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Old 02-06-2012, 08:56 AM   #1
rhondalea
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Of all the things I've lost...

...I miss my mind the most. (Thank you, Mark Twain.)

I have moments of energy and clarity, but they usually don't coincide, so even though I might be able to think, nothing gets done anyway.

It's not entirely the cancer/chemo/radiation--my thyroid has made a big contribution since it decided to go out of whack again around the time I started radiation--but I'll blame them anyway.

Online, I have moments of posting frenzy, followed by stretches when I'm not even sure what I read five minutes ago. I started a thread here awhile ago, but I haven't gotten back to it to acknowledge all the replies. I figured I would manage it eventually, but now there's one I can never respond to because Trish has already left us, so I can't bear to call up the thread again. It grieves me that even in the last weeks of her life, she took the time to welcome me here, and I never replied.

In real life, the cats get fed, the litter gets changed and the cancer cat gets to his chemo appointments, but everything else is haphazard.

This morning, I set up the coffeemaker (brand new--it's called The Scoop, and I love it), but then I turned it on and walked away before putting a cup underneath the drip funnel.

Tomorrow is my last day of radiation, and I'm barely burnt (thank you calendula), but I start Tamoxifen in three weeks, so I'm thinking things are not going to get much better.

I find being flat to be quite convenient, I've had minimal physical side effects, my LVEF is steady, and my hair is growing back better than before. I should be joyful--and I kinda am, except for the steroid/thyroid-induced 10 pound weight gain--but if my brain doesn't start working right soon, we're going to be overrun by my "To Do" list (which would be ten reams high if I kept it on paper).

I know this post doesn't seem to have a point, but it's part apology to all of you to whom I've written posts in my head for not actually posting the words and part plea for the reassurance that eventually my brain will start to function halfway normally again.

There's more, but I can hear the cancer cat wailing for food, and since he, unlike me, has lost quite a lot of weight, I am compelled to run and feed him.
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2/6/09 Core needle biopsy: negative; Mammos through 2010: no change
3/30/11 Pea-sized lump in left breast at site of prior biopsy; mammo negative, sonogram not so much
4/14/11 Core needle biopsy: negative for cancer
5/18/11 Excisional biopsy 1.2 cm tumor, LVI, positive margin; ER+60%,PR+20%,HER2/CEP17 5
6/15/11 BMX: Left DCIS & LH; Right ADH; SNB: 2/3 nodes: 1.4 cm and 1 mm; ALND L1&2: 0/10; Stage IIa, Grade 3
7/14/11 CT/Bone scans NED; MUGA 66%
7/19/11 Biweekly dd AC w/Neulasta; done 8/30/11
9/13/11 Transfusion (Hemoglobin 8.6); MUGA 64%
9/20/11 Start Taxol + Herceptin; Taxol done 12/6/2011; continue Herceptin until 9/4/2012
12/27/11 Radiation - 6 weeks; 2/27/2012 - DONE! Yayyyy!
2/29/12 Start Tamoxifen 20 mg/day; continue until 2/28/17
5/16/12 Start five-years Metformin trial
6/19/12 MUGA 61%
8/21/12 Brain MRI NED (head still hurts, brain still fogged)
9/4/12 Herceptin done!
9/6/12 Port out!
7/11/13 Aricept 5mg for cognitive impairment; increased to 10mg as of 8/23/13; back to 5mg 12/2013
5/2014 Add Namenda 7mg
9/2014 Stop Aricept and Namenda; Neuropsychological evaluation
10/24/14 Start cognitive rehabilitation therapy
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Old 02-06-2012, 10:22 AM   #2
Jackie07
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Re: Of all the things I've lost...

Thought this thread might be related to the topic and provide some 'relief'. It will get better...

http://her2support.org/vbulletin/sho...511#post251511
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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.
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Old 02-06-2012, 12:58 PM   #3
chrisy
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Re: Of all the things I've lost...

Well, I know chemo brain is no fun, but your post made me smile. Been through that, and I still occasionally pour the water through the coffee machine without putting a pot below. Sometimes I even forget the coffee. But I chalk that up to not being able to MAKE coffee because I NEED coffee to wake up!

