it's hard to see how well things are going. So nice to have HER2 buddies!

-Carol
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Carol
Lyons, CO

dx June '05 at age 55
Stage 1, 1.5cm
ER+++, PR--, HER2+++
Lumpectomy, A/C, T/H
Herceptin stopped due to low LVEF (35%)
2010: NED, but continuing major chemo brain injury
www.BeyondChemoBrain.com
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Old 06-28-2010, 09:43 AM   #7
'lizbeth
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Re: Beyond chemo brain

Carol,

I'm delighted you wrote this book. I just finished reading Adelle Davidson's book "Your brain after chemo".

When receiving chemo therapy the cognitives issues were not addressed. Every focused on diarhea, fatique, neuropathy, etc.

I thought any cognitive deficits would clear up within a year after chemo. While I am better I am not the same as I was bc (before chemo).

I want to enjoy a higher quality of life so off to the neurologist I went for a consult. He told me that I was too high functioning, that I could have hours of neuro psych test done but the outcome would be no different. Afterwards there wouldn't be anything they could do.

I applaud you in publishing a book. Bravo! I hope you have helped all of us to be closer to having the quality of life we previously enjoyed.
__________________
Diagnosed 2007
Stage IIb Invasive Ductal Carcinoma, Pagets, 3 of 15 positive nodes

Traditional Treatment: Mastectomy and Axillary Node Dissection followed by Taxotere, 6 treatments and 1 year of Herceptin, no radiation
Former Chemo Ninja "Takizi Zukuchiri"

Additional treatments:
GP2 vaccine, San Antonio Med Ctr
Prescriptive Exercise for Cancer Patients
ENERGY Study, UCSD La Jolla

Reconstruction: TRAM flap, partial loss, Revision

The content of my posts are meant for informational purposes only. The medical information is intended for general information only and should not be used in any way to diagnose, treat, cure, or prevent disease
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Old 06-29-2010, 09:26 PM   #8
Barbara2
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Re: Beyond chemo brain

Chemo brain has been an issue for me all along (since Fall of 2002) but it seems that my memory has continued to improve little by little with the passing of time through the years. It was slow in coming, but at least it is back (with a few changes but I'm not complaining). Maybe I'm trying harder after seeing a neurologist recently (at the suggestion of my onc) who ran a couple tests plus the "memory test" and everything checked out ok.

Loss of memory function was a very big problem for me in the early years. During chemo my memory was totally shot. I could not repeat a conversation or tell of its content, right after the words were spoken.

I look forward to purchasing this book. What a benefit to so many of us who have been there, without answers or understanding as to why. Congrats on your achievement.
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Blessings and Peace,
Barbara

DX Oct 02 @ age 52 Stage 2B Grade 3 Mastectomy
"at least" 4.5 cm IDC 1+node ER+61% /PR-
Assiciated Intraductual component with Comedo Necrosis
Her2+ FISH8.6 IHC 2+
5 1/2 CEF Arimidex
Celebrex 400mg daily for 13 months
Prophylactic mastectomy
Estradiol #: 13
PTEN positive, "late" Herceptin (26 months after chemo)
Oct 05: Actonel for osteopenia from Arimidex.
May 08: Replaced Actonel with Zometa . Taking every 6
months.

Accepting the gift of life, I give thanks for it and live it in fullness.
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Old 06-30-2010, 12:17 AM   #9
AlaskaAngel
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Thanks Carol

Carol, I'm just sorry that no one did a book for YOU when you were hit with it, with no preparation or explanation or thoughtful consideration from anyone -- especially considering that chemotherapy has been used for decades.

When I considered treatment in 2002, I raised the question about it. It seemed to me that if there were concerns about what it might do to the heart, maybe there were reasons to be concerned about what it might do to the brain and the rest of the nervous system. My PCP said he didn't know. My onc said that in 25 years of practice he "only had a few who were really incapacitated". Chemo brain was considered mostly to be something patients "made up" that couldn't be verified -- in other words, in all those years of prescribing treatment no one had really done much of the homework to find out who was affected or why, or how to avoid it or deal with it.

Thanks for helping to provide something BETTER for others out of your true experience with it.

Best to you,

AlaskaAngel
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Dx 2002 age 51
bc for granny, aunt, cousin, sister, mother.
ER+/PR+/HER2+++, grade 3
IDC 1.9 cm, some DCIS, Stage 1, Grade 3
Lumpectomy, CAFx6 (no blood boosters), IMRT rads, 1 3/4 yr tamoxifen
Rads necrosis
BRCA 1 & 2 negative
Trials: Early detection OVCA; 2004 low-dose testosterone for bc survivors
Diet: Primarily vegetarian organic; metformin (no diabetes), vitamin D3
Exercise: 7 days a week, 1 hr/day
No trastuzumab, no taxane, no AI
NED
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Old 06-30-2010, 05:56 AM   #10
Mary Anne in TX
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Re: Beyond chemo brain

If I've made it up, I did a REALLY good job!!! ma
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MA in TX.
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.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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Old 06-30-2010, 01:42 PM   #11
Carol.hope
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Re: Beyond chemo brain

Thanks, you guys.
It feels good to be acknowledged. Really, if we were going to make something up, why would it be something that makes our lives so hard?! Yes, I decided to write the book I wish I'd had. That's what so many of you do through this board - offer the help you could have used. THANK YOU!

