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Old 09-14-2008, 05:12 PM   #1
jml
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these RADS are kicking my butt!

okay, so I've weathered 92 rounds of chemo, haven't ever ventured to count how many "Vitamin H" infusions, other that to say I've been on Herceptin since 2002, a liver resection & 5 surgeries in 2 years...
i hate to admit it, but these rads are kicking my a**!
i can't seem to wrap my brain around it!
i'm only 2 weeks in & have just begun to feel tired.
but I have 5-6 more weeks to go.
they warned me about the fatigue & i asked the rad.onc why it can be so severe?
is it like kryptonite & superman w/this mysterious debilitating effect??
she said no, it's just your body needs extra energy to heal.
ok, i get that, but i'm still a little stunned.
i continued to teach Pilates & train clients throughout
active treatment & immediately following my surgeries, but these rads...???
what's up with that?
the good news is, within the 1st week of starting rads, these pesky supraclav nodes shrunk a bit, then by week 2, down from 2cm to 1.5cm
my rad.onc is very happy, as am I, ofcourse
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Old 09-14-2008, 05:31 PM   #2
hutchibk
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Sorry it's knocking you down, but while you are going thru it maybe you should back off of teaching and training a little while your body is struggling to make sense and compensate and heal...

just a thought. Take some well deserved down time.

Best wishes.
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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 09-14-2008, 06:59 PM   #3
karenann
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I had finished chemo and was one week into Herceptin when I started rads. I had never (throughout) treatment experienced such fatigue as I did with rads.

Karen
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Old 09-14-2008, 07:03 PM   #4
CindyE
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I am doing radiation right now too. I was feeling the fatigue really bad until I started to go to bed earlier. I'm now getting an extra hours sleep at night which is about 8-1/2 hours of sleep each night. It has really helped me not feel so tired and weak. I also met with the nutritionist who told me I need to eat more protein and fruits during my rads. I have gained 3 pounds but figure I'll lose it once my rads are over. Apparently our bodies really have to work hard during the rads and we need the extra sleep and good nutrients to counter the rads. Good luck to you and happy to hear your good news about the nodes.
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L/IDC, 1.2 cm, Stage 1, Her2+, ER+/PR+ at age 48
4/15/2008 Lumpectomy + sentinel node biopsy
Margins neg and Nodes neg (2 tested)
MUGA score 55 on 5/6/2008

Treatment starting 05/08/2008:
Chemo 4 cycles, 3 weeks apart with Taxotere & Cytoxan - Chemo - Done 7/24/2008!
Herceptin for 1 year
Radiation starting in 9/2008
MUGA score 61.9 on 9/04/2008
33 Rads with boost - Done 10/13/2008
MUGA score 58 on 12/01/2008
MUGA score 59 on 3/16/2009
Herceptin for 1 year - Done 4/27/2009
MUGA score 64 on 6/22/2009
All scans - NED 6/24/2009
MRI - NED 11/10/2009
All scans - Still NED 8/25/2011
Still NED 2017!



I am calling this my pink journey
Follow my journey into the pink at my blog here

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Old 09-14-2008, 07:37 PM   #5
StillHere
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It has been a couple of years since I had 7 wks of Rads. I also was very tired. I could not figure out why I was not bouncing back. It turns out I had things going on. I was in the middle of Herceptin induced Cardiomyopathy (legs were like lead weights) and the radiation (or maybe chemo) did a number on my thyroid. You may want to request thyroid blood tests to see if you are hypothyroid. Best Wishes for a quick turn around to our new normal. KS
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04/05 Onset 49, DCIS, solid, Hist 2/3, Nucl 2/3, 7cm R Brst
04/05 E & P + HER2+++
05/05 Mediport
05/05 Cytoxan & Adriamycin every 3wk x4
08/05 Taxol every 2wk x 4, Herceptin every wk x1yr
10/05 Bilat Mast - my Choice
10/05 3/19 lymph nodes Pos, Stage IIIa
11/05 Rad x 37 Rx, R Brst & Axcilla
02/06 Herceptin stopped (L vent HF 40)
03/06 Started & Stoped Arimidex after 2 mos.-QOL side effects
05/06 Started Tamoxafin
06/06 Bilat Free Flap Reconstruction
12/06 Cardiomyopathy reversed-HF normal
01/07 Bilat Saline Implants
07/07 CA 27-29 steadily rising from 28 in 12/06 to 46 in 7/07
07/07 PET Scan NED, but inflamation at prev surg site.
09/07 Started Femara
10/07 CA 27-29 down to 39
06/08 CA 27-29 down to 32
09/08 Lg joint pain & QOL side effects from Femara, will live w/ to keep CA markers within normal range.
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Old 09-14-2008, 08:15 PM   #6
Jackie07
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Glad to hear the good news!

I don't remember that much fatigue during radiation possibly because my mind was focused on other things (taking the teacher exams) I do remember the burning sensation on the skin - was provided with some small bottles of sample lotion and then purchased one big bottle by myself.

With a full-time job, you probably really just needed some more hours to rest. I would think it's reasonable to ask for 9 hours at night times and a cat nap after lunch.
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Last edited by Jackie07; 09-14-2008 at 08:18 PM..
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