Don't worry about the to do list getting out of control, you will forget about it anyway.

Seriously, I'm not trying to make light of what you are going through. I remember not being able to make it through a complete sentence before forgetting what I was going to say. As you can see, I don't have that problem anymore (but I do still have a twisted sense of humor, which I think is healthy)

You've been through a lot, so be gentle with yourself. Tamoxifen should not add to the chemo brain and I think you will begin to recover soon.
It will get better. Really.
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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 02-06-2012, 01:09 PM   #4
tricia keegan
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Re: Of all the things I've lost...

I used to get angry about my chemo brain but now like Chrissy, just have a warped sense of humour and laugh at myself a lot!!
Your post made me smile too so thank you for that and chemo has still left you a humourus writer!!
Hope the cat stays sane too!!!
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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 02-06-2012, 01:49 PM   #5
chrisy
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Re: Of all the things I've lost...

cats are always insane, that's part of their charm
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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 02-06-2012, 04:16 PM   #6
CoolBreeze
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Re: Of all the things I've lost...

As far as chemo brain goes, I no longer worry about it. I have no short term memory, it's never coming back and it is what it is. I have people around me who might get upset when I ask what a certain show might be 7 nights a week ("The Finder? What's that about?") but they have to suffer too.

As for the flat affect, that comes and goes. Don't assume, by the way, that tamox will affect you - it doesn't everybody!
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08/17/09 Dx'd.
Multifocal/multicentric IDC, largest 3.4 cm, associated ADH, LCIS, DCIS
HER2+ ER+/PR- Grade 3, Node Negative

10/20/2009: Right mastectomy, reconstruction with TE
12/02/2009: Six rounds TCH, switched to Taxol halfway through due to neuropathy
03/31/2010: Finished chemo
05/01/2010: Began tamoxifen, the worst drug ever
11/18/2010: Reconstruction completed
12/02/2010: Finished herceptin
05/21/2011: Liver Mets. Quit Tamoxifen
06/22/2011: Navelbine/Zometa/Herceptin
10/03/2011: Liver Resection, left lobe. Microwave ablation, right lobe - going for cure!
11/26/2011: C-Diff Superbug Infection, "worst case doctor had seen in 20 years"
03/28/2012: Progression in ablated section of the liver - no more cure. Started Abraxane, continue herceptin/zometa
10/10/2012: Progression continues, started Halaven, along with herceptin and zometa.
01/15/2013: Progression continues, started Gemzar and Perjeta, an unusual combo, continuing with herceptin and zometa
03/13/2013: Quit Gemzar, body just won't handle it. Staying on herceptin, zometa and perjeta.
04/03/2013: CT shows 50% regression in tumor, so am starting back on Gemzar with dose reduction, staying with perjeta/herceptin/zometa. Can't argue with success!
05/09/2013: Discussing SBRT with Radiology due to inability of bone marrow to recover from chemo.
06/07/2013: Fiducial placement for SBRT
07/03/2013: Chemo discontinued, on Perjeta, Herceptin and Zometa alone
07/25/2013: SBRT (gamma knife) begins
08/01/2013: SBRT completed
08/15/2013: STABLE! continuing with Perjeta, Herceptin, Zometa
06/18/2014: ***** NED!!!!***** continuing with Perjeta, Herceptin, Zometa
01/29/2014: Still NED. continuing with Perjeta, Herceptin. Zometa lowered to every 3 months instead of monthly.
11/08/2015: Progression throughout abdomen and lungs. Started TDM-1, aka Kadcyla. Other meds discontinued. Remission was nice while it lasted.

5/27/18: Stable. Kadcyla put me right back in the barn. I have two teeny spots on my lungs that are metabolically inactive, and liver is clean.

I’m beating this MFer. I was 51 when this started and had two kids, 22 and 12. Now I’m 60. My oldest got married and trying to start s family. My youngesg graduates from Caltech this June. My stepdaughter gave me grandkids. Life is fantastic.
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Old 02-09-2012, 07:23 AM   #7
NEDenise
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Re: Of all the things I've lost...

Rhondalea, my dear friend...
What was I saying...oh ... well...
Hmmm...