The shocking thing is that there is research reported in medical journals as early as 2002 that clearly shows that chemotherapy causes fewer new brain cells to form and cognitive problems. And yet, apparently the information never filtered down to our oncs? I'd ove to see somebody (who doesn't have chemo brain!) to go to oncology conferences and give a presentation. Any volunteers? Think anybody would pay to sponsor this? Maybe we can put our heads together and figure something out for next year.

Thanks for being there.
- Carol
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Carol
Lyons, CO

dx June '05 at age 55
Stage 1, 1.5cm
ER+++, PR--, HER2+++
Lumpectomy, A/C, T/H
Herceptin stopped due to low LVEF (35%)
2010: NED, but continuing major chemo brain injury
www.BeyondChemoBrain.com
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Old 06-30-2010, 02:36 PM   #12
Cal-Gal
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Re: Beyond chemo brain

Fabulous---good luck!!!!
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DX: 11/08 Age: 53
Surgery: 1/09
Bilat Mastectomy, no reconstruction
ILC-4 tumors-1.7 cm,1.5 cm (2).8 cm
DCIS-11 cm
All tumors Grade 3
All tumors ER-0%/PR-0%
All tumors HER2+
IHC-all tumors Overexpression/borderline
FISH 2 tumors Her2-Negative
FISH 2 tumors Her2+ Equivocal
Stage I, 0/1 nodes
LVI-Indeterminate(treated as positive)
SPR Score 8/9
Ki-67 20%
BRCA genetic test 1/2=negative
Chemo: 6 rounds TAC Feb-June 2009 w/Neulasta
Herceptin: 6/12/09-6/4/10 52weeks
HNPCC genetic test: negative
Port Placement-9/23/09 Port Removal 6/25/10
Echo's every 3 months-All normal
2/09 Staging PET/CT showed 0.2 micronodule upper R lobe-lung-Onc does not think this is mets--
6/5/09 AND 10/09 CT scan 0.2 micronodule unchanged
1/10-PET/CT-uptake in nasopharynx-
1/10-MRI All normal
6/10-Bone Scan-clear
12/10-PET/CT-All Clear-NED
12/11-PET-All Clear-NED

12/12-PET-All Clear-NED
12/13-CT w/contrast Head, Torso-All Clear
12/14-CT w/contrast Head-All Clear
2/15-Core needle biopsy-R scar line

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Old 06-30-2010, 03:04 PM   #13
Jackie07
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Re: Beyond chemo brain

I think 'chemo brain' is now acknowleged by medical practitioners though not using the exact term.

On the report of my 'complete neuropsychological profile', my doctor had written that one of the (3) reasons for my cognitive decline was the 6 doses of chemotherapy in 2003 and another 6 doses in 2007.

It clearly tells me that chemotherapy has contributed to my cognitive problems.
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Jackie07
http://www.kevinmd.com/blog/2011/06/doctors-letter-patient-newly-diagnosed-cancer.html
http://www.asco.org/ASCOv2/MultiMedi...=114&trackID=2

NICU 4.4 LB
Erythema Nodosum 85
Life-long Central Neurocytoma 4x5x6.5 cm 23 hrs 62090 semi-coma 10 d PT OT ST 30 d
3 Infertility tmts 99 > 3 u. fibroids > Pills
CN 3 GKRS 52301
IDC 1.2 cm Her2 +++ ER 5% R. Lmptmy SLNB+1 71703 6 FEC 33 R Tamoxifen
Recc IIB 2.5 cm Bi-L Mast 61407 2/9 nds PET
6 TCH Cellulitis - Lymphedema - compression sleeve & glove
H w x 4 MUGA 51 D, J 49 M
Diastasis recti
Tamoxifen B. scan
Irrtbl bowel 1'09
Colonoscopy 313
BRCA1 V1247I
hptc hemangioma
Vertigo
GI - > yogurt
hysterectomy/oophorectomy 011410
Exemestane 25 mg tab 102912 ~ 101016 stopped due to r. hip/l.thigh pain after long walk
DEXA 1/13
1-2016 lesions in liver largest 9mm & 1.3 cm onco. says not cancer.
3-11 Appendectomy - visually O.K., a lot of puss. Final path result - not cancer.
Start Vitamin D3 and Calcium supplement (600mg x2)
10-10 Stopped Exemestane due to r. hip/l.thigh pain OKed by Onco 11-08-2016
7-23-2018 9 mm groundglass nodule within the right lower lobe with indolent behavior. Due to possible adenocarcinoma, Recommend annual surveilence.
7-10-2019 CT to check lung nodule.
1-10-2020 8mm stable nodule on R Lung, two 6mm new ones on L Lung, a possible lymph node involvement in inter fissule.
"I WANT TO BE AN OUTRAGEOUS OLD WOMAN WHO NEVER GETS CALLED AN OLD LADY. I WANT TO GET SHARP EDGED & EARTH COLORED, TILL I FADE AWAY FROM PURE JOY." Irene from Tampa

Advocacy is a passion .. not a pastime - Joe
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