  | 
	
	
 
 
		
	
	
	
		
	
	
	
				
			
			 
			04-20-2007, 11:39 PM
			
							
		 | 
		
			 
			#1
			
		 | 
	
 
	| 
			
			
			
			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Oct 2005 
				Location: New Jersey 
				
				
					Posts: 3,154
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
	 | 
	
	
	
		
		
			
			
				 
				clinical depression in cancer patients adds
			 
			 
			
		
		
		
		
		
	
		
		
		
		
		
		
			
				__________________ 
				Stage 1, Grade 1, 3/30/05  
Lumpectomy 4/15/05 - 6MM IDC 
Node Neg. (Sentinel node) 
ER+ 90% / PR-, Her2+++ by FISH  
Ki-67 40% 
Arimidex 5/05 
Radiation 32 trt, 5/30/05 
Oncotype DX test 4/17/06, 31% high risk 
TOPO 11 neg. 4/06  
Stopped Arimidex 5/06 
TCH 5/06, 6 treatments 
Herceptin 5/06 - for 1 yr. 
9/06 Completed chemo 
Started Femara Sept. 2006
			 
		
		
		
		
		
		
	
	 | 
 
	
		 
						
		
		
		
		 
	 | 
	
	
	
		
		
		
		
			 
		
		
		
		
		
		
			
		
		
		
	 | 
 
 
	 
	
		 
	 
 
	
	
		
	
	
	
				
			
			 
			04-22-2007, 06:47 AM
			
							
		 | 
		
			 
			#2
			
		 | 
	
 
	| 
			
			
			
			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Apr 2006 
				Location: Wilmington, Del. 
				
				
					Posts: 1,126
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
	 | 
	
	
	
		
		
		
		
		 This is a good thing.  I go to a Cancer Center that has its own psychologist, but I think my oncologist is not as sensitive as he could be to the psychological effects of a cancer diagnosis. He is teachable, though.  I have a family history of depression but, until I was diagnosed, tried to cope with it through occasional one on one therapy.  The BC diagnosis almost sent me "off the ledge."  I am grateful that I started taking daily Lexapro, with occasional Xanax for anxiety.  
 
For me the depression risk was already there when I got the diagnosis. I wonder how many of the 40%  who became clinically depressed had no history of depression. 
		
	
		
		
		
		
		
		
			
				__________________ 
				MJO 
  
IDC, Stage I, Grade 2 
Oncotype DX Score 32 
Her2++ E+P+, Node Neg. 
Lumpectomy 11/04/05 Clear Margins 
3 Dose dense AC (Couldn't tolerate 4) 
4 Dose dense Taxol & Herc. (Tolerated well) 
36 weeks Herceptin (Could not complete one year due to decrease in MUGA score) 
2 years of Arimidex, then three years of Femara 
Finished Femara May 2011  
			 
		
		
		
		
		
		
	
	 | 
 
	
		 
						
		
		
		
		 
	 | 
	
	
	
		
		
		
		
			 
		
		
		
		
		
		
			
		
		
		
	 | 
 
 
	 
	
		 
	 
 
	
	
		
	
	
	
				
			
			 
			04-22-2007, 08:38 AM
			
							
		 | 
		
			 
			#3
			
		 | 
	
 
	| 
			
			
			
			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Oct 2005 
				Location: New Jersey 
				
				
					Posts: 3,154
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
	 | 
	
	
	
		
		
		
		
		 Great Point MJO... 
 
  
Keep that beautiful smile going! 
Jean 
		
	
		
		
		
		
		
		
			
				__________________ 
				Stage 1, Grade 1, 3/30/05  
Lumpectomy 4/15/05 - 6MM IDC 
Node Neg. (Sentinel node) 
ER+ 90% / PR-, Her2+++ by FISH  
Ki-67 40% 
Arimidex 5/05 
Radiation 32 trt, 5/30/05 
Oncotype DX test 4/17/06, 31% high risk 
TOPO 11 neg. 4/06  
Stopped Arimidex 5/06 
TCH 5/06, 6 treatments 
Herceptin 5/06 - for 1 yr. 
9/06 Completed chemo 
Started Femara Sept. 2006
			 
		
		
		
		
		
		
	
	 | 
 
	
		 
						
		
		
		
		 
	 | 
	
	
	
		
		
		
		
			 
		
		
		
		
		
		
			
		
		
		
	 | 
 
 
	 
	
		 
	 
 
	
	
		
	
	
	
				
			
			 
			04-22-2007, 09:03 AM
			
							
		 | 
		
			 
			#4
			
		 | 
	
 
	| 
			
			
			
			 Senior Member 
			
			
		
			
				
			
			
			
				 
				Join Date: Jul 2005 
				Location: Ft. Collins, Colorado 
				
				
					Posts: 546
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
	 | 
	
	
	
		
		
			
			 
				
				this is good
			 
			 
			
		
		
		
		I'll be so curious to see what approaches seem to work well and how that affects women's disease course. 
  