I can TOTALLY relate to what you're experiencing! I'm embarrassed to admit this...but...my Christmas tree is still up! Every night I say, " tomorrow, that thing is comin' down!" And every day...the more pressing items on the VERY long to-do list push it out of my mind.

I wonder...how long does it have to stay up until I can claim it's actually my 2012 tree...put up a little early?

My brain fog is improving...slowly. You're a few weeks behind me on this journey...so give yourself time. I don't think my memory will ever be the wonder tool it once was...but I'd like to be able to remember, when I get to the top of the stairs, what I went upstairs for!!! And I'm so glad someone else does the coffee "thing"...I feel much less goofy about that now!

All the best!
Denise
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1/11-needle biopsy
2/11-Lumpectomy/axillary node dissection - Stage 3c, ER/PR-14/17 nodes
3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
4/12/11-A/C x 4, then T/H x 4, H only,Q3 weeks
8/26/11 finished Taxol!!!
10/7/11 mastectomy/DIEP recon
11/11 radiation x28
1/12/12 1st CANCER-VERSARY!
1/12 Low EF/Herceptin "Holiday" :(
2/12 EF up - Back on Herceptin, heart meds
4/2/1212 surgery to repair separated incision from DIEP recon
6/8/12 Return to work :)
6/17/12 Fall, shatter wrist,surgery to repair/insert plate :(
7/10/12 last Herceptin
7/23/12 Brain Mets %$&#! 3cm and 1cm
8/10/12 Gamma knife surgery, LOTS of steroids;start H/Tykerb
8/23/12 Back to work
12/20/12 Injure back-3 weeks in wheel chair
1/12/13 2nd CANCER-VERSARY!
1/14/13 herniate disk in back - surgery to repair
1/27/13 Radiation necrosis - edema in brain - back on steroids - but not back to work - off balance, poor cordination in right arm
5/3/13 Start Avastin to shrink necrosis
5/10/13 begin weaning steroids
6/18/13 Brain MRI - Avastin seems to be working!
6/20/13 quarterly CT - chest, abdomen, pelvis - All Clear!
7/5/13 finally off steroids!!
7/7/13 joined the ranks of the CHEMO NINJAS I am now Tekuto Ki Ariku cancer assassin!
7/13/13 Symptoms return - back on steroids
7/26/13 Back on Avastin - try again!
8/26/13 Not ready to return to classroom yet :( But I CAN walk without holding onto things! :)
9/9/13 Brain MRI - fingers crossed
“ Life is a grindstone, and whether it grinds you down or polishes you up is for you, and you alone, to decide. ” – Cavett Robert
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Old 02-14-2012, 05:41 AM   #8
sarah
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Re: Of all the things I've lost...

Be patient and kind to yourself. you'll find a way to deal with things - lists or whatever. don't stress that things aren't the way they used to be just enjoy being here with your family. I hope those around you understand that you may forget things and help. I've always been a bit flakey but now.....! but I've also always made lists. and of course calendars are a must!! on line ones as well as off line ones!!!
take care
health and happiness
love sarah
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Old 02-24-2012, 08:17 PM   #9
rhondalea
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Re: Of all the things I've lost...

Well, see? I've done it again.

Thank you all for the response and reassurance. In order:

Jackie, great link. Thank you. Some time back, I purchased the Kindle edition of Idelle's book, but I have been unable to read it. (I can't even manage bad fiction right now, although I used to read a couple of books a day.) Bizarrely enough, my memory is more complete than it was before chemo--my oncologist looks at me funny when I say it, but I really and truly believe cyclophosphamide had a beneficial effect on Hashimoto's--but I lack concentration and focus. I'm the poster child for ADHD. If you could see me in action, it would give you a belly ache.

Chris, with all that you're going through right now, I'm humbled to my toes that you took the time to encourage me. I am in awe of so many of the very strong individuals who post here, but your perseverance--not only on your own behalf but for the benefit of those who come here looking for help--is nothing short of remarkable. When I'm feeling battered, I think of you, and I'm almost convinced that what I see at the end of the tunnel is daylight (and not the headlight of the early morning express). I love that you're able to remain upbeat and funny even when faced with tough situations and choices.

