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Old 01-08-2015, 01:19 PM   #1
Lucy
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Join Date: Oct 2014
Posts: 293
Re: Cognitive Rehabilitation

Rhondalea let me add my thanks to you for starting this thread. Fortunately I have doctors who recognize chemobrain. Unfortunately they don't want to do any tests unless it hangs on for a while. In the meantime I've had to return to work somewhat impaired. The medical team at work is aware of the issue and has indicated they will go to bat for me, should there be "performance issue" talks about me but I didn't share that information with my boss because I met him for the first time when I returned to work last month. Can't you just hear that conversation? "Hi, I'm your new admin. I look forward to working with you. Oh, and by the way I'm having some cognitive issues due to my cancer treatment so you shouldn't get upset if I really munk up stuff I do for you, you know, assuming I remember you asked me to do it, k? Thanks. Great to meet you by the way."

I've taken a couple of notes from this though and will discuss with my PCP when I see her on Tuesday and then again with my oncologist when I see her next month. They may want to wait for a while before they do any cognitive testing but I had some bloodwork done recently and my B12 levels were very high (I do take a supplement and everyone thinks that's the culprit - myself included - but I'm letting all my doctors know because I'd rather follow up now and there be no issue than just make assumptions and let it go when there could be a problem that requires fast action.) and the oncologist's nurse sent me an email saying "Increased vitamin B12 levels can lead to several metabolic disorders that primarily affect cognitive functions leading to dementia." Makes me think that's a good reason to follow up sooner rather than later.
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Old 01-08-2015, 07:34 PM   #2
StephN
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Join Date: Nov 2004
Location: Misty woods of WA State
Posts: 4,128
Re: Cognitive Rehabilitation

Lucy -
Interesting info about B-12 levels! I have been supplementing with B-6 for a back/leg nerve problem. Hope there is no such side effect from B-6.

As the conversation develops on this forum regarding cognitive impairment, the complexity of each individual stands out as clearly as the problems of how to treat what kind of tumor.

There just is no simple answer, and that is as "simple" as I can put it! Would be nice to have some kind of check list to go down while we look for and try to compensate for the aftereffects of our treatments.
__________________
"When I hear music, I fear no danger. I am invulnerable. I see no foe. I am related to the earliest times, and to the latest." H.D. Thoreau
Live in the moment.

MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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