I have had depression all of my life and cancer definitely amped it up.  I've taken effexor for 7 years and am actually thinking about bumping up the dosage.  It is just so hard when you are in constant cancer treatment to know what is my old depression, my situational depression, chemo induced fatigue and depression.  With so many variable and chemicals I think it is a very tricky thing to navigate and remediate. 
		
	
		
		
		
		
		
		
			
				__________________ 
				with love and gratitude, 
joy 
  
dx stage I 2/2000*er/pr+; her- per IHC*lumpectomy*4 rounds A/C*30 rads*tamoxifen*dx stage 4 5/2002*huge mets to liver*tiny mets to lungs*stopped tamoxifen*5/02 taxotere/xeloda*her 2 checked with FiSH-her2+++herceptin *2/03 stopped chemo  femara w/herceptin*zolodex*04 switched to aromasin w/herceptin*05  high estrogen tx*11/05taxol/carbo*7/06 stopped chemo; megace/herceptin*9/06navelbine/herceptin*5/07tykerb/xeloda great response*4/08 progression in liver; ooph/ faslodex /herceptin 
6/08 began Herceptin DM-1 
9/08 progression
			 
		
		
		
		
		
		
	
	 | 
 
	
		 
						
		
		
		
		 
	 | 
	
	
	
		
		
		
		
			 
		
		
		
		
		
		
			
		
		
		
	 | 
 
 
	 
	
		 
	 
 
	
	
		
	
	
	
				
			
			 
			04-22-2007, 11:45 AM
			
							
		 | 
		
			 
			#5
			
		 | 
	
 
	| 
			
			
			
			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Oct 2005 
				Location: New Jersey 
				
				
					Posts: 3,154
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
	 | 
	
	
	
		
		
			
			
			 
			
		
		
		
		Hi Joy, 
 
I am so sorry that you are fighting the blues along with dealing with your treatments.....life surely is not fair.  But I do think that you should consider 
addressing your med for depression.  There is no reason to suffer and if  
medication will help lift those blues then go for it.   
  
I think depression comes on in layers and just piles up.   Then before you know it you can be in a rut with it.  Many accept having bad days and that is normal 
a few bad days, when it is lasting into weeks etc. well it is vital to have some 
help.   
  
Please know I am praying for you in your scans and in your emotional health. 
Wish I were closer to you....I would pick you up and take you out for a girlie 
day.... 
  
Hugs, 
Jean 
		
	
		
		
		
		
		
		
			
				__________________ 
				Stage 1, Grade 1, 3/30/05  
Lumpectomy 4/15/05 - 6MM IDC 
Node Neg. (Sentinel node) 
ER+ 90% / PR-, Her2+++ by FISH  
Ki-67 40% 
Arimidex 5/05 
Radiation 32 trt, 5/30/05 
Oncotype DX test 4/17/06, 31% high risk 
TOPO 11 neg. 4/06  
Stopped Arimidex 5/06 
TCH 5/06, 6 treatments 
Herceptin 5/06 - for 1 yr. 
9/06 Completed chemo 
Started Femara Sept. 2006
			 
		
		
		
		
		
		
	
	 | 
 
	
		 
						
		
		
		
		 
	 | 
	
	
	
		
		
		
		
			 
		
		
		
		
		
		
			
		
		
		
	 | 
 
 
	 
	
		 
	 
 
	
	
		
	
	
	
				
			
			 
			04-22-2007, 12:19 PM
			
							
		 | 
		
			 
			#6
			
		 | 
	
 
	| 
			
			
			
			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Mar 2006 
				
				
				
					Posts: 1,843
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
	 | 
	
	
	
		
		
		
		
		More on omega three. 
RB
  
 
"Omega-3 fatty acids can help to prevent the development of certain cancers, particularly those of the breast and colon, and possibly of the uterus and the skin, and are likely to reduce the risk of postpartum depression, manic-depressive psychosis, dementias (Alzheimer's disease and others), hypertension, toxemia, diabetes and, to a certain extend, age-related macular degeneration."
 http://www.ncbi.nlm.nih.gov/entrez/q...=pubmed_docsum
ABSTRACT
 