Tricia, you're everywhere. (I read your posts at BCO and Komen, too.) I don't know how you find the energy, but I will aspire to emulate you. (My thyroid slowed my pace quite a lot even before cancer.) Same for remembering to laugh at myself (which is something I'm normally quite good at, because I have plenty of material).

Speaking of humor, Ann, you're amazing. I read your blog and your posts elsewhere, and everything I said to Chris above is also true about you. At times, you have made me laugh out loud at your take on the terrifying and dire. It's a gift.

Oh, Denise, your reply to my last PM is still blinking at me. It's totally humiliating that I'm so far behind. (I can't help but laugh at what I slug I am, and now I've waked the cat with chortling and she's looking at me like I'm a two-headed mouse.) Have you taken your tree down yet? If not, I shall strive to reply before you do. (Just try not to take it down too soon.)

For the record, Sarah, I have about 10 calendars, and except for the calendar on the wall, they're all synced and up-to-date...except...I didn't write down the time of my next endo appointment, so because I was too embarrassed to call and ask, I called and changed the day instead. I'm pretty good with regular appointments (e.g., Herceptin), but everything else is just a panic until I get it into Outlook and synced everywhere. (Either I can't find the appointment card or I can't read my own handwriting. You would think I would put it into the calendar on my Android at the moment I make the appointment...and I do...and then I usually "cancel" instead of "save" because my fingers hit the wrong key.)

In other news, before the Cancer Cat had cancer, he had hyperthyroidism and a heart condition. Now he has diabetes. So he gets methimazole and amlodipine and an insulin injection in the morning, plus more methimazole, Prilosec (to protect his widdle puddie tummy from the chemo), Palladia (similar to Sutent) and an insulin injection in the evening. He does not complain (although he got a little offended tonight when I stuck a Keto-Diastix strip beneath his back end as he tried to have a quiet pee in the corner box), so I guess I'll just have to follow his example of grace under pressure.

I have started mixing caffeine with L-theanine again (see here: http://www.fasebj.org/cgi/content/me...bstracts/LB456), and it helps some. I also saw a lymphedema therapist today for a preliminary evaluation, and that was a real relief--I do not have lymphedema (although she says that we, the nodeless, have to be prepared for it to happen at some point), and now I have some trustworthy tips on what to do to better my odds for later rather than sooner. The best thing was having it all out on the table--neither my surgeon nor my onc wanted to address it at any point, even though I kept bringing it up. It's only because my RO didn't want to give me XClair (because he wanted to see how the calendula would work for me--and it did, perfectly) that he gave me the consolation prize of a referral to the lymphedema therapist. Sheesh. The things we must do to get a little service from the medical fraternity....

I'm off now to find the other threads to which I owe replies. With a little luck, I won't get distracted, and with just a touch more, I'll be able to reply to Denise before her Christmas tree comes down.

Thank you all so much.

Rhonda
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2/6/09 Core needle biopsy: negative; Mammos through 2010: no change
3/30/11 Pea-sized lump in left breast at site of prior biopsy; mammo negative, sonogram not so much
4/14/11 Core needle biopsy: negative for cancer
5/18/11 Excisional biopsy 1.2 cm tumor, LVI, positive margin; ER+60%,PR+20%,HER2/CEP17 5
6/15/11 BMX: Left DCIS & LH; Right ADH; SNB: 2/3 nodes: 1.4 cm and 1 mm; ALND L1&2: 0/10; Stage IIa, Grade 3
7/14/11 CT/Bone scans NED; MUGA 66%
7/19/11 Biweekly dd AC w/Neulasta; done 8/30/11
9/13/11 Transfusion (Hemoglobin 8.6); MUGA 64%
9/20/11 Start Taxol + Herceptin; Taxol done 12/6/2011; continue Herceptin until 9/4/2012
12/27/11 Radiation - 6 weeks; 2/27/2012 - DONE! Yayyyy!
2/29/12 Start Tamoxifen 20 mg/day; continue until 2/28/17
5/16/12 Start five-years Metformin trial
6/19/12 MUGA 61%
8/21/12 Brain MRI NED (head still hurts, brain still fogged)
9/4/12 Herceptin done!
9/6/12 Port out!
7/11/13 Aricept 5mg for cognitive impairment; increased to 10mg as of 8/23/13; back to 5mg 12/2013
5/2014 Add Namenda 7mg
9/2014 Stop Aricept and Namenda; Neuropsychological evaluation
10/24/14 Start cognitive rehabilitation therapy
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Old 02-25-2012, 12:47 AM   #10
sarah
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Re: Of all the things I've lost...

Hi Rhonda,
Made me laugh about changing the date when you forgot the date! with my breathing problems I was so confused and anxious, I thought I'd made the appt with the cardiologist and the pneumonolgist the same morning so it would be one trip into town but when I showed up at the cardiologist he said "no it was for yesterday!" and of course I was anxious to talk to him so we talked between heart tests for other patients, more rushed than I would have liked and that's when he told me I'd had a heart attack!!! too stunned to know what to ask. so yes even with calendars, we can all mess up appts. lol I even get promps in google calendar but if you put in the wrong date......
take care,
health and happiness
love sarah
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Old 02-26-2012, 12:32 AM   #11
Pray
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Re: Of all the things I've lost...

I am so glad to see I am not the only one with this problem!!!
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Old 02-28-2012, 11:32 PM   #12
MCS
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Location: Los Angeles
Posts: 430
Re: Of all the things I've lost...

dx in 2005 and still have chemo brain or early dementia-I'm 56!
How can I forget things that were all so permanent. and I forget things for work!
have lists for EVERYTHING

but what I miss most is optimism
xo
maria
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Old 03-01-2012, 09:15 AM   #13
rhondalea
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Location: Somerset, NJ
Posts: 487
Re: Of all the things I've lost...

Hi everyone,

Now that chemo and radiation are over, I've started taking vinpocetine again (along with some other antioxidants I gave up for the duration).

I first learned about vinpocetine as a cure for thyroid brain fog. It has also been used in Alzheimer's patients, although the evidence for that use is thin.

For me, it has been a godsend. I'm still having mild ADHD symptoms, but they're improving, and my mind is much clearer than it was.

"Better living through nutraceuticals." I'll be interested to see if it holds through tamoxifen therapy (which I started last night).

Here's a link to the vinpocetine monograph:

http://db.tt/AcqgFRkb

If you're interested in trying it, be sure to read the cautions, because although it is very helpful, there are some for whom it could be dangerous. I take 20 mg/day--I have 10 mg tablets, and I split them into 4 doses. You can also get 5 mg tablets, and 15 mg/day is a proven dose.
__________________

2/6/09 Core needle biopsy: negative; Mammos through 2010: no change
3/30/11 Pea-sized lump in left breast at site of prior biopsy; mammo negative, sonogram not so much
4/14/11 Core needle biopsy: negative for cancer
5/18/11 Excisional biopsy 1.2 cm tumor, LVI, positive margin; ER+60%,PR+20%,HER2/CEP17 5
6/15/11 BMX: Left DCIS & LH; Right ADH; SNB: 2/3 nodes: 1.4 cm and 1 mm; ALND L1&2: 0/10; Stage IIa, Grade 3
7/14/11 CT/Bone scans NED; MUGA 66%
7/19/11 Biweekly dd AC w/Neulasta; done 8/30/11
9/13/11 Transfusion (Hemoglobin 8.6); MUGA 64%
9/20/11 Start Taxol + Herceptin; Taxol done 12/6/2011; continue Herceptin until 9/4/2012
12/27/11 Radiation - 6 weeks; 2/27/2012 - DONE! Yayyyy!
2/29/12 Start Tamoxifen 20 mg/day; continue until 2/28/17
5/16/12 Start five-years Metformin trial
6/19/12 MUGA 61%
8/21/12 Brain MRI NED (head still hurts, brain still fogged)
9/4/12 Herceptin done!
9/6/12 Port out!
7/11/13 Aricept 5mg for cognitive impairment; increased to 10mg as of 8/23/13; back to 5mg 12/2013
5/2014 Add Namenda 7mg
9/2014 Stop Aricept and Namenda; Neuropsychological evaluation
10/24/14 Start cognitive rehabilitation therapy
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