This review details the specific needs of women for omega-3 fatty acids, including alpha linoleic acid (ALA) and the very long chain fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Omega-3 fatty acid (dietary or in capsules) ensures that a woman's adipose tissue contains a reserve of these fatty acids for the developing fetus and the breast-fed newborn infant. This ensures the optimal cerebral and cognitive development of the infant. The presence of large quantities of EPA and DHA in the diet slightly lengthens pregnancy, and improves its quality. Human milk contains both ALA and DHA, unlike that of other mammals. Conditions such as diabetes can alter the fatty acid profile of mother's milk, while certain diets, like those of vegetarians, vegans, or even macrobiotic diets, can have the same effect, if they do not include seafood. ALA, DHA and EPA, are important for preventing ischemic cardiovascular disease in women of all ages. Omega-3 fatty acids can help to prevent the development of certain cancers, particularly those of the breast and colon, and possibly of the uterus and the skin, and are likely to reduce the risk of postpartum depression, manic-depressive psychosis, dementias (Alzheimer's disease and others), hypertension, toxemia, diabetes and, to a certain extend, age-related macular degeneration. Omega-3 fatty acids could play a positive role in the prevention of menstrual syndrome and postmenopausal hot flushes. The normal western diet contains little ALA (less than 50% of the RDA). The only adequate sources are rapeseed oil (canola), walnuts and so-called "omega-3" eggs (similar to wild-type or Cretan eggs). The amounts of EPA and DHA in the diet vary greatly from person to person. The only good sources are fish and seafood, together with "omega-3" eggs.  
		
	
		
		
		
		
		
		
		
		
		
	
	 | 
 
	
		 
						
		
		
		
		 
	 | 
	
	
	
		
		
		
		
			 
		
		
		
		
		
		
			
		
		
		
	 | 
 
 
	 
	
		 
	 
 
	
	
		
	
	
	
				
			
			 
			04-22-2007, 12:27 PM
			
							
		 | 
		
			 
			#7
			
		 | 
	
 
	| 
			
			
			
			 Senior Member 
			
			
		
			
			
			
				 
				Join Date: Mar 2006 
				
				
				
					Posts: 1,843
				 
				
				
				
				
 
	 
		
	 		
	
		 
		 
		
		 
		
		
	
		
	
	 
	 
			 					
		
	 | 
	
	
	
		
		
		
		
		More on omega three. 
RB
  
 
"Omega-3 fatty acids can help to prevent the development of certain cancers, particularly those of the breast and colon, and possibly of the uterus and the skin, and are likely to reduce the risk of postpartum depression, manic-depressive psychosis, dementias (Alzheimer's disease and others), hypertension, toxemia, diabetes and, to a certain extend, age-related macular degeneration."
 http://www.ncbi.nlm.nih.gov/entrez/q...=pubmed_docsum
ABSTRACT
 
This review details the specific needs of women for omega-3 fatty acids, including alpha linoleic acid (ALA) and the very long chain fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Omega-3 fatty acid (dietary or in capsules) ensures that a woman's adipose tissue contains a reserve of these fatty acids for the developing fetus and the breast-fed newborn infant. This ensures the optimal cerebral and cognitive development of the infant. The presence of large quantities of EPA and DHA in the diet slightly lengthens pregnancy, and improves its quality. Human milk contains both ALA and DHA, unlike that of other mammals. Conditions such as diabetes can alter the fatty acid profile of mother's milk, while certain diets, like those of vegetarians, vegans, or even macrobiotic diets, can have the same effect, if they do not include seafood. ALA, DHA and EPA, are important for preventing ischemic cardiovascular disease in women of all ages. Omega-3 fatty acids can help to prevent the development of certain cancers, particularly those of the breast and colon, and possibly of the uterus and the skin, and are likely to reduce the risk of postpartum depression, manic-depressive psychosis, dementias (Alzheimer's disease and others), hypertension, toxemia, diabetes and, to a certain extend, age-related macular degeneration. Omega-3 fatty acids could play a positive role in the prevention of menstrual syndrome and postmenopausal hot flushes. The normal western diet contains little ALA (less than 50% of the RDA). The only adequate sources are rapeseed oil (canola), walnuts and so-called "omega-3" eggs (similar to wild-type or Cretan eggs). The amounts of EPA and DHA in the diet vary greatly from person to person. The only good sources are fish and seafood, together with "omega-3" eggs.  
		
	
		
		
		
		
		
		
		
		
		
	
	 | 
 
	
		 
						
		
		
		
		 
	 | 
	
	
	
		
		
		
		
			 
		
		
		
		
		
		
			
		
		
		
	 | 
 
 
	 
	
		 
	 
 
 
	
		
	
	
	
	
	
		
	
		 
		Posting Rules
	 | 
 
	
		
		You may not post new threads 
		You may not post replies 
		You may not post attachments 
		You may not edit your posts 
		 
		
		
		
		
		HTML code is Off 
		 
		
	  | 
 
 
	 | 
	
		
	 | 
 
 
All times are GMT -7. The time now is 04:51 AM. 